Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.

Many recent studies show that Europe has had a lower mortality inequality for most ages than the United States over the last thirty years. However, the evolution of the income gradient in mortality all along the twentieth century remains poorly understood. This article uses a unique dataset that giv...

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Main Authors: Florian Bonnet, Hippolyte d'Albis, Josselin Thuilliez
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0280272
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author Florian Bonnet
Hippolyte d'Albis
Josselin Thuilliez
author_facet Florian Bonnet
Hippolyte d'Albis
Josselin Thuilliez
author_sort Florian Bonnet
collection DOAJ
description Many recent studies show that Europe has had a lower mortality inequality for most ages than the United States over the last thirty years. However, the evolution of the income gradient in mortality all along the twentieth century remains poorly understood. This article uses a unique dataset that gives the annual lifetables and fiscal income for the 90 administrative regions of mainland France from 1922 to 2020. The income gradients in mortality are computed across regions using a traditional method with calendar ages and, alternatively, with mortality milestones to control for the increase in life expectancy over time. The study reveals a systematic reversal of the gradient that occurred around the 1970s for both sexes and all ages or mortality groups when calculated at an aggregated level. Inequality in mortality amongst the oldest age groups has however returned to a level observed at least ten years earlier because of Covid-19, even after controlling for mortality improvements over the period.
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spelling doaj.art-7486f9bd11c747d6b53168ecb7b327832023-01-25T05:33:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e028027210.1371/journal.pone.0280272Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.Florian BonnetHippolyte d'AlbisJosselin ThuilliezMany recent studies show that Europe has had a lower mortality inequality for most ages than the United States over the last thirty years. However, the evolution of the income gradient in mortality all along the twentieth century remains poorly understood. This article uses a unique dataset that gives the annual lifetables and fiscal income for the 90 administrative regions of mainland France from 1922 to 2020. The income gradients in mortality are computed across regions using a traditional method with calendar ages and, alternatively, with mortality milestones to control for the increase in life expectancy over time. The study reveals a systematic reversal of the gradient that occurred around the 1970s for both sexes and all ages or mortality groups when calculated at an aggregated level. Inequality in mortality amongst the oldest age groups has however returned to a level observed at least ten years earlier because of Covid-19, even after controlling for mortality improvements over the period.https://doi.org/10.1371/journal.pone.0280272
spellingShingle Florian Bonnet
Hippolyte d'Albis
Josselin Thuilliez
Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.
PLoS ONE
title Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.
title_full Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.
title_fullStr Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.
title_full_unstemmed Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.
title_short Mortality inequalities in France since the 1920s: Evidence of a reversal of the income gradient in mortality.
title_sort mortality inequalities in france since the 1920s evidence of a reversal of the income gradient in mortality
url https://doi.org/10.1371/journal.pone.0280272
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