The contribution of behavioural and metabolic risk factors to socioeconomic inequalities in mortality: the Italian Longitudinal Study.

TitreThe contribution of behavioural and metabolic risk factors to socioeconomic inequalities in mortality: the Italian Longitudinal Study.
Publication TypeJournal Article
Year of Publication2018
AuthorsPiccinelli, C, Carnà, P, Stringhini, S, Sebastiani, G, Demaria, M, Marra, M, Costa, G, d'Errico, A
JournalInternational journal of public health
Volume63
Issue3
Pagination325-335
Date Published04/2018
DOI10.1007/s00038-018-1076-8
ISSN1661-8564
Mots-clésBehavioural risk factors, Lifestyle, Metabolic risk factors, Mortality, Socioeconomic inequalities
Abstract

OBJECTIVES: The aim of this study was to assess social inequalities in overall mortality in a representative sample of the Italian population, and to evaluate the contribution of behavioural and metabolic risk (BMF) factors to these inequalities.

METHODS: 85,308 participants aged 25-74 years from the Italian Longitudinal Study were included in the study population and followed up for mortality (1999-2012). Level of education was used as a proxy for socioeconomic status. The contribution of BMF was estimated assessing the attenuation of the risk by education produced by the inclusion of BMF in regression model.

RESULTS: Men with the lowest education had 62% and women had 57% greater risk of dying than those with the highest education. Among men, adjustment for BMF produced an attenuation of the mortality risk between extreme classes of education by 22%, while among women the risk attenuation was 7%.

CONCLUSIONS: Large educational differences in mortality were observed for both men and women. BMF reduced by approximately 20% differences in mortality relative risk between extreme classes of education in men. In contrast, a very low contribution was observed in women.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/29383384?dopt=Abstract

First publication date (online)

01/2018

WOS ID (UT)

000428236500004

Alternate JournalInt J Public Health
Citation Key / SERVAL ID8572
Peer reviewRefereed
PubMed ID29383384
                         

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