Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996–2007 (MEDEA project)
| Autor: | Natividad Izco, Carme Borrell, Joaquín Moncho, Pamela Pereyra-Zamora, Miguel A. Martinez-Beneito, Marc Marí-Dell'Olmo, Oscar Zurriaga, Ana Gandarillas, Andreu Nolasco, Jose A. Quesada, María Felicitas Domínguez-Berjón, Mónica Ballesta, Carmen Martos, Mª Concepción Moreno, Mercè Gotsens, Inmaculada Melchor, Antonio Daponte, Marc Saez, Nayara Tamayo-Fonseca, Pablo Sánchez-Villegas |
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| Přispěvatelé: | [Nolasco,A, Moncho,J, Quesada,JA, Melchor,I, Pereyra-Zamora,P, Tamayo-Fonseca,N] Unidad de Investigación de Análisis de la Mortalidad y Estadísticas Sanitarias. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia. Universidad de Alicante, Alicante, España.[Melchor,I] Registro de Mortalidad de la Comunidad Valenciana, Servicio de Estudios Epidemiológicos y Estadísticas Sanitarias, Subdirección General de Epidemiología y Vigilancia de la Salud. Conselleria de Sanitat, Alicante, España. [Martínez-Beneito,MA, Zurriaga,O] Área de Desigualdades en Salud. FISABIO-CSISP, Conselleria de Sanitat, Valencia, España. [Zurriaga,O] Servicio de Estudios Epidemiológicos y Estadísticas Sanitarias, Subdirección General de Epidemiología y Vigilancia de la Salud. Conselleria de Sanitat, Valencia, España. [Martínez-Beneito,MA, Zurriaga,O, Marí-Dell’Olmo,M, Gotsens,M, Moreno,MC, Sáez,M, Martos,C, Borrell,C] Ciber de Epidemiología y Salud Pública CIBERESP, Instituto de Salud Carlos III, Madrid, España. [Ballesta,M] Department of Epidemiology, Regional Health Council, Murcia, Spain. [Daponte,A, Sánchez-Villegas,P] Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN). Escuela Andaluza de Salud Pública, Campus Universitario de Cartuja, Cuesta del Observatorio, Granada, España. [Gandarillas,A] Servicio de Epidemiología. Subdirección de Promoción de la Salud y Prevención. Dirección General de Atención Primaria, Consejería de Sanidad Comunidad de Madrid, Madrid, España. [Domínguez-Berjón,MF] Servicio de Informes de Salud y Estudios. Subdirección de Promoción de la Salud y Prevención. Dirección General de Atención Primaria, Consejería de Sanidad Comunidad de Madrid, Madrid, España. [Marí-Dell’Olmo,M, Borrell,C] Agència de Salut Pública de Barcelona, Barcelona, España. [Marí-Dell’Olmo,M, Gotsens,M] Institut d’Investigació Biomèdica, Barcelona, Spain. [Izco, N] Dirección General de Salud Pública y Consumo, Gobierno de La Rioja, Logroño, España. [Moreno,MC] Instituto de Salud Pública y Laboral de Navarra, Pamplona, Navarra, Spain. [Sáez,M] Grupo de Investigación en Estadística, Econometría y Salud (GRECS), [Research Group on Statistics, Econometrics and Health (GRECS)], Universidad de Girona. Girona, España. [ Martos,C] