Caspar W N Looman
Biographic Data
| ID | 3581371 |
|---|---|
| NAME | Caspar W N Looman |
| GIVEN NAMES | Caspar W N |
| FAMILY NAME | Looman |
| SIGNATURE | LOOMAN C W N |
| AFFILIATIONS | Erasmus MC |
| VERIFIED | No |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 152 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2019 |
| H-INDEX | 9 |
Women’s excess unhealthy life years
BACKGROUND: Compared to men, women live longer but have more years with disability. We assessed the contribution of gender differences in mortality and disability, total and by cause, to women's excess unhealthy life years (ULYs). METHODS: We used mortality data for France 2008 from Eurostat, causes of death from the CépiDc-INSERM-database; and disability and chronic conditions data from the French Disability Health Survey 2008-09. ULYs were calc…
Fundamental causes’ of inequalities in mortality
The ‘fundamental causes’ theory stipulates that when new opportunities for lowering mortality arise, higher socioeconomic groups will benefit more because of their greater material and non‐material resources. We tested this theory using harmonised mortality data by educational level for 22 causes of death and 20 European populations from the period 1980–2010. Across all causes and populations, mortality on average declined by 2.49 per cent (95% C…
Changes in mortality inequalities over two decades
OBJECTIVE: To determine whether government efforts in reducing inequalities in health in European countries have actually made a difference to mortality inequalities by socioeconomic group. DESIGN: Register based study. DATA SOURCE: Mortality data by level of education and occupational class in the period 1990-2010, usually collected in a census linked longitudinal study design. We compared changes in mortality between the lowest and highest soci…
Reaching the poor with health interventions
BACKGROUND: Efforts to end preventable newborn deaths will fail if the poor are not reached with effective interventions. To understand what works to reach vulnerable groups, we describe and explain the uptake of a highly effective community-based newborn health intervention across social strata in Asia and Africa. METHODS: We conducted a secondary analysis of seven randomised trials of participatory women's groups to reduce newborn mortality in …
Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010
BACKGROUND: Between the 1990s and 2000s, relative inequalities in all-cause mortality increased, whereas absolute inequalities decreased in many European countries. Whether similar trends can be observed for inequalities in other health outcomes is unknown. This paper aims to provide a comprehensive overview of trends in socioeconomic inequalities in self-assessed health (SAH) in Europe between 1990 and 2010. METHODS: Data were obtained from nati…
Promotion of a healthy lifestyle among 5-year-old overweight children
Current Controlled Trials ISRCTN04965410
The rise of mortality from mental and neurological diseases in Europe, 1979–2009
Although trends in mortality from dementias have probably been affected by changes in cause-of-death classification, the high level of mortality from these conditions in a number of vanguard countries suggests that it is now among the most frequent causes of death in high-income countries. Recognition of dementias as a cause of death, and/or refraining from life-saving treatment for patients with dementia, appear to be strongly dependent on cultu…
Educational Disparities in the Burden of Disability
Objectives. We assessed the contributions of the prevalence and disabling impact of specific diseases to educational disparities in the prevalence of disability. Methods. We examined a large representative survey of the Dutch population, the Dutch Permanent Survey of Living Conditions (2001–2007; n = 24 883; ages 40–97 years). We attributed the prevalence of disability to chronic diseases by using their empirical associations and assuming indepen…
Assessing the potential impact of increased participation in higher education on mortality
Social-Cognitive and Socio-Cultural Predictors of Hepatitis B Virus-Screening in Turkish Migrants, the Netherlands
Using ‘amenable mortality’ as indicator of healthcare effectiveness in international comparisons
BACKGROUND AND STUDY AIMS: There is widespread consensus on the need for better indicators of the effectiveness of healthcare. We carried out an analysis of the validity of amenable mortality as an indicator of the effectiveness of healthcare, focusing on the potential use in routine surveillance systems of between-country variations in rates of mortality. We assessed whether the introduction of specific healthcare innovations coincided with decl…
Democratization and life expectancy in Europe, 1960–2008
Health-related quality of life of infants from ethnic minority groups
Parent-reported health-related quality of life is lower in infants from ethnic minority groups compared to native Dutch infants, which could partly be explained by infant health and by family characteristics
Income inequalities in case death of ischaemic heart disease in the Netherlands
