Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/59593
Type
ArticleCopyright
Restricted access
Embargo date
3000
Sustainable Development Goals
10 Redução das desigualdadesCollections
Metadata
Show full item record
DOES COMMUNITY DEPRIVATION DETERMINE LONGEVITY AFTER THE AGE OF 75? A CROSS-NATIONAL ANALYSIS
Author
Affilliation
Universidade do Porto. Instituto de Saúde Pública. Porto, Portugal / Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Universidade do Porto. Faculdade de Medicina. Departamento de Ciências da Saúde Pública e Forenses e Educação Médica. Porto, Portugal.
The Norwegian University for Science and Technology. Trondheim, Norway / Universidade Federal do Paraná. Departamento de Estatística. Curitiba, PR, Brasil.
Fundação Oswaldo Cruz. Presidência. Programa de Computação Científica. Rio De Janeiro, RJ, Brasil.
University of Caen Normandy. CHU Caen. Caen, France.
Regional Health Agency of Normandy. Public Health Department. Caen, France.
Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Faculdade de Engenharia. Departamento de Engenharia Cartográfica. Rio De Janeiro, RJ, Brasil.
The Norwegian University for Science and Technology. Trondheim, Norway / Universidade Federal do Paraná. Departamento de Estatística. Curitiba, PR, Brasil.
Fundação Oswaldo Cruz. Presidência. Programa de Computação Científica. Rio De Janeiro, RJ, Brasil.
University of Caen Normandy. CHU Caen. Caen, France.
Regional Health Agency of Normandy. Public Health Department. Caen, France.
Universidade do Porto. Instituto de Investigação e Inovação em Saúde. Porto, Portugal / Universidade do Porto. Instituto de Engenharia Biomédica. Porto, Portugal / Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Faculdade de Engenharia. Departamento de Engenharia Cartográfica. Rio De Janeiro, RJ, Brasil.
Abstract
Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender. Our study incorporated five countries (Portugal, Spain, France, Italy, and England). A 10-year survival rate expressing the proportion of population aged 75–84 years who reached 85–94 years old was calculated at area-level for 2001–11. To estimate associations, we used Bayesian spatial models and a transnational measure of deprivation. Attri butable/prevention fractions were calculated. Overall, there was a significant association between deprivation and survival in both genders. In England that association was stronger, following a dose–response relation. Although lesser in magnitude, significant associations were observed in Spain and Italy, whereas in France and Portugal these were even weaker. The elimination of socioeconomic differences between areas would increase survival by 7.1%, and even a small reduction in socioeconomic differences would lead to a 1.6% increase. Socioeconomic deprivation was associated with survival among older adults at ecological-level, although with varying magnitude across countries. Reasons for such cross-country differences should be sought. Our results emphasize the importance of reducing socioeconomic differences between areas.
Share