Mortality by occupation-based social class in Italy from 2012 to 2014

Paola Bertuccio, Gianfranco Alicandro (), Gabriella Sebastiani, Nicolas Zengarini, Giuseppe Costa, Carlo La Vecchia and Luisa Frova
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Paola Bertuccio: Università degli Studi di Milano
Gianfranco Alicandro: Università degli Studi di Milano
Gabriella Sebastiani: Italian National Institute of Statistics
Nicolas Zengarini: ASL TO3 Piedmont Region
Giuseppe Costa: ASL TO3 Piedmont Region
Carlo La Vecchia: Università degli Studi di Milano
Luisa Frova: Italian National Institute of Statistics

International Journal of Public Health, 2018, vol. 63, issue 7, No 10, 865-874

Abstract: Abstract Objectives Evaluating socio-economic inequality in cause-specific mortality among the working population requires large cohort studies. Through this census-based study, we aimed to quantify disparities in mortality across occupation-based social classes in Italy. Methods We conducted a historical cohort study on a sample of more than 16 million workers. We estimated the mortality rate ratios for each social class, considering upper non-manual workers as reference. Results Non-skilled manual workers showed an increased mortality from upper aero-digestive tract, stomach and liver cancers, and from diseases of the circulatory system, transport accidents and suicides in both sexes, and from infectious diseases, diabetes, lung and bladder cancers only in men. Among women, an excess mortality emerged for cervical cancer, whereas mortality from breast and ovarian cancers was lower. When education was taken into account, the excess mortality decreased in men while was no longer significant in women. Conclusions There are remarkable disparities across occupation-based social classes in the Italian working population that favour the upper non-manual workers. Our data could be useful in planning policies for a more effective health and social security system.

Keywords: Socio-economic inequality; Occupation; Census; Mortality (search for similar items in EconPapers)
Date: 2018
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Citations: View citations in EconPapers (2)

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DOI: 10.1007/s00038-018-1149-8

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