Scandinavian Journal of Public Health最新文献

{"title":"National health registries - a 'goldmine' for studying non-communicable disease occurrence in Norway - the NCDNOR project.","authors":"Wenche Nystad, Vidar Hjellvik, Inger K Larsen, Trude E Robsahm, Erik R Sund, Steinar Krokstad, Laila A Hopstock, Sameline Grimsgaard, Arnulf Langhammer, Jørgen G Bramness, Torbjørn Wisløff, Simon Lergenmuller, Knut E Dalene, Haakon E Meyer, Kristin Holvik, Jon Helgeland, Øystein Karlstad, Inger Ariansen","doi":"10.1177/14034948231214580","DOIUrl":"10.1177/14034948231214580","url":null,"abstract":"<p><p>To estimate occurrence of non-communicable diseases (NCDs) over the life-course in the Norwegian population, national health registries are a vital source of information since they fully represent the entire non-institutionalised population. However, as they are mainly established for administrative purposes, more knowledge about how NCDs are recorded in the registries is needed. To establish this, we begin by counting the number of individuals registered annually with one or more NCDs in any of the registries. The study population includes all inhabitants who lived in Norway from 2004 to 2020 (<i>N</i>~6.4m). The NCD outcomes are diabetes, cardiovascular diseases, chronic obstructive lung diseases, cancer and mental disorders/substance use disorders. Further, we included hip fractures in our NCD concept. The data sources used to identify individuals with NCDs, including detailed information on diagnoses in primary and secondary health care and dispensings of prescription drugs, are the Cancer Registry of Norway, The Norwegian Patient Registry, The Norwegian Control and Payment of Health Reimbursement database, and The Norwegian Prescription Database. The number of individuals registered annually with an NCD diagnosis and/or a dispensed NCD drug increased over the study period. Changes over time may reflect changes in disease incidence and prevalence, but also changes in disease-specific guidelines, reimbursement schemes and access to and use of health services. Data from more than one health registry to identify individuals with NCDs are needed since the registries reflect different levels of health care services and therefore may reflect disease severity.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"988-996"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term social assistance recipients' experiences with an increased monthly payment: a qualitative pilot study.","authors":"Astrid Torbjørnsen, Inger Utne, Borghild Løyland","doi":"10.1177/14034948231209369","DOIUrl":"10.1177/14034948231209369","url":null,"abstract":"<p><strong>Aims: </strong>Ten long-term social assistance recipients in a Norwegian municipality received a greater-than-average fixed monthly payment for 12 months. This study aimed to explore whether these recipients with reduced administrative requirements and a fixed monthly payment that was greater than the average social assistance experienced reduced poverty, increased feelings of independence, better daily living, and an improved quality of life.</p><p><strong>Methods: </strong>The study's explorative design included 20 qualitative, in-depth, semi-structured interviews and a longitudinal electronic survey for 12 months. The 10 participants had been selected by the local labour and welfare agency based on stringent criteria and are therefore not representative of social assistance recipients in general. Individual interviews were conducted during autumn 2021 and spring 2022. The interview data were analysed using systematic text condensation, and the survey results are presented using descriptive statistics.</p><p><strong>Results: </strong>The participants included in the project described a reduced experience of poverty. They could buy additional items and set aside money, something they had not been able to do in the past, and meant a great deal to them. They expressed experiencing freedom, gaining a stronger sense of independence, and having lessened feelings of shame. Many of the participants described health issues that were incompatible with working.</p><p><strong>Conclusions: </strong>\u0000 <b>Being given this opportunity led to a feeling of increased dignity and greater inclusion in society among this selected group of participants. They appreciated the simplified conditions and reduced requirements for administrative matters. All expressed that spending 8 months without contact with the social welfare office was a liberation.