BACKGROUND: Socioeconomic inequalities in ischaemic heart disease (IHD) mortality have been found in most European countries, but it is unclear to what extent inequalities in survival, as opposed to incidence, contribute to these inequalities in mortality. The author studied income-related inequalities in short-term and long-term case death after first hospitalisation with acute myocardial infarction (AMI) and chronic ischaemic heart disease (CIH…
Promoting STI testing among senior vocational students in Rotterdam, the Netherlands
Despite a low dose of intervention that was received by the students and a high attrition, we were able to show an intervention effect among sexually experienced students on STI testing. This study confirmed our hypothesis that offering health education to vocational students in combination with sexual health services at school sites is more effective in enhancing STI testing than offering services or education only
The shape of the relationship between income and self-assessed health
BACKGROUND: The relationship between income and health is usually thought to be curvilinear, but previous studies have yielded inconsistent results. We therefore examined the shape of the relationship between household equivalent income and self-assessed health in seven European countries. METHODS: Data were obtained from nationally representative health, level of living, or similar surveys in Belgium, Denmark, England, Finland, France, The Nethe…
The impact of a national mass media campaign in The Netherlands on the prevention of weight gain
Objective A 5-year nationwide mass media campaign aimed at prevention of overweight was organised from 2002 onwards. The present study evaluates the first campaign, which was aimed primarily at increasing awareness of weight gain. Design and subjects Data were collected by telephone interview in four independent cross-sectional surveys among non-obese Dutch adults aged 25–35 years (total n = 1949) for statistical analyses. Awareness of personal b…
Cost effectiveness of statins in coronary heart disease
Introduction: Statin therapy reduces the rate of coronary heart disease, but high costs in combination with a large population eligible for treatment ask for priority setting. Although trials agree on the size of the benefit, economic analyses of statins report contradictory results. This article reviewed cost effectiveness analyses of statins and sought to synthesise cost effectiveness ratios for categories of risk of coronary heart disease and …
The Contribution of Specific Diseases to Educational Disparities in Disability-Free Life Expectancy
Objectives. We examined the contribution that specific diseases, as causes of both death and disability, make to educational disparities in disability-free life expectancy (DFLE). Methods. We used disability data from the Belgian Health Interview Survey (1997) and mortality data from the National Mortality Follow-Up Study (1991–1996) to assess education-related disparities in DFLE and to partition these differences into additive contributions of …
Decomposition of differences in health expectancy by cause
Health expectancy is a widely used measure for monitoring trends in the health of a population and assessing differences in health among population groups. However, no decomposition method is available to examine the contribution made by causes of death and disability to differences in health expectancy among population groups or periods. We present a method for decomposing differences in health expectancy, based on the Sullivan method. This meth…
Role of childhood health in the explanation of socioeconomic inequalities in early adult health
STUDY OBJECTIVE: To examine the contribution of childhood health to the explanation of socioeconomic inequalities in health in early adult life. DESIGN: Retrospective data were used, which were obtained from a postal survey in the baseline of a prospective cohort study (the Longitudinal Study on Socio-Economic Health Differences in the Netherlands). Adult socioeconomic status was indicated by educational level, while health was indicated by perce…
The importance of psychosocial stressors for socio-economic inequalities in perceived health
Prevalence of smoking in physicians and medical students, and the generation effect in the Netherlands
Are regional mortality patterns in the Netherlands culturally determined
Geographical mortality variation within the Netherlands is dominated by a contiguous area of high mortality in the southeast. This pattern originated from the 19th century. In this analysis, it was examined whether this pattern is related to cultural and/or to socio-economic factors. In a multiple regression analysis, percentage of Roman-catholics, income level and degree of urbanization were related to geographical mortality differences in 1950-…
Cultural and economic determinants of geographical mortality patterns in The Netherlands
STUDY OBJECTIVE--The geographical pattern of mortality in The Netherlands is dominated by an area of relatively high mortality in the southern part of the country. The aim was to analyse the background of this geographical mortality pattern in the early 1980s, and its evolution over time since the early 1950s. DESIGN--Mortality data by district (n = 39), cause of death (13 large causes, "symptoms and ill defined conditions", all other causes), an…
