Contribution of smoking and alcohol consumption to income differences in life expectancy: evidence using Danish, Finnish, Norwegian and Swedish register data

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Contribution of smoking and alcohol consumption to income differences in life expectancy : evidence using Danish, Finnish, Norwegian and Swedish register data. / Östergren, Olof; Martikainen, Pekka; Tarkiainen, Lasse; Elstad, Jon Ivar; Brønnum-Hansen, Henrik.

In: Journal of epidemiology and community health, Vol. 73, No. 4, 2019, p. 334-339.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Östergren, O, Martikainen, P, Tarkiainen, L, Elstad, JI & Brønnum-Hansen, H 2019, 'Contribution of smoking and alcohol consumption to income differences in life expectancy: evidence using Danish, Finnish, Norwegian and Swedish register data', Journal of epidemiology and community health, vol. 73, no. 4, pp. 334-339. https://doi.org/10.1136/jech-2018-211640

APA

Östergren, O., Martikainen, P., Tarkiainen, L., Elstad, J. I., & Brønnum-Hansen, H. (2019). Contribution of smoking and alcohol consumption to income differences in life expectancy: evidence using Danish, Finnish, Norwegian and Swedish register data. Journal of epidemiology and community health, 73(4), 334-339. https://doi.org/10.1136/jech-2018-211640

Vancouver

Östergren O, Martikainen P, Tarkiainen L, Elstad JI, Brønnum-Hansen H. Contribution of smoking and alcohol consumption to income differences in life expectancy: evidence using Danish, Finnish, Norwegian and Swedish register data. Journal of epidemiology and community health. 2019;73(4):334-339. https://doi.org/10.1136/jech-2018-211640

Author

Östergren, Olof ; Martikainen, Pekka ; Tarkiainen, Lasse ; Elstad, Jon Ivar ; Brønnum-Hansen, Henrik. / Contribution of smoking and alcohol consumption to income differences in life expectancy : evidence using Danish, Finnish, Norwegian and Swedish register data. In: Journal of epidemiology and community health. 2019 ; Vol. 73, No. 4. pp. 334-339.

Bibtex

@article{59010f78ddcd4952809eb00277ce27e5,
title = "Contribution of smoking and alcohol consumption to income differences in life expectancy: evidence using Danish, Finnish, Norwegian and Swedish register data",
abstract = "BACKGROUND: Despite being comparatively egalitarian welfare states, the Nordic countries have not been successful in reducing health inequalities. Previous studies have suggested that smoking and alcohol contribute to this pattern. Few studies have focused on variations in alcohol-related and smoking-related mortality within the Nordic countries. We assess the contribution of smoking and alcohol to differences in life expectancy between countries and between income quintiles within countries.METHODS: We collected data from registers in Denmark, Finland, Norway and Sweden comprising men and women aged 25-79 years during 1995-2007. Estimations of alcohol-related mortality were based on underlying and contributory causes of death on individual death certificates, and smoking-related mortality was based on an indirect method that used lung cancer mortality as an indicator for the population-level impact of smoking on mortality.RESULTS: About 40{\%}-70{\%} of the between-country differences in life expectancy in the Nordic countries can be attributed to smoking and alcohol. Alcohol-related and smoking-related mortality also made substantial contributions to income differences in life expectancy within countries. The magnitude of the contributions were about 30{\%} in Norway, Sweden and among Finnish women to around 50{\%} among Finnish men and in Denmark.CONCLUSIONS: Smoking and alcohol consumption make substantial contributions to both between-country differences in mortality among the Nordic countries and within-country differences in mortality by income. The size of these contributions vary by country and sex.",
author = "Olof {\"O}stergren and Pekka Martikainen and Lasse Tarkiainen and Elstad, {Jon Ivar} and Henrik Br{\o}nnum-Hansen",
note = "{\circledC} Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.",
year = "2019",
doi = "10.1136/jech-2018-211640",
language = "English",
volume = "73",
pages = "334--339",
journal = "Journal of Epidemiology & Community Health",
issn = "0143-005X",
publisher = "B M J Group",
number = "4",

}

RIS

TY - JOUR

T1 - Contribution of smoking and alcohol consumption to income differences in life expectancy

T2 - evidence using Danish, Finnish, Norwegian and Swedish register data

AU - Östergren, Olof

AU - Martikainen, Pekka

AU - Tarkiainen, Lasse

AU - Elstad, Jon Ivar

AU - Brønnum-Hansen, Henrik

N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Despite being comparatively egalitarian welfare states, the Nordic countries have not been successful in reducing health inequalities. Previous studies have suggested that smoking and alcohol contribute to this pattern. Few studies have focused on variations in alcohol-related and smoking-related mortality within the Nordic countries. We assess the contribution of smoking and alcohol to differences in life expectancy between countries and between income quintiles within countries.METHODS: We collected data from registers in Denmark, Finland, Norway and Sweden comprising men and women aged 25-79 years during 1995-2007. Estimations of alcohol-related mortality were based on underlying and contributory causes of death on individual death certificates, and smoking-related mortality was based on an indirect method that used lung cancer mortality as an indicator for the population-level impact of smoking on mortality.RESULTS: About 40%-70% of the between-country differences in life expectancy in the Nordic countries can be attributed to smoking and alcohol. Alcohol-related and smoking-related mortality also made substantial contributions to income differences in life expectancy within countries. The magnitude of the contributions were about 30% in Norway, Sweden and among Finnish women to around 50% among Finnish men and in Denmark.CONCLUSIONS: Smoking and alcohol consumption make substantial contributions to both between-country differences in mortality among the Nordic countries and within-country differences in mortality by income. The size of these contributions vary by country and sex.

AB - BACKGROUND: Despite being comparatively egalitarian welfare states, the Nordic countries have not been successful in reducing health inequalities. Previous studies have suggested that smoking and alcohol contribute to this pattern. Few studies have focused on variations in alcohol-related and smoking-related mortality within the Nordic countries. We assess the contribution of smoking and alcohol to differences in life expectancy between countries and between income quintiles within countries.METHODS: We collected data from registers in Denmark, Finland, Norway and Sweden comprising men and women aged 25-79 years during 1995-2007. Estimations of alcohol-related mortality were based on underlying and contributory causes of death on individual death certificates, and smoking-related mortality was based on an indirect method that used lung cancer mortality as an indicator for the population-level impact of smoking on mortality.RESULTS: About 40%-70% of the between-country differences in life expectancy in the Nordic countries can be attributed to smoking and alcohol. Alcohol-related and smoking-related mortality also made substantial contributions to income differences in life expectancy within countries. The magnitude of the contributions were about 30% in Norway, Sweden and among Finnish women to around 50% among Finnish men and in Denmark.CONCLUSIONS: Smoking and alcohol consumption make substantial contributions to both between-country differences in mortality among the Nordic countries and within-country differences in mortality by income. The size of these contributions vary by country and sex.

U2 - 10.1136/jech-2018-211640

DO - 10.1136/jech-2018-211640

M3 - Journal article

VL - 73

SP - 334

EP - 339

JO - Journal of Epidemiology & Community Health

JF - Journal of Epidemiology & Community Health

SN - 0143-005X

IS - 4

ER -

ID: 212497844