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Does community deprivation determine longevity after the age of 75? A cross-national analysis

Author

Listed:
  • Ana Isabel Ribeiro

    (Universidade do Porto
    Universidade do Porto
    Universidade do Porto
    Universidade do Porto)

  • Elias Teixeira Krainski

    (The Norwegian University for Science and Technology
    Universidade Federal do Paraná)

  • Marilia Sá Carvalho

    (PROCC-Programa de Computação Científica, Fundação Oswaldo Cruz)

  • Guy Launoy

    (U1086 INSERM-University of Caen Normandy (FRANCE), CHU Caen)

  • Carole Pornet

    (Regional Health Agency of Normandy)

  • Maria de Fátima Pina

    (Universidade do Porto
    Universidade do Porto
    ICICT/FIOCRUZ, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde/Fundação Oswaldo Cruz
    CARTO, FEN/UERJ, Departamento de Engenharia Cartográfica, Faculdade de Engenharia da, Universidade do Estado do Rio de Janeiro)

Abstract

Objectives Analyze the association between socioeconomic deprivation and old-age survival in Europe, and investigate whether it varies by country and gender. Methods 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. Attributable/prevention fractions were calculated. Results 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. Conclusions 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.

Suggested Citation

  • Ana Isabel Ribeiro & Elias Teixeira Krainski & Marilia Sá Carvalho & Guy Launoy & Carole Pornet & Maria de Fátima Pina, 2018. "Does community deprivation determine longevity after the age of 75? A cross-national analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 469-479, May.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:4:d:10.1007_s00038-018-1081-y
    DOI: 10.1007/s00038-018-1081-y
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    References listed on IDEAS

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    1. Cláudia Jardim Santos & Inês Paciência & Ana Isabel Ribeiro, 2022. "Neighbourhood Socioeconomic Processes and Dynamics and Healthy Ageing: A Scoping Review," IJERPH, MDPI, vol. 19(11), pages 1-26, May.
    2. 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.
    3. Ana Isabel Ribeiro & Ludivine Launay & Elodie Guillaume & Guy Launoy & Henrique Barros, 2018. "The Portuguese version of the European Deprivation Index: Development and association with all-cause mortality," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-13, December.

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