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"907-917"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in cervical cancer screening in Norway 2012-2017: a comparison study of non-immigrant and immigrant women.","authors":"Marta Røttingen Enden, Kathy Møen, Jannicke Igland, Esperanza Diaz","doi":"10.1177/14034948231217636","DOIUrl":"10.1177/14034948231217636","url":null,"abstract":"<p><strong>Aims: </strong>Immigrant women in Norway have lower cervical cancer screening participation than non-immigrant women. Our aim in this study was to assess whether the observed increase in screening participation during 2012-2017 was different between Norwegian-born women and immigrant women.</p><p><strong>Methods: </strong>Data were collected from three national registries. The study included 1,409,561 women, categorized according to country of birth and immigrant background: (i) Norway, Norwegian parents; (ii) Norway, immigrant parent(s); (iii) Europe, excluding Norway; (iv) Africa; (v) Asia, including Turkey; and (vi) other countries. Trends and differences between groups were analyzed using Poisson regression analyses with adjustments for variables other studies have found to influence screening participation. Trends were assessed by including half-years as a continuous variable in the models and reported as prevalence ratios with 95% confidence intervals.</p><p><strong>Results: </strong>Screening participation increased in all groups, but was not statistically significant among women from Africa in the adjusted model. The highest increase was among Norwegian women, with a 2.2% increase per year. Interaction tests showed significantly smaller increases in screening among women born in Europe (<i>p</i> interaction < 0.0001), Africa (<i>p</i> interaction < 0.0001), Asia (<i>p</i> interaction < 0.0001), and countries in the \"Other\" category (<i>p</i> interaction = 0.004). There was also a smaller increase among Norwegian-born women with one or more immigrant parent(s), but this was not significant (<i>p</i> interaction = 0.178).</p><p><strong>Conclusions: </strong>\u0000 <b>The gap in screening participation and the increasing differences in trends suggest that healthcare services do not reach all women in Norway to the same extent. One should attempt to improve this while working toward further increasing screening participation for all.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"927-933"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legal obstacles jeopardise research in personalised medicine - experiences from a Nordic collaboration within rheumatology.","authors":"Bente Glintborg, Mats Hansson, Hilde Berner Hammer, Lars Klareskog, Saedis Saevarsdottir, Helga Westerlind, Johan Rönnelid, Isabel Gehring, Mikael Benson, Bente Appel Esbensen, Merete Lund Hetland, Leonid Padyukov, Tue Wenzel Kragstrup, Ellen-Margrethe Hauge, Barbara Bislawska AxnÄs, Niels Steen Krogh, Martina Johannesson, Johan Askling","doi":"10.1177/14034948231212711","DOIUrl":"https://doi.org/10.1177/14034948231212711","url":null,"abstract":"<p><strong>Aims: </strong>Personalised medicine in chronic complex diseases such as rheumatoid arthritis (RA) is within reach but requires international multi-stakeholder collaboration. We exemplify how national implementations of the General Data Protection Regulation (GDPR) have introduced administrative delays and created disincentives for data sharing and collaborative research.</p><p><strong>Methods: </strong>Our Danish/Swedish/Norwegian research collaboration (the 3-year NordForsk-funded \"NORA\" project) aims to develop a personalised medicine approach for the management of RA, built on the exploitation of unique existing data sources: longitudinal data from clinical rheumatology registries, research cohorts, nationwide health care registries, and biobank material from >20 sample collections. Data and results are shared and accessed remotely by collaborators at secure servers. New biomarker assays and patient-centric implementations of the results are to be explored, validated, and disseminated to patients and health care via the development of digital tools.</p><p><strong>Results: </strong>Following the advice of legal experts at the involved academic or public institutions and private companies, GDPR compliance resulted in >20 legal documents to govern the collaboration (consortium-, joint controller-, research collaboration-, data sharing-, and a series of unique two-way data processing-, and material transfer agreements). Lack of agreed-upon templates, policies, procedures, and a shortage of legal resources have caused considerable delays. Thus, our research consortium has spent more time ensuring GDPR compliance than on actual research activities.