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Fanny Janssen

Biographic Data

ID274117
NAMEFanny Janssen
GIVEN NAMESFanny
FAMILY NAMEJanssen
SIGNATUREJANSSEN F
AFFILIATIONSUniversity of Groningen
ORCID0000-0002-3110-238X
VERIFIEDYes
TOTAL WORKS39
TOTAL CITATIONS93
AUTHOR COUNT39
EDITOR COUNT0
FIRST PUBLICATION YEAR2005
LATEST PUBLICATION YEAR2026
H-INDEX7
  • The impact of education misreporting on education-specific mortality and educational inequalities in mortality

    Open Access•Ana C Gómez-Ugarte, Ugofilippo Basellini et al.•ARTICLE•Population Studies•2026

    In many countries, educational inequalities in mortality are estimated using unlinked data sources: death certificates and censuses. However, education misreporting in these sources can introduce biases of unknown direction and magnitude. This study comprehensively quantifies such biases by taking a scenario-based approach, where distortions in education reporting are introduced to evaluate their effect on education-specific mortality rates and e…

  • Regional Disparities in Life Expectancy in the Netherlands and the Role of Internal Migration

    Open Access•Maximilian Frentz‐Göllnitz, Adrien Remund et al.•ARTICLE•Population Space and Place•2025•References: 11

    Whereas longevity differences between movers and stayers are well‐known, the impact of migration on regional disparities in longevity remains understudied. We estimated the contribution of internal migration to regional life expectancy levels and disparities across the Netherlands, thereby assessing the importance of different age groups. We used mortality and demographic data by internal migrant status, COROP (NUTS‐3) region, age and sex from th…

  • Seasonal Mortality and its Impact on Spatial Inequality in Life Expectancy Across Italy

    Open Access•Isabella Marinetti, Dmitri A Jdanov et al.•ARTICLE•European Journal of Population /…•2025•References: 55

    Seasonal mortality fluctuations significantly affect national life expectancy, yet their role in regional inequalities remains underexplored. Understanding this is crucial for targeted health policies aimed at reducing spatial mortality differences. We quantify the impact of seasonal excess mortality on regional life expectancy levels (e 0 ) and inequalities in Italy. Using monthly mortality data from the Italian National Statistical Institute by…

  • Seasonality in mortality and its impact on life expectancy levels and trends across Europe

    Open Access•Isabella Marinetti, Dmitri A Jdanov et al.•ARTICLE•Journal of Epidemiology and…•2025•Cited by: 2•References: 33

    Background Seasonal fluctuations in mortality affect annual life expectancy at birth (e 0 ). Nevertheless, evidence on the impact of seasonal mortality on longevity is very limited and mainly restricted to assessing season-specific mortality levels due to shocks (e.g., heatwaves and influenza epidemics). We investigated the influence of seasonality in mortality on life expectancy levels and temporal trends across 20 European countries during 2000…

  • The Contribution of Educational Expansion to Trends in Life Expectancy and Lifespan Variation in England and Wales, Finland, and Italy (Turin)

    Open Access•Jesús-Daniel Zazueta-Borboa, Ugofilippo Basellini et al.•ARTICLE•Demography•2025•References: 88

    Educational expansion has contributed considerably to increasing life expectancy, but its contribution to lifespan variation trends is unclear. We assessed the contributions of educational expansion and mortality changes by educational group to trends in life expectancy (e30) and lifespan variation (e30†) at age 30 in England and Wales, Finland, and Italy (Turin) in 1975–2015. We applied decomposition analysis to education-specific mortality rate…

  • Do parents suffer too? Children’s unemployment and their parents’ mental health in 12 European countries

    Open Access•Lara Bister, Fanny Janssen et al.•ARTICLE•European Sociological Review•2025•Cited by: 1•References: 75

    Unemployment is not only a significant risk for the mental health of those affected but also to their interlinked family members, such as their parents. Recent studies have shown a negative association between children’s unemployment and their parents’ mental health, drawing on mechanisms based on linked lives and stress processing within the intergenerational family. However, the role of the broader economic context for this association, particu…

  • Long-term trends in educational inequalities in alcohol-attributable mortality, and their impact on trends in educational inequalities in life expectancy

    Open Access•Jesús-Daniel Zazueta-Borboa, Wanda M J Van Hemelrijck et al.•ARTICLE•Frontiers in Public Health•2024

    Background: Previous studies on socio-economic inequalities in mortality have documented a substantial contribution of alcohol-attributable mortality (AAM) to these inequalities. However, little is known about the extent to which AAM has contributed to time trends in socio-economic inequalities in mortality. Objective: To study long-term trends in educational inequalities in AAM and assessed their impact on trends in educational inequalities in l…

  • Contributions of causes of death to differentials in life expectancy by internal migrant status in the Netherlands. A population register based study, 2015–2019

    Open Access•Maximilian Frentz‐Göllnitz, Adrien Remund et al.•ARTICLE•SSM - Population Health•2024

    Important health differences exist in the context of international migration and residential mobility. Less is known about health differences regarding the medium-distance level of internal migration. This study examines life expectancy gaps between internal movers and stayers in the Netherlands and their underlying processes by assessing the contribution of different causes of death by age and sex. It uses individually-linked death counts and po…

  • Trends in educational inequalities in smoking-attributable mortality and their impact on changes in general mortality inequalities

    Open Access•Wanda M J Van Hemelrijck, Anton E Kunst et al.•ARTICLE•Journal of Epidemiology and…•2024•Cited by: 1•References: 41

    BACKGROUND: Socioeconomic mortality inequalities are persistent in Europe but have been changing over time. Smoking is a known contributor to inequality levels, but knowledge about its impact on time trends in inequalities is sparse. METHODS: We studied trends in educational inequalities in smoking-attributable mortality (SAM) and assessed their impact on general mortality inequality trends in England and Wales (E&W), Finland, and Italy (Turin) f…

  • Reversals in past long-term trends in educational inequalities in life expectancy for selected European countries

    Open Access•Jesús-Daniel Zazueta-Borboa, Pekka Martikainen et al.•ARTICLE•Journal of Epidemiology and…•2023•Cited by: 7•References: 38

    BACKGROUND: Across Europe, socioeconomic inequalities in mortality are large and persistent. To better understand the drivers of past trends in socioeconomic mortality inequalities, we identified phases and potential reversals in long-term trends in educational inequalities in remaining life expectancy at age 30 (e30), and assessed the contributions of mortality changes among the low-educated and the high-educated at different ages. METHODS: We u…

  • District-Level Mortality Convergence in Reunified Germany

    Open Access•Rok Hrzic, Tobias Vogt et al.•ARTICLE•Demography•2023•Cited by: 1

    The mortality gap between former East and West Germany decreased rapidly in the decade following the reunification of the country in 1990. However, because no previous study has estimated life expectancy (e0) over time for all German districts, the extent of mortality convergence across districts and its determinants are largely unknown. We used a novel relational Bayesian model to estimate district e0 in Germany during 1997–2016, examined mortal…

  • Contributions of age groups and causes of death to the sex gap in lifespan variation in Europe

    Jesús-Daniel Zazueta-Borboa, José Manuel Aburto et al.•ARTICLE•Population Studies•2023•Cited by: 4•References: 79

    Much less is known about the sex gap in lifespan variation, which reflects inequalities in the length of life, than about the sex gap in life expectancy (average length of life). We examined the contributions of age groups and causes of death to the sex gap in lifespan variation for 28 European countries, grouped into five European regions. In 2010-15, males in Europe displayed a 6.8-year-lower life expectancy and a 2.3-year-higher standard devia…

  • Scarred for Life? Early-Life Experience of the Post-Reunification Economic Crisis in East Germany and Physical and Mental Health Outcomes in Early Adulthood

    Open Access•Lara Bister, Jeroen Spijker et al.•ARTICLE•Comparative Population Studies•2023•References: 8

    Existing research suggests adverse short-term health effects of economic crises during early life, yet, the long-term health effects for children and adolescents exposed to economic crises are still understudied. We investigated the early-adult health implications of experiencing the post-reunification economic crisis in East Germany in the early 1990s during infancy, childhood and adolescence. Using data from the German Socio-Economic Panel (SOE…

  • Can changes in education alter future population ageing in Asia and Europe

    Open Access•Arun Balachandran, K S James et al.•ARTICLE•Journal of Biosocial Science•2022

    While population ageing is rising, the educational composition of the elderly remains rather heterogeneous. This study assesses the educational differences in future population ageing in Asia and Europe, and how future population ageing in Asia and Europe would change if the educational composition of its populations changed. A comparative population ageing measure (the Comparative Prospective Old-Age Threshold [CPOAT]) was used, which recalculat…

  • The association of unhealthy and healthy food store accessibility with obesity prevalence among adults in the Netherlands

    Open Access•Benjamin Aretz, Rafael Everton Assunção Ribeiro da Costa et al.•ARTICLE•SSM - Population Health•2022

    Public policies addressing obesity might be more effective when reducing the presence of unhealthy food rather than expanding healthy food supply. Moreover, they should focus on urban regions and high obesity clusters, thereby considering wider food surroundings

  • The progression of the tobacco epidemic in India on the national and regional level, 1998-2016

