Socioeconomic Disparities in Neurodegenerative Disease Mortality: A Population-Based Study among Belgian Men and Women Aged 65 or Older

This study investigates the association between socioeconomic position (SEP) – in terms of income and education – and mortality from neurodegenerative diseases, that is, dementia, parkinsonism, and motor neuron diseases (MNDs). We calculated age-standardized mortality rates and mortality rate ratios using log linear Poisson regression for different SEP groups, stratified by gender, age-group, and care home residency, utilizing the 2011 Belgian census linked to register data on cause-specific mortality for 2011 to 2016. Mortality was significantly higher in the lowest educational- and income gr... Mehr ...

Verfasser: Dinneweth, Janna
Gadeyne, Sylvie
Dokumenttyp: Artikel
Erscheinungsdatum: 2024
Reihe/Periodikum: INQUIRY: The Journal of Health Care Organization, Provision, and Financing ; volume 61 ; ISSN 0046-9580 1945-7243
Verlag/Hrsg.: SAGE Publications
Schlagwörter: Health Policy
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26487475
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://dx.doi.org/10.1177/00469580241237113

This study investigates the association between socioeconomic position (SEP) – in terms of income and education – and mortality from neurodegenerative diseases, that is, dementia, parkinsonism, and motor neuron diseases (MNDs). We calculated age-standardized mortality rates and mortality rate ratios using log linear Poisson regression for different SEP groups, stratified by gender, age-group, and care home residency, utilizing the 2011 Belgian census linked to register data on cause-specific mortality for 2011 to 2016. Mortality was significantly higher in the lowest educational- and income groups. The largest disparities were found in dementia mortality. Income had a strong negative effect on parkinsonism mortality, education a positive effect. We found no significant association between SEP and MND. Our study provides evidence supporting the presence of socioeconomic disparities in mortality due to neurodegeneration. We found a strong negative association between SEP and NDD mortality, which varies between NDD, gender and care home residency.