Petrelli Alessio, Zengarini Nicolás, Demuru Elena, Giorgi Rossi Paolo, Sebastiani Gabriella, Gaudio Raffaella, Costa Giuseppe, Mirisola Concetta, Alicandro Gianfranco, Frova Luisa
Istituto nazionale per la promozione della salute delle popolazioni migranti e il contrasto delle malattie della povertà (INMP), Roma;
UOC a DU servizio sovrazonale di epidemiologia, ASL TO3 Piemonte, Grugliasco (TO).
Epidemiol Prev. 2018 Sep-Dec;42(5-6):288-300. doi: 10.19191/EP18.5-6.P288.097.
to evaluate socioeconomic inequalities in mortality by educational level in Italy.
cohort study based on the record linkage between the 2012-2014 archives of mortality and the 2011 Italian population Census.
Italian population registered in the 2011 Census.
life expectancy by educational level, age-standardized mortality rates, mortality rate ratios (MRRs) for overall mortality, and 12 groups of causes of death.
life expectancy at birth was 80.3 years among men and 84.9 among women. High-educated men were expected to live 3 years longer than lower educated men, while the gap was narrower in women (1.5 years). Lower educated men had a higher mortality from any cause (MRR: 1.34; 95%CI 1.33-1.35) with larger differentials for lung, upper aerodigestive, and liver cancers, respiratory system diseases, AIDS and accidents. Socioeconomic inequalities were larger in the North-West of the Country for lung and liver cancer. Educational inequalities were smaller among women for all-cause mortality, but remarkably larger for circulatory system diseases (MRR: 1.40; 95%CI 1.38-1.42), particularly in the South (MRR: 1.46; 95%CI 1.42-1.50).
this study documented socioeconomic inequalities in mortality in Italy for many causes of death; some of them resulted heterogeneous by area of residence. Most of the inequalities can be counteracted with specific measures aimed to improve behavioural risk factors among less educated people.
评估意大利按教育程度划分的死亡率方面的社会经济不平等情况。
基于2012 - 2014年死亡率档案与2011年意大利人口普查记录链接的队列研究。
2011年人口普查登记的意大利人口。
按教育程度划分的预期寿命、年龄标准化死亡率、总体死亡率的死亡率比（MRR）以及12组死因。
男性出生时的预期寿命为80.3岁，女性为84.9岁。高学历男性预计比低学历男性多活3年，而女性中的差距较小（1.5年）。低学历男性任何原因导致的死亡率更高（MRR：1.34；95%CI 1.33 - 1.35），在肺癌、上呼吸道消化道癌和肝癌、呼吸系统疾病、艾滋病及事故方面差异更大。该国西北部地区肺癌和肝癌的社会经济不平等更大。女性全因死亡率方面的教育不平等较小，但循环系统疾病方面显著更大（MRR：1.40；95%CI 1.38 - 1.42），尤其是在南部地区（MRR：1.46；95%CI 1.42 - 1.50）。
本研究记录了意大利多种死因在死亡率方面的社会经济不平等情况；其中一些因居住地区而异。大多数不平等可通过旨在改善低学历人群行为风险因素的具体措施来抵消。
