Educational inequalities in fracture-related mortality using multiple cause of death data in the Skåne region, Sweden. Lindéus, M., Englund, M., & Kiadaliri, A. A. Scandinavian Journal of Public Health, 48(1):72–79, February, 2020. ![Educational inequalities in fracture-related mortality using multiple cause of death data in the Skåne region, Sweden [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Aim: To assess the absolute and relative educational inequalities in mortality from hip and non-hip fractures in Skåne region, Sweden. Methods: We conducted a population-based open cohort study. People aged 30-99 years, resident in the region during 1998-2013 (n = 999, 148) were followed until death, their 100th birthday, relocation outside Skåne, or the end of 2014. We obtained individual-level data from the Statistics Sweden and the Swedish National Board of Health and Welfare's Cause of Death Register. Death certificates coded with any fracture diagnosis were defined as fracture-related deaths. Educational inequalities were assessed by slope and relative indices of inequality (SII and RII). Cox regression and additive hazard models were used to estimates these indices. Results: During a mean follow-up of 12.2 years, there were 5,121 fracture-related deaths, of which 3,110 were associated with hip fracture. Age-standardized, hip fracture-related mortality rates per 100,000 person-years were 31, 95% confidence interval (CI) (30, 32) and 23 (20, 26) in people with low and high levels of education, respectively (rate ratio 1.4, 95% CI (1.2, 1.5)). Corresponding mortality rates for non-hip-fracture related deaths were 20 (18, 21) and 16 (14, 19) (rate ratio 1.2, 95% CI (1.0, 1.4)). SII and RII revealed educational inequalities in hip fracture-related mortality in favour of highly educated people. For non hip fracture-related mortality, there were statistically significant educational inequalities in people aged \textless70 years. Conclusions: We found higher fracture-related mortality with lower education suggesting preventative and therapeutic interventions for fractures should pay special attention to people with low-level education.
@article{lindeus_educational_2020,
title = {Educational inequalities in fracture-related mortality using multiple cause of death data in the {Skåne} region, {Sweden}},
volume = {48},
issn = {1651-1905},
url = {https://doi.org/10.1177/1403494818807831},
doi = {10.1177/1403494818807831},
abstract = {Aim: To assess the absolute and relative educational inequalities in mortality from hip and non-hip fractures in Skåne region, Sweden. Methods: We conducted a population-based open cohort study. People aged 30-99 years, resident in the region during 1998-2013 (n = 999, 148) were followed until death, their 100th birthday, relocation outside Skåne, or the end of 2014. We obtained individual-level data from the Statistics Sweden and the Swedish National Board of Health and Welfare's Cause of Death Register. Death certificates coded with any fracture diagnosis were defined as fracture-related deaths. Educational inequalities were assessed by slope and relative indices of inequality (SII and RII). Cox regression and additive hazard models were used to estimates these indices. Results: During a mean follow-up of 12.2 years, there were 5,121 fracture-related deaths, of which 3,110 were associated with hip fracture. Age-standardized, hip fracture-related mortality rates per 100,000 person-years were 31, 95\% confidence interval (CI) (30, 32) and 23 (20, 26) in people with low and high levels of education, respectively (rate ratio 1.4, 95\% CI (1.2, 1.5)). Corresponding mortality rates for non-hip-fracture related deaths were 20 (18, 21) and 16 (14, 19) (rate ratio 1.2, 95\% CI (1.0, 1.4)). SII and RII revealed educational inequalities in hip fracture-related mortality in favour of highly educated people. For non hip fracture-related mortality, there were statistically significant educational inequalities in people aged {\textless}70 years. Conclusions: We found higher fracture-related mortality with lower education suggesting preventative and therapeutic interventions for fractures should pay special attention to people with low-level education.},
language = {eng},
number = {1},
journal = {Scandinavian Journal of Public Health},
author = {Lindéus, Maria and Englund, Martin and Kiadaliri, Aliasghar A.},
month = feb,
year = {2020},
pmid = {30345871},
keywords = {Adult, Aged, Aged, 80 and over, Cause of Death, Cohort Studies, Educational Status, Educational inequality, Female, Fractures, Bone, Health Status Disparities, Hip Fractures, Humans, Male, Middle Aged, Sweden, fracture, mortality, multiple cause of death},
pages = {72--79},
}