    Open Access•Rufi Shaikh, Fanny Janssen et al.•ARTICLE•BMC Public Health•2022

    Our results suggest that India and the majority of its states experienced a 'compressed tobacco epidemic' in which the prevalence of tobacco consumption increased and decreased simultaneously for women and men over a comparatively short period of time. Despite the overall progress India made in reducing tobacco use, further lowering tobacco consumption remains a public health priority, as the prevalence of smoking and/or smokeless tobacco use rem…

  • Early-life exposure to economic stress and metabolic risks in young adulthood

    Lara Bister, Fanny Janssen et al.•ARTICLE•Journal of Epidemiology and…•2022•References: 41

    BACKGROUND: Research on the long-term health consequences of early-life exposure to economic crises is scarce. We examine for the first time the long-term effects of early-life exposure to an economic crisis on metabolic health risks. We study objective health measures, and exploit the quasi-experimental situation of the postreunification economic crisis in East Germany. METHODS: Data were drawn from two waves of the longitudinal German Health In…

  • The Short-Term Effects of European Integration on Mortality Convergence

    Open Access•Rok Hrzic, Tobias Vogt et al.•ARTICLE•European Journal of Population /…•2021•Cited by: 3•References: 61

    Although European integration can be expected to result in mortality convergence (reduced mortality differences), a life expectancy divide persists in the European Union (EU) between the old Member States (OMS) in the west and the new Member States (NMS) in the east. Studies investigating the impact of European integration on mortality convergence are rare and did not consider regional differences. We examine the short-term effects of the 2004 en…

  • Past and Future Alcohol-Attributable Mortality in Europe

    Open Access•Fanny Janssen, Shady El Gewily et al.•ARTICLE•International Journal of…•2020

    Although alcohol consumption is an important public health issue in Europe, estimates of future alcohol-attributable mortality for European countries are rare, and only apply to the short-term future. We project (age-specific) alcohol-attributable mortality up to 2060 in 26 European countries, after a careful assessment of past trends. For this purpose we used population-level country-, sex-, age- (20-84) and year-specific (1990-2016) alcohol-att…

  • Progression of the smoking epidemic in high-income regions and its effects on male-female survival differences

    Open Access•Maarten J Wensink, Jacqueline Aparicio Álvarez et al.•ARTICLE•BMC Public Health•2020

    Background Of all lifestyle behaviours, smoking caused the most deaths in the last century. Because of the time lag between the act of smoking and dying from smoking, and because males generally take up smoking before females do, male and female smoking epidemiology often follows a typical double wave pattern dubbed the ‘smoking epidemic’. How are male and female deaths from this epidemic differentially progressing in high-income regions on a coh…

  • Smoking epidemic in Europe in the 21st century

    Open Access•Fanny Janssen, Shady El Gewily et al.•ARTICLE•Tobacco Control•2020

    Our novel forecasting method enabled realistic estimates of the mortality imprint of the smoking epidemic in Europe up to 2100. The high peak values in smoking-attributable mortality projected for women warrant attention

  • Comparison of Population Aging in Europe and Asia Using a Time-Consistent and Comparative Aging Measure

    Open Access•Arun Balachandran, Joop De Beer et al.•ARTICLE•Journal of Aging and Health•2019•Cited by: 3•References: 2

    Objective: We compare population aging in Europe and Asia using a measure that is both consistent over time and appropriate for cross-country comparison. Method: Sanderson and Scherbov proposed to estimate the old-age threshold by the age at which the remaining life expectancy (RLE) equals 15 years. We propose an adjustment of this measure, taking into account cross-national differences in the exceptionality of reaching that age. Results: Our old…

  • Impact of Different Estimation Methods on Obesity-Attributable Mortality Levels and Trends

    Open Access•Nikoletta Vidra, Maarten J Bijlsma et al.•ARTICLE•International Journal of…•2018

    The available methodologies to estimate the obesity-attributable mortality fraction (OAMF) affect the levels found and hamper the construction of time series. Our aim was to assess the impact of using different techniques to estimate the levels and the trends in obesity-attributable mortality for The Netherlands between 1981 to 2013. Using Body Mass Index (BMI), all-cause and cause-specific mortality data, and worldwide and European relative risk…

  • An Assessment and Extension of the Mechanism-Based Approach to the Identification of Age-Period-Cohort Models

    Open Access•Maarten J Bijlsma, Rhian M Daniel et al.•ARTICLE•Demography•2017•Cited by: 1•References: 33

    Many methods have been proposed to solve the age-period-cohort (APC) linear identification problem, but most are not theoretically informed and may lead to biased estimators of APC effects. One exception is the mechanism-based approach recently proposed and based on Pearl’s front-door criterion; this approach ensures consistent APC effect estimators in the presence of a complete set of intermediate variables between one of age, period, cohort, an…

