Östergren Olof, Lundberg Olle, Artnik Barbara, Bopp Matthias, Borrell Carme, Kalediene Ramune, Leinsalu Mall, Martikainen Pekka, Regidor Enrique, Rodríguez-Sanz Maica, de Gelder Rianne, Mackenbach Johan P
Centre for Health Equity Studies (CHESS), Stockholm University / Karolinska Institutet, Stockholm, Sweden.
Department of Public Health, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
PLoS One. 2017 Aug 23;12(8):e0182526. doi: 10.1371/journal.pone.0182526. eCollection 2017.
The aim of this paper is to empirically evaluate whether widening educational inequalities in mortality are related to the substantive shifts that have occurred in the educational distribution.
Data on education and mortality from 18 European populations across several decades were collected and harmonized as part of the Demetriq project. Using a fixed-effects approach to account for time trends and national variation in mortality, we formally test whether the magnitude of relative inequalities in mortality by education is associated with the gender and age-group specific proportion of high and low educated respectively.
The results suggest that in populations with larger proportions of high educated and smaller proportions of low educated, the excess mortality among intermediate and low educated is larger, all other things being equal.
We conclude that the widening educational inequalities in mortality being observed in recent decades may in part be attributed to educational expansion.
本文旨在实证评估死亡率方面不断扩大的教育不平等是否与教育分布中发生的实质性变化相关。
作为Demetriq项目的一部分，收集并整合了来自18个欧洲人群几十年间的教育和死亡率数据。采用固定效应方法来考虑时间趋势和死亡率的国家差异，我们正式检验按教育程度划分的死亡率相对不平等程度是否分别与高学历和低学历人群在性别和年龄组中的特定比例相关。
结果表明，在高学历人群比例较大且低学历人群比例较小的人群中，在其他条件相同的情况下，中等学历和低学历人群的超额死亡率更高。
我们得出结论，近几十年来观察到的死亡率方面不断扩大的教育不平等可能部分归因于教育扩张。
