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Gender differences in life expectancy at birth in Greece 1994–2017

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Abstract

In this paper, we analyse the difference in life expectancy at birth between females and males in the Greek population between the years 1994–2017. After constructing life tables per gender, we used the method of Arriaga in order to decompose life expectancy’s differences by age and sex. We found that the gender gap increased until 2009 and decreased afterwards. Moreover, we estimated the differential contribution of the broad age groups of the population to the regulation of gender inequalities in longevity and studied the different effect of the causes of death. Besides age, the most important regulators are the neoplasms and the diseases of the circulatory system, followed by the external causes of morbidity and mortality, as well as the diseases of the respiratory system. All other causes of death play a marginal role. The results of the analysis indicate the need for the development and expansion of several public interventions and programs in order, not only to reduce the gender inequalities in longevity, but also to reduce the prevalence of several preventable diseases in the population.

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References

  • Ahmedin, J., Garcia, M., Ward, E., & Thun, M. (2008). Chapter 19. Epidemiology of Cancer-Section 2: Global Cancer Incidence. In V. T. DeVita, T. S. Lawrence, & S. A. Rosenberg (Eds.), DeVita, Hellman, and Rosenberg’s cancer: Principles & practice of oncology (pp. 254–275). Baltimore: Lippincott Williams & Wilkins.

    Google Scholar 

  • Alberts, S. C., Archie, E. A., Gesquiere, L. R., Altmann, J., Vaupel, J. W., & Christensen, K. (2014). The male–female health-survival paradox: A comparative perspective on sex differences in aging and mortality. In Committee on Population, Division of Behavioral and Social Sciences and Education, National Research Council, M. Weinstein, & M. A. Lane (Eds.), Sociality hierarchy health comparative biodemography a collection of papers (pp. 339–364). Washington (DC): National Academies Press.

    Google Scholar 

  • Andreev, E. M. (1982). Metodkomponent v analizeprodoljitelnostyzjizni. [The method of components in the analysis of length of life]. VestnikStatistiki,9, 42–47.

    Google Scholar 

  • Andreev, E. M. & Shkolnikov, V. M. (2012). An Excel spreadsheet for the decomposition of a difference between two values of an aggregate demographic measure by stepwise replacement running from young to old ages. MPIDR Technical Report TR-2012-002, 6 pages (April 2012). Available at: https://www.demogr.mpg.de/en/publications_databases_6118/publications_1904/mpidr_technical_reports/an_excel_spreadsheet_for_the_decomposition_of_a_difference_between_two_values_of_an_aggregate_demographic_4591

  • Andreev, E. M., Shkolnikov, V. M., & Begun, Z. (2002). Algorithm for decomposition of differences between aggregate demographic measures and its application healthy life expectancies, parity-progression ratios and total fertility rates. Demographic Research,7, 499–522.

    Google Scholar 

  • Antonakakis, N., & Collins, A. (2014). The impact of fiscal austerity on suicide: On the empirics of a modern Greek tragedy. Social Science and Medicine,112, 39–50.

    Google Scholar 

  • Arriaga, E. E. (1984). Measuring and explaining the change in life expectancies. Demography,21(1), 83–96.

    Google Scholar 

  • Arriaga, E. E. (1989). Changing trends in mortality declines during the last decades. In L. Ruzicka, G. Wunsch, & P. Kane (Eds.), Differential mortality methodological issues and biosocial factors (pp. 105–129). Oxford: Clarendon Press.

    Google Scholar 

  • Auger, N., Feuillet, P., Martel, S., Lo, E., Barry, A. D., & Harper, S. (2014). Mortality inequality in populations with equal life expectancy: Arriaga’s decomposition method in SAS, Stata, and Excel. Annals of Epidemiology,24(8), 575–580.

    Google Scholar 

  • Bagavos, C. (2013). Gender and regional differentials in health expectancy in Greece. Journal of Public Health Research,2(2), 66–73.

    Google Scholar 

  • Barford, A., Dorling, D., & Smith, G. D. (2006). Life expectancy: Women now on top everywhere during 2006, even in the poorest countries, women can expect to outlive men. BMJ,332(7545), 808.

    Google Scholar 

  • Behr, J., & Nowak, D. (2002). Tobacco smoke and respiratory disease. European Respiratory Monography,21, 161–179.

