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Social ulighed i sygdomsbyrde
Engelsk titel: Social inequality in the burden of disease Läs online Författare: Brönnum-Hansen H Språk: Dan Antal referenser: 12 Dokumenttyp: Artikel UI-nummer: 07061904

Tidskrift

Ugeskrift for Laeger 2007;169(26-32)2526-8 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Introduction: Social inequality in health status is apparent in different life expectancy as well as expected lifetime with illness. The purpose of the study was to estimate the difference in expected lifetime with cancer, cardiovascular diseases and diseases of the musculoskeletal system between Danes with high and low educational levels. Materials and methods: The study was based on data from the Danish Health Interview Survey in 2000 and registered data on education and mortality in the period 1995-1999. Expected lifetime with and without long-standing, limiting illness based on observed data was compared with expected lifetime with and without long-standing, limiting illness after elimination of specific diseases and causes of death. The expected lifetime for persons with high and low educational levels between the age of 30 and 75 with and without illness was compared. Results: Cancer contributes by 0.3 years to the difference in partial life expectancy (age 30-75) between persons with high and low educational levels. Cardiovascular diseases cause men with low educational levels a loss of 0.6 life years and women 0.4 life years compared to men and women with high educational levels. Because of co-morbidity elimination of cancer would increase social inequality in expected lifetime with illness. The same was seen for women if cardiovascular diseases were eliminated. If diseases of the musculoskeletal system were eliminated, the difference in expected lifetime without long-standing, limiting illness from age 30 to 75 between persons with high and low educational levels would be reduced by 1.2 years. Conclusion: Social inequality in life expectancy would be reduced by the elimination of cancer and cardiovascular diseases. Socially disadvantaged suffer from the largest burden of disease.