  • High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India

    Shrinivas Darak, Inge Hutter et al.•ARTICLE•AIDS Care•2016

    This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women…

Next
  • Including the Smoking Epidemic in Internationally Coherent Mortality Projections

    Open Access•Fanny Janssen, L J G Van Wissen et al.•ARTICLE•Demography•2013•Cited by: 11•References: 34

    We present a new mortality projection methodology that distinguishes smoking- and non-smoking-related mortality and takes into account mortality trends of the opposite sex and in other countries. We evaluate to what extent future projections of life expectancy at birth (e0) for the Netherlands up to 2040 are affected by the application of these components. All-cause mortality and non-smoking-related mortality for the years 1970–2006 are projected…

  • Variations in the pace of old-age mortality decline in seven European countries, 1950–1999

    Open Access•Fanny Janssen, Anton E Kunst et al.•ARTICLE•European Journal of Population /…•2007•Cited by: 11•References: 38

  • Impact of different mortality forecasting methods and explicit assumptions on projected future life expectancy

    Open Access•Lenny Stoeldraijer, Coen Van Duin et al.•ARTICLE•Demographic Research•2013•Cited by: 10•References: 34

    With the rapid aging of the population, mortality forecasting becomes increasingly important, especially for the insurance and pension industries. However, a wide variety of projection methods are in use, both between and within countries, that produce dif

  • The choice among past trends as a basis for the prediction of future trends in old-age mortality

    Fanny Janssen, Anton E Kunst et al.•ARTICLE•Population Studies•2007•Cited by: 10•References: 30

    We explored the extent to which projections of future old-age mortality trends differ when different projection bases are used. For seven European countries, four alternative sets of annual rates of mortality change were estimated with age-period log-linear regression models, and subsequently applied to age-specific all-cause mortality rates (80+) in 1999 to predict mortality levels up to 2050. On average, up to 2050, e80 is predicted to increase…

  • Reversals in past long-term trends in educational inequalities in life expectancy for selected European countries

    Open Access•Jesús-Daniel Zazueta-Borboa, Pekka Martikainen et al.•ARTICLE•Journal of Epidemiology and…•2023•Cited by: 7•References: 38

    BACKGROUND: Across Europe, socioeconomic inequalities in mortality are large and persistent. To better understand the drivers of past trends in socioeconomic mortality inequalities, we identified phases and potential reversals in long-term trends in educational inequalities in remaining life expectancy at age 30 (e30), and assessed the contributions of mortality changes among the low-educated and the high-educated at different ages. METHODS: We u…

  • Sigma and beta convergence in regional mortality

    Open Access•Fanny Janssen, Anthe Van Den Hende et al.•ARTICLE•Demographic Research•2016•Cited by: 7•References: 38

    For allocation of health budgets it is important to know whether regional mortality differences tend to decline or to increase. Sigma convergence tests can measure whether the dispersion of the regional distribution of mortality has declined. Beta converge

  • Relation between trends in late middle age mortality and trends in old age mortality—is there evidence for mortality selection

    Fanny Janssen, A Peeters et al.•ARTICLE•Journal of Epidemiology and…•2005•Cited by: 7•References: 28

    Study objective: To test whether mortality selection was a dominant factor in determining trends in old age mortality, by empirically studying the existence of a negative correlation between trends in late middle age mortality and trends in old age mortality among the same cohorts. Design and methods: A cohort approach was applied to period data on total and cause specific mortality for Denmark, England and Wales, Finland, France, the Netherlands…

  • Contributions of age groups and causes of death to the sex gap in lifespan variation in Europe

    Jesús-Daniel Zazueta-Borboa, José Manuel Aburto et al.•ARTICLE•Population Studies•2023•Cited by: 4•References: 79

    Much less is known about the sex gap in lifespan variation, which reflects inequalities in the length of life, than about the sex gap in life expectancy (average length of life). We examined the contributions of age groups and causes of death to the sex gap in lifespan variation for 28 European countries, grouped into five European regions. In 2010-15, males in Europe displayed a 6.8-year-lower life expectancy and a 2.3-year-higher standard devia…

  • Association between gross domestic product throughout the life course and old-age mortality across birth cohorts

    Open Access•Fanny Janssen, Anton E Kunst et al.•ARTICLE•Social Science & Medicine•2006•Cited by: 4•References: 3

  • The Short-Term Effects of European Integration on Mortality Convergence

    Open Access•Rok Hrzic, Tobias Vogt et al.•ARTICLE•European Journal of Population /…•2021•Cited by: 3•References: 61