</p><p><strong>Conclusions: </strong>\u0000 <b>The current interpretation and implementation of the legal premises (rather than the GDPR per se) for research collaborations caused unnecessary barriers and delays. Our experiences call for Nordic trust-based code-of-conduct-like framework agreements, and for harmonisation of procedures and templates, lest the Nordic advantage in research be lost.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":"52 8","pages":"1019-1025"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Geographical variation in quality-adjusted life expectancy in the North Denmark Region.","authors":"Jakob Juul Christensen, Cathrine Elgaard Jensen, Sabine Michelsen Raunbak, Sabrina Storgaard Sørensen, Jan Sørensen","doi":"10.1177/14034948241298986","DOIUrl":"https://doi.org/10.1177/14034948241298986","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the geographical variations in quality-adjusted life expectancy (QALE) in the North Denmark Region.</p><p><strong>Methods: </strong>QALE was used to measure health expectancy within each municipality of the North Denmark Region. Measures of health-related quality of life (HRQoL) were obtained from a representative sample of 19,598 responses to the EQ-5D-5L questionnaire in the 2021 regional health survey. Abridged periodic life tables were constructed using mortality data from Statistics Denmark stratified by age, sex, and municipality. The stepwise replacement algorithm developed by Andreev et al. was applied to decompose QALE into its mortality and HRQoL components and investigate the main drivers of the QALE variations between municipalities.</p><p><strong>Results: </strong>The regional average QALE at 16 years of age was 52.6 quality-adjusted life years (QALYs) (95% CI: 52.1-53.0) for men and 53.1 QALYs (95% CI: 52.7-53.5) for women. No statistically significant variations in QALE were found between municipalities. Comparing the highest and lowest scoring municipalities for males, Rebild had 54.5 QALY (95% CI: 51.7-57.2) while Hjørring had 51.9 QALY (95% CI: 49.9-54.1), showing a variation of 2.57 QALE driven by higher HRQoL scores and lower mortality rates. For females, Rebild had 54.3 QALY (95% CI: 52.1-56.5) and Vesthimmerland had 51.3 QALY (95% CI: 49.1-53.4), showing a variation of 3.03 QALE, mostly driven by increased HRQoL scores and to some extent lower mortality rates.</p><p><strong>Conclusions: </strong>\u0000 <b>Variations in QALE, although not statistically significant, existed between the municipalities in the North Denmark Region. Further research should explore the reasons for these variations to inspire future policy development.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241298986"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preschool-level socio-economic deprivation in relation to emotional and behavioural problems among preschool children in Sweden.","authors":"Natalie Durbeej, Richard Ssegonja, Raziye Salari, Anton Dahlberg, Helena Fabian, Anna Sarkadi","doi":"10.1177/14034948231218040","DOIUrl":"10.1177/14034948231218040","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to explore the association between preschool-level socio-economic deprivation and emotional and behavioural problems among preschool children in Sweden using a multilevel approach.</p><p><strong>Methods: </strong>In this cross-sectional study, we used data on 2267 children whose parents and preschool teachers had responded to items measuring individual-level socio-economic deprivation and the Strengths and Difficulties Questionnaire (SDQ) for assessment of emotional and behavioural problems. Further, the Socioeconomic Structure Compensation Index (SSCI), collected from Uppsala municipality, was used to assess preschool-level socio-economic deprivation. Unadjusted and adjusted multilevel logistic regression models were used to explore the relations between preschool-level socio-economic deprivation and emotional and behavioural problems.</p><p><strong>Results: </strong>In unadjusted models, children who attended preschools classified as highly deprived had elevated odds for emotional symptoms (odds ratio (OR) 1.71) as rated by parents. However, this association did not remain significant after adjusting for individual-level socio-economic deprivation factors. In both unadjusted and adjusted models, children who attended preschools classified as moderately deprived had elevated odds for peer-relationship problems as rated by parents (OR 1.63; adjusted OR 1.48). There were no significant associations between preschool deprivation and emotional and behavioural problems as rated by preschool teachers.