    Google Scholar 

  • Branas, C. C., Kastanaki, A. E., Michalodimitrakis, M., Tzougas, J., Kranioti, E. F., Theodorakis, P. N., et al. (2015). The impact of economic austerity and prosperity events on suicide in Greece: A 30-year interrupted time-series analysis. British Medical Journal Open,5(1), 111–112. https://doi.org/10.1136/bmjopen-2014-005619.

    Article  Google Scholar 

  • Brenner, M. H. (1987). Economic change, alcohol consumption and heart disease mortality in nine industrialized countries. Social Science and Medicine,25(2), 119–132.

    Google Scholar 

  • Brønnum-Hansen, H., & Juel, K. (2001). Abstention from smoking extends life and compresses morbidity: A population based study of health expectancy among smokers and never smokers in Denmark. Tobacco Control,10(3), 273–278.

    Google Scholar 

  • Caldwell, J. C. (1993). Health transition: The cultural, social and behavioural determinants of health in the third world. Social Science and Medicine,36(2), 125–135.

    Google Scholar 

  • Catalano, R. (1997). The effect of deviations from trends in national income on mortality: The Danish and USA data revisited. Journal of Epidemiology,13(7), 737–743.

    Google Scholar 

  • Chiang, C. L. (1984). The life table and its applications. Malabar: Robert E. Krieger Publishing Company.

    Google Scholar 

  • Chisumpa, V. H., & Odimegwu, C. O. (2018). Decomposition of age-and cause-specific adult mortality contributions to the gender gap in life expectancy from census and survey data in Zambia. SSM - Population Health,5, 218–226.

    Google Scholar 

  • Clark, R., & Peck, B. M. (2012). Examining the gender gap in life expectancy: A Cross-national analysis, 1980–2005. Social Science Quarterly,93(3), 820–837.

    Google Scholar 

  • Demi, M., Teloniatis, S., Vyzikidou, V.-K., Bakelas, G., Evangelopoulou, V., Vardavas, C., et al. (2017). Smoking prevalence in Greece. Tobacco Prevention and Cessation,4((Sup. A7), 3–14.

    Google Scholar 

  • Drevenstedt, G. L., Crimmins, E. M., Vasunilashorn, S., & Finch, C. E. (2008). The rise and fall of excess male infant mortality. Proceedings of the National Academy of Sciences,105(13), 5016–5021.

    Google Scholar 

  • Economou, C., Kaitelidou, D., Karanikolos, M., & Maresso, A. (2017). Greece: Health system review. Health systems in Transition,19(5), 1–166.

    Google Scholar 

  • Economou, M., Madianos, M., Peppou, L. E., Souliotis, K., Patelakis, A., & Stefanis, C. (2014). Cognitive social capital and mental illness during economic crisis: A nationwide population-based study in Greece. Social Science and Medicine,100, 141–147.

    Google Scholar 

  • Eurostat (2018a). Population statistics at regional level. Statistics explained. https://ec.europa.eu/eurostat/statistics-explained/index.php/Population_sta-tistics_at_regional_level. Accessed: 02/04/2019

  • Eurostat (2018b). Alcohol consumption statistics. Statistics explained. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Alcohol_consumption_statistics#General_overviewAccessed: 09/09/2019

  • Ezzati, M., Henley, S. J., Thun, M. J., & Lopez, A. D. (2005). Role of smoking in global and regional cardiovascular mortality. Circulation,112(4), 489–497.

    Google Scholar 

  • Ferlay, J., Colombet, M., Soerjomataram, I., Dyba, T., Randi, G., Bettio, M., et al. (2018). Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018. European Journal of Cancer,103, 356–387.

    Google Scholar 

  • Filippidis, F., Gerovasili, V., & Man, W. D.-C. (2016). Trends in mortality from respiratory system diseases in Greece during the financial crisis. European Respiratory Journal,48(Supp. 60), 1487–1489. https://doi.org/10.1183/13993003.01232-2016.

    Article  Google Scholar 

  • Florinis, D. A. (2012). Avoidable mortality in South Eastern Europe: Inequalities between and within countries. Ph. D. Thesis. Department of Balkan, Slavic and Oriental Studies. Thessaloniki: University of Macedonia.

  • Frenk, J., Bobadilla, J. L., Stern, C., Frejka, T., & Lozano, R. (1991). Elements for a theory of the health transition. Health Transition Review,1(1), 21–38.