    Although European integration can be expected to result in mortality convergence (reduced mortality differences), a life expectancy divide persists in the European Union (EU) between the old Member States (OMS) in the west and the new Member States (NMS) in the east. Studies investigating the impact of European integration on mortality convergence are rare and did not consider regional differences. We examine the short-term effects of the 2004 en…

  • Comparison of Population Aging in Europe and Asia Using a Time-Consistent and Comparative Aging Measure

    Open Access•Arun Balachandran, Joop De Beer et al.•ARTICLE•Journal of Aging and Health•2019•Cited by: 3•References: 2

    Objective: We compare population aging in Europe and Asia using a measure that is both consistent over time and appropriate for cross-country comparison. Method: Sanderson and Scherbov proposed to estimate the old-age threshold by the age at which the remaining life expectancy (RLE) equals 15 years. We propose an adjustment of this measure, taking into account cross-national differences in the exceptionality of reaching that age. Results: Our old…

  • A Novel Time Series Approach to Bridge Coding Changes with a Consistent Solution Across Causes of Death

    Open Access•Ronald H M van der Stegen, L G H Koren et al.•ARTICLE•European Journal of Population /…•2014•Cited by: 3•References: 11

    Revisions of the International Classification of Diseases (ICD) can lead to biases in cause-specific mortality levels and trends. We propose a novel time series approach to bridge ICD coding changes which provides a consistent solution across causes of death. Using a state space model with interventions, we performed time series analysis to cause-proportional mortality for ICD9 and ICD10 in the Netherlands (1979-2010), Canada (1979-2007) and Ital…

  • Distortion of regional old-age mortality due to late-life migration in the Netherlands

    Open Access•Eva Kibele, Fanny Janssen•ARTICLE•Demographic Research•2013•Cited by: 3•References: 23

    Regional mortality differences are an important public health indicator and can serve as the basis for population forecasts and local planning. Health-related migration at old age may distort observed regional mortality

  • Seasonality in mortality and its impact on life expectancy levels and trends across Europe

    Open Access•Isabella Marinetti, Dmitri A Jdanov et al.•ARTICLE•Journal of Epidemiology and…•2025•Cited by: 2•References: 33

    Background Seasonal fluctuations in mortality affect annual life expectancy at birth (e 0 ). Nevertheless, evidence on the impact of seasonal mortality on longevity is very limited and mainly restricted to assessing season-specific mortality levels due to shocks (e.g., heatwaves and influenza epidemics). We investigated the influence of seasonality in mortality on life expectancy levels and temporal trends across 20 European countries during 2000…

  • The decline in ischaemic heart disease mortality in seven European countries

    Masoud Amiri, Fanny Janssen et al.•ARTICLE•Journal of Epidemiology and…•2011•Cited by: 2•References: 33

    BACKGROUND: To assess the implication of a possible continuation of the decline in ischaemic heart disease (IHD) mortality in the future. METHODS: Annual rates of decline in IHD mortality from 1980-2005 were determined for the national populations of the Netherlands, UK, France and four Nordic countries through regression analysis and used to extrapolate mortality rates until 2030. Through cause-elimination life tables we determined the impact of…

  • Do parents suffer too? Children’s unemployment and their parents’ mental health in 12 European countries

    Open Access•Lara Bister, Fanny Janssen et al.•ARTICLE•European Sociological Review•2025•Cited by: 1•References: 75

    Unemployment is not only a significant risk for the mental health of those affected but also to their interlinked family members, such as their parents. Recent studies have shown a negative association between children’s unemployment and their parents’ mental health, drawing on mechanisms based on linked lives and stress processing within the intergenerational family. However, the role of the broader economic context for this association, particu…

  • Trends in educational inequalities in smoking-attributable mortality and their impact on changes in general mortality inequalities

    Open Access•Wanda M J Van Hemelrijck, Anton E Kunst et al.•ARTICLE•Journal of Epidemiology and…•2024•Cited by: 1•References: 41

    BACKGROUND: Socioeconomic mortality inequalities are persistent in Europe but have been changing over time. Smoking is a known contributor to inequality levels, but knowledge about its impact on time trends in inequalities is sparse. METHODS: We studied trends in educational inequalities in smoking-attributable mortality (SAM) and assessed their impact on general mortality inequality trends in England and Wales (E&W), Finland, and Italy (Turin) f…

  • District-Level Mortality Convergence in Reunified Germany

    Open Access•Rok Hrzic, Tobias Vogt et al.•ARTICLE•Demography•2023•Cited by: 1

    The mortality gap between former East and West Germany decreased rapidly in the decade following the reunification of the country in 1990. However, because no previous study has estimated life expectancy (e0) over time for all German districts, the extent of mortality convergence across districts and its determinants are largely unknown. We used a novel relational Bayesian model to estimate district e0 in Germany during 1997–2016, examined mortal…

