Mortality in the Visegrad countries from the perspective of socioeconomic inequalities

  • Lucia BosakovaEmail author
  • Katarina Rosicova
  • Daniela Filakovska Bobakova
  • Martin Rosic
  • Dagmar Dzurova
  • Hynek Pikhart
  • Michala Lustigova
  • Paula Santana
Original Article



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.


Health 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.

Ethics approval

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.

Supplementary material

38_2018_1183_MOESM1_ESM.pdf (85 kb)
Supplementary material 1 (PDF 86 kb)


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Copyright information

© Swiss School of Public Health (SSPH+) 2018

Authors and Affiliations

  • Lucia Bosakova
    • 1
    • 2
    Email author
  • Katarina Rosicova
    • 3
  • Daniela Filakovska Bobakova
    • 1
    • 2
  • Martin Rosic
    • 4
  • Dagmar Dzurova
    • 5
  • Hynek Pikhart
    • 6
  • Michala Lustigova
    • 5
  • Paula Santana
    • 7
    • 8
  1. 1.Department of Health Psychology, Medical FacultyP. J. Safarik University in KosiceKosiceSlovak Republic
  2. 2.Olomouc University Social Health Institute (OUSHI)Palacky University in OlomoucOlomoucCzech Republic
  3. 3.Department of Regional Development, Land-use Planning and EnvironmentKosice Self-governing RegionKosiceSlovakia
  4. 4.Faculty of Humanities and Natural SciencesUniversity of PresovPresovSlovakia
  5. 5.Department of Social Geography and Regional Development, Faculty of ScienceCharles UniversityPragueCzech Republic
  6. 6.Research Department of Epidemiology and Public HealthUniversity College LondonLondonUK
  7. 7.Centre of Studies in Geography and Planning (CEGOT)University of CoimbraCoimbraPortugal
  8. 8.Department of Geography and Tourism, Humanities FacultyUniversity of CoimbraCoimbraPortugal

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