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Document Typology: Research
Methodology addressed by the publication:Narrative medicine
Title of document: Educational inequalities
Name of author(s): Ramune Kalediene
Name of publisher: PubGet
Language of the publication: English
Language of the review: English
Author compared the magnitude of educational inequalities in mortality avoidable by medical care in 16 European populations and determined the contribution of inequalities in avoidable mortality to educational inequalities in life expectancy in Europe.
She obtained mortality data for people aged 30-64 years. For each country, the association between level of education and avoidable mortality was measured with the use of regression-based inequality indexes. Life table analysis was used to calculate the contribution of avoidable causes of death to inequalities in life expectancy between lower and higher educated groupsEducational inequalities in avoidable mortality were present in all countries of Europe and in all types of avoidable causes of death. Especially large educational inequalities were found for infectious diseases and conditions that require acute care in all countries of Europe. Inequalities were larger in Central Eastern European (CEE) and Baltic countries, followed by Northern and Western European countries, and smallest in the Southern European regions. This geographic pattern was present in almost all types of avoidable causes of death. Avoidable mortality contributed between 11 and 24% to the inequalities in Partial Life Expectancy between higher and lower educated groups. Infectious diseases and cardio-respiratory conditions were main contributors to this difference.
Reviewer's comments on the document:
Inequalities in avoidable mortality were present in all European countries, but were especially pronounced in CEE and Baltic countries. These educational inequalities point to an important role of healthcare services in reducing inequalities in health. This is important in future projects to discuss .Inequalities in health, both between and within populations, are a major public concern that demands attention,The long-standing interest in health-related inequalities has increased since the early 1980s and includes health
differences between social groups.Despite wide recognition of the extent of health inequalities and social group health differences
in many high-income and low-income countries,there is considerable debate about the meaning and measurement of health inequalities, social group health differences, and inequities.The lack of standard definitions, measurement strategies, and indicators have limited and will continue to limit comparisons between and within countries, and over time of health inequalities and, perhaps more importantly, comparative analyses of their determi-nants.
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