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The increasing lifespan variation gradient by area-level deprivation: A decomposition analysis of Scotland 1981–2011

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  • Seaman, Rosie
  • Riffe, Tim
  • Leyland, Alastair H.
  • Popham, Frank
  • van Raalte, Alyson

Abstract

Life expectancy inequalities are an established indicator of health inequalities. More recent attention has been given to lifespan variation, which measures the amount of heterogeneity in age at death across all individuals in a population. International studies have documented diverging socioeconomic trends in lifespan variation using individual level measures of income, education and occupation. Despite using different socioeconomic indicators and different indices of lifespan variation, studies reached the same conclusion: the most deprived experience the lowest life expectancy and highest lifespan variation, a double burden of mortality inequality. A finding of even greater concern is that relative differences in lifespan variation between socioeconomic group were growing at a faster rate than life expectancy differences. The magnitude of lifespan variation inequalities by area-level deprivation has received limited attention. Area-level measures of deprivation are actively used by governments for allocating resources to tackle health inequalities. Establishing if the same lifespan variation inequalities emerge for area-level deprivation will help to better inform governments about which dimension of mortality inequality should be targeted. We measure lifespan variation trends (1981–2011) stratified by an area-level measure of socioeconomic deprivation that is applicable to the entire population of Scotland, the country with the highest level of variation and one of the longest, sustained stagnating trends in Western Europe. We measure the gradient in variation using the slope and relative indices of inequality. The deprivation, age and cause specific components driving the increasing gradient are identified by decomposing the change in the slope index between 1981 and 2011. Our results support the finding that the most advantaged are dying within an ever narrower age range while the most deprived are facing greater and increasing uncertainty. The least deprived group show an increasing advantage, over the national average, in terms of deaths from circulatory disease and external causes.

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  • Seaman, Rosie & Riffe, Tim & Leyland, Alastair H. & Popham, Frank & van Raalte, Alyson, 2019. "The increasing lifespan variation gradient by area-level deprivation: A decomposition analysis of Scotland 1981–2011," Social Science & Medicine, Elsevier, vol. 230(C), pages 147-157.
    • Handle: RePEc:eee:socmed:v:230:y:2019:i:c:p:147-157
    DOI: 10.1016/j.socscimed.2019.04.008
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    as
    1. repec:cai:popine:popu_p2001_13n1_0171 is not listed on IDEAS
    2. José M. Aburto & Alyson A. van Raalte, 2017. "Lifespan dispersion in times of life expectancy fluctuation: the case of Central and Eastern Europe," MPIDR Working Papers WP-2017-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    3. Joseph T. Lariscy & Claudia Nau & Glenn Firebaugh & Robert A. Hummer, 2016. "Hispanic-White Differences in Lifespan Variability in the United States," Demography, Springer;Population Association of America (PAA), vol. 53(1), pages 215-239, February.
    4. Hui Zheng & Yang Yang & Kenneth Land, 2011. "Heterogeneity in the Strehler-Mildvan General Theory of Mortality and Aging," Demography, Springer;Population Association of America (PAA), vol. 48(1), pages 267-290, February.
    5. Isaac Sasson, 2016. "Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990–2010," Demography, Springer;Population Association of America (PAA), vol. 53(2), pages 269-293, April.
    6. Shkolnikov, Vladimir M. & Jasilionis, Domantas & Andreev, Evgeny M. & Jdanov, Dmitri A. & Stankuniene, Vladislava & Ambrozaitiene, Dalia, 2007. "Linked versus unlinked estimates of mortality and length of life by education and marital status: Evidence from the first record linkage study in Lithuania," Social Science & Medicine, Elsevier, vol. 64(7), pages 1392-1406, April.
    7. Vladimir Shkolnikov & Evgeny M. Andreev & Alexander Begun, 2003. "Gini coefficient as a life table function," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 8(11), pages 305-358.
    8. Eibner, Christine & Sturm, Roland, 2006. "US-based indices of area-level deprivation: Results from HealthCare for Communities," Social Science & Medicine, Elsevier, vol. 62(2), pages 348-359, January.
    9. Shiro Horiuchi & John Wilmoth & Scott Pletcher, 2008. "A decomposition method based on a model of continuous change," Demography, Springer;Population Association of America (PAA), vol. 45(4), pages 785-801, November.
    10. John Wilmoth & Shiro Horiuchi, 1999. "Rectangularization revisited: Variability of age at death within human populations," Demography, Springer;Population Association of America (PAA), vol. 36(4), pages 475-495, November.
    11. Smits, Jeroen & Monden, Christiaan, 2009. "Length of life inequality around the globe," Social Science & Medicine, Elsevier, vol. 68(6), pages 1114-1123, March.
    12. Justin T. Denney & Robert McNown & Richard G. Rogers & Steven Doubilet, 2013. "Stagnating Life Expectancies and Future Prospects in an Age of Uncertainty," Social Science Quarterly, Southwestern Social Science Association, vol. 94(2), pages 445-461, June.
    13. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    14. Alyson van Raalte & Pekka Martikainen & Mikko Myrskylä, 2014. "Lifespan Variation by Occupational Class: Compression or Stagnation Over Time?," Demography, Springer;Population Association of America (PAA), vol. 51(1), pages 73-95, February.
    15. Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
    16. Camarda, Carlo G., 2012. "MortalitySmooth: An R Package for Smoothing Poisson Counts with P-Splines," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 50(i01).
    17. John Bongaarts & Griffith Feeney, 2002. "How Long Do We Live?," Population and Development Review, The Population Council, Inc., vol. 28(1), pages 13-29, March.
    18. Claudia Nau & Glenn Firebaugh, 2012. "A New Method for Determining Why Length of Life is More Unequal in Some Populations Than in Others," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1207-1230, November.
    19. Alyson Raalte & Hal Caswell, 2013. "Perturbation Analysis of Indices of Lifespan Variability," Demography, Springer;Population Association of America (PAA), vol. 50(5), pages 1615-1640, October.
    20. Saul Justin Newman, 2018. "Errors as a primary cause of late-life mortality deceleration and plateaus," PLOS Biology, Public Library of Science, vol. 16(12), pages 1-12, December.
    21. Dustin Brown & Mark Hayward & Jennifer Montez & Robert Hummer & Chi-Tsun Chiu & Mira Hidajat, 2012. "The Significance of Education for Mortality Compression in the United States," Demography, Springer;Population Association of America (PAA), vol. 49(3), pages 819-840, August.
    22. Michael Noble & Helen Barnes & Gemma Wright & Benjamin Roberts, 2010. "Small Area Indices of Multiple Deprivation in South Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 95(2), pages 281-297, January.
    23. James Vaupel & Vladimir Romo, 2003. "Decomposing change in life expectancy: A bouquet of formulas in honor of Nathan Keyfitz’s 90th birthday," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 201-216, May.
    24. Ryan D. Edwards & Shripad Tuljapurkar, 2005. "Inequality in Life Spans and a New Perspective on Mortality Convergence Across Industrialized Countries," Population and Development Review, The Population Council, Inc., vol. 31(4), pages 645-674, December.
    25. Wilkinson, Richard G. & Pickett, Kate E., 2007. "The problems of relative deprivation: Why some societies do better than others," Social Science & Medicine, Elsevier, vol. 65(9), pages 1965-1978, November.
    26. Singh, G.K. & Yu, S.M., 1995. "Infant mortality in the United States: Trends, differentials, and projections, 1950 through 2010," American Journal of Public Health, American Public Health Association, vol. 85(7), pages 957-964.
    27. repec:dau:papers:123456789/10510 is not listed on IDEAS
    28. Leonid Gavrilov & Natalia Gavrilova, 2011. "Mortality Measurement at Advanced Ages," North American Actuarial Journal, Taylor & Francis Journals, vol. 15(3), pages 432-447.
    29. Shripad Tuljapurkar, 2010. "The Final Inequality: Variance in Age at Death," NBER Chapters, in: Demography and the Economy, pages 209-221, National Bureau of Economic Research, Inc.
    30. Iñaki Permanyer & Jeroen Spijker & Amand Blanes & Elisenda Renteria, 2018. "Longevity and Lifespan Variation by Educational Attainment in Spain: 1960–2015," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2045-2070, December.
    31. Ade Kearns & Kenneth Gibb & Daniel Mackay, 2000. "Area Deprivation in Scotland: A New Assessment," Urban Studies, Urban Studies Journal Limited, vol. 37(9), pages 1535-1559, August.
    32. Jennifer Karas Montez & Anna Zajacova & Mark D. Hayward & Steven H. Woolf & Derek Chapman & Jason Beckfield, 2019. "Educational Disparities in Adult Mortality Across U.S. States: How Do They Differ, and Have They Changed Since the Mid-1980s?," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 621-644, April.
    33. Sergei Scherbov & Dalkhat Ediev, 2011. "Significance of life table estimates for small populations: Simulation-based study of estimation errors," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 24(22), pages 527-550.
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    4. Ophélie Merville & Ludivine Launay & Olivier Dejardin & Quentin Rollet & Joséphine Bryère & Élodie Guillaume & Guy Launoy, 2022. "Can an Ecological Index of Deprivation Be Used at the Country Level? The Case of the French Version of the European Deprivation Index (F-EDI)," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    5. Luis A. Serratos-Sotelo & Peter Eibich, 2021. "Lasting effects of parental death during childhood: evidence from Sweden," MPIDR Working Papers WP-2021-007, Max Planck Institute for Demographic Research, Rostock, Germany.
    6. Ana C. Gómez Ugarte Valerio & Ugofilippo Basellini & Carlo G. Camarda & Fanny Janssen & Emilio Zagheni, 2024. "Reassessing socioeconomic inequalities in mortality via distributional similarities," MPIDR Working Papers WP-2024-007, Max Planck Institute for Demographic Research, Rostock, Germany.

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