  • An Assessment and Extension of the Mechanism-Based Approach to the Identification of Age-Period-Cohort Models

    Open Access•Maarten J Bijlsma, Rhian M Daniel et al.•ARTICLE•Demography•2017•Cited by: 1•References: 33

    Many methods have been proposed to solve the age-period-cohort (APC) linear identification problem, but most are not theoretically informed and may lead to biased estimators of APC effects. One exception is the mechanism-based approach recently proposed and based on Pearl’s front-door criterion; this approach ensures consistent APC effect estimators in the presence of a complete set of intermediate variables between one of age, period, cohort, an…

  • Lifetime risk of pregnancy-related death among Zambian women

    Open Access•Richard Banda, Ingvild Fossgard Sandøy et al.•ARTICLE•Journal of Population Research•2016•Cited by: 1•References: 4

    The aim of this study was to examine district differentials in the lifetime risk of pregnancy-related death among females aged 15–49 in Zambia. We used data on household deaths collected in the 2010 census to estimate the lifetime risk of pregnancy-related death among females in Zambia. Using all-cause age-specific death rates, we generated female life tables for 74 districts and estimated person-years of exposure to all-cause mortality at each a…

  • The contribution of smoking to regional mortality differences in the Netherlands

    Open Access•Fanny Janssen, Alette Spriensma et al.•ARTICLE•Demographic Research•2012•Cited by: 1•References: 36

    Smoking is an important preventable determinant of morbidity and mortality. Knowledge about its role in regional mortality differences can help us to identify relevant policy areas, and to explain national mortality differences

  • Relation between trends in late middle age mortality and trends in old age mortality—is there evidence for mortality selection

    Fanny Janssen, A Peeters et al.•ARTICLE•Journal of Epidemiology and…•2005•Cited by: 7•References: 28

    Study objective: To test whether mortality selection was a dominant factor in determining trends in old age mortality, by empirically studying the existence of a negative correlation between trends in late middle age mortality and trends in old age mortality among the same cohorts. Design and methods: A cohort approach was applied to period data on total and cause specific mortality for Denmark, England and Wales, Finland, France, the Netherlands…

  • Association between gross domestic product throughout the life course and old-age mortality across birth cohorts

    Open Access•Fanny Janssen, Anton E Kunst et al.•ARTICLE•Social Science & Medicine•2006•Cited by: 4•References: 3

  • Variations in the pace of old-age mortality decline in seven European countries, 1950–1999

    Open Access•Fanny Janssen, Anton E Kunst et al.•ARTICLE•European Journal of Population /…•2007•Cited by: 11•References: 38

  • The choice among past trends as a basis for the prediction of future trends in old-age mortality

    Fanny Janssen, Anton E Kunst et al.•ARTICLE•Population Studies•2007•Cited by: 10•References: 30

    We explored the extent to which projections of future old-age mortality trends differ when different projection bases are used. For seven European countries, four alternative sets of annual rates of mortality change were estimated with age-period log-linear regression models, and subsequently applied to age-specific all-cause mortality rates (80+) in 1999 to predict mortality levels up to 2050. On average, up to 2050, e80 is predicted to increase…

  • Fertility Among Hiv-Infected Indian Women

    Open Access•Shrinivas Darak, Fanny Janssen et al.•ARTICLE•Journal of Biosocial Science•2011

    In India, nearly one million women of childbearing age are infected with HIV. This study sought to examine the biological effect of HIV on the fertility of HIV-infected Indian women. This is relevant for the provision of pregnancy-related counselling and care to the infected women, and for estimating the HIV prevalence among women and children. The study used retrospectively collected data from the National Family Health Survey (2005–2006) and ap…

  • The decline in ischaemic heart disease mortality in seven European countries

    Masoud Amiri, Fanny Janssen et al.•ARTICLE•Journal of Epidemiology and…•2011•Cited by: 2•References: 33

    BACKGROUND: To assess the implication of a possible continuation of the decline in ischaemic heart disease (IHD) mortality in the future. METHODS: Annual rates of decline in IHD mortality from 1980-2005 were determined for the national populations of the Netherlands, UK, France and four Nordic countries through regression analysis and used to extrapolate mortality rates until 2030. Through cause-elimination life tables we determined the impact of…

  • The contribution of smoking to regional mortality differences in the Netherlands

    Open Access•Fanny Janssen, Alette Spriensma et al.•ARTICLE•Demographic Research•2012•Cited by: 1•References: 36

    Smoking is an important preventable determinant of morbidity and mortality. Knowledge about its role in regional mortality differences can help us to identify relevant policy areas, and to explain national mortality differences

