Long-term trends in mortality by living arrangements and the role of socioeconomic factors, Finland 1991–2020.
Recent decades have witnessed major changes in living arrangements, potentially impacting their well-established associations with mortality. However, research considering long-term trends in these differentials is scarce. We used individual-level register data on the total Finnish population aged 3...
| Published in: | European Journal of Public Health Vol. 35; no. 5; pp. 814 - 821 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Oct2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188809816&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188809816 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Oct2025 vid: 35 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 188809816 188809816 188809816 10.1093/eurpub/ckaf068 188809816 ppf: 814 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Long-term trends in mortality by living arrangements and the role of socioeconomic factors, Finland 1991–2020. aug: au: Suulamo, Ulla K Remes, Hanna M Tarkiainen, Lasse H Martikainen, Pekka T affil: Helsinki Institute for Demography and Population Health, Faculty of Social Sciences, University of Helsinki, Helsinki, Finland sug: subj: Mortality Trends Residence Characteristics Evaluation Residence Characteristics Evaluation Residence Characteristics Evaluation Socioeconomic Factors Evaluation Cause of Death Alcohol-Related Disorders Mortality Men Psychosocial Factors Women Psychosocial Factors Human Finland Funding Source Male Female Prospective Studies Adult Middle Age Aged Retrospective Design Poisson Distribution Regression Odds Ratio Confidence Intervals Data Analysis Software Descriptive Statistics Single Person Comparative Studies Health Status Disparities Socioeconomic Factors Trends Mortality Risk Factors Risk Assessment Sex Factors Age Factors Public Health Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Recent decades have witnessed major changes in living arrangements, potentially impacting their well-established associations with mortality. However, research considering long-term trends in these differentials is scarce. We used individual-level register data on the total Finnish population aged 30 years and over from 1991 to 2020 to examine trends in the association between living arrangements and all-cause, as well as external and alcohol-related mortality. We calculated age-standardized mortality rates, quantified group differentials in absolute and relative terms, and assessed the contribution of socioeconomic factors with Poisson-models. Analyses were conducted separately for men and women in age groups 30–49, 50–69, and 70+. All-cause mortality was consistently lowest among men and women living with a partner. Highest rates were observed in the growing group of individuals living alone or with persons other than a partner or child, who experienced up to a five-fold excess mortality compared to those living with a partner and children. Mortality declined across all living arrangement groups over time. While absolute rate differences mostly narrowed, relative differences widened across all ages. Adjustments for socioeconomic factors somewhat attenuated mortality differentials, with their contribution increasing modestly by the end of the study period. In conclusion, over the past 30 years, relative mortality differences by living arrangement have increased at all ages for both men and women. These widening differentials pose a growing public health burden, particularly for the growing group of individuals living alone. Our results suggest that factors beyond socioeconomic differentiation are contributing to these trends. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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