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{"_id":"46CZdGyDkr5R6ZDwk","bibbaseid":"lindus-englund-kiadaliri-educationalinequalitiesinfracturerelatedmortalityusingmultiplecauseofdeathdataintheskneregionsweden-2020","author_short":["Lindéus, M.","Englund, M.","Kiadaliri, A. A."],"bibdata":{"bibtype":"article","type":"article","title":"Educational inequalities in fracture-related mortality using multiple cause of death data in the Skåne region, Sweden","volume":"48","issn":"1651-1905","url":"https://doi.org/10.1177/1403494818807831","doi":"10.1177/1403494818807831","abstract":"Aim: To assess the absolute and relative educational inequalities in mortality from hip and non-hip fractures in Skåne region, Sweden. Methods: We conducted a population-based open cohort study. People aged 30-99 years, resident in the region during 1998-2013 (n = 999, 148) were followed until death, their 100th birthday, relocation outside Skåne, or the end of 2014. We obtained individual-level data from the Statistics Sweden and the Swedish National Board of Health and Welfare's Cause of Death Register. Death certificates coded with any fracture diagnosis were defined as fracture-related deaths. Educational inequalities were assessed by slope and relative indices of inequality (SII and RII). Cox regression and additive hazard models were used to estimates these indices. Results: During a mean follow-up of 12.2 years, there were 5,121 fracture-related deaths, of which 3,110 were associated with hip fracture. Age-standardized, hip fracture-related mortality rates per 100,000 person-years were 31, 95% confidence interval (CI) (30, 32) and 23 (20, 26) in people with low and high levels of education, respectively (rate ratio 1.4, 95% CI (1.2, 1.5)). Corresponding mortality rates for non-hip-fracture related deaths were 20 (18, 21) and 16 (14, 19) (rate ratio 1.2, 95% CI (1.0, 1.4)). SII and RII revealed educational inequalities in hip fracture-related mortality in favour of highly educated people. For non hip fracture-related mortality, there were statistically significant educational inequalities in people aged \\textless70 years. Conclusions: We found higher fracture-related mortality with lower education suggesting preventative and therapeutic interventions for fractures should pay special attention to people with low-level education.","language":"eng","number":"1","journal":"Scandinavian Journal of Public Health","author":[{"propositions":[],"lastnames":["Lindéus"],"firstnames":["Maria"],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["Martin"],"suffixes":[]},{"propositions":[],"lastnames":["Kiadaliri"],"firstnames":["Aliasghar","A."],"suffixes":[]}],"month":"February","year":"2020","pmid":"30345871","keywords":"Adult, Aged, Aged, 80 and over, Cause of Death, Cohort Studies, Educational Status, Educational inequality, Female, Fractures, Bone, Health Status Disparities, Hip Fractures, Humans, Male, Middle Aged, Sweden, fracture, mortality, multiple cause of death","pages":"72–79","bibtex":"@article{lindeus_educational_2020,\n\ttitle = {Educational inequalities in fracture-related mortality using multiple cause of death data in the {Skåne} region, {Sweden}},\n\tvolume = {48},\n\tissn = {1651-1905},\n\turl = {https://doi.org/10.1177/1403494818807831},\n\tdoi = {10.1177/1403494818807831},\n\tabstract = {Aim: To assess the absolute and relative educational inequalities in mortality from hip and non-hip fractures in Skåne region, Sweden. Methods: We conducted a population-based open cohort study. People aged 30-99 years, resident in the region during 1998-2013 (n = 999, 148) were followed until death, their 100th birthday, relocation outside Skåne, or the end of 2014. We obtained individual-level data from the Statistics Sweden and the Swedish National Board of Health and Welfare's Cause of Death Register. Death certificates coded with any fracture diagnosis were defined as fracture-related deaths. Educational inequalities were assessed by slope and relative indices of inequality (SII and RII). Cox regression and additive hazard models were used to estimates these indices. Results: During a mean follow-up of 12.2 years, there were 5,121 fracture-related deaths, of which 3,110 were associated with hip fracture. Age-standardized, hip fracture-related mortality rates per 100,000 person-years were 31, 95\\% confidence interval (CI) (30, 32) and 23 (20, 26) in people with low and high levels of education, respectively (rate ratio 1.4, 95\\% CI (1.2, 1.5)). Corresponding mortality rates for non-hip-fracture related deaths were 20 (18, 21) and 16 (14, 19) (rate ratio 1.2, 95\\% CI (1.0, 1.4)). SII and RII revealed educational inequalities in hip fracture-related mortality in favour of highly educated people. For non hip fracture-related mortality, there were statistically significant educational inequalities in people aged {\\textless}70 years. Conclusions: We found higher fracture-related mortality with lower education suggesting preventative and therapeutic interventions for fractures should pay special attention to people with low-level education.},\n\tlanguage = {eng},\n\tnumber = {1},\n\tjournal = {Scandinavian Journal of Public Health},\n\tauthor = {Lindéus, Maria and Englund, Martin and Kiadaliri, Aliasghar A.},\n\tmonth = feb,\n\tyear = {2020},\n\tpmid = {30345871},\n\tkeywords = {Adult, Aged, Aged, 80 and over, Cause of Death, Cohort Studies, Educational Status, Educational inequality, Female, Fractures, Bone, Health Status Disparities, Hip Fractures, Humans, Male, Middle Aged, Sweden, fracture, mortality, multiple cause of death},\n\tpages = {72--79},\n}\n\n","author_short":["Lindéus, M.","Englund, M.","Kiadaliri, A. 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