  • Including the Smoking Epidemic in Internationally Coherent Mortality Projections

    Open Access•Fanny Janssen, L J G Van Wissen et al.•ARTICLE•Demography•2013•Cited by: 11•References: 34

    We present a new mortality projection methodology that distinguishes smoking- and non-smoking-related mortality and takes into account mortality trends of the opposite sex and in other countries. We evaluate to what extent future projections of life expectancy at birth (e0) for the Netherlands up to 2040 are affected by the application of these components. All-cause mortality and non-smoking-related mortality for the years 1970–2006 are projected…

  • Distortion of regional old-age mortality due to late-life migration in the Netherlands

    Open Access•Eva Kibele, Fanny Janssen•ARTICLE•Demographic Research•2013•Cited by: 3•References: 23

    Regional mortality differences are an important public health indicator and can serve as the basis for population forecasts and local planning. Health-related migration at old age may distort observed regional mortality

  • Impact of different mortality forecasting methods and explicit assumptions on projected future life expectancy

    Open Access•Lenny Stoeldraijer, Coen Van Duin et al.•ARTICLE•Demographic Research•2013•Cited by: 10•References: 34

    With the rapid aging of the population, mortality forecasting becomes increasingly important, especially for the insurance and pension industries. However, a wide variety of projection methods are in use, both between and within countries, that produce dif

  • A Novel Time Series Approach to Bridge Coding Changes with a Consistent Solution Across Causes of Death

    Open Access•Ronald H M van der Stegen, L G H Koren et al.•ARTICLE•European Journal of Population /…•2014•Cited by: 3•References: 11

    Revisions of the International Classification of Diseases (ICD) can lead to biases in cause-specific mortality levels and trends. We propose a novel time series approach to bridge ICD coding changes which provides a consistent solution across causes of death. Using a state space model with interventions, we performed time series analysis to cause-proportional mortality for ICD9 and ICD10 in the Netherlands (1979-2010), Canada (1979-2007) and Ital…

  • High prevalence of unwanted pregnancies and induced abortions among HIV-infected women from Western India

    Shrinivas Darak, Inge Hutter et al.•ARTICLE•AIDS Care•2016

    This study examines the prevalence, reasons, and predictors of unwanted pregnancies and induced abortions among ever married HIV-infected women attending a care facility in Maharashtra, Western India, and discusses its programmatic and policy implications. Retrospectively collected data of pregnancies conceived after the diagnosis of HIV were analyzed using descriptive and logistic regression techniques. Among the 622 women interviewed, 113 women…

  • The effect of adherence to statin therapy on cardiovascular mortality

    Open Access•Maarten J Bijlsma, Stijn Vansteelandt et al.•ARTICLE•BMC Public Health•2016

    Falsification end-points helped detect overadjustment bias or bias due to competing risks, and thereby proved to be a useful technique in such a complex setting

  • Lifetime risk of pregnancy-related death among Zambian women

    Open Access•Richard Banda, Ingvild Fossgard Sandøy et al.•ARTICLE•Journal of Population Research•2016•Cited by: 1•References: 4

    The aim of this study was to examine district differentials in the lifetime risk of pregnancy-related death among females aged 15–49 in Zambia. We used data on household deaths collected in the 2010 census to estimate the lifetime risk of pregnancy-related death among females in Zambia. Using all-cause age-specific death rates, we generated female life tables for 74 districts and estimated person-years of exposure to all-cause mortality at each a…

  • Sigma and beta convergence in regional mortality

    Open Access•Fanny Janssen, Anthe Van Den Hende et al.•ARTICLE•Demographic Research•2016•Cited by: 7•References: 38

    For allocation of health budgets it is important to know whether regional mortality differences tend to decline or to increase. Sigma convergence tests can measure whether the dispersion of the regional distribution of mortality has declined. Beta converge

  • An Assessment and Extension of the Mechanism-Based Approach to the Identification of Age-Period-Cohort Models

    Open Access•Maarten J Bijlsma, Rhian M Daniel et al.•ARTICLE•Demography•2017•Cited by: 1•References: 33

    Many methods have been proposed to solve the age-period-cohort (APC) linear identification problem, but most are not theoretically informed and may lead to biased estimators of APC effects. One exception is the mechanism-based approach recently proposed and based on Pearl’s front-door criterion; this approach ensures consistent APC effect estimators in the presence of a complete set of intermediate variables between one of age, period, cohort, an…

  • Impact of Different Estimation Methods on Obesity-Attributable Mortality Levels and Trends

    Open Access•Nikoletta Vidra, Maarten J Bijlsma et al.•ARTICLE•International Journal of…•2018