    Google Scholar 

  • Geitona, M., Zavras, D., & Kyriopoulos, J. (2007). Determinants of healthcare utilization in Greece: Implications for decision-making. European Journal of General Practice,13(3), 144–150.

    Google Scholar 

  • Glei, D., & Horiuchi, S. (2007). The narrowing sex differential in life expectancy in high-income populations: Effects of differences in the age pattern of mortality. Population Studies,61(2), 141–159.

    Google Scholar 

  • Gordon, E., Peel, N. Μ., Samanta, M., Theou, O., Howlett, S. Ε., & Hubbard, R. (2017). Sex differences in frailty: A systematic review and meta-analysis. Experimental Gerontology,89, 30–40.

    Google Scholar 

  • Haaland, V. F., & Telle, K. (2015). Pro-cyclical mortality across socioeconomic groups and health status. Journal of Health Economics,39, 248–258.

    Google Scholar 

  • Harvard School of Public Health. (2011). The Greek tobacco epidemic. Prepared by the faculty of the Harvard School of Public Health in collaboration with colleagues at the Hellenic Ministry of Health and Social Solidarity, the Hellenic Ministry of Education, Life-time Learning, and Religious Affairs, and the Hellenic Anti-Cancer Society. World Health Organization, 2011. https://www.who.int/fctc/reporting/party_reports/greece_an-nex1_the_greek_tobacco_epidemic_2011.pdf. Accessed 21 May 2019.

  • Hassapidou, M., Tzotzas, T., Makri, E., Pagkalos, I., Kaklamanos, I., Kapantais, E., et al. (2017). Prevalence and geographic variation of abdominal obesity in 7-and 9-year-old children in Greece. World Health Organization childhood obesity surveillance initiative 2010. BMC Public Health,17(1), 126. https://doi.org/10.1186/s12889-017-4061-x.

    Article  Google Scholar 

  • Hemstrom, O. (2016). Changes in the gender gap in life expectancy in Sweden: A cohort analysis with the most recent trends. In M. Dinges & A. Weigl (Eds.), Gender-specific life expectancy in Europe 1850–2010 (pp. 149–167). Stuttgart: Franz Steiner Verlag.

    Google Scholar 

  • Hollingsworth, A., Ruhm, C. J., & Simon, K. (2017). Macroeconomic conditions and opioid abuse. Νational Bureau of Economic Research Working Paper No. 23192.

  • Hosseinpoor, A. R., Harper, S., Lee, J. H., Lynch, J., Mathers, C., & Abou-Zahr, C. (2012). International shortfall inequality in life expectancy in women and men, 1950–2010. Bulletin of World Health Organization,90(8), 588–594.

    Google Scholar 

  • Kanter, R., & Caballero, B. (2012). Global gender disparities in obesity: A review. Advances in Nutrition,3(4), 491–498. https://doi.org/10.3945/an.112.002063.

    Article  Google Scholar 

  • Kollia, N., Tragaki, A., Syngelakis, A. I., & Panagiotakos, D. (2018). Trends of cardiovascular disease mortality in relation to population aging in Greece (1956–2015). The Open Cardiovascular Medicine Journal,12, 71–79.

    Google Scholar 

  • Laliotis, I., Ioannidis, J. P. A., & Stavropoulou, C. (2016). Total and cause-specific mortality before and after the onset of the Greek economic crisis: An interrupted time-series analysis. The Lancet Public Health,1(2), e56–e65. https://doi.org/10.1016/s2468-2667(16)30018-4.

    Article  Google Scholar 

  • Le, Y., Ren, J., Shen, J., Li, T., & Zhang, C.-F. (2015). The Changing gender differences in life expectancy in Chinese cities 2005–2010. PLoS ONE,10(4), e0123320. https://doi.org/10.1371/journal.pone.0123320.

    Article  Google Scholar 

  • Lindahl-Jacobsen, R., Hanson, H. A., Oksuzyan, A., Mineau, G. P., Christensen, K., & Smith, K. R. (2013). The male–female health-survival paradox and sex differences in cohort life expectancy in Utah, Denmark, and Sweden 1850–1910. Annals of Epidemiology,23(4), 161–166.

    Google Scholar 

  • Lopez, A. D. (1983). The sex mortality differentials in developed countries. In A. D. Lopez & L. Ruzicka (Eds.), Sex differentials in mortality: Trends, determinants and consequences (pp. 53–120). Canberra: Australian National University.

