Valverde José Rubio, Mackenbach Johan, Bopp Matthias, Brønnum-Hansen Henrik, Deboosere Patrick, Kalediene Ramune, Kovács Katalin, Leinsalu Mall, Martikainen Pekka, Regidor Enrique, Strand Bjørn Heine, Nusselder Wilma
Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands.
Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
SSM Popul Health. 2021 Jan 28;13:100740. doi: 10.1016/j.ssmph.2021.100740. eCollection 2021 Mar.
Socioeconomic inequalities in disability-free life expectancy (DFLE) exist across all European countries, yet the driving determinants of these differences are not completely known. We calculated the impact on educational inequalities in DFLE of equalizing the distribution of eight risk factors for mortality and disability using register-based mortality data and survey data from 15 European countries for individuals between 35 and 80 years old. From the selected risk factors, the ones that contribute the most to the educational inequalities in DFLE are low income, high body-weight, smoking (for men), and manual occupation of the father. Potentially large reductions in inequalities can be achieved in Eastern European countries, where educational inequalities in DFLE are also the largest.
在所有欧洲国家，无残疾预期寿命（DFLE）都存在社会经济不平等现象，但造成这些差异的驱动因素尚不完全清楚。我们利用15个欧洲国家基于登记的死亡率数据和调查数据，计算了35至80岁个体的8个死亡和残疾风险因素分布均衡化对DFLE教育不平等的影响。在所选定的风险因素中，对DFLE教育不平等贡献最大的因素是低收入、高体重、吸烟（男性）以及父亲从事体力劳动职业。在东欧国家，DFLE的教育不平等现象也最为严重，在这些国家有可能大幅减少不平等现象。
