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Title of Journal: Int J Public Health

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Abbravation: International Journal of Public Health

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Springer Basel

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1661-8564

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Changing patterns of mortality in 25 European coun

Authors: Johan P Mackenbach Caspar W N Looman
Publish Date: 2013/09/24
Volume: 58, Issue: 6, Pages: 811-823
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Abstract

We extracted data on agestandardised mortality by country n = 25 sex cause of death n = 17 and calendar year from an internationally harmonised dataset We analysed changes in dispersion of mortality as well as changes in the association of mortality with average income and levels of democracyAfter 1960 dispersion in allcause mortality in Europe as a whole increased due to diverging trends for many specific causes of death particularly for cerebrovascular disease This coincided with widening disparities in average income and strengthening of the association between levels of democracy and mortality Divergence in Central and Eastern Europe could largely be explained from stagnating trends in average income and an increasing mortality disadvantage related to its democratic deficitAlthough this was a politically stable period mortality patterns were highly dynamic and prefigured the more dramatic mortality trends after 1990 Economic and political stagnation probably explains the diverging trends in Central and Eastern Europe

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