International Journal of Public Health

, Volume 61, Issue 1, pp 139–145 | Cite as

Education and mortality in Spain: a national study supports local findings

  • Enrique RegidorEmail author
  • Laura Reques
  • María J. Belza
  • Anton E. Kunst
  • Johan P. Mackenbach
  • Luis de la Fuente
Original Article



To estimate educational inequalities in mortality in Spain and in three Spanish areas: Madrid, Barcelona, and the Basque country.


A national prospective study was carried out including all persons aged 25–74 years living in Spain in 2001 and followed up for mortality over 7 years. The mortality rate ratio and difference from all causes and from leading causes of death were estimated for the entire Spanish population and for the above three geographical areas.


With respect to people with the highest education, the mortality rate ratios in the entire population of Spain in people with the second highest, second lowest and lowest education were, respectively, 1.09, 1.10, 1.39 in women and 1.19, 1.27 and 1.54 in men. The mortality rate differences per 100,000 person-years were, respectively, 24.8, 28.3, 108.2 in women and 116.7, 162.5 and 319.1 in men. These estimates were intermediate in magnitude compared to those seen in the three geographical areas.


The results provide further evidence that educational inequalities in mortality are smaller in the south of Europe than in other European countries.


Inequalities in mortality Leading causes of death Spain Spanish regions 


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Copyright information

© Swiss School of Public Health (SSPH+) 2015

Authors and Affiliations

  • Enrique Regidor
    • 1
    • 2
    • 3
    Email author
  • Laura Reques
    • 4
  • María J. Belza
    • 2
    • 4
  • Anton E. Kunst
    • 5
  • Johan P. Mackenbach
    • 6
  • Luis de la Fuente
    • 2
    • 7
  1. 1.Department of Preventive Medicine and Public Health, Faculty of MedicineUniversidad Complutense de MadridMadridSpain
  2. 2.CIBER Epidemiología y Salud Pública (CIBERESP)MadridSpain
  3. 3.Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC)MadridSpain
  4. 4.National School of Public HealthInstituto de Salud Carlos IIIMadridSpain
  5. 5.Department of Public Health, Academic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands
  6. 6.Department of Public HealthErasmus MCRotterdamThe Netherlands
  7. 7.National Epidemiology CenterInstituto de Salud Carlos IIIMadridSpain

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