Leclerc A, Lert F, Fabien C
INSERM U.88, Paris, France.
Int J Epidemiol. 1990 Dec;19(4):1001-10. doi: 10.1093/ije/19.4.1001.
Inequalities in mortality between social classes or socioeconomic groups were compared in three European countries, using similar sources of data from large national cohort studies. People registered at a census in 1971 (1975 for France) or a sample of them, were followed until 1980 or 1981. The Gini coefficient, a measure widely used in economics, allowed the comparison of various situations involving different numbers and group sizes. It was applied to age groups 35-44, and 45-54 for men only. According to this measure, inequalities were of the same order in England and Wales and Finland, and greater in France. Differences between the three countries concerning the principal causes of death leading to inequalities were cardiovascular diseases in England and Wales, accidents and cardiovascular diseases in Finland, and cancer and cirrhosis in France.
利用来自大型全国队列研究的类似数据来源，对三个欧洲国家社会阶层或社会经济群体之间的死亡率不平等进行了比较。在1971年（法国为1975年）人口普查中登记的人员或其样本，被跟踪至1980年或1981年。基尼系数是经济学中广泛使用的一种衡量方法，它可以对涉及不同数量和群体规模的各种情况进行比较。该系数仅应用于35 - 44岁和45 - 54岁的男性年龄组。根据这一衡量标准，英格兰和威尔士以及芬兰的不平等程度处于同一水平，而法国的不平等程度更大。导致不平等的主要死亡原因在这三个国家之间存在差异，在英格兰和威尔士是心血管疾病，在芬兰是事故和心血管疾病，在法国是癌症和肝硬化。