    Google Scholar 

  • Luy, M. (2003). Causes of male excess mortality: Insights from cloistered populations. Population and Development Review,29(4), 647–676.

    Google Scholar 

  • Luy, M., & Wegner-Siegmundt, C. (2015). The impact of smoking on gender differences in life expectancy: Ore heterogeneous than often stated. European Journal of Public Health,25(4), 706–710.

    Google Scholar 

  • Lyberaki, A. (2010). The record of gender policies in Greece 1980–2010: Legal form and economic substance. Hellenic Observatory Papers on Greece and Southeast Europe, GreeSE Paper No 36. https://eclass.uoa.gr/modules/document/file.php/PHED263/Greece_No36.pdf.

  • Meslé, F., & Vallin, J. (2011). Historical trends in mortality. In R. G. Rogers & E. M. Crimmins (Eds.), International handbook of adult mortality (2nd ed., pp. 9–48)., International handbooks of populations Springer: Dordrecht.

    Google Scholar 

  • Michas, G. (2015). Road traffic fatalities in Greece have continued to fall during the financial crisis. BMJ,350, h3081. https://doi.org/10.1136/bmj.h3081.

    Article  Google Scholar 

  • Michas, G., Karvelas, G., & Trikas, A. (2018). Cardiovascular disease in Greece; the latest evidence on risk factors. Hellenic Journal of Cardiology. https://doi.org/10.1016/j.hjc.2018.09.006.

    Article  Google Scholar 

  • Nathanson, C. A. (1995). Mortality and the position of women in developed countries. In A. D. Lopez, G. Caselli, & T. Valkonen (Eds.), Adult mortality in developed countries (pp. 135–157). New York: Oxford University Press.

    Google Scholar 

  • Oksuzyan, A., Juel, K., Vaupel, J. W., & Christensen, K. (2008). Men good health and high mortality sex differences in health and aging. Aging Clinical and Experimental Research,20(2), 91–102.

    Google Scholar 

  • Olshansky, S. J., Carnes, B. A., Rogers, R. G., & Smith, L. (1998). Emerging infectious diseases: The fifth stage of the epidemiologic transition? World Health Statistics Quarterly/Rapport trimestriel de statistiquessanitaires,51(2-3-4), 207–217.

    Google Scholar 

  • Omran, A. R. (1971). The epidemiologic transition: A theory of the epidemiology of population change. The Milbank Memorial Fund Quarterly,49, 509–538. (Reprinted 2005, The Milbank Quarterly 83(4), 731–757).

    Google Scholar 

  • Pampel, F. C. (2005). Forecasting sex differences in mortality in high income nations: The contribution of smoking. Demographic Research,13(18), 455–484.

    Google Scholar 

  • Pazarlis, P., Mauri, D., Cortinovis, I., Katsigiannopoulos, K., Alevizaki, P., Koukourakis, G., et al. (2006). Socio-demographic status and alcohol drinking patterns among Greek healthy adults. Central European Journal of Public Health,14(4), 160–167.

    Google Scholar 

  • Pollard, J. H. (1982). The expectation of life and its relationship to mortality. Journal of the Institute of Actuaries,109(2), 225–240.

    Google Scholar 

  • Pollard, J. H. (1988). On the decomposition of changes in expectation of life and differentials in life expectancy. Demography,25(2), 265–276.

    Google Scholar 

  • Pressat, R. (1985). Contribution des écarts de mortalité par âge à la différence des vies moyennes. Population,40(4–5), 766–770.

    Google Scholar 

  • Preston, S., Heuveline, P., & Guillot, M. (2001). Demography-measuring and modelling population processes. Oxford: Blackwell Publishing.

    Google Scholar 

  • Rogers, R. G., & Powell-Griner, E. (1991). Life expectancies of cigarette smokers and nonsmokers in the United States. Social Science and Medicine,32(10), 1151–1159.

    Google Scholar 

  • Rontos, K., Giavrimis, P., Roumeliotou, M., & Roumeliotis, D. (2010). Spatial and cause-specific analysis of age at death in Greece. Portuguese Journal of Quantitative Methods,1(1), 73–90.

    Google Scholar 

  • Schünemann, J., Strulik, H., & Trimborn, T. (2017). The gender gap in mortality: How much is explained by behavior? Journal of Health Economics,54, 79–90.

    Google Scholar 

  • Siegel, R. L., Miller, K. D., & Jemal, A. (2016). Cancer statistics, 2016. CA: Cancer Journal for clinicians,66(1), 7–30. https://doi.org/10.3322/caac.21332.

