Inequalities in mortality by education and socio-economic transition in Lithuania: equal opportunities?

Aim. The aim of this study was to examine the changes in mortality differentials by Level of education during the period of socio-economic transition in Lithuania. Methods. This analysis was based on routine mortality statistics and census data for 1989 and 2001 for the entire country. Results. Despite a general improvement in the level of education in the Lithuanian population, some negative educational patterns were observed amongst its young members. Increasing inequalities in mortality by education have occurred due to a declining mortality rate in people with higher educational achievements and, conversely, an increasing mortality rate in people with a low level of education. Mortality inequalities by education amongst females exceeded those amongst mates in 2001, particularly in middle-aged groups and due to external causes. The results of this survey predict an unfavourable forecast of increasing health inequalities in Lithuania in the near future. Conclusions. General policies for health promotion and disease prevention should be based on the realities faced by lower educated groups, rather than on experiences that are general for the total population or the class of society that has at least achieved an average education. Inequalities in health by the level of education should plateau as the society-at-large enters into a more stable stage of social and economic development. (c) 2005 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.