Educational gradients in all-cause mortality in two cohorts in
the Czech Republic during the early stage of the postcommunist
transition

J 2022

Educational gradients in all-cause mortality in two cohorts in the Czech Republic during the early stage of the postcommunist transition

PAULS, Ceciel; Andrea DALECKÁ; Wentian LU; Jaroslav HUBACEK; Hynek PIKHART et al.

Základní údaje

Originální název

Educational gradients in all-cause mortality in two cohorts in the Czech Republic during the early stage of the postcommunist transition

Autoři

PAULS, Ceciel; Andrea DALECKÁ; Wentian LU; Jaroslav HUBACEK; Hynek PIKHART a Martin BOBÁK

Vydání

Journal of Epidemiology and Community Health, LONDON, BMJ PUBLISHING GROUP, 2022, 0143-005X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 6.300

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14310/22:00126766

Organizační jednotka

Přírodovědecká fakulta

Klíčová slova anglicky

mortality; health inequalities; education; aging

Štítky

143180, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 9. 6. 2025 10:17, Mgr. Michaela Hylsová, Ph.D.

Anotace

V originále

Objectives We investigated whether social gradient in all-cause mortality in the Czech Republic changed during the postcommunist transition by comparing two cohorts, recruited before and after the political changes in 1989. Methods Participants (aged 25-64 years) in two population surveys (n=2530 in 1985, n=2294 in 1992) were followed up for mortality for 15 years (1093 and 711 deaths, respectively). Education was classified into attainment categories and years of schooling (both continuous and in tertiles). Cox regression was used to estimate HR of death by educational indices in each cohort over a 15-year follow-up. Results All three educational variables were significantly associated with reduced risk of death in both cohorts when men and women were combined; for example, the adjusted HRs of death in the highest versus lowest tertile of years of schooling were 0.65 (95% CI 0.47 to 0.89) in 1985 and 0.67 (95% CI 0.48 to 0.93) in 1992. Adjustment for covariates attenuated the gradients. In sex-specific analysis, the gradient was more pronounced and statistically significant in men. There were no significant interactions between cohort and educational indices. Conclusions The educational gradient in mortality did not differ between the two cohorts (1985 vs 1992), suggesting no major increase in educational inequality during the early stage of postcommunist transition. Further research is needed to understand trends in health inequalities during socioeconomic transitions.

Návaznosti

EF17_043/0009632, projekt VaV

Název: CETOCOEN Excellence

LX22NPO5101, projekt VaV

Název: Národní institut pro výzkum socioekonomických dopadů nemocí a systémových rizik (Akronym: SYRI)

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Národní institut pro výzkum socioekonomických dopadů nemocí a systémových rizik, 5.1 EXCELES

857340, interní kód MU

Název: External and Internal Human Exposure in Urban EXposome (Akronym: Urban_X)

Investor: Evropská unie, External and Internal Human Exposure in Urban EXposome, Spreading excellence and widening participation

857487, interní kód MU

Název: R-Exposome Chair: Unlocking the potential of RECETOX in Exposome research (Akronym: R-Exposome Chair)

Investor: Evropská unie, R-Exposome Chair: Unlocking the potential of RECETOX in Exposome research, Spreading excellence and widening participation

857560, interní kód MU
(Kód CEP: EF17_043/0009632)

Název: CETOCOEN Excellence (Akronym: CETOCOEN Excellence)

Investor: Evropská unie, CETOCOEN Excellence, Spreading excellence and widening participation

90121, velká výzkumná infrastruktura

Název: RECETOX RI

Přiložené soubory

2221059.pdf

Přehled o publikaci