What does your neighbourhood say about you? A study of life expectancy in 1.3 million Swiss neighbourhoods

Moser, André; Panczak, Radoslaw; Zwahlen, Marcel; Clough-Gorr, Kerri M; Spoerri, Adrian; Stuck, Andreas; Egger, Matthias (2014). What does your neighbourhood say about you? A study of life expectancy in 1.3 million Swiss neighbourhoods. Journal of epidemiology and community health, 68(12), pp. 1125-1132. BMJ Publishing Group 10.1136/jech-2014-204352

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BACKGROUND Switzerland had the highest life expectancy at 82.8 years among the Organisation for Economic Co-operation and Development (OECD) countries in 2011. Geographical variation of life expectancy and its relation to the socioeconomic position of neighbourhoods are, however, not well understood. METHODS We analysed the Swiss National Cohort, which linked the 2000 census with mortality records 2000-2008 to estimate life expectancy across neighbourhoods. A neighbourhood index of socioeconomic position (SEP) based on the median rent, education and occupation of household heads and crowding was calculated for 1.3 million overlapping neighbourhoods of 50 households. We used skew-normal regression models, including the index and additionally marital status, education, nationality, religion and occupation to calculate crude and adjusted estimates of life expectancy at age 30 years. RESULTS Based on over 4.5 million individuals and over 400 000 deaths, estimates of life expectancy at age 30 in neighbourhoods ranged from 46.9 to 54.2 years in men and from 53.5 to 57.2 years in women. The correlation between life expectancy and neighbourhood SEP was strong (r=0.95 in men and r=0.94 women, both p values <0.0001). In a comparison of the lowest with the highest percentile of neighbourhood SEP, the crude difference in life expectancy from skew-normal regression was 4.5 years in men and 2.5 years in women. The corresponding adjusted differences were 2.8 and 1.9 years, respectively (all p values <0.0001). CONCLUSIONS Although life expectancy is high in Switzerland, there is substantial geographical variation and life expectancy is strongly associated with the social standing of neighbourhoods.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine
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04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Geriatric Clinic

UniBE Contributor:

Moser, André; Panczak, Radoslaw; Zwahlen, Marcel; Clough, Kerri; Spörri, Adrian; Stuck, Andreas and Egger, Matthias

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0143-005X

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

14 Oct 2014 10:39

Last Modified:

12 Sep 2017 02:11

Publisher DOI:

10.1136/jech-2014-204352

PubMed ID:

25124188

Uncontrolled Keywords:

Cohort studies EPIDEMIOLOGY SOCIAL EPIDEMIOLOGY SOCIO-ECONOMIC

BORIS DOI:

10.7892/boris.58135

URI:

https://boris.unibe.ch/id/eprint/58135

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