    Article  Google Scholar 

  • Simou, E., & Koutsogeorgou, E. (2014). Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review. Health Policy,115(2–3), 111–119. https://doi.org/10.1016/j.healthpol.2014.02.002.

    Article  Google Scholar 

  • Stevens, A. H., Douglas, D. L., Page, M. E., & Filipski, M. (2015). The best of times, the worst of times: Understanding procyclical mortality. American Economic Journal: Economic Policy,7(4), 279–311. https://doi.org/10.1257/pol.20130057.

    Article  Google Scholar 

  • Sullivan, D. F. (1971). A single index of mortality and morbidity. HSMHA Health Reports,86(4), 347–354.

    Google Scholar 

  • Sundberg, L., Agahi, N., Fritzell, J., & Fors, S. (2018). Why is the gender gap in life expectancy decreasing? The impact of age-and cause-specific mortality in Sweden 1997–2014. International Journal of Public Health,63(6), 673–681.

    Google Scholar 

  • Tanvakas, I., & Amos, A. (2010). ‘These things don’t happen in Greece’: A qualitative study of Greek young people’s attitudes to smoking, secondhand smoke and the smoke free legislation. Health Education Research,25(6), 955–964.

    Google Scholar 

  • Trovato, F., & Heyen, N. B. (2006). A varied pattern of change of the sex differential in survival in the G7 countries. Journal of Biosocial Science,38(3), 391–401.

    Google Scholar 

  • Tsimbos, C. (2010). An assessment of socio-economic inequalities in health among elderly in Greece, Italy and Spain. International Journal of Public Health,55(1), 5–15.

    Google Scholar 

  • Tsimbos, C., Kotsifakis, G., Verropoulou, G., & Kalogirou, S. (2011). Life expectancy in Greece 1991–2007: Regional variations and spatial clustering. Journal of Maps,7(1), 280–290.

    Google Scholar 

  • Vallin, J., & Meslé, F. (2004). Convergences and divergences in mortality: A new approach to health transition. Demographic Research,2(2), 11–44.

    Google Scholar 

  • van den Berg, G. J., Gerdtham, U. G., Gerdtham, S., von Hinke, S., Lindeboom, M., Lissdaniels, J., et al. (2017). Mortality and the business cycle: Evidence from individual and aggregated data. Journal of Health Economics,56, 61–70.

    Google Scholar 

  • World Health Organization (WHO) (2016). Greece profile of health and well-being. Copenhagen: WHO Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0010/308836/Profile-Health-Well-being-Greece.pdf. Accessed 21 May 2019.

  • Yang, S., Khang, Y.-H., Chun, H., Harper, S., & Lynch, J. (2012). The changing gender differences in life expectancy in Korea 1970–2005. Social Science and Medicine,75(7), 1280–1287.

    Google Scholar 

  • Zafeiris, K. N. (2019). Mortality differentials among the euro-zone countries: An analysis based on the most recent available data. Communications in Statistics: Case Studies Data Analysis and Applications,5(1), 59–73. https://doi.org/10.1080/23737484.2019.1579682.

    Article  Google Scholar 

  • Zafeiris, K. N., & Kostaki, A. (2019). Recent mortality trends in Greece. Communications in Statistics-Theory and Methods,48(1), 112–126. https://doi.org/10.1080/036-10926.2017.1353625.

    Article  Google Scholar 

  • Zafeiris, K. N., Kostaki, A., Kotzamanis, B., & Tsoni, A. (2018). Recent mortality developments in Greece at national and regional level. In A. Parant & B. Kotzamanis (Eds.), Regards sur la population de l’Europe du Sud-Es. Viewpoint on populations in South-East Europe. Bolos (pp. 277–297). Volos: Demobalk.

    Google Scholar 

  • Zarulli, V., Barthold Jones, J. A., Oksuzyan, A., Lindahl-Jacobsen, R., Christensen, K., & Vaupel, J. W. (2018). Women live longer than men even during severe famines and epidemics. Proceedings of the national academy of science,115(4), E832–E840. https://doi.org/10.1073/pnas.1701535115.

    Article  Google Scholar 

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Zafeiris, K.N. Gender differences in life expectancy at birth in Greece 1994–2017. J Pop Research 37, 73–89 (2020). https://doi.org/10.1007/s12546-019-09239-4

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