Unusually strong association between education and mortality in young adults in a community with a high rate of injection-drug users.

Abstract:

BACKGROUND:To examine the association between education and mortality for various causes of death in young adults in a community with a high rate of injection-drug users. METHODS:Linked mortality study based on mortality records for 1996 and 1997 and on 1996 population census data from the Region of Madrid (Spain). The association between educational level and mortality was estimated by the mortality rate ratio. RESULTS:After adjustment for age and other socioeconomic variables the mortality rate in men and women aged 25-44 years with no education was, respectively, 4.7 and 3.7 times higher than in men and women with the highest educational level. The causes of death with the strongest association were chronic liver disease and cirrhosis, AIDS and diseases of the heart in both sexes and suicide in men. For these causes of death the mortality rate ratio between persons with the lowest and highest educational level ranged from 6.8 to 21.8 in men and from 4.1 to 16.9 in women. CONCLUSIONS:These causes of death are the leading specific causes of death in persons aged 25-44 years. Given that probably a substantial part of deaths from diseases of the heart in this age category are drug-related, the common denominator of the excess mortality related poor education seems to be drug injection.

journal_name

Eur J Public Health

authors

Regidor E,de la Fuente L,Calle ME,Navarro P,Domínguez V

doi

10.1093/eurpub/13.4.334

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

334-9

issue

4

eissn

1101-1262

issn

1464-360X

journal_volume

13

pub_type

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