Articlebronze2005

Can large relative mortality differences between socio-economic groups among Swedish men be explained by risk indicator-associated social mobility?

18 citations0/0 files storedEuropean Journal of Public Health

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Health disparities and outcomes Intergenerational and Educational Inequality Studies Public Health and Social Inequalities

Abstract

BACKGROUND: The Nordic countries, profiled as welfare states, are shown to have comparatively large relative socio-economic differences in mortality and comparatively high intergenerational mobility. The aim of this study was to analyse the role of risk indicator-associated social mobility (from childhood through to adulthood) in socio-economic mortality differences among Swedish men aged 35-50 years. METHODS: We used data on risk indicators for adult mortality (risk use of alcohol, smoking, low emotional control, psychiatric diagnosis, medication for nervous problems, contact with police and child care, experience of unemployment, low body height, low education) collected at compulsory conscription for military training among Swedish men at aged 18-20, fathers' socio-economic status at subjects' ages 9-11 years, data on subjects' socio-economic status at ages 34-36 years, and follow-up data on mortality during 1986-1999 (at ages 35-50 years). RESULTS: Persons in manual occupations in 1985 showed an elevated relative risk (RR) of mortality compared with stable non-manual employees regardless of the social position of their father (RR 1.75 among stable manual workers, and RR 1.74 among the downwardly mobile). In multivariate analyses, taking into account the risk indicators first operating in late adolescence, the increased mortality risk among stable manual workers and also among the downwardly mobile diminished considerably (RR 1.32 and 1.39, respectively). CONCLUSIONS: These results suggest that a substantial part of the socio-economic differences in mortality among middle-aged men had their origin in childhood circumstances. Risk indicator-associated social mobility was found to contribute substantially to an increase in the relative difference in mortality between male manual workers and non-manual employees.

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References

1983Inequalities in Health, The Black Report 1993The Increasing Disparity in Mortality between Socioeconomic Groups in the United States, 1960 and 1986 1979Intergenerational Class Mobility in Three Western European Societies: England, France and Sweden 1997Socioeconomic inequalities in morbidity and mortality in western Europe 1997Socioeconomic inequalities in morbidity and mortality in western Europe 2003Widening socioeconomic inequalities in mortality in six Western European countries 1997Lifetime socioeconomic position and mortality: prospective observational study 1998Occupational class and cause specific mortality in middle aged men in 11 European countries: comparison of population based studies Commentary: Unequal inequalities across Europe

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