    The available methodologies to estimate the obesity-attributable mortality fraction (OAMF) affect the levels found and hamper the construction of time series. Our aim was to assess the impact of using different techniques to estimate the levels and the trends in obesity-attributable mortality for The Netherlands between 1981 to 2013. Using Body Mass Index (BMI), all-cause and cause-specific mortality data, and worldwide and European relative risk…

  • Comparison of Population Aging in Europe and Asia Using a Time-Consistent and Comparative Aging Measure

    Open Access•Arun Balachandran, Joop De Beer et al.•ARTICLE•Journal of Aging and Health•2019•Cited by: 3•References: 2

    Objective: We compare population aging in Europe and Asia using a measure that is both consistent over time and appropriate for cross-country comparison. Method: Sanderson and Scherbov proposed to estimate the old-age threshold by the age at which the remaining life expectancy (RLE) equals 15 years. We propose an adjustment of this measure, taking into account cross-national differences in the exceptionality of reaching that age. Results: Our old…

  • Past and Future Alcohol-Attributable Mortality in Europe

    Open Access•Fanny Janssen, Shady El Gewily et al.•ARTICLE•International Journal of…•2020

    Although alcohol consumption is an important public health issue in Europe, estimates of future alcohol-attributable mortality for European countries are rare, and only apply to the short-term future. We project (age-specific) alcohol-attributable mortality up to 2060 in 26 European countries, after a careful assessment of past trends. For this purpose we used population-level country-, sex-, age- (20-84) and year-specific (1990-2016) alcohol-att…

  • Progression of the smoking epidemic in high-income regions and its effects on male-female survival differences

    Open Access•Maarten J Wensink, Jacqueline Aparicio Álvarez et al.•ARTICLE•BMC Public Health•2020

    Background Of all lifestyle behaviours, smoking caused the most deaths in the last century. Because of the time lag between the act of smoking and dying from smoking, and because males generally take up smoking before females do, male and female smoking epidemiology often follows a typical double wave pattern dubbed the ‘smoking epidemic’. How are male and female deaths from this epidemic differentially progressing in high-income regions on a coh…

  • Smoking epidemic in Europe in the 21st century

    Open Access•Fanny Janssen, Shady El Gewily et al.•ARTICLE•Tobacco Control•2020

    Our novel forecasting method enabled realistic estimates of the mortality imprint of the smoking epidemic in Europe up to 2100. The high peak values in smoking-attributable mortality projected for women warrant attention

  • The Short-Term Effects of European Integration on Mortality Convergence

    Open Access•Rok Hrzic, Tobias Vogt et al.•ARTICLE•European Journal of Population /…•2021•Cited by: 3•References: 61

    Although European integration can be expected to result in mortality convergence (reduced mortality differences), a life expectancy divide persists in the European Union (EU) between the old Member States (OMS) in the west and the new Member States (NMS) in the east. Studies investigating the impact of European integration on mortality convergence are rare and did not consider regional differences. We examine the short-term effects of the 2004 en…

  • Can changes in education alter future population ageing in Asia and Europe

    Open Access•Arun Balachandran, K S James et al.•ARTICLE•Journal of Biosocial Science•2022

    While population ageing is rising, the educational composition of the elderly remains rather heterogeneous. This study assesses the educational differences in future population ageing in Asia and Europe, and how future population ageing in Asia and Europe would change if the educational composition of its populations changed. A comparative population ageing measure (the Comparative Prospective Old-Age Threshold [CPOAT]) was used, which recalculat…

  • The association of unhealthy and healthy food store accessibility with obesity prevalence among adults in the Netherlands

    Open Access•Benjamin Aretz, Rafael Everton Assunção Ribeiro da Costa et al.•ARTICLE•SSM - Population Health•2022

    Public policies addressing obesity might be more effective when reducing the presence of unhealthy food rather than expanding healthy food supply. Moreover, they should focus on urban regions and high obesity clusters, thereby considering wider food surroundings

  • The progression of the tobacco epidemic in India on the national and regional level, 1998-2016

    Open Access•Rufi Shaikh, Fanny Janssen et al.•ARTICLE•BMC Public Health•2022

    Our results suggest that India and the majority of its states experienced a 'compressed tobacco epidemic' in which the prevalence of tobacco consumption increased and decreased simultaneously for women and men over a comparatively short period of time. Despite the overall progress India made in reducing tobacco use, further lowering tobacco consumption remains a public health priority, as the prevalence of smoking and/or smokeless tobacco use rem…

Demography (31 works) · Medicine (27 works) · Health disparities and outcomes (25 works) · Global Health Care Issues (19 works) · Population (19 works) · Sociology (19 works) · Geography (18 works) · Demography (16 works) · Insurance, Mortality, Demography, Risk Management (15 works) · Environmental health (14 works)

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