Democratization and life expectancy in Europe, 1960–2008
The importance of psychosocial stressors for socio-economic inequalities in perceived health
Decomposition of differences in health expectancy by cause
Health expectancy is a widely used measure for monitoring trends in the health of a population and assessing differences in health among population groups. However, no decomposition method is available to examine the contribution made by causes of death and disability to differences in health expectancy among population groups or periods. We present a method for decomposing differences in health expectancy, based on the Sullivan method. This meth…
Post-1950 mortality trends and medical care
Trends in socioeconomic inequalities in self-assessed health in 17 European countries between 1990 and 2010
BACKGROUND: Between the 1990s and 2000s, relative inequalities in all-cause mortality increased, whereas absolute inequalities decreased in many European countries. Whether similar trends can be observed for inequalities in other health outcomes is unknown. This paper aims to provide a comprehensive overview of trends in socioeconomic inequalities in self-assessed health (SAH) in Europe between 1990 and 2010. METHODS: Data were obtained from nati…
Role of childhood health in the explanation of socioeconomic inequalities in early adult health
STUDY OBJECTIVE: To examine the contribution of childhood health to the explanation of socioeconomic inequalities in health in early adult life. DESIGN: Retrospective data were used, which were obtained from a postal survey in the baseline of a prospective cohort study (the Longitudinal Study on Socio-Economic Health Differences in the Netherlands). Adult socioeconomic status was indicated by educational level, while health was indicated by perce…
The Contribution of Specific Diseases to Educational Disparities in Disability-Free Life Expectancy
Objectives. We examined the contribution that specific diseases, as causes of both death and disability, make to educational disparities in disability-free life expectancy (DFLE). Methods. We used disability data from the Belgian Health Interview Survey (1997) and mortality data from the National Mortality Follow-Up Study (1991–1996) to assess education-related disparities in DFLE and to partition these differences into additive contributions of …
Fundamental causes’ of inequalities in mortality
The ‘fundamental causes’ theory stipulates that when new opportunities for lowering mortality arise, higher socioeconomic groups will benefit more because of their greater material and non‐material resources. We tested this theory using harmonised mortality data by educational level for 22 causes of death and 20 European populations from the period 1980–2010. Across all causes and populations, mortality on average declined by 2.49 per cent (95% C…
Geographic variation in the onset of decline of male ischemic heart disease mortality in The Netherlands
We studied variation in the year of onset of ischemic heart disease mortality decline among regions (n = 39) in the Netherlands. Using loglinear regression methods, a quadratic regression model was fitted to the observed numbers of male deaths in each region in the period 1950-84, controlling for changes in age-structure of populations. The quadratic regression model proved inadequate to describe the mortality experience of females. For the count…
Cultural and economic determinants of geographical mortality patterns in The Netherlands
STUDY OBJECTIVE--The geographical pattern of mortality in The Netherlands is dominated by an area of relatively high mortality in the southern part of the country. The aim was to analyse the background of this geographical mortality pattern in the early 1980s, and its evolution over time since the early 1950s. DESIGN--Mortality data by district (n = 39), cause of death (13 large causes, "symptoms and ill defined conditions", all other causes), an…
Medical care and regional mortality differences within the countries of the European community
Assessing the potential impact of increased participation in higher education on mortality
Educational Disparities in the Burden of Disability
Objectives. We assessed the contributions of the prevalence and disabling impact of specific diseases to educational disparities in the prevalence of disability. Methods. We examined a large representative survey of the Dutch population, the Dutch Permanent Survey of Living Conditions (2001–2007; n = 24 883; ages 40–97 years). We attributed the prevalence of disability to chronic diseases by using their empirical associations and assuming indepen…
Using ‘amenable mortality’ as indicator of healthcare effectiveness in international comparisons
BACKGROUND AND STUDY AIMS: There is widespread consensus on the need for better indicators of the effectiveness of healthcare. We carried out an analysis of the validity of amenable mortality as an indicator of the effectiveness of healthcare, focusing on the potential use in routine surveillance systems of between-country variations in rates of mortality. We assessed whether the introduction of specific healthcare innovations coincided with decl…
Reaching the poor with health interventions
