Přehled o publikaci
2022
Educational gradients in all-cause mortality in two cohorts in the Czech Republic during the early stage of the postcommunist transition
PAULS, Ceciel; Andrea DALECKÁ; Wentian LU; Jaroslav HUBACEK; Hynek PIKHART et al.Basic information
Original name
Educational gradients in all-cause mortality in two cohorts in the Czech Republic during the early stage of the postcommunist transition
Authors
PAULS, Ceciel; Andrea DALECKÁ; Wentian LU; Jaroslav HUBACEK; Hynek PIKHART and Martin BOBÁK
Edition
Journal of Epidemiology and Community Health, LONDON, BMJ PUBLISHING GROUP, 2022, 0143-005X
Other information
Language
English
Type of outcome
Article in a journal
Country of publisher
United Kingdom of Great Britain and Northern Ireland
Confidentiality degree
is not subject to a state or trade secret
References:
Marked to be transferred to RIV
Yes
RIV identification code
RIV/00216224:14310/22:00126766
Organization
Přírodovědecká fakulta – Repository – Repository
UT WoS
EID Scopus
Keywords in English
mortality; health inequalities; education; aging
Links
EF17_043/0009632, research and development project. LX22NPO5101, research and development project. 857340, interní kód Repo. 857487, interní kód Repo. 857560, interní kód Repo. RECETOX RI, large research infrastructures.
Changed: 10/6/2025 00:49, RNDr. Daniel Jakubík
Abstract
In the original language
Objectives We investigated whether social gradient in all-cause mortality in the Czech Republic changed during the postcommunist transition by comparing two cohorts, recruited before and after the political changes in 1989. Methods Participants (aged 25-64 years) in two population surveys (n=2530 in 1985, n=2294 in 1992) were followed up for mortality for 15 years (1093 and 711 deaths, respectively). Education was classified into attainment categories and years of schooling (both continuous and in tertiles). Cox regression was used to estimate HR of death by educational indices in each cohort over a 15-year follow-up. Results All three educational variables were significantly associated with reduced risk of death in both cohorts when men and women were combined; for example, the adjusted HRs of death in the highest versus lowest tertile of years of schooling were 0.65 (95% CI 0.47 to 0.89) in 1985 and 0.67 (95% CI 0.48 to 0.93) in 1992. Adjustment for covariates attenuated the gradients. In sex-specific analysis, the gradient was more pronounced and statistically significant in men. There were no significant interactions between cohort and educational indices. Conclusions The educational gradient in mortality did not differ between the two cohorts (1985 vs 1992), suggesting no major increase in educational inequality during the early stage of postcommunist transition. Further research is needed to understand trends in health inequalities during socioeconomic transitions.