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首页> 外文期刊>SSM - Population Health >Educational inequalities in mortality are larger at low levels of income: A register-based study on premature mortality among 2.3 million Swedes, 2006–2009
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Educational inequalities in mortality are larger at low levels of income: A register-based study on premature mortality among 2.3 million Swedes, 2006–2009

机译：低收入水平下死亡率的教育不平等现象更大：2006-2009年基于登记册的230万瑞典人中过早死亡的研究

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摘要

Education develops skills that help individuals use available material resources more efficiently. When material resources are scarce, each decision becomes comparatively more important. Education may also protect from health-related income decline, since the highly educated tend to work in occupations with lower physical demands. Educational inequalities in health may, therefore, be more pronounced at lower levels of income. The aim of this study is to assess whether the shape of the income gradient in premature mortality depends on the level of education. Total population data on education, income and mortality was obtained by linking several Swedish registers. Income was defined as five-year average disposable household income for ages 35–64 and mortality follow-up covered the period 2006–2009. The final population comprised 2.3 million individuals, 6.2 million person-years and 14,362 deaths. Income was modeled using splines in order to allow variation in the functional form of the association across educational categories. Poisson regression with robust standard errors was used. The curvilinear shape of the association between income and mortality was more pronounced among those with a low education. Both absolute and relative educational inequalities in premature mortality tended to be larger at low levels of income. The greatest income differences in mortality were observed for those with a low education and the smallest for the highly educated. Education and income interact as predictors of mortality. Education is a more important factor for health when access to material resources is limited. Highlights ? Income and education interact as predictors of mortality. ? Educational inequalities in mortality are larger at low levels of income. ? Education is negatively associated with mortality at all levels of income.
机译：教育发展出可以帮助个人更有效地利用可用物质资源的技能。当物质资源匮乏时，每个决定都变得相对重要。教育也可以防止与健康相关的收入下降，因为受过高等教育的人倾向于从事身体需求较低的职业。因此，在收入水平较低的情况下，健康方面的教育不平等现象可能会更加严重。这项研究的目的是评估过早死亡中收入梯度的形式是否取决于教育程度。通过链接几个瑞典登记册获得了有关教育，收入和死亡率的总人口数据。收入被定义为35-64岁的五年平均可支配家庭收入，死亡率随访涵盖2006-2009年。最终人口为230万人，620万人年，有14,362例死亡。使用样条曲线对收入进行建模，以便允许跨教育类别改变协会的功能形式。使用具有鲁棒标准误差的泊松回归。受教育程度较低的人群中，收入与死亡率之间的曲线关系更为明显。在低收入水平下，绝对死亡率和相对教育程度的不平等现象往往会更大。受教育程度低的人的死亡率收入差异最大，受过高等教育的人的收入差异最小。教育和收入是死亡率的预测因素。当物质资源的获取受到限制时，教育是健康的一个更重要的因素。强调 ？收入和教育是死亡率的预测因子。 ？在低收入水平下，死亡率的教育不平等现象更大。 ？在所有收入水平上，教育与死亡率均呈负相关。

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