{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:36:17Z","timestamp":1777937777687,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T00:00:00Z","timestamp":1540166400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006075","name":"Greta och Johan Kocks stiftelser","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006075","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005390","name":"Alfred \u00d6sterlunds Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005390","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003173","name":"Crafoordska Stiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003173","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>\n                    Aim: To assess the absolute and relative educational inequalities in mortality from hip and non-hip fractures in Sk\u00e5ne region, Sweden. Methods: We conducted a population-based open cohort study. People aged 30\u201399 years, resident in the region during 1998\u20132013 ( n\u2009=\u2009999, 148) were followed until death, their 100\n                    <jats:sup>th<\/jats:sup>\n                    birthday, relocation outside Sk\u00e5ne, or the end of 2014. We obtained individual-level data from the Statistics Sweden and the Swedish National Board of Health and Welfare\u2019s Cause of Death Register. Death certificates coded with any fracture diagnosis were defined as fracture-related deaths. Educational inequalities were assessed by slope and relative indices of inequality (SII and RII). Cox regression and additive hazard models were used to estimates these indices. Results: During a mean follow-up of 12.2 years, there were 5,121 fracture-related deaths, of which 3,110 were associated with hip fracture. Age-standardized, hip fracture-related mortality rates per 100,000 person-years were 31, 95% confidence interval (CI) (30, 32) and 23 (20, 26) in people with low and high levels of education, respectively (rate ratio 1.4, 95% CI (1.2, 1.5)). Corresponding mortality rates for non-hip-fracture related deaths were 20 (18, 21) and 16 (14, 19) (rate ratio 1.2, 95% CI (1.0, 1.4)). SII and RII revealed educational inequalities in hip fracture-related mortality in favour of highly educated people. For non hip fracture-related mortality, there were statistically significant educational inequalities in people aged &lt;70 years. Conclusions: We found higher fracture-related mortality with lower education suggesting preventative and therapeutic interventions for fractures should pay special attention to people with low-level education.\n                  <\/jats:p>","DOI":"10.1177\/1403494818807831","type":"journal-article","created":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T05:30:37Z","timestamp":1540186237000},"page":"72-79","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Educational inequalities in fracture-related mortality using multiple cause of death data in the Sk\u00e5ne region, Sweden"],"prefix":"10.1177","volume":"48","author":[{"given":"Maria","family":"Lind\u00e9us","sequence":"first","affiliation":[{"name":"Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Englund","sequence":"additional","affiliation":[{"name":"Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Sweden"},{"name":"Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4254-9099","authenticated-orcid":false,"given":"Aliasghar A.","family":"Kiadaliri","sequence":"additional","affiliation":[{"name":"Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,10,22]]},"reference":[{"key":"bibr1-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.2370"},{"key":"bibr2-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.50"},{"key":"bibr3-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(93)90341-7"},{"key":"bibr4-1403494818807831","unstructured":"The Public Health Agency of Sweden. Uppdrag att analysera utvecklingen av utbildningsniv\u00e5erna i befolkningen ur ett folkh\u00e4lso- respektive h\u00e4lso- och sjukv\u00e5rdsperspektiv [Assignment to analyze the development of education levels in the population from a public health and healthcare perspective], Solna, 2015."},{"key":"bibr5-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzp046"},{"key":"bibr6-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-012-2099-2"},{"key":"bibr7-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-007-0403-3"},{"key":"bibr8-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdq074"},{"key":"bibr9-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.2579"},{"key":"bibr10-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-016-3853-7"},{"key":"bibr11-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B6.24936"},{"key":"bibr12-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-11-37"},{"key":"bibr13-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.12.005"},{"key":"bibr14-1403494818807831","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.16.172189"},{"key":"bibr15-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00073-1"},{"key":"bibr16-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000000311"},{"key":"bibr17-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-004-1640-3"},{"key":"bibr18-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb06884.x"},{"key":"bibr19-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-014-9969-1"},{"key":"bibr20-1403494818807831","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.077479"},{"key":"bibr21-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-015-3054-9"},{"key":"bibr22-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1080\/14034940500441223"},{"key":"bibr23-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-013-2616-y"},{"key":"bibr24-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38643.663843.55"},{"key":"bibr25-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1159\/000230587"},{"key":"bibr26-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4314-8"},{"key":"bibr27-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzs082"},{"key":"bibr28-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04149.x"},{"key":"bibr29-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.08.025"},{"key":"bibr30-1403494818807831","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3506(89)80036-8"}],"container-title":["Scandinavian Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1403494818807831","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1403494818807831","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1403494818807831","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:14:44Z","timestamp":1777695284000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1403494818807831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,22]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1177\/1403494818807831"],"URL":"https:\/\/doi.org\/10.1177\/1403494818807831","relation":{},"ISSN":["1403-4948","1651-1905"],"issn-type":[{"value":"1403-4948","type":"print"},{"value":"1651-1905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,22]]}}}