Feature
Health Statistics Quarterly (2009) 42,6–21; doi:10.1057/hsq.2009.14
Social inequalities in adult female mortality by the National Statistics Socio-economic Classification, England and Wales, 2001–03
Ann Langford1 and Brian Johnson1
1Office for National Statistics
Abstract
This analysis of mortality in women aged 25–59 in 2001–03 found that those in the least advantaged social economic class had a mortality rate around twice that of women in the most advantaged class. This article uses the National Statistics Socio-economic Classification (NS-SEC) and examines the relative merits of classification based on a woman's 'own' occupation as opposed to a 'combined' classification which also takes into account the husband's NS-SEC class, where available. The results demonstrate a strong socio-economic gradient in mortality for adult women under both classification methods. Under the 'combined' classification, women in the least advantaged NS-SEC class had a mortality rate 2.6 times that of those in the most advantaged class. Based on the women's 'own' occupation, the comparable ratio was 1.9. These results set a benchmark for the future monitoring of socio-economic mortality inequalities in women, and also provide a comparison between inequalities affecting women and men.

