Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain

We examine dementia-related mortality in Spain from 2016 to 2021, focusing on its comorbidities and educational inequalities in life expectancy at age 60. Using a multiple cause of death (MCOD) approach, we assess how dementia-related mortality varies by education level and how these differences con...

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Autores: Spijker, Jeroen|||0000-0002-3957-9553, Almeida Calazans, Júlia|||0000-0002-6215-3251, Trias Llimós, Sergi|||0000-0002-8052-6736, Rentería, Elisenda|||0000-0002-7072-8465, Doblhammer, Gabriele|||0000-0001-7746-0652
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:320131
Acceso en línea:https://ddd.uab.cat/record/320131
https://dx.doi.org/urn:doi:10.1038/s41598-025-10079-x
Access Level:acceso abierto
Palabra clave:Dementia
Multiple causes of death
Decomposition
Education
Inequalities
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spelling Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in SpainSpijker, Jeroen|||0000-0002-3957-9553Almeida Calazans, Júlia|||0000-0002-6215-3251Trias Llimós, Sergi|||0000-0002-8052-6736Rentería, Elisenda|||0000-0002-7072-8465Doblhammer, Gabriele|||0000-0001-7746-0652DementiaMultiple causes of deathDecompositionEducationInequalitiesWe examine dementia-related mortality in Spain from 2016 to 2021, focusing on its comorbidities and educational inequalities in life expectancy at age 60. Using a multiple cause of death (MCOD) approach, we assess how dementia-related mortality varies by education level and how these differences contribute to disparities in longevity. We used mortality data from the Spanish National Statistics Institute (INE) by level of education from 2016 to 2021 to analyse mortality from dementia-related diseases (ICD-10 codes: F01-F03, G30-G31) both as underlying cause of death (UCOD) and as MCOD (irrespective of their position within the death certificate). We estimated age-standardized mortality rates and used life tables and demographic decomposition techniques to assess the impact of dementia-related diseases on educational differences in life expectancy at age 60. Results showed that in 2016-21 MCOD dementia-related deaths accounted for 17% of all deaths occurring after the age of 60 (men: 11%; women 21%). The higher MCOD dementia-related mortality experienced by the lower educated group contributed 0.13 years (8.4%) to the total life expectancy gap at age 60 between the low and high education groups for men, and 0.26 years (22.7%) for women. Educational gradients in dementia-related mortality in Spain highlight the importance of disentangling risk factors from a socioeconomic perspective. Moreover, the MCOD approach provides a more realistic estimate of the impact of dementia-related diseases on life expectancy, bringing insights into the burden of ageing-related diseases.Centre d'Estudis Demogràfics 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/320131https://dx.doi.org/urn:doi:10.1038/s41598-025-10079-xreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengEuropean Commission https://doi.org/10.13039/501100000780 864616Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2017-22586Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2021-033123-IAgencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2020-113934RB-I00Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2023-148727OA-I00open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3201312026-06-06T12:50:31Z
dc.title.none.fl_str_mv Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
title Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
spellingShingle Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
Spijker, Jeroen|||0000-0002-3957-9553
Dementia
Multiple causes of death
Decomposition
Education
Inequalities
title_short Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
title_full Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
title_fullStr Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
title_full_unstemmed Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
title_sort Educational inequalities in dementia-related mortality using a multiple cause of death approach and their contribution to life expectancy differences in Spain
dc.creator.none.fl_str_mv Spijker, Jeroen|||0000-0002-3957-9553
Almeida Calazans, Júlia|||0000-0002-6215-3251
Trias Llimós, Sergi|||0000-0002-8052-6736
Rentería, Elisenda|||0000-0002-7072-8465
Doblhammer, Gabriele|||0000-0001-7746-0652
author Spijker, Jeroen|||0000-0002-3957-9553
author_facet Spijker, Jeroen|||0000-0002-3957-9553
Almeida Calazans, Júlia|||0000-0002-6215-3251
Trias Llimós, Sergi|||0000-0002-8052-6736
Rentería, Elisenda|||0000-0002-7072-8465
Doblhammer, Gabriele|||0000-0001-7746-0652
author_role author
author2 Almeida Calazans, Júlia|||0000-0002-6215-3251
Trias Llimós, Sergi|||0000-0002-8052-6736
Rentería, Elisenda|||0000-0002-7072-8465
Doblhammer, Gabriele|||0000-0001-7746-0652
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Centre d'Estudis Demogràfics
dc.subject.none.fl_str_mv Dementia
Multiple causes of death
Decomposition
Education
Inequalities
topic Dementia
Multiple causes of death
Decomposition
Education
Inequalities
description We examine dementia-related mortality in Spain from 2016 to 2021, focusing on its comorbidities and educational inequalities in life expectancy at age 60. Using a multiple cause of death (MCOD) approach, we assess how dementia-related mortality varies by education level and how these differences contribute to disparities in longevity. We used mortality data from the Spanish National Statistics Institute (INE) by level of education from 2016 to 2021 to analyse mortality from dementia-related diseases (ICD-10 codes: F01-F03, G30-G31) both as underlying cause of death (UCOD) and as MCOD (irrespective of their position within the death certificate). We estimated age-standardized mortality rates and used life tables and demographic decomposition techniques to assess the impact of dementia-related diseases on educational differences in life expectancy at age 60. Results showed that in 2016-21 MCOD dementia-related deaths accounted for 17% of all deaths occurring after the age of 60 (men: 11%; women 21%). The higher MCOD dementia-related mortality experienced by the lower educated group contributed 0.13 years (8.4%) to the total life expectancy gap at age 60 between the low and high education groups for men, and 0.26 years (22.7%) for women. Educational gradients in dementia-related mortality in Spain highlight the importance of disentangling risk factors from a socioeconomic perspective. Moreover, the MCOD approach provides a more realistic estimate of the impact of dementia-related diseases on life expectancy, bringing insights into the burden of ageing-related diseases.
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/320131
https://dx.doi.org/urn:doi:10.1038/s41598-025-10079-x
url https://ddd.uab.cat/record/320131
https://dx.doi.org/urn:doi:10.1038/s41598-025-10079-x
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv European Commission https://doi.org/10.13039/501100000780 864616
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2017-22586
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2021-033123-I
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2020-113934RB-I00
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2023-148727OA-I00
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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collection Dipòsit Digital de Documents de la UAB
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