Journal of Public Health

, Volume 21, Issue 4, pp 317–324 | Cite as

Diverging socioeconomic inequality in life expectancy of Francophones and Anglophones in Montréal, Québec: tobacco to blame?

Original Article

Abstract

Aim

We evaluated the ages and causes of death contributing to life expectancy gaps between economically advantaged and disadvantaged Francophones and Anglophones of Montréal, a Canadian metropolitan centre.

Subject and Methods

We partitioned the life expectancy gap at birth between socioeconomically disadvantaged and advantaged Francophones and Anglophones of Montréal (Québec) into age and cause of death components for two periods (1989–1993, 2002–2006). Changes in the contributions of causes over time were evaluated.

Results

Life expectancy was lower for disadvantaged Francophones and Anglophones by 5 years in men and 1.6 years in women compared with advantaged individuals. Over time, the socioeconomic gap widened for Francophones (men 0.3 years, women 2.8 years), due to smaller reductions in mortality from tobacco-related causes (cardiovascular, cancer, respiratory) in disadvantaged than in advantaged Francophones, especially after age ≥65 years (except lung cancer mortality that increased, particularly in disadvantaged women). The socioeconomic gap narrowed, however, for Anglophones (men 1.0 year, women 0.6 years), due to greater reductions in cardiovascular mortality in disadvantaged than advantaged Anglophones.

Conclusion

Socioeconomic inequalities in life expectancy decreased for Anglophones but increased for Francophones in Montréal due to underlying trends in tobacco-related mortality. Despite strong tobacco control laws in Canada, socioeconomic inequality in tobacco-related mortality is widening for Francophones in Montréal.

Keywords

Deprivation Language Life expectancy Mortality Socioeconomic Tobacco Trends 

Supplementary material

10389_2013_559_MOESM1_ESM.doc (48 kb)
Online Resource 1(DOC 48 kb)
10389_2013_559_MOESM2_ESM.doc (85 kb)
Online Resource 2(DOC 85 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Nathalie Auger
    • 1
    • 2
    • 3
  • Sam Harper
    • 4
  • Amadou D. Barry
    • 1
  1. 1.Institut National de Santé Publique du QuébecMontréalCanada
  2. 2.Research Centre of the University of Montréal Hospital CentreMontréalCanada
  3. 3.Department of Social and Preventive MedicineUniversity of MontréalMontréalCanada
  4. 4.Department of Epidemiology, Biostatistics and Occupational HealthMcGill UniversityMontréalCanada

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