Doornbos G, Kromhout D
Institute of Social Medicine, University of Leiden, The Netherlands.
Int J Epidemiol. 1990 Jun;19(2):374-9. doi: 10.1093/ije/19.2.374.
Social inequities and their relation to health form a topic of growing concern in the Netherlands. The present investigation on educational level and mortality was carried out in a cohort of men born in 1932, examined for military service in 1950/1951 and for whom vital statistics could be obtained. In the group of 78,505 men, 3456 deaths occurred during the follow-up until 31 December 1981. A life table analysis revealed an inverse relation between educational level and survival. In a multivariate logistic regression model the confounding effects of height and health score were taken into account. In addition to all-cause mortality, the relationships of educational level and mortality from coronary heart disease, cancer and accidents consistently showed an inverse pattern. The applicability of the results elsewhere is discussed.
社会不平等及其与健康的关系在荷兰正成为一个日益受到关注的话题。本次关于教育水平与死亡率的调查是在一群1932年出生的男性中进行的，这些男性于1950年/1951年接受了兵役体检，并且能够获取其生命统计数据。在这78,505名男性群体中，到1981年12月31日随访结束时发生了3456例死亡。寿命表分析显示教育水平与生存率呈负相关。在多变量逻辑回归模型中考虑了身高和健康评分的混杂效应。除全因死亡率外，教育水平与冠心病、癌症和事故死亡率之间的关系始终呈现出负相关模式。文中还讨论了这些结果在其他地方的适用性。
