Educational inequalities in epilepsy mortality in the Baltic countries and Finland in 2000–2015

Andrew Stickley, Aidan Neligan, Aleksei Baburin, Domantas Jasilionis, Juris Krumins, Pekka Martikainen, Naoki Kondo, Tomiki Sumiyoshi, Jae Il Shin, Hans Oh, Kyle Waldman, Mall Leinsalu

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Little is known about socioeconomic differences in epilepsy mortality. This study examined educational inequalities in epilepsy mortality in the general population in the Baltic countries and Finland in 2000–2015. Education-specific mortality estimates for individuals aged 30–74 in Estonia, Latvia and Lithuania were obtained from census-linked mortality datasets while data for Finland came from the register-based population and death data file of Statistics Finland. Trends and educational inequalities in epilepsy mortality were assessed using age-standardised mortality rates (ASMRs) per 100,000 person years and age-adjusted mortality rate ratios (RRs) calculated using Poisson regression. ASMRs were higher in men than women in all countries. ASMRs reduced in 2000–2015 among all men and women except for Finnish women. Among men, an inverse educational gradient in epilepsy mortality in 2000–2007 widened in 2008–2015 with ASMRs falling among high and mid educated men in all countries but increasing among low educated men in three countries. An inverse educational gradient in female mortality remained in all countries throughout 2000–2015. Although epilepsy mortality fell in the Baltic countries and Finland (men only) in 2000–2015, this masked a clear inverse educational gradient in mortality that became steeper across the period.

Original languageEnglish
Article number4597
JournalScientific reports
Issue number1
Publication statusPublished - 2022 Dec

Bibliographical note

Funding Information:
Open access funding was provided by Södertörn University. The data collection for this study was financed by Riksbankens Jubileumsfond – The Swedish Foundation for Humanities and Social Sciences (grant P15-0520:1). The work by ML and AB was also supported by institutional funding to the National Institute for Health Development, Estonia. The work by DJ has been supported by the Max Planck Society within the framework of the project “On the edge of societies: New vulnerable populations, emerging challenges for social policies and future demands for social innovation. The experience of the Baltic Sea States” (2016–2021). PM was supported by the Academy of Finland (#308247, # 345219), the European Research Council under the European Union’s Horizon 2020 research and innovation programme (grant agreement No 101019329), and the NordForsk grant for the project WELLIFE (#83540). JK was supported by the Latvian National Research Project "DemoMig".

Publisher Copyright:
© 2022, The Author(s).

All Science Journal Classification (ASJC) codes

  • General


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