AIMS: First, to quantify trends in the contribution of @entity285 -related mortality to mortality disparity in Finland by income quintiles. Second, to estimate the degree to which education, social class, and economic activity explain the income-mortality association in @entity285 -related and other mortality in four periods within 1988-2012. DESIGN: Register based longitudinal study using an 11-percent random sample of Finnish residents linked to socioeconomic and mortality data in 1988-2012 augmented with an 80-percent sample of all @entity204 during 1988-2007. Mortality rates and discrete time survival regression models were used to assess the income-mortality association following adjustment for covariates in six-year periods after baseline years of 1988, 1994, 2001, and 2007. SETTING: Finland @entity1 : @entity1 aged 35-64 at baselines. The final dataset comprised respectively for the four study periods for @entity1 / @entity1 , 26360/12825, 22561/11423, 20342/11319, and 2651/1514 @entity204 attributable to other causes and 7517/1217, 8199/1450, 9807/2116, 1431/318 @entity204 attributable to @entity285 -related causes. MEASUREMENTS: @entity285 -related @entity204 were analyzed with household income, education, social class, and economic activity as covariates. FINDINGS: The income disparity in mortality originated increasingly from @entity285 -related causes of @entity204 , the contribution increasing from 28% to 49% among @entity1 and from 11% to 28% among @entity1 between periods 1988-1993 and 2007-2012. [Mortality rates and 95%-CIs in Table   1.] Among @entity1 , socioeconomic characteristics attenuated the excess mortality during each study period in the lowest income quintile by 50-60% in @entity285 -related and other causes. Among @entity1 , in the lowest quintile the attenuation was 50-70%, but there was decreasing tendency in the proportion explained by the covariates in @entity285 -related mortality. CONCLUSIONS: The income disparity in mortality among working-age Finns increasingly originates from @entity285 -related causes of @entity204 . Roughly half of the excess mortality in the lowest income quintile during 2007-12 is explained by the covariates of household income, education, social class, and economic activity. This article is protected by copyright. All rights reserved.

The contribution of education, social class and economic activity to the income-mortality association in XXXX -related and other mortality in Finland in 1988-2012.

@entity1 :: ('9606', 'Species') :: ['Persons', 'women', 'PARTICIPANTS', 'men'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol', 'Alcohol'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths', 'death']
@entity285 :: (D000431,Chemical) :: ['alcohol']
