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Article: Social disparities and cause-specific mortality during economic development

TitleSocial disparities and cause-specific mortality during economic development
Authors
KeywordsCancer
Cardiovascular
China
Concentration curve
Economic development
Mortality
Potential years of life lost
Social disparities
Issue Date2010
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimed
Citation
Social Science And Medicine, 2010, v. 70 n. 10, p. 1550-1557 How to Cite?
AbstractSocial patterning of disease is pervasive and persistent. Disease patterns change with economic development and the attendant epidemiological transition. It is becoming evident that social patterns of disease are epidemiologically stage specific. In a population with a recent history of rapid economic development we examined social patterns of all-cause and cause-specific mortality over time to elucidate how economic development impacts disparities in health. We used concentration indices to provide a summary measure of disparities by income in potential years of life lost (PYLL) for the Hong Kong population from 1976 to 2006. For all-cause mortality and for each of the specific causes considered the concentration curve in 2006 dominated the 1976 concentration curve. The concentration index for all-cause PYLL was negligible in 1976, but increased over the period. PYLL attributable to injury and poisoning was fairly consistently associated with lower income, but PYLL attributable to cardiovascular diseases and cancer reversed from an association with higher income in 1976 to an association with lower income in 2006. Social disparities in health are not universal or homogeneous in origin. Attention should be focused on disease-specific causes of disparities, so that contextually specific prevention strategies can be implemented. This is of particular relevance to China and other emerging economies where there may be a window of opportunity to prevent disparities in cancer and cardiovascular diseases occurring. © 2010 Elsevier Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/86909
ISSN
2015 Impact Factor: 2.814
2015 SCImago Journal Rankings: 1.894
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMary Schooling, Cen_HK
dc.contributor.authorLau, EWLen_HK
dc.contributor.authorTin, KYKen_HK
dc.contributor.authorLeung, GMen_HK
dc.date.accessioned2010-09-06T09:22:49Z-
dc.date.available2010-09-06T09:22:49Z-
dc.date.issued2010en_HK
dc.identifier.citationSocial Science And Medicine, 2010, v. 70 n. 10, p. 1550-1557en_HK
dc.identifier.issn0277-9536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86909-
dc.description.abstractSocial patterning of disease is pervasive and persistent. Disease patterns change with economic development and the attendant epidemiological transition. It is becoming evident that social patterns of disease are epidemiologically stage specific. In a population with a recent history of rapid economic development we examined social patterns of all-cause and cause-specific mortality over time to elucidate how economic development impacts disparities in health. We used concentration indices to provide a summary measure of disparities by income in potential years of life lost (PYLL) for the Hong Kong population from 1976 to 2006. For all-cause mortality and for each of the specific causes considered the concentration curve in 2006 dominated the 1976 concentration curve. The concentration index for all-cause PYLL was negligible in 1976, but increased over the period. PYLL attributable to injury and poisoning was fairly consistently associated with lower income, but PYLL attributable to cardiovascular diseases and cancer reversed from an association with higher income in 1976 to an association with lower income in 2006. Social disparities in health are not universal or homogeneous in origin. Attention should be focused on disease-specific causes of disparities, so that contextually specific prevention strategies can be implemented. This is of particular relevance to China and other emerging economies where there may be a window of opportunity to prevent disparities in cancer and cardiovascular diseases occurring. © 2010 Elsevier Ltd.en_HK
dc.languageengen_HK
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimeden_HK
dc.relation.ispartofSocial Science and Medicineen_HK
dc.subjectCanceren_HK
dc.subjectCardiovascularen_HK
dc.subjectChinaen_HK
dc.subjectConcentration curveen_HK
dc.subjectEconomic developmenten_HK
dc.subjectMortalityen_HK
dc.subjectPotential years of life losten_HK
dc.subjectSocial disparitiesen_HK
dc.subject.meshCardiovascular Diseases - economics - mortality-
dc.subject.meshEconomic Development - statistics and numerical data-
dc.subject.meshHealth Status Disparities-
dc.subject.meshMortality-
dc.subject.meshNeoplasms - economics - mortality-
dc.titleSocial disparities and cause-specific mortality during economic developmenten_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0277-9536&volume=70&issue=10&spage=1550&epage=1557&date=2010&atitle=Social+disparities+and+cause-specific+mortality+during+economic+developmenten_HK
dc.identifier.emailMary Schooling, C:cms1@hkucc.hku.hken_HK
dc.identifier.emailTin, KYK:tinyiuke@hku.hken_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.authorityMary Schooling, C=rp00504en_HK
dc.identifier.authorityTin, KYK=rp00494en_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.socscimed.2010.01.015en_HK
dc.identifier.pmid20299139-
dc.identifier.scopuseid_2-s2.0-77951665522en_HK
dc.identifier.hkuros169735en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77951665522&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume70en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1550en_HK
dc.identifier.epage1557en_HK
dc.identifier.isiWOS:000277815000014-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridMary Schooling, C=12808565000en_HK
dc.identifier.scopusauthoridLau, EWL=25522336200en_HK
dc.identifier.scopusauthoridTin, KYK=7003796897en_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.citeulike8363390-

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