PMID: identifiant
de la référence Pubmed : |
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 (22008757)  |
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| titre : |
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Educational inequalities in tuberculosis mortality in sixteen European populations. |
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| auteur(s) : |
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José-Luis Álvarez Moran ( ) 1, 2, Anton Kunst1, 3, Mall Leinsalu4, Matthias Bopp5, Björn Strand6, Gwenn Menvielle7, Olle Lundberg8, Pekka Martikainen9, Patrick Deboosere10, Ramune Kalediene11, Barbara Artnik12, Johan Mackenbach1, Jan Richardus1 |
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| laboratoire : |
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| 1 : |
Department of Public Health |
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| University Medical Center Rotterdam – Erasmus MC |
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| Dr. Molewaterplein 50, 3015 CE Rotterdam |
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| Pays-Bas |
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| 2 : |
Department of Preventive Medicine & Public Health and Medical Immunology & Microbiology |
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| Rey Juan Carlos University |
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| Avd Atenas S/N, 28922 Alcorcon |
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| Espagne |
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| 3 : |
Department of Public Health |
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| University of Amsterdam – Academic Medical Centre (AMC) |
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| PO Box 22660, 1100 DD Amsterdam |
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| Pays-Bas |
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| 4 : |
Department of Epidemiology and Biostatistics |
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| National Institute for Health Development |
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| Hiiv 42, 11619 Tallinn |
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| Estonie |
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| 5 : |
Social and Preventive Medicine Institute |
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| University of Zurich |
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| Hirschengraben 84, CH-8001 Zurich |
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| Suisse |
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| 6 : |
Division of Epidemiology |
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| Norwegian Institute of Public Health – Department of Genes and Environment |
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| Nydalen, N 0403 Oslo |
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| Norvège |
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| 7 : |
CESP - Centre de recherche en épidémiologie et santé des populations |
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| INSERM : U1018 – Université Paris XI - Paris Sud – Hôpital Paul Brousse – Assistance publique - Hôpitaux de Paris (AP-HP) |
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| 16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France |
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| France |
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| 8 : |
CHESS - Centre for Health Equity Studies |
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| Stockholm University – Karolinska Institutet |
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| SE-106 91 Stockholm |
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| Suède |
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| 9 : |
Department of Social Research Sociology |
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| University of Helsinki |
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| Unioninkatu 35, PO Box 18, 00014 Helsinki |
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| Finlande |
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| 10 : |
Department of Sociology |
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| Interface Demography (ID) – Vrije Universiteit Brussels (VUB) |
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| Pleinlaan 5, 1050 Brussels |
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| Belgique |
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| 11 : |
Health Management Department |
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| Faculty of Public Health – Lithuanian University of health Sciences |
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| Mickeviciaus Str. 9, LT-44307 Kaunas |
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| Lituanie |
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| 12 : |
Public Health |
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| University Medical Centre Ljubljana (UMCL) – Faculty of Medicine – Institute of Oncology |
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| Vodnikova 62, 1000 Ljubljna |
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| Slovénie |
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| résumé : |
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OBJECTIVE: To describe the magnitude of socioeconomic inequalities in tuberculosis (TB) mortality by level of education in male, female, urban and rural populations in several European countries. DESIGN: Data were obtained from the Eurothine Project, covering 16 populations between 1990 and 2003. Age- and sex-standardised mortality rates, the relative index of inequality and the slope index of inequality were used to assess educational inequalities. RESULTS: The number of TB deaths reported was 8530, with a death rate of 3 per 100 000 per year, of which 73% were males. Educational inequalities in TB mortality were present in all European populations. Inequalities in TB mortality were greater than in total mortality. Relative and absolute inequalities were large in Eastern European and Baltic countries but relatively small in Southern European countries and in Norway, Finland and Sweden. Inequalities in mortality were observed among both men and women, and in both rural and urban populations. CONCLUSIONS: Socio-economic inequalities in TB mortality exist in all European countries. Firm political commitment is required to reduce inequalities in the social determinants of TB incidence. Targeted public health measures are called for to improve access to treatment of vulnerable groups and thereby reduce TB mortality. |
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| domaine : |
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Sciences du Vivant/Santé publique et épidémiologie
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langue du texte
intégral : |
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Anglais |
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| ISSN : |
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1815-7920 |
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| type de publication : |
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Articles dans des revues avec comité de lecture |
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| DOI : |
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10.5588/ijtld.10.0252 |
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| journal : |
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| International Journal of Tuberculosis and Lung Disease (Int J Tuberc Lung Dis) |
| Publisher |
International Union Against Tuberculosis and Lung Disease |
| ISSN |
1027-3719 |
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| Audience : |
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internationale |
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| date de publication : |
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11/2011 |
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| volume : |
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15 |
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| numéro : |
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11 |
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| page, identifiant, ... : |
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1461-7, i |
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| mots-clés auteur : |
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tuberculosis – mortality – Europe – education – social inequalities |
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| Descripteur(s) MeSH : |
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Adult – Age Distribution – Age Factors – Aged – Educational Status – Europe – Female – Humans – Incidence – Linear Models – Male – Middle Aged – Risk Assessment – Risk Factors – Rural Health – Sex Distribution – Sex Factors – Time Factors – Tuberculosis – Urban Health – Vulnerable Populations – Adult |
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| contrat, financement : |
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Spanish Ministry of Education by means of an FPU grant (beca de Formación de Profesorado Universitario) |
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