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Socioeconomic position and premature mortality in the ausdiab cohort of australian adults

Author

Listed:
  • Bihan, H.
  • Backholer, K.
  • Peeters, A.
  • Stevenson, C.E.
  • Shaw, J.E.
  • Magliano, D.J.

Abstract

Objectives. To determine the association of socioeconomic position indicators with mortality, without and with adjustment for modifiable risk factors. Methods.We examined the relationships of 2 area-based indices and educational level with mortality among 9338 people (including 8094 younger than 70 years at baseline) of the Australian Diabetes Obesity and Lifestyle (AusDiab) from 1999-2000 until November 30, 2012. Results. Age- and gender-adjusted premature mortality (death before age 70 years) was more likely among those living in the most disadvantaged areas versus least disadvantaged (hazard ratio [HR] = 1.48; 95% confidence interval [CI] = 1.08, 2.01), living in inner regional versus major urban areas (HR = 1.36; 95% CI = 1.07, 1.73), or having the lowest educational level versus the highest (HR = 1.64; 95% CI = 1.17, 2.30). The contribution of modifiable risk factors (smoking status, diet quality, physical activity, stress, cardiovascular risk factors) in the relationship between 1 area-based index or educational level and mortality was more apparent as age of death decreased. Conclusions. The relation of area-based socioeconomic position to premature mortality is partly mediated by behavioral and cardiovascular risk factors. Such results could influence public health policies.

Suggested Citation

  • Bihan, H. & Backholer, K. & Peeters, A. & Stevenson, C.E. & Shaw, J.E. & Magliano, D.J., 2016. "Socioeconomic position and premature mortality in the ausdiab cohort of australian adults," American Journal of Public Health, American Public Health Association, vol. 106(3), pages 470-477.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.302984_4
    DOI: 10.2105/AJPH.2015.302984
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