Objective: To assess differences in mortality rates between social security statuses in two independent
samples of Belgian and Spanish male workers.
Methods: Study of two retrospective cohorts (Belgium, n = 23,607; Spain, n = 44,385) of 50–60 year old
male employees with 4 years of follow-up. Mortality rate ratios (MRR) were estimated using Poisson
regression models.
Results: Mortality for subjects with permanent disability was higher than for the employed, for both
Belgium [MRR = 4.56 (95% CI: 2.88–7.21)] and Spain [MRR = 7.15 (95% CI: 5.37–9.51)]. For the unemployed/
early retirees, mortality was higher in Spain [MRR = 1.64 (95% CI: 1.24–2.17)] than in Belgium
[MRR = 0.88 (95% CI: 0.46–1.71)].
Conclusion: MRR differences between Belgium and Spain for unemployed workers could be partly
explained because of differences between the two social security systems. Future studies should further
explore mortality differences between countries with different social security systems.
Original languageEnglish
Pages (from-to)293-295
Number of pages3
JournalGaceta Sanitaria
Publication statusPublished - 4 Jul 2016

    Research areas

  • permanent disability, mortality, occupational health, social security, unemployment

ID: 24969893