BACKGROUND: Efforts to end preventable newborn deaths will fail if the poor are not reached with effective interventions. To understand what works to reach vulnerable groups, we describe and explain the uptake of a highly effective community-based newborn health intervention across social strata in Asia and Africa. METHODS: We conducted a secondary analysis of seven randomised trials of participatory women's groups to reduce newborn mortality in …
Cost effectiveness of statins in coronary heart disease
Introduction: Statin therapy reduces the rate of coronary heart disease, but high costs in combination with a large population eligible for treatment ask for priority setting. Although trials agree on the size of the benefit, economic analyses of statins report contradictory results. This article reviewed cost effectiveness analyses of statins and sought to synthesise cost effectiveness ratios for categories of risk of coronary heart disease and …
Medical care and regional mortality differences within the countries of the European community
Post-1950 mortality trends and medical care
Geographic variation in the onset of decline of male ischemic heart disease mortality in The Netherlands
We studied variation in the year of onset of ischemic heart disease mortality decline among regions (n = 39) in the Netherlands. Using loglinear regression methods, a quadratic regression model was fitted to the observed numbers of male deaths in each region in the period 1950-84, controlling for changes in age-structure of populations. The quadratic regression model proved inadequate to describe the mortality experience of females. For the count…
Are regional mortality patterns in the Netherlands culturally determined
Geographical mortality variation within the Netherlands is dominated by a contiguous area of high mortality in the southeast. This pattern originated from the 19th century. In this analysis, it was examined whether this pattern is related to cultural and/or to socio-economic factors. In a multiple regression analysis, percentage of Roman-catholics, income level and degree of urbanization were related to geographical mortality differences in 1950-…
Cultural and economic determinants of geographical mortality patterns in The Netherlands
STUDY OBJECTIVE--The geographical pattern of mortality in The Netherlands is dominated by an area of relatively high mortality in the southern part of the country. The aim was to analyse the background of this geographical mortality pattern in the early 1980s, and its evolution over time since the early 1950s. DESIGN--Mortality data by district (n = 39), cause of death (13 large causes, "symptoms and ill defined conditions", all other causes), an…
Prevalence of smoking in physicians and medical students, and the generation effect in the Netherlands
Role of childhood health in the explanation of socioeconomic inequalities in early adult health
STUDY OBJECTIVE: To examine the contribution of childhood health to the explanation of socioeconomic inequalities in health in early adult life. DESIGN: Retrospective data were used, which were obtained from a postal survey in the baseline of a prospective cohort study (the Longitudinal Study on Socio-Economic Health Differences in the Netherlands). Adult socioeconomic status was indicated by educational level, while health was indicated by perce…
The importance of psychosocial stressors for socio-economic inequalities in perceived health
Decomposition of differences in health expectancy by cause
Health expectancy is a widely used measure for monitoring trends in the health of a population and assessing differences in health among population groups. However, no decomposition method is available to examine the contribution made by causes of death and disability to differences in health expectancy among population groups or periods. We present a method for decomposing differences in health expectancy, based on the Sullivan method. This meth…
The shape of the relationship between income and self-assessed health
BACKGROUND: The relationship between income and health is usually thought to be curvilinear, but previous studies have yielded inconsistent results. We therefore examined the shape of the relationship between household equivalent income and self-assessed health in seven European countries. METHODS: Data were obtained from nationally representative health, level of living, or similar surveys in Belgium, Denmark, England, Finland, France, The Nethe…
The impact of a national mass media campaign in The Netherlands on the prevention of weight gain
Objective A 5-year nationwide mass media campaign aimed at prevention of overweight was organised from 2002 onwards. The present study evaluates the first campaign, which was aimed primarily at increasing awareness of weight gain. Design and subjects Data were collected by telephone interview in four independent cross-sectional surveys among non-obese Dutch adults aged 25–35 years (total n = 1949) for statistical analyses. Awareness of personal b…
Cost effectiveness of statins in coronary heart disease
Introduction: Statin therapy reduces the rate of coronary heart disease, but high costs in combination with a large population eligible for treatment ask for priority setting. Although trials agree on the size of the benefit, economic analyses of statins report contradictory results. This article reviewed cost effectiveness analyses of statins and sought to synthesise cost effectiveness ratios for categories of risk of coronary heart disease and …
