TY - JOUR T1 - Inequalities in life expectancy by educational level and its decomposition in Barcelona, 2004-2018 JO - Gaceta Sanitaria T2 - AU - Bartoll-Roca,Xavier AU - Rodríguez-Sanz,Maica AU - Sánchez-Ledesma,Esther AU - Pérez,Katherine AU - Borrell,Carme SN - 02139111 M3 - 10.1016/j.gaceta.2021.11.008 DO - 10.1016/j.gaceta.2021.11.008 UR - https://www.gacetasanitaria.org/en-inequalities-in-life-expectancy-by-articulo-S0213911121003411 AB - ObjectiveTo analyse the gap in life expectancy by educational level in the city of Barcelona from 2004 to 2018 and to decompose this gap by age and causes of death. MethodWe computed abridged life tables at the age of 25 years by sex from 2004 to 2018 using standard methods. Educational level was categorised in two groups (lower secondary or less vs. upper secondary or higher education). The life expectancy gap was further decomposed by age and by causes of death based in Arriaga's method in 5-year age blocks up to the age of ≥ 90 years and broad causes of death using ICD-10 codes. ResultsThe life expectancy gap at 25 years by educational level oscillated without trend at around 3.08 years for men and 1.93 years for women. Decomposition by age showed a favourable significant shift in the contribution to this gap from young to older ages for men, with few changes for women. Decomposition by causes of death showed that the diseases concentrating the largest share of the contribution were neoplasms and respiratory and circulatory disease. There was a significant downward trend in external causes for men and in infectious diseases for both men and women but a significant upward trend for respiratory disease for both sexes. ConclusionsThe stability of the life expectancy gap by educational level during the period analysed resulted from a combination of divergent trends by age and causes of death among high and low educational levels. ER -