Résumé :
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[BDSP. Notice produite par INIST-CNRS xeR0xInW. Diffusion soumise à autorisation]. Study objective : To compare the age pattern of educational health inequalities in four Nordic countries in the mid-1980s and the mid-1990s. Design : Cross sectional interview surveys at two points of time. Setting : Data on self reported limiting longstanding illness, and perceived health were collected from Denmark, Finland, Norway, and Sweden in 1986/87 and in 1994/95. Participants : Representative samples of the non-institutionalised population at 15 years or older. Analyses were restricted to respondents aged between 25 and 75 (n=23 325 men and 24 184 women). Response rates varied from 73% to 87%. Main results : The age adjusted prevalence of limiting longstanding illness in Finland was 10% higher in men and 6% higher in women than in other Nordic countries in 1986/87 but the gap narrowed by 1994/95. Educational health inequalities were largest in Norway. In 1986/87 the odds ratio (OR) for limiting longstanding illness was 11.25 (95% Cl 8.66 to 14.62) among men and 8.23 (95% Cl 6.60 to 10.27) among women in the oldest age group (65-74 years old) in Finland when the youngest age group (25-34 years old) was used as the reference category (OR=1.00). The age pattern in Finland was steeper than in Sweden (OR=5.02,95% Cl 3.97 to 6.34 in men and 5.29,95% Cl 4.18 to 6.71 in women) or Norway (OR=6.32,95% Cl 4.06 to 9.84 and 5.45,95% Cl 3. 81 to 7.82, respectively). In 1994/95 relative health improved in the oldest age group in Finland (OR=5.80,95% Cl 4.33 to 7.78 in men and 5.94,95% Cl 4.52 to 7.79 in women) and in Norway (OR=4.55,95% Cl 3.01 to 6.88 and 3.96,95% Cl 2.70 to 5.81, respectively) but remained stable in Sweden. The study compared health differences by age in different educational categories and found that in Finland in 1986/87 the health in the oldest age group was poorer for secondary (OR=10.59,95% Cl 5.96 to 18.82) or basic educated (OR=9.76,95% Cl 6.66 to 14. (...)
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