Educational inequalities in tuberculosis mortality in sixteen European populations.

José-Luis Álvarez Moran 1, 2, * Anton Kunst 1, 3 Mall Leinsalu 4 Matthias Bopp 5 Björn Strand 6 Gwenn Menvielle 7 Olle Lundberg 8 Pekka Martikainen 9 Patrick Deboosere 10 Ramune Kalediene 11 Barbara Artnik 12 Johan Mackenbach 1 Jan Richardus 1
* Auteur correspondant
1 Department of Public Health
2 Department of Preventive Medicine & Public Health and Medical Immunology & Microbiology
3 Department of Public Health
4 Department of Epidemiology and Biostatistics
5 Social and Preventive Medicine Institute
6 Division of Epidemiology
7 CESP - Centre de recherche en épidémiologie et santé des populations
8 CHESS - Centre for Health Equity Studies
9 Department of Social Research Sociology
10 Department of Sociology
11 Health Management Department
12 Public Health
Abstract : 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.
Keywords : tuberculosis mortality Europe education social inequalities
Type de document :
Article dans une revue
International Journal of Tuberculosis and Lung Disease, International Union Against Tuberculosis and Lung Disease, 2011, 15 (11), pp.1461-7, i. 〈10.5588/ijtld.10.0252〉
Liste complète des métadonnées
http://www.hal.inserm.fr/inserm-00679715
Contributeur : Annie Schmaus <>
Soumis le : mercredi 2 mai 2012 - 16:39:43
Dernière modification le : vendredi 13 juillet 2018 - 15:40:09
Document(s) archivé(s) le : vendredi 3 août 2012 - 02:20:23

Fichiers

inserm-00679715_edited.pdf
Fichiers produits par l'(les) auteur(s)

Identifiants

Collections

CESP | UVSQ

Citation

José-Luis Álvarez Moran, Anton Kunst, Mall Leinsalu, Matthias Bopp, Björn Strand, et al.. Educational inequalities in tuberculosis mortality in sixteen European populations.. International Journal of Tuberculosis and Lung Disease, International Union Against Tuberculosis and Lung Disease, 2011, 15 (11), pp.1461-7, i. 〈10.5588/ijtld.10.0252〉. 〈inserm-00679715〉

Exporter

BibTeX TEI DC DCterms EndNote

Partager

Métriques

Consultations de la notice

421

Téléchargements de fichiers

677

Contact

support.ccsd.cnrs.fr
hal.support@ccsd.cnrs.fr
Logo CCSD