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Doornbos G (Institute of Social Medicine, University of Leiden, The Netherlands) and Kromhout D. Educational level and mortality in a 32-year follow-up study of 18-year-old men in the Netherlands. International Journal of Epidemiology 1990, 19: 374–379. Social inequities and their relation to health form a topic of growing concern in the Netherlands. The present investigation on educational level and mortality was carried out in a cohort of men born in 1932, examined for military service in 1950/1951 and for whom vital statistics could be obtained. In the group of 78 505 men, 3456 deaths occurred during the follow-up until 31 December 1981. A life table analysis revealed an inverse relation between educational level and survival. In a multivariate logistic regression model the confounding effects of height and health score were taken into account. In addition to all-cause mortality, the relationships of educational level and mortality from coronary heart disease, cancer and accidents consistently showed an inverse pattern. The applicability of the results elsewhere is discussed.
Doornbos et al. (Mon,) studied this question.