Does community deprivation determine longevity after the age of 75? A cross-national analysis

• Type: Article in International Scientific Journal
• Date: 2018

Authors

Ribeiro, AI (Author) FMUP; Krainski, ET (Author) Other; Carvalho, MS (Author) Other; Launoy, G (Author) Other; Pornet, C (Author) Other; de Pina, MD (Author) Other

Journal

Title: International Journal of Public Health

Vol. 63

Pages: 469-479

ISSN: 1661-8556

Publisher: Swiss School of Public Health

Indexing

ISI Web of Knowledge - 7 Citations

Scopus - 8 Citations

Other information

Authenticus ID: P-00N-P5N

DOI: 10.1007/s00038-018-1081-y

Abstract (EN): Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender. Our study incorporated five countries (Portugal, Spain, France, Italy, and England). A 10-year survival rate expressing the proportion of population aged 75-84 years who reached 85-94 years old was calculated at area-level for 2001-11. To estimate associations, we used Bayesian spatial models and a transnational measure of deprivation. Attributable/prevention fractions were calculated. Overall, there was a significant association between deprivation and survival in both genders. In England that association was stronger, following a dose-response relation. Although lesser in magnitude, significant associations were observed in Spain and Italy, whereas in France and Portugal these were even weaker. The elimination of socioeconomic differences between areas would increase survival by 7.1%, and even a small reduction in socioeconomic differences would lead to a 1.6% increase. Socioeconomic deprivation was associated with survival among older adults at ecological-level, although with varying magnitude across countries. Reasons for such cross-country differences should be sought. Our results emphasize the importance of reducing socioeconomic differences between areas.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 11