</p><p><strong>Conclusions: </strong>\u0000 <b>Swedish preschools may have a compensatory capacity in addressing children's emotional and behavioural problems, whereas preschool-level deprivation remained significantly associated with peer-relationship problems after controlling for individual-level socio-economic deprivation factors. This implies that peer-relationship problems in deprived preschools need to be addressed in a broader community context.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"978-987"},"PeriodicalIF":2.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139081081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Projected health benefits of air pollution reductions in a Swedish population.","authors":"Anna Oudin, Erin Flanagan, Bertil Forsberg","doi":"10.1177/14034948241264099","DOIUrl":"10.1177/14034948241264099","url":null,"abstract":"<p><strong>Background: </strong>A large part of the Swedish population is exposed to higher levels of air pollution than the health-centered air quality guidelines recommended by the World Health Organization (WHO).</p><p><strong>Aim: </strong>The aim of the study was to illustrate the potential health benefits of cleaner air in Sweden by conducting a comprehensive health impact assessment, using a population sample of 100,000 individuals representing the country's demographics.</p><p><strong>Methods: </strong>Exposure-response functions for various health outcomes were derived from epidemiological literature, mainly from systematic reviews and low-exposure settings. Two hypothetical scenarios were studied: a 1 µg/m³ decrease in particulate matter with an aerodynamic diameter <2.5µm (PM_2.5) and nitrogen dioxide (NO₂), and a reduction in PM_2.5 or NO₂ from average exposure corresponding to Sweden's Clean Air objectives to WHO's air quality guidelines.</p><p><strong>Results: </strong>The findings demonstrated that even a modest decrease in air pollution concentrations can yield significant health benefits. For example, reducing PM_2.5 by 1 µg/m³ was projected to correspond to a 1% to 2% decrease in mortality, a 2% reduction in myocardial infarction cases, a 4% decrease in stroke incidence, a 2% decline in chronic obstructive pulmonary disease, and a 1% decreases in lung cancer and type 2 diabetes annually. Moreover, this reduction is estimated to lower childhood asthma cases, incidences of hypertension during pregnancy, and premature births by 3%, 3% and 2%, respectively, each year.</p><p><strong>Conclusions: </strong>\u0000 <b>The results highlighted that even minor enhancements in air quality would lead to substantial improvements in public health.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241264099"},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational gradients in the quality of mortality data: a nationwide, registry-based study on heart failure listed incorrectly as underlying cause of death in Norway.","authors":"Gerhard Sulo, Ann Kristin Knudsen, Carl Baravelli, Christian Lycke Ellingsen, Enxhela Sulo","doi":"10.1177/14034948241296239","DOIUrl":"https://doi.org/10.1177/14034948241296239","url":null,"abstract":"<p><strong>Aim: </strong>In the context of mortality, heart failure (HF) represents an intermediate factor and should not be used to describe underlying cause of death (UCoD). We explored the potential educational gradients in use of HF to describe UCoD using national data spanning more than 30 years from Norway.</p><p><strong>Methods: </strong>Using a cross-sectional design, we linked data from the Cause of Death Registry and the National Education Database. Logistic regression models were used to analyze the association between highest attained education and the odds of HF being listed as the UCoD: odds ratios (ORs) and corresponding 95% confidence intervals (CIs) are reported.</p><p><strong>Results: </strong>HF was listed as UCoD in 46,331 (3.7%) of 1,254,249 deaths analyzed. Compared to primary education, secondary and tertiary education were associated with 10% (OR = 0.90, 95% CI: 0.88-0.92) and 17% (OR = 0.83, 95% CI: 0.80-0.86) lower odds of HF incorrectly listed as UCoD, respectively. We observed no significant differences for the association between education and study outcomes between men and women and across place of death categories. However, educational gradients were greater among younger compared to older individuals (<i>p</i>_interaction, = 0.002). Similar educational gradients were observed in the analyses restricted to cardiovascular deaths (OR = 0.93; 95% CI: 0.91-0.94 for secondary vs. primary education, and OR = 0.91; 95% CI: 0.88-0.95 for tertiary vs. primary education).