Articlegreen2014

Individual and spousal education, mortality and life expectancy in Switzerland: a national cohort study

Adrian Spoerri · Kurt Schmidlin · Michael Richter · Matthias Egger · Kerri M. Clough‐Gorr

36 citations0/0 files storedJournal of Epidemiology & Community Health

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Health disparities and outcomes Insurance, Mortality, Demography, Risk Management Intergenerational and Educational Inequality Studies

Abstract

BACKGROUND: Household measures of socioeconomic position may better account for the shared nature of material resources, lifestyle, and social position of cohabiting persons, but household measures of education are rarely used. We aimed to evaluate the association of combined educational attainment of married couples on mortality and life expectancy in Switzerland. METHODS: The study included 3,496,163 ever-married persons aged ≥30 years. The 2000 census was linked to mortality records through 2008. Mortality by combined educational attainment was assessed by gender-age-specific HRs, with 95% CIs from adjusted models, life expectancy was derived using abridged life tables. RESULTS: Having a less educated partner was associated with increased mortality. For example, the HR comparing men aged 50-64 years with tertiary education married to women with tertiary education to men with compulsory education married to women with compulsory education was 2.05 (1.92-2.18). The estimated remaining life expectancy in tertiary educated men aged 30 years married to women with tertiary education was 4.6 years longer than in men with compulsory education married to women with compulsory education. The gradient based on individual education was less steep: the HR comparing men aged 50-64 years with tertiary education with men with compulsory education was 1.74 (1.67-1.81). CONCLUSIONS: Using individual educational attainment of married persons is common in epidemiological research, but may underestimate the combined effect of education on mortality and life expectancy. These findings are relevant to epidemiologic studies examining socio-demographic characteristics or aiming to adjust results for these characteristics.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 36 citations exist upstream.

References

1969A Theory for Record Linkage 1986Modern Epidemiology 3rd edition 2007Measuring socioeconomic position in health research 1985The Life Table and Its Applications.2012Education and the Gender Gaps in Health and Mortality 2008Cohort Profile: The Swiss National Cohort--a longitudinal study of 6.8 million people 2008Mortality from Leading Causes by Education and Race in the United States, 2001 2002Social inequalities in health by individual and household measures of social position in a cohort of healthy people

Cited by

2021The Effects of Education on Mortality: Evidence Using College Expansions 2015A Swiss paradox? Higher income inequality of municipalities is associated with lower mortality in Switzerland 2017Temporal change to self-rated health in the Swiss population from 1997 to 2012: the roles of age, gender, and education 2023The effects of education on mortality: Evidence using college expansions 2018The increasing mortality advantage of the married: The role played by education

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.