TABLE 1—
Trends in the Educational Gradient of Mortality by Cause of Death Among Non-Hispanic White Women Aged 45–84 Years: United States, 1986–2006
| Absolute Gradient, SRD |
Relative Gradient, SRR |
|||||||||
| Cause of Death by Groupa | 1986–1994 | 1995–1998 | 1999–2002 | 2003–2006 | Pb | 1986–1994 | 1995–1998 | 1999–2002 | 2003–2006 | Pb |
| All causes | 1728 | 1973 | 2103 | 2267 | <.001 | 3.45 | 4.13 | 4.06 | 5.06 | .07 |
| Group 1 | ||||||||||
| Breast cancer | 7 | 44 | 30 | 33 | .38 | 1.08 | 1.81 | 1.59 | 1.85 | .17 |
| Other (not lung or breast) cancer | 212 | 247 | 223 | 222 | .83 | 2.43 | 2.98 | 2.51 | 2.82 | .57 |
| Accidental and violent deaths | 12 | 33 | 48 | 30 | .33 | 1.43 | 3.10 | 3.77 | 1.96 | .58 |
| Influenza and pneumonia | 48 | 42 | 48 | 56 | .44 | 4.39 | 3.26 | 5.24 | 10.12 | .26 |
| Chronic liver disease and cirrhosis | 15 | 18 | 16 | 17 | .57 | 3.06 | 5.37 | 2.93 | 3.27 | .9 |
| Infectious and parasitic diseases | 17 | 43 | 31 | 39 | .3 | 2.76 | 9.46 | 3.43 | 3.45 | .99 |
| Group 2: heart disease | 749 | 715 | 667 | 618 | .02 | 5.47 | 5.62 | 5.45 | 7.30 | .27 |
| Group 3 | ||||||||||
| Lung cancer | 103 | 160 | 181 | 257 | .03 | 2.61 | 3.27 | 3.95 | 7.09 | .06 |
| Cerebrovascular disease | 117 | 125 | 148 | 149 | .05 | 3.49 | 3.83 | 3.86 | 5.51 | .15 |
| Group 4 | ||||||||||
| Chronic lower respiratory disease | 117 | 173 | 193 | 279 | .04 | 5.58 | 7.78 | 6.84 | 10.33 | .13 |
| Diabetes | 63 | 74 | 104 | 105 | .06 | 5.30 | 7.69 | 7.24 | 7.04 | .3 |
| Alzheimer’s disease | 6 | 12 | 38 | 39 | .07 | 1.82 | 2.77 | 4.48 | 3.52 | .14 |
| Other causes | 261 | 287 | 375 | 422 | .04 | 4.17 | 3.99 | 4.27 | 5.21 | .26 |
Note. SRD = standardized rate difference per 100 000; SRR = standardized rate ratio.
Group 1 exhibited a negligible increase in the gradient. In group 2, mortality risk declined for all women. In group 3, mortality risk increased for low-educated women and decreased for high-educated women. In group 4, mortality risk increased the most for low-educated women.
P value for test of linear trend using ordinary least squares regression.