</p><p><strong>Conclusions: </strong>\u0000 <b>Education was inversely associated with the use of HF to incorrectly describe UCoD. Addressing the observed educational gradients, would improve the quality of mortality data and allow for less biased descriptions of cause-specific mortality.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241296239"},"PeriodicalIF":2.6,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retention of immigrant doctors and nurses in the medical labour markets of the Nordic countries: a scoping review.","authors":"Tania Aase Dræbel, Kristian Larsen, Eik Buhl Petterson, Jane Brandt Sørensen, Flemming Konradsen","doi":"10.1177/14034948241293179","DOIUrl":"https://doi.org/10.1177/14034948241293179","url":null,"abstract":"<p><strong>Aims: </strong>In Nordic countries, the influx of immigrant doctors and nurses has been increasing since 2005, however retention remains a challenge. The aims of this scoping review were to examine the facilitators and barriers to the retention of immigrant doctors and nurses in the Nordic countries in order to inform future studies and interventions.</p><p><strong>Method: </strong>A scoping review of peer-reviewed studies focusing on the retention of immigrant doctors and nurses in the Nordic countries was conducted using the framework developed by Arksey and O'Malley. In total, 37 studies were included. The analysis entailed both a numerical analysis to provide a descriptive view of frequencies and a thematic analysis utilising Pierre Bourdieu's concepts of field, capital, habitus and doxa.</p><p><strong>Results: </strong>Facilitators for retaining immigrant doctors and nurses encompassed a sense of belonging, support from management and peers, collegiality, acknowledgement of diverse cultural competencies and the establishment of relevant professional networks. Barriers included unfamiliarity with local healthcare systems, discrimination, inadequate support in entry-level positions, poor psychosocial work environments, and limited professional networks. Few studies focused on the facilitators for retaining immigrant doctors or nurses, few examined the social and economic costs of immigration, and hardly any addressed the processes related to licencing, authorisation and accreditation.</p><p><strong>Conclusions: </strong>\u0000 <b>The majority of the included studies framed immigrant doctors and nurses as challenges to management or the medical labour market. The findings indicated a need for a more comprehensive and inclusive approach to health workforce management across the Nordic countries to accommodate the increasingly diverse workforce in terms of international migratory backgrounds.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241293179"},"PeriodicalIF":2.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational inequalities in mental health expectancy. Analysis based on registry data and survey data from the Danish National Health Survey.","authors":"Oliver Ryborg Kjeldsen, Michael Davidsen, Henrik Brønnum-Hansen","doi":"10.1177/14034948241296195","DOIUrl":"10.1177/14034948241296195","url":null,"abstract":"<p><strong>Objective: </strong>Social inequality in life expectancy (LE) and various indicators of health expectancy have received much attention. Mental health expectancy (MHE) has received less attention, although research has shown an increasing prevalence of poor mental health. We aimed to investigate educational differentials in LE in relation to good, moderate, and poor mental health.</p><p><strong>Methods: </strong>Nationwide registry data on education and mortality were linked and combined with data from the Danish National Health Survey for 2017 and 2021 on mental health and education. The sample group consisted of data on Danes aged 30 and over. MHE was estimated by Sullivan's method.</p><p><strong>Results: </strong>From 2017 to 2021, a general decline in the MHE of Danes was observed. Furthermore, the educational inequality in MHE remained substantial between genders, and was larger than the inequality in LE. Changes in MHE differed across educational groups. For Danes with short education, good MHE tended to increase for men, while the increase was statistically significant among women.</p><p><strong>Conclusions: </strong>\u0000 <b>MHE is associated with educational attainment. Despite the observed changes in educational differential, substantial inequality persists, raising important questions about the underlying causes of social disparity in MHE.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241296195"},"PeriodicalIF":2.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}