Mortality in the Visegrad countries from the perspective of socioeconomic inequalities
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Large socioeconomic inequalities in health are still present in the Central Europe. The aim was to explore socioeconomic inequalities in mortality in Visegrad countries—the Czech Republic, Hungary, Poland and Slovakia (V4), by three different socioeconomic indicators (unemployment, risk of poverty/social exclusion, education). The study was conducted within the H2020 Euro-Healthy project.
The associations between selected socioeconomic indicators and the standardised mortality rates by four main causes (mortality related to cancer, circulatory, respiratory and digestive system) in the economically active population aged 20–64 years in the 35 NUTS 2 level regions of the V4 in the period 2011–2013 were explored, using linear regression models.
Lower education level was the most significant predictor of mortality in the V4. The lowest mortality rates by all causes of death were found in the regions of the Czech Republic, the highest in regions of Hungary.
Despite the common origin, the pathways of the V4 countries in employment, poverty and education seem to be different, also having impact on health equity. Therefore, where you live in the V4 can significantly influence your health.
KeywordsHealth equity Measurement Mortality Socioeconomic inequalities Ecological design Regional differences
Compliance with ethical standards
Conflict of interest
This study was developed within the scope of the investigation project Euro-Healthy “Shaping EUROpean policies to promote HEALTH equitY” which received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 643398. The sole responsibility for the content of this report lies with the authors. It does not necessarily reflect the opinion of the European Union. The European Commission is not responsible for any use that may be made of the information contained therein. Besides, all authors declare that they have no conflict of interest.
The study was performed within the Euro-Healthy project—Shaping EUROpean policies to promote HEALTH equitY (Horizon 2020 No. 643398). The Euro-Healthy project and its results are in compliance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards, fundamental ethical principles, rules and standards relevant on European legislation, international conventions and declarations, national authorizations and ethics approvals.
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