| Titre : | Are social inequalities in mortality in Britain narrowing ? Time trends from 1978 to 2005 in a population-based study of older men. (2008) |
| Auteurs : | S.E. FLAMSAY ; L.T. LENNON ; R.W. MORRIS ; S.G. WANNAMETHEE ; WHINCUP (P.H.) : GBR. Department of Community Health Sciences. St George's University of London. London ORE. ; Department of Primary Care 8 Population Sciences. Royal Free Hospital and University College Medical School. London. GBR |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 62, n° 1, 2008) |
| Pagination : | 75-80 |
| Langues: | Anglais |
| Mots-clés : | Europe sociale ; Mortalité ; Epidémiologie ; Grande Bretagne ; Rétrécissement ; Tendance séculaire ; Population ; Personne âgée ; Europe ; Homme |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xQq9zD. Diffusion soumise à autorisation]. Objective : To examine whether social inequalities in all-cause and coronary heart disease (CHD) mortality in Britain have reduced between 1978 and 2005. Design : A prospective study of a socioeconomically representative population. Setting : 24 British towns. Participants : 7735 Men, aged 40-59 years at recruitment in 1978-1980 and followed up until 2005 through the National Health Service Central Register (164 120 person-years). Main outcome measures : Relative hazards and absolute risk differences for all-cause and CHD death comparing manual with non-manual social classes, calculated for different calendar periods. Results : 3009 Deaths from all causes (1003 from CHD) occurred during follow-up. The overall hazard ratio (manual versus non-manual) was 1.56 (95% Cl 1.45 to 1.69, p<0.001) for all-cause mortality and 1.54 (95% Cl 1.35 to 1.76, p<0.001) for CHD mortality. The relative difference between these social groups tended to increase over time. The overall relative increase in hazard ratio comparing manual with non-manual groups over a 20-year calendar period was 1.22 (95% Cl 0.83 to 1.80, p=0.31) for all-cause mortality and 1.75 (95% Cl 0.89 to 3.45, p=0.11) for CHD mortality. The absolute difference in probability of survival to age 65 years between non-manual and manual groups fell from 29% in 1981 to 19% in 2001 for all-cause mortality and from 17% to 7% for CHD mortality. Conclusion : Relative differences in all-cause and CHD mortality between manual and non-manual social class groups persisted and may have increased during this period. Absolute differences in mortality between these social groups decreased as a result of falling overall mortality rates. Greater effort is needed to reduce social inequalities in all-cause and CHD mortality in the new millennium. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact