IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0137576.html
   My bibliography  Save this article

Education and Mortality in the Rome Longitudinal Study

Author

Listed:
  • Laura Cacciani
  • Anna Maria Bargagli
  • Giulia Cesaroni
  • Francesco Forastiere
  • Nera Agabiti
  • Marina Davoli

Abstract

Background: A large body of evidence supports an inverse association between socioeconomic status and mortality. We analysed data from a large cohort of residents in Rome followed-up between 2001 and 2012 to assess the relationship between individual education and mortality. We distinguished five causes of death and investigated the role of age, gender, and birthplace. Methods: From the Municipal Register we enrolled residents of Rome on October 21st 2001 and collected information on educational level attained from the 2001 Census. We selected Italian citizens aged 30–74 years and followed-up their vital status until 2012 (n = 1,283,767), identifying the cause of death from the Regional Mortality Registry. We calculated hazard ratios (HRs) for overall and cause-specific mortality in relation to education. We used age, gender, and birthplace for adjusted or stratified analyses. We used the inverse probability weighting approach to account for right censoring due to emigration. Results: We observed an inverse association between education (none vs. post-secondary+ level) and overall mortality (HRs(95%CIs): 2.1(1.98–2.17), males; 1.5(1.46–1.59), females) varying according to demographic characteristics. Cause-specific analysis also indicated an inverse association with education, in particular for respiratory, digestive or circulatory system related-mortality, and the youngest people seemed to be more vulnerable to low education. Conclusion: Our results confirm the inverse association between education and overall or cause-specific mortality and show differentials particularly marked among young people compared to the elderly. The findings provide further evidence from the Mediterranean area, and may contribute to national and cross-country comparisons in Europe to understand the mechanisms generating socioeconomic differentials especially during the current recession period.

Suggested Citation

  • Laura Cacciani & Anna Maria Bargagli & Giulia Cesaroni & Francesco Forastiere & Nera Agabiti & Marina Davoli, 2015. "Education and Mortality in the Rome Longitudinal Study," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-12, September.
    • Handle: RePEc:plo:pone00:0137576
    DOI: 10.1371/journal.pone.0137576
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0137576
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0137576&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0137576?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Valentina Gallo & Johan P Mackenbach & Majid Ezzati & Gwenn Menvielle & Anton E Kunst & Sabine Rohrmann & Rudolf Kaaks & Birgit Teucher & Heiner Boeing & Manuela M Bergmann & Anne Tjønneland & Susanne, 2012. "Social Inequalities and Mortality in Europe – Results from a Large Multi-National Cohort," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-10, July.
    2. Pampel, Fred C., 2003. "Age and education patterns of smoking among women in high-income nations," Social Science & Medicine, Elsevier, vol. 57(8), pages 1505-1514, October.
    3. Benjamins, Maureen Reindl & Hummer, Robert A. & Eberstein, Isaac W. & Nam, Charles B., 2004. "Self-reported health and adult mortality risk: An analysis of cause-specific mortality," Social Science & Medicine, Elsevier, vol. 59(6), pages 1297-1306, September.
    4. Mackenbach, Johan P., 2012. "The persistence of health inequalities in modern welfare states: The explanation of a paradox," Social Science & Medicine, Elsevier, vol. 75(4), pages 761-769.
    5. repec:dau:papers:123456789/10510 is not listed on IDEAS
    6. Catherine Ross & Ryan Masters & Robert Hummer, 2012. "Education and the Gender Gaps in Health and Mortality," Demography, Springer;Population Association of America (PAA), vol. 49(4), pages 1157-1183, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lamu, Admassu N. & Chen, Gang & Olsen, Jan Abel, 2023. "Amplified disparities: The association between spousal education and own health," Social Science & Medicine, Elsevier, vol. 323(C).
    2. Hayward, Mark D. & Hummer, Robert A. & Sasson, Isaac, 2015. "Trends and group differences in the association between educational attainment and U.S. adult mortality: Implications for understanding education's causal influence," Social Science & Medicine, Elsevier, vol. 127(C), pages 8-18.
    3. Lina Schollin Ask & Can Liu & Karl Gauffin & Anders Hjern, 2019. "The Effect of Rotavirus Vaccine on Socioeconomic Differentials of Paediatric Care Due to Gastroenteritis in Swedish Infants," IJERPH, MDPI, vol. 16(7), pages 1-10, March.
    4. Olof Östergren & Pekka Martikainen & Olle Lundberg, 2018. "The contribution of alcohol consumption and smoking to educational inequalities in life expectancy among Swedish men and women during 1991–2008," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 41-48, January.
    5. Bethany Everett & David Rehkopf & Richard Rogers, 2013. "The Nonlinear Relationship Between Education and Mortality: An Examination of Cohort, Race/Ethnic, and Gender Differences," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 32(6), pages 893-917, December.
    6. Liliya Leopold & Thomas Leopold, 2016. "Education and Health across Lives and Cohorts: A Study of Cumulative Advantage in Germany," SOEPpapers on Multidisciplinary Panel Data Research 835, DIW Berlin, The German Socio-Economic Panel (SOEP).
    7. William Griffiths & Xiaohui Zhang & Xueyan Zhao, 2010. "A Stochastic Frontier Model for Discrete Ordinal Outcomes: A Health Production Function," Department of Economics - Working Papers Series 1092, The University of Melbourne.
    8. Fritzell, Sara & Ringbäck Weitoft, Gunilla & Fritzell, Johan & Burström, Bo, 2007. "From macro to micro: The health of Swedish lone mothers during changing economic and social circumstances," Social Science & Medicine, Elsevier, vol. 65(12), pages 2474-2488, December.
    9. Alaimo, Leonardo Salvatore & Ivaldi, Enrico & Landi, Stefano & Maggino, Filomena, 2022. "Measuring and evaluating socio-economic inequality in small areas: An application to the urban units of the Municipality of Genoa," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    10. Liu, Hui, 2012. "Marital dissolution and self-rated health: Age trajectories and birth cohort variations," Social Science & Medicine, Elsevier, vol. 74(7), pages 1107-1116.
    11. Teresa Leão & Inês Campos-Matos & Clare Bambra & Giuliano Russo & Julian Perelman, 2018. "Welfare states, the Great Recession and health: Trends in educational inequalities in self-reported health in 26 European countries," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
    12. Seong-Woo Choi & So-Yeon Ryu & Mi-ah Han & Jong Park, 2018. "Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis?," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-13, July.
    13. Smed, Sinne & Hansen, Lars Garn, 2018. "Consumer Valuation of Health Attributes in Food," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 43(2), May.
    14. van Ooijen, R. & Alessi, R. & Knoef, M., 2015. "Health status over the life cycle," Health, Econometrics and Data Group (HEDG) Working Papers 15/21, HEDG, c/o Department of Economics, University of York.
    15. Vonneilich, Nico & Lüdecke, Daniel & von dem Knesebeck, Olaf, 2020. "Educational inequalities in self-rated health and social relationships – analyses based on the European Social Survey 2002-2016," Social Science & Medicine, Elsevier, vol. 267(C).
    16. Elgar, Frank J. & De Clercq, Bart & Schnohr, Christina W. & Bird, Phillippa & Pickett, Kate E. & Torsheim, Torbjørn & Hofmann, Felix & Currie, Candace, 2013. "Absolute and relative family affluence and psychosomatic symptoms in adolescents," Social Science & Medicine, Elsevier, vol. 91(C), pages 25-31.
    17. Julien Hugonnier & Florian Pelgrin & Pascal St‐Amour, 2020. "Closing down the shop: Optimal health and wealth dynamics near the end of life," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 138-153, February.
    18. Robert Stefko & Beata Gavurova & Viera Ivankova & Martin Rigelsky, 2020. "Gender Inequalities in Health and Their Effect on the Economic Prosperity Represented by the GDP of Selected Developed Countries—Empirical Study," IJERPH, MDPI, vol. 17(10), pages 1-26, May.
    19. Claudia Börnhorst & Dörte Heger & Anne Mensen, 2019. "Associations of childhood health and financial situation with quality of life after retirement – regional variation across Europe," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-17, April.
    20. Zheng Xie & Adrienne N Poon & Zhijun Wu & Weiyan Jian & Kit Yee Chan, 2015. "Is Occupation a Good Predictor of Self-Rated Health in China?," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-18, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0137576. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.