Education and mortality in Spain: a national study supports local findings

Enrique Regidor (), Laura Reques, María J. Belza, Anton E. Kunst, Johan P. Mackenbach and Luis Fuente
Additional contact information
Enrique Regidor: Universidad Complutense de Madrid
Laura Reques: Instituto de Salud Carlos III
María J. Belza: CIBER Epidemiología y Salud Pública (CIBERESP)
Anton E. Kunst: University of Amsterdam
Johan P. Mackenbach: Erasmus MC
Luis Fuente: CIBER Epidemiología y Salud Pública (CIBERESP)

International Journal of Public Health, 2016, vol. 61, issue 1, No 16, 139-145

Abstract: Abstract Objectives To estimate educational inequalities in mortality in Spain and in three Spanish areas: Madrid, Barcelona, and the Basque country. Methods A national prospective study was carried out including all persons aged 25–74 years living in Spain in 2001 and followed up for mortality over 7 years. The mortality rate ratio and difference from all causes and from leading causes of death were estimated for the entire Spanish population and for the above three geographical areas. Results With respect to people with the highest education, the mortality rate ratios in the entire population of Spain in people with the second highest, second lowest and lowest education were, respectively, 1.09, 1.10, 1.39 in women and 1.19, 1.27 and 1.54 in men. The mortality rate differences per 100,000 person-years were, respectively, 24.8, 28.3, 108.2 in women and 116.7, 162.5 and 319.1 in men. These estimates were intermediate in magnitude compared to those seen in the three geographical areas. Conclusions The results provide further evidence that educational inequalities in mortality are smaller in the south of Europe than in other European countries.

Keywords: Inequalities in mortality; Leading causes of death; Spain; Spanish regions (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (4)

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DOI: 10.1007/s00038-015-0762-z

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