The Contribution of Specific Diseases to Educational Disparities in Disability-Free Life Expectancy
Objectives. We examined the contribution that specific diseases, as causes of both death and disability, make to educational disparities in disability-free life expectancy (DFLE). Methods. We used disability data from the Belgian Health Interview Survey (1997) and mortality data from the National Mortality Follow-Up Study (1991–1996) to assess education-related disparities in DFLE and to partition these differences into additive contributions of …
Promoting STI testing among senior vocational students in Rotterdam, the Netherlands
Despite a low dose of intervention that was received by the students and a high attrition, we were able to show an intervention effect among sexually experienced students on STI testing. This study confirmed our hypothesis that offering health education to vocational students in combination with sexual health services at school sites is more effective in enhancing STI testing than offering services or education only
Health-related quality of life of infants from ethnic minority groups
Parent-reported health-related quality of life is lower in infants from ethnic minority groups compared to native Dutch infants, which could partly be explained by infant health and by family characteristics
Income inequalities in case death of ischaemic heart disease in the Netherlands
BACKGROUND: Socioeconomic inequalities in ischaemic heart disease (IHD) mortality have been found in most European countries, but it is unclear to what extent inequalities in survival, as opposed to incidence, contribute to these inequalities in mortality. The author studied income-related inequalities in short-term and long-term case death after first hospitalisation with acute myocardial infarction (AMI) and chronic ischaemic heart disease (CIH…
Social-Cognitive and Socio-Cultural Predictors of Hepatitis B Virus-Screening in Turkish Migrants, the Netherlands
Using ‘amenable mortality’ as indicator of healthcare effectiveness in international comparisons
BACKGROUND AND STUDY AIMS: There is widespread consensus on the need for better indicators of the effectiveness of healthcare. We carried out an analysis of the validity of amenable mortality as an indicator of the effectiveness of healthcare, focusing on the potential use in routine surveillance systems of between-country variations in rates of mortality. We assessed whether the introduction of specific healthcare innovations coincided with decl…
Democratization and life expectancy in Europe, 1960–2008
Promotion of a healthy lifestyle among 5-year-old overweight children
Current Controlled Trials ISRCTN04965410
The rise of mortality from mental and neurological diseases in Europe, 1979–2009
Although trends in mortality from dementias have probably been affected by changes in cause-of-death classification, the high level of mortality from these conditions in a number of vanguard countries suggests that it is now among the most frequent causes of death in high-income countries. Recognition of dementias as a cause of death, and/or refraining from life-saving treatment for patients with dementia, appear to be strongly dependent on cultu…
Educational Disparities in the Burden of Disability
Objectives. We assessed the contributions of the prevalence and disabling impact of specific diseases to educational disparities in the prevalence of disability. Methods. We examined a large representative survey of the Dutch population, the Dutch Permanent Survey of Living Conditions (2001–2007; n = 24 883; ages 40–97 years). We attributed the prevalence of disability to chronic diseases by using their empirical associations and assuming indepen…
Assessing the potential impact of increased participation in higher education on mortality
Changes in mortality inequalities over two decades
OBJECTIVE: To determine whether government efforts in reducing inequalities in health in European countries have actually made a difference to mortality inequalities by socioeconomic group. DESIGN: Register based study. DATA SOURCE: Mortality data by level of education and occupational class in the period 1990-2010, usually collected in a census linked longitudinal study design. We compared changes in mortality between the lowest and highest soci…
Reaching the poor with health interventions
BACKGROUND: Efforts to end preventable newborn deaths will fail if the poor are not reached with effective interventions. To understand what works to reach vulnerable groups, we describe and explain the uptake of a highly effective community-based newborn health intervention across social strata in Asia and Africa. METHODS: We conducted a secondary analysis of seven randomised trials of participatory women's groups to reduce newborn mortality in …
Medicine (24 works) · Population (24 works) · Demography (23 works) · Environmental health (20 works) · Health disparities and outcomes (18 works) · Gerontology (12 works) · Demography (11 works) · Mortality rate (11 works) · Global Health Care Issues (10 works) · Public health (9 works)