Special Collection 2 - Article 9 | Pages 229–254

Monitoring of trends in socioeconomic inequalities in mortality: Experiences from a European project

By Anton E. Kunst, Vivian Bos, Otto Andersen, Mario Cardano, Giuseppe Costa, Seeromanie Harding, Örjan Hemström, Richard Layte, Enrique Regidor, Alison Reid, Paula Santana, Tapani Valkonen, Johan P. Mackenbach

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Date received:17 Feb 2003
Date published:16 Apr 2004
Word count:6530
Keywords:Europe, methodology, mortality, socioeconomic factors, trends


This paper presents estimates of changes in socioeconomic inequalities in mortality between the 1980s and the 1990s in nine European countries. The best available evidence shows that relative inequalities in mortality generally widened, while the absolute gap remains about the same. However, the pace of change varied greatly, both between countries and within countries (by age and sex).
Additional analyses of specific countries illustrated that data problems can often impede an accurate and detailed assessment of change in inequalities in mortality. These illustrations stressed the importance of evaluating methodological problems, and they point to the urgent need for further development of data sources.

Author's Affiliation

Anton E. Kunst - Erasmus University Medical Center, the Netherlands [Email]
Vivian Bos - Erasmus University Medical Center, the Netherlands [Email]
Otto Andersen - Danmarks Statistik, Denmark [Email]
Mario Cardano - Università degli Studi di Torino (UNITO), Italy [Email]
Giuseppe Costa - Università degli Studi di Torino (UNITO), Italy [Email]
Seeromanie Harding - Medical Research Council, United Kingdom [Email]
Örjan Hemström - Stockholms Universitet, Sweden [Email]
Richard Layte - Economic and Social Research Institute, Ireland [Email]
Enrique Regidor - Ministry of Health, Spain, Spain [Email]
Alison Reid - University of Western Australia, Australia [Email]
Paula Santana - Universidade de Coimbra, Portugal [Email]
Tapani Valkonen - Helsingin Yliopisto (University of Helsinki), Finland [Email]
Johan P. Mackenbach - Erasmus University Medical Center, the Netherlands [Email]

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» Educational differentials in male mortality in Russia and northern Europe: A comparison of an epidemiological cohort from Moscow and St. Petersburg with the male populations of Helsinki and Oslo
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» Increasing excess mortality among non-married elderly people in developed countries
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