Life expectancy gap between the Francophone majority
Année :
2012
Volume et numéro :
, 27
Collection :
, 1
Revue :
, European Journal of Epidemiology
Pages :
, 27-38
Résumé
Language is an important determinant of
health, but analyses of linguistic inequalities in mortality
are scant, especially for Canadian linguistic groups with
European roots. We evaluated the life expectancy gap
between the Francophone majority and Anglophone
minority of Que´bec, Canada, both over time and across
major provincial areas. Arriaga’s method was used to
estimate the age and cause of death groups contributing to
changes in the life expectancy gap at birth between
1989–1993 and 2002–2006, and to evaluate patterns across
major provincial areas (metropolitan Montre´al, other
metropolitan centres, and small cities/rural areas). Life
expectancy at birth was greater for Anglophones, but the
gap decreased over time by 1.3 years (52% decline) in men
and 0.9 years (47% decline) in women, due to relatively
sharper reductions in Francophone mortality from several
causes, except lung cancer which countered reductions in
women. The life expectancy gapin 2002–2006 was widest
in other metropolitan centres (men 5.1 years, women
3.2 years), narrowest in small cities/rural areas (men
0.8 years, women 0.7 years), and tobacco-related causes
were the main contributors. Only young Anglophones\
40 years in small cities/rural areas had mortality
higher than Francophones, resulting in a narrower gap in
these areas. Differentials in life expectancy favouring
Anglophones decreased over time, but varied across areas
of Que´bec. Tobacco-related causes accounted for the
majority of the current life expectancy gap.
Thème :
Anglophones au QuébecFrancophonesMinorités linguistiquesQuébec
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