Aging Research Center, Karolinska Institutet & Stockholm Universitet, Solna, Sweden.
Center for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden.
Demography. 2021 Dec 1;58(6):2117-2138. doi: 10.1215/00703370-9456514.
Sweden is known for high life expectancy and economic egalitarianism, yet in recent decades it has lost ground in both respects. This study tracked income inequality in old-age life expectancy and life span variation in Sweden between 2006 and 2015, and examined whether patterns varied across levels of neighborhood deprivation. Income inequality in remaining life expectancy at ages 65, 75, and 85 increased. The gap in life expectancy at age 65 grew by more than a year between the lowest and the highest income quartiles, for both men (from 3.4 years in 2006 to 4.5 years in 2015) and women (from 2.3 to 3.4 years). This widening income gap in old-age life expectancy was driven by different rates of mortality improvement: individuals with higher incomes increased their life expectancy at a faster rate than did those with lower incomes. Women with the lowest incomes experienced no improvement in old-age life expectancy. Furthermore, life span variation increased in the lowest income quartile, while it decreased slightly among those in the highest quartile. Income was found to be a stronger determinant of old-age life expectancy than neighborhood deprivation.
瑞典以预期寿命长和经济平均主义而闻名,但在最近几十年,它在这两个方面都有所退步。本研究追踪了 2006 年至 2015 年期间瑞典老年预期寿命的收入不平等情况和寿命变化,并探讨了这种模式是否因邻里贫困程度的不同而有所差异。65 岁、75 岁和 85 岁时剩余预期寿命的收入不平等有所增加。在男性(从 2006 年的 3.4 岁到 2015 年的 4.5 岁)和女性(从 2.3 岁到 3.4 岁)中,收入最高和最低四分之一人群之间的 65 岁时预期寿命差距增长了一年多。老年预期寿命的这种收入差距的扩大是由不同的死亡率改善速度驱动的:高收入者的预期寿命增长速度快于低收入者。收入最低的女性的老年预期寿命没有改善。此外,收入最低的四分之一人群的寿命变化增加了,而收入最高的四分之一人群的寿命变化略有减少。收入是影响老年预期寿命的一个比邻里贫困更重要的决定因素。