Patterns and Trends in Health and Illness

898 Words4 Pages
Introduction There are substantial inequalities in health across all European countries. People with a lower level of education, lower socio-economic position or lower level of income tend to die at a younger age, and to have, within their shorter lives, a higher prevalence of all kinds of health problems. This leads to substantial differences between socio-economic groups in the number of years that people can expect to live in good health (‘healthy life expectancy’). In countries with available data, differences in healthy life expectancy (from birth) typically amount to 10 years or more. Since the 19th century, the magnitude of socio-economic inequalities in health has declined in absolute terms. There has been a marked reduction in the average mortality rate in the population, leading to a doubling of life expectancy at birth. In the first half of the 20th century this was largely due to improvements in living standards and public health, while over the last half century innovative medical technologies have played a more prominent role. As a result, the absolute difference in mortality rates and in life expectancy at birth between people with a high and a low socio-economic position has become smaller. It is less clear, however, whether inequalities in mortality have also declined in relative terms, i.e. in terms of the percentage excess death rates in lower as compared to higher socio-economic groups. In the long run, the relative risks of dying for those with a low socio-economic position seem to have remained very stable, and have even increased during the last decades of the 20th century in many European countries. Particularly in Western Europe, with its high levels of prosperity and highly developed social security, public health and health care systems, this was a disturbing finding. These developments have contributed to a heightened awareness of
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