Cargando…

Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study

BACKGROUND: The social gradient of health and mortality is well-documented. However, data are scarce regarding whether differences in mortality are observed across socio-economic status (SES) measured at the small area-level. We investigated associations between area-level SES and all-cause mortalit...

Descripción completa

Detalles Bibliográficos
Autores principales: Brennan-Olsen, Sharon L., Williams, Lana J., Holloway, Kara L., Hosking, Sarah M., Stuart, Amanda L., Dobbins, Amelia G., Pasco, Julie A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721425/
https://www.ncbi.nlm.nih.gov/pubmed/26844110
http://dx.doi.org/10.1016/j.pmedr.2015.05.011
_version_ 1782411224491753472
author Brennan-Olsen, Sharon L.
Williams, Lana J.
Holloway, Kara L.
Hosking, Sarah M.
Stuart, Amanda L.
Dobbins, Amelia G.
Pasco, Julie A.
author_facet Brennan-Olsen, Sharon L.
Williams, Lana J.
Holloway, Kara L.
Hosking, Sarah M.
Stuart, Amanda L.
Dobbins, Amelia G.
Pasco, Julie A.
author_sort Brennan-Olsen, Sharon L.
collection PubMed
description BACKGROUND: The social gradient of health and mortality is well-documented. However, data are scarce regarding whether differences in mortality are observed across socio-economic status (SES) measured at the small area-level. We investigated associations between area-level SES and all-cause mortality in Australian women aged ≥ 20 years. METHODS: We examined SES, obesity, hypertension, lifestyle behaviors and all-cause mortality within 10 years post-baseline (1994), for 1494 randomly-selected women. Participants' residential addresses were matched to Australian Bureau of Statistics Census data to identify area-level SES, and deaths were ascertained from the Australian National Deaths Index. Logistic regression models were adjusted for age, and subsequent adjustments made for measures of weight status and lifestyle behaviors. RESULTS: We observed 243 (16.3%) deaths within 10 years post-baseline. Females in SES quintiles 2–4 (less disadvantaged) had lower odds of mortality (0.49–0.59) compared to SES quintile 1 (most disadvantaged) under the best model, after adjusting for age, smoking status and low mobility. CONCLUSIONS: Compared to the lowest SES quintile (most disadvantaged), females in quintiles 2 to 5 (less disadvantaged) had significantly lower odds ratio of all-cause mortality within 10 years. Associations between extreme social disadvantage and mortality warrant further attention from research, public health and policy arenas.
format Online
Article
Text
id pubmed-4721425
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-47214252016-02-03 Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study Brennan-Olsen, Sharon L. Williams, Lana J. Holloway, Kara L. Hosking, Sarah M. Stuart, Amanda L. Dobbins, Amelia G. Pasco, Julie A. Prev Med Rep Regular Article BACKGROUND: The social gradient of health and mortality is well-documented. However, data are scarce regarding whether differences in mortality are observed across socio-economic status (SES) measured at the small area-level. We investigated associations between area-level SES and all-cause mortality in Australian women aged ≥ 20 years. METHODS: We examined SES, obesity, hypertension, lifestyle behaviors and all-cause mortality within 10 years post-baseline (1994), for 1494 randomly-selected women. Participants' residential addresses were matched to Australian Bureau of Statistics Census data to identify area-level SES, and deaths were ascertained from the Australian National Deaths Index. Logistic regression models were adjusted for age, and subsequent adjustments made for measures of weight status and lifestyle behaviors. RESULTS: We observed 243 (16.3%) deaths within 10 years post-baseline. Females in SES quintiles 2–4 (less disadvantaged) had lower odds of mortality (0.49–0.59) compared to SES quintile 1 (most disadvantaged) under the best model, after adjusting for age, smoking status and low mobility. CONCLUSIONS: Compared to the lowest SES quintile (most disadvantaged), females in quintiles 2 to 5 (less disadvantaged) had significantly lower odds ratio of all-cause mortality within 10 years. Associations between extreme social disadvantage and mortality warrant further attention from research, public health and policy arenas. Elsevier 2015-06-12 /pmc/articles/PMC4721425/ /pubmed/26844110 http://dx.doi.org/10.1016/j.pmedr.2015.05.011 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Brennan-Olsen, Sharon L.
Williams, Lana J.
Holloway, Kara L.
Hosking, Sarah M.
Stuart, Amanda L.
Dobbins, Amelia G.
Pasco, Julie A.
Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study
title Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study
title_full Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study
title_fullStr Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study
title_full_unstemmed Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study
title_short Small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: Data from the Geelong Osteoporosis Study
title_sort small area-level socioeconomic status and all-cause mortality within 10 years in a population-based cohort of women: data from the geelong osteoporosis study
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721425/
https://www.ncbi.nlm.nih.gov/pubmed/26844110
http://dx.doi.org/10.1016/j.pmedr.2015.05.011
work_keys_str_mv AT brennanolsensharonl smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy
AT williamslanaj smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy
AT hollowaykaral smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy
AT hoskingsarahm smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy
AT stuartamandal smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy
AT dobbinsameliag smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy
AT pascojuliea smallarealevelsocioeconomicstatusandallcausemortalitywithin10yearsinapopulationbasedcohortofwomendatafromthegeelongosteoporosisstudy