Abstract
Much mortality research has focused on data aggregated at the national level, but whole country analyses fail to capture important inequalities between sub-populations stratified by education, socioeconomic status, race, or region. Regional disparities in mortality arise from interacting factors and have persisted even in very low-mortality contexts. Several single-country studies indicate different emerging trends in spatial mortality inequalities but have been limited by a lack of a comparative perspective and a focus on differences in life expectancy at birth which fails to capture important age-specific mortality dynamics. We comprehensively analyze the evolution of sub-national mortality trends and inequalities in Italy, France, and Spain since 1975, with a focus on differences in life expectancy, disparities in age-specific mortality, and the geographic structure of mortality gradients. We draw on data already compiled for the French departments (NUTS3 level regions), and we construct harmonized mortality data series at the provincial level for Spain and Italy following the Human Mortality Database protocol, using data obtained from the Spanish and Italian statistical offices. We smooth the resulting mortality data using P-Splines, and construct life tables, from which we compute several indicators of inequality in mortality between regions. We find contrasting results between countries and sexes, with disparities in life expectancy decreasing among Italian and Spanish males but increasing among Italian females. Furthermore, we discover emerging inequalities at younger ages not captured by life expectancy. Finally, the regional mortality gradient has remained relatively stable in Spain and France but appears to have reversed for Italian males.
GENPOP HAS RECEIVED FUNDING FROM THE EUROPEAN RESEARCH COUNCIL (ERC) UNDER THE EUROPEAN UNION’S HORIZON 2020 RESEARCH AND INNOVATION PROGRAMME (GRANT AGREEMENT NO 865356). VIEWS AND OPINIONS EXPRESSED ARE HOWEVER THOSE OF THE AUTHOR(S) ONLY AND DO NOT NECESSARILY REFLECT THOSE OF THE EUROPEAN UNION. NEITHER THE EUROPEAN UNION NOR THE GRANTING AUTHORITY CAN BE HELD RESPONSIBLE FOR THEM.
Collegamento Microsft Teams
Organizzazione
Nicola Barban