Socioeconomic Inequalities in Premature mortaluty in France : Have They Widened in Recent Decades  

Oleh:

Leclerc, Annette ; Chastang, Jean-Francois ; Menvielle, Gwenn ; Luce, Daniele

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 8 (Apr. 2006), page 2035-2045.
Topik: MORTALITY; mortality; inequalities; social; employment; france; temporal change

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.3 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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An increase in social inequalities in premature mortality has been observed in the last decades in various european countries. In France, large inequalitites have been reported for several years, but the changes over time have been only partially examined. The study was based on the analysis of a large longitudinal data set. Four periods of 7 years following a census were compared. Deaths in the period (21,003 deaths for men, 9418 for women) were recorded and studied according to socioeconomic status (SES) at the census. Relative ndex of inequality (RII) was calculated in order to quantify the magnitude of inequalities among those employed, and also in the entire population. with specific categories for those inactive. The results showed that the magnitude of inequalities remained mainly stable over time for men and women working at the time of the census. However, for the entire population, a strong increased in the magnitude of social inequalities was observed, For the RIIs increased form 3,53 in the first period to 6,54 in the most recent period. For cancer and cardiovascular diseases for both sexes, and external causes for men. Inspite of a global decrease in the mortality over the period, the absolute differences between the top and the bottom of the socioeconomic scale did not change. The result highlights the importance of temporal changes in mortality associated with an increase if unemployment, changes in the labour market, and the consequences of selective exclusion from work. The classification of those not working is an important point to consider in the study of social inequalities.

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