Stockholms universitet

Olle LundbergProfessor

Om mig

Sedan 2001 är jag professor i Health Equity Studies, och jag har bedrivit forskning kring välfärd, åldrande och ojämlikhet i hälsa i mer än 25 år. Jag har haft ledande roller i ett flertal europeiska och nordiska forskningssamarbeten, och är för närvarande ansvarig för den svenska delen i två nordiska samarbetsprojekt finansierade av NordForsk (C-LIFE och WELLIFE). Dessutom bedriver jag ett projekt om mekanismer bakom ökande ojämlikhet i hälsa finansierat av Marianne och Marcus Wallenbergs stiftelse. Jag var tidigare Föreståndare för CHESS.

Utöver detta har jag även arbetat mycket med att utforma råd och rekommendationer för policy på basis av aktuell forskning. Detta har inkluderat arbete för WHO:s Commission on Social Determinants of Health, ordförandeskap för en Task Group i Review of Health Inequalities and the Health Divide in the WHO European Region, och arbete i rådgivande organ i Norge och Sverige. Senast har jag på uppdrag av den svenska regeringen lett Kommissionen för jämlik hälsa mellan 2015 och 2017, vilken utifrån en bred välfärdspolitisk ansats lagt förslag på åtgärder som kan bidra till att sluta hälsoklyftorna inom en generation.

Publikationer

I urval från Stockholms universitets publikationsdatabas

  • The contribution of alcohol consumption and smoking to educational inequalities in life expectancy among Swedish men and women during 1991–2008

    2018. Olof Östergren, Pekka Martikainen, Olle Lundberg. International Journal of Public Health 63 (1), 41-48

    Artikel

    Objectives

    To assess the level and changes in contribution of smoking and alcohol-related mortality to educational differences in life expectancy in Sweden.

    Methods

    We used register data on the Swedish population at ages 30–74 during 1991–2008. Cause of death was used to identify alcohol-related deaths, while smoking-related mortality was estimated using lung cancer mortality to indirectly assess the impact of smoking on all-cause mortality.

    Results

    Alcohol consumption and smoking contributed to educational differences in life expectancy. Alcohol-related mortality was higher among men and contributed substantially to inequalities among men and made a small (but increasing) contribution to inequalities among women. Smoking-related mortality decreased among men but increased among women, primarily among the low educated. At the end of the follow-up, smoking-related mortality were at similar levels among men and women. The widening gap in life expectancy among women could largely be attributed to smoking.

    Conclusions

    Smoking and alcohol consumption contribute to educational differences in life expectancy among men and women. The majority of the widening in the educational gap in mortality among women can be attributed to alcohol and smoking-related mortality.

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  • Educational expansion and inequalities in mortality — A fixed-effects analysis using longitudinal data from 18 European populations

    2017. Olof Östergren (et al.). PLoS ONE 12 (8)

    Artikel

    Objective

    The aim of this paper is to empirically evaluate whether widening educational inequalities in mortality are related to the substantive shifts that have occurred in the educational distribution.

    Materials and methods

    Data on education and mortality from 18 European populations across several decades were collected and harmonized as part of the Demetriq project. Using a fixed-effects approach to account for time trends and national variation in mortality, we formally test whether the magnitude of relative inequalities in mortality by education is associated with the gender and age-group specific proportion of high and low educated respectively.

    Results

    The results suggest that in populations with larger proportions of high educated and smaller proportions of low educated, the excess mortality among intermediate and low educated is larger, all other things being equal.

    Conclusion

    We conclude that the widening educational inequalities in mortality being observed in recent decades may in part be attributed to educational expansion.

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  • Commentary

    2017. Olle Lundberg. International Journal of Epidemiology 46 (1), 1332-1333

    Artikel
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  • Welfare states and health inequalities

    2015. Olle Lundberg (et al.). Canadian public policy 41 (Suppl. 2), S26-S33

    Artikel

    While much research points to the importance of a range of welfare state policies to reduce inequalities in health, the growing literature in this field is full of mixed and contradictory results. In this paper, we provide a brief discussion about the different conceptual and methodological approaches used in comparative research on the relationship between welfare policies and health. Against a theoretical discussion of possible linkages among one central welfare policy, unemployment benefit schemes, and health, we also provide examples of findings on how two central dimensions of such schemes—coverage and replacement rates—are linked to health and health inequalities across Europe. These examples indicate not only that welfare state programs can contribute to smaller health inequalities but also that their effectiveness in this respect depends on their institutional set-up.

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