Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012

Abstract Objectives: To determine age group‐ and cause‐of‐death‐specific contributions to area socioeconomic status (SES), sex and remoteness life expectancy inequalities. Methods: Mortality and estimated residential population data from New South Wales, Australia, over 2010–2012 was used to calcula...

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Main Authors: Alexandre S. Stephens, Fiona Blyth, Leena Gupta, Richard A. Broome
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12753
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author Alexandre S. Stephens
Fiona Blyth
Leena Gupta
Richard A. Broome
author_facet Alexandre S. Stephens
Fiona Blyth
Leena Gupta
Richard A. Broome
author_sort Alexandre S. Stephens
collection DOAJ
description Abstract Objectives: To determine age group‐ and cause‐of‐death‐specific contributions to area socioeconomic status (SES), sex and remoteness life expectancy inequalities. Methods: Mortality and estimated residential population data from New South Wales, Australia, over 2010–2012 was used to calculate life expectancy. Inequalities by sociodemographic groups were partitioned into age group‐ and cause‐of‐death‐specific contributions. Results: The largest contributions to SES differentials in life expectancy were observed at 60–84 years of age; for cancer, cardiovascular, endocrine and respiratory causes of death; and additionally external causes of death for males. Sex inequalities ranged from 3.6 to 5.2 years, with common causes of death such as cardiovascular disease and cancer in late adulthood (60+ years) accounting for the bulk of the differences. Smaller differences in life expectancy were observed by remoteness, with the largest contributions observed in ages 85 years and above, and for cardiovascular, mental, cancer and external causes of death. Conclusions: Common causes of death in late adulthood accounted for the bulk of life expectancy inequalities. Implications for public health: Development of policy and interventions aimed at addressing social determinants, such as proposed by the WHO's Global Plan of Action, are needed to help reduce sociodemographic inequalities in lifespan.
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spelling doaj.art-b83f934add2740b193b83324148498102023-09-02T07:12:34ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052018-04-0142218018510.1111/1753-6405.12753Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012Alexandre S. Stephens0Fiona Blyth1Leena Gupta2Richard A. Broome3Public Health Observatory Sydney Local Health District Sydney New South WalesConcord Clinical School, Faculty of Medicine The University of Sydney New South WalesPublic Health Unit Sydney Local Health District Sydney New South WalesPublic Health Observatory Sydney Local Health District Sydney New South WalesAbstract Objectives: To determine age group‐ and cause‐of‐death‐specific contributions to area socioeconomic status (SES), sex and remoteness life expectancy inequalities. Methods: Mortality and estimated residential population data from New South Wales, Australia, over 2010–2012 was used to calculate life expectancy. Inequalities by sociodemographic groups were partitioned into age group‐ and cause‐of‐death‐specific contributions. Results: The largest contributions to SES differentials in life expectancy were observed at 60–84 years of age; for cancer, cardiovascular, endocrine and respiratory causes of death; and additionally external causes of death for males. Sex inequalities ranged from 3.6 to 5.2 years, with common causes of death such as cardiovascular disease and cancer in late adulthood (60+ years) accounting for the bulk of the differences. Smaller differences in life expectancy were observed by remoteness, with the largest contributions observed in ages 85 years and above, and for cardiovascular, mental, cancer and external causes of death. Conclusions: Common causes of death in late adulthood accounted for the bulk of life expectancy inequalities. Implications for public health: Development of policy and interventions aimed at addressing social determinants, such as proposed by the WHO's Global Plan of Action, are needed to help reduce sociodemographic inequalities in lifespan.https://doi.org/10.1111/1753-6405.12753life expectancy inequalitiessocial determinantsage and cause‐of‐death contributions
spellingShingle Alexandre S. Stephens
Fiona Blyth
Leena Gupta
Richard A. Broome
Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012
Australian and New Zealand Journal of Public Health
life expectancy inequalities
social determinants
age and cause‐of‐death contributions
title Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012
title_full Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012
title_fullStr Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012
title_full_unstemmed Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012
title_short Age and cause‐of‐death contributions to area socioeconomic, sex and remoteness differences in life expectancy in New South Wales, 2010–2012
title_sort age and cause of death contributions to area socioeconomic sex and remoteness differences in life expectancy in new south wales 2010 2012
topic life expectancy inequalities
social determinants
age and cause‐of‐death contributions
url https://doi.org/10.1111/1753-6405.12753
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