Gender Patterns of Socioeconomic Differences in Premature Mortality: Follow-up of the Hungarian Epidemiological Panel

Kopp, Mária; Skrabski, Árpád; László, Krisztina D.; Janszky, Imre

doi:10.1007/s12529-010-9126-5

Cited by 12 publications

(15 citation statements)

References 56 publications

(78 reference statements)

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“…Current research mainly supports the idea that health inequality is greater among men. This perspective is probably derived from the literature showing the greater magnitude of inequality in mortality and life expectancy for men . While our study's finding of greater inequalities in women for decayed and missing teeth contradicts those of mortality and life expectancy, it is similar to the pattern of inequalities for heart diseases .…”

Section: Discussioncontrasting

confidence: 60%

The magnitude of oral health inequalities in Canada: findings of the Canadian health measures survey

Ravaghi

Quiñonez

2013

Comm Dent Oral Epid

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There was a higher concentration of decayed teeth, missing teeth and oral pain in the worse off, while the more affluent had a greater concentration of filled teeth. The numbers of decayed teeth was the most unequal aspect of oral health comparatively. There was a sex difference in the pattern of oral health inequalities with greater magnitude of inequality present among women in terms of the number of decayed and missing teeth. Health policymakers should consider the magnitude of health inequalities according to outcome and between sexes in their decision to tackle oral health inequalities.

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Section: Discussioncontrasting

confidence: 60%

The magnitude of oral health inequalities in Canada: findings of the Canadian health measures survey

Ravaghi

Quiñonez

2013

Comm Dent Oral Epid

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“…Some studies have found evidence for such a differential association pointing at higher excess mortality in men than in women (Kopp et al, 2011;Takeida et al, 1997;Ahto et al, 2007), but others have not confirmed this (Faller et al, 2007;Yaffe et al, 2003). Whether or not there is a differential mortality rate in men and women is important because it may point at different causal pathways between men and women with depression.…”

Section: Introductionmentioning

confidence: 99%

Is excess mortality higher in depressed men than in depressed women? A meta-analytic comparison

Cuijpers¹,

Vogelzangs²,

Twisk³

et al. 2014

Journal of Affective Disorders

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a b s t r a c tBackground: It is not well-established whether excess mortality associated with depression is higher in men than in women. Methods: We conducted a meta-analysis of prospective studies in which depression was measured at baseline, where mortality rates were reported at follow-up, and in which separate mortality rates for men and women were reported. We conducted systematic searches in bibliographical databases and calculated relative risks of excess mortality in men and women. Results: Thirteen studies were included. Among the people with depression, excess mortality in men was higher than in women (RR¼1.97; 1.63-2.37). Compared with non-depressed participants, excess mortality was increased in depressed women (RR¼ 1.55; 95% CI: 1.32-1.82), but not as much as in men (RR¼ 2.04; 95% CI: 1.76-2.37), and the difference between excess mortality in men was significantly higher than in women (p o0.05). Conclusions: Excess mortality related to depression is higher in men than in women. Although the exact mechanisms for this difference are not clear, it may point at differential or more intensified pathways leading from depression to increased mortality in depressed men compared to women.

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“…The transition in Hungary from socialism to market economy and democracy may have left suicide figures substantially unchanged, but it has had an effect on morbidity and mortality, rates, and much more strongly among males than females; depression was found to be a major risk factor of premature morbidity and mortality in the male population [3]–[6]. A four-year longitudinal observational study carried out between 2002 and 2006 found that 24% of men in the 40–69 year-old population who died during the study period were severely depressed at baseline, and only 6% of them were treated for depression [7].…”

Section: Introductionmentioning

confidence: 99%

How to Decrease Suicide Rates in Both Genders? An Effectiveness Study of a Community-Based Intervention (EAAD)

et al. 2013

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BackgroundThe suicide rate in Hungary is high in international comparison. The two-year community-based four-level intervention programme of the European Alliance Against Depression (EAAD) is designed to improve the care of depression and to prevent suicidal behaviour. Our aim was to evaluate the effectiveness of a regional community-based four-level suicide prevention programme on suicide rates.MethodThe EAAD programme was implemented in Szolnok (population 76,311), a town in a region of Hungary with an exceptionally high suicide rate. Effectiveness was assessed by comparing changes in suicide rates in the intervention region after the intervention started with changes in national suicide rates and those in a control region (Szeged) in the corresponding period.ResultsFor the duration of the programme and the follow-up year, suicide rates in Szolnok were significantly lower than the average of the previous three years (p = .0076). The suicide rate thus went down from 30.1 per 100,000 in 2004 to 13.2 in 2005 (−56.1 %), 14.6 in 2006 (−51.4 %) and 12.0 in 2007 (−60.1 %). This decrease of annual suicide rates in Szolnok after the onset of the intervention was significantly stronger than that observed in the whole country (p = .017) and in the control region (p = .0015). Men had the same decrease in suicide rates as women. As secondary outcome, an increase of emergency calls to the hotline service (200%) and outpatient visits at the local psychiatry clinic (76%) was found.ConclusionsThese results seem to provide further support for the effectiveness of the EAAD concept. Whilst the majority of suicide prevention programs mainly affect female suicidal behaviour, this programme seems to be beneficial for both sexes. The sustainability and the role of the mediating factors (social service and health care utilization, community attitudes about suicide) should be key points in future research.

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Gender Patterns of Socioeconomic Differences in Premature Mortality: Follow-up of the Hungarian Epidemiological Panel

Abstract: Middle-aged Hungarian men seem to be considerably more vulnerable to the chronic stress of material disadvantage than women. This effect modification by gender might partly be explained by a stronger connection between low SES and depressive symptoms in men.

Cited by 12 publications

References 56 publications

The magnitude of oral health inequalities in Canada: findings of the Canadian health measures survey

The magnitude of oral health inequalities in Canada: findings of the Canadian health measures survey

Is excess mortality higher in depressed men than in depressed women? A meta-analytic comparison

How to Decrease Suicide Rates in Both Genders? An Effectiveness Study of a Community-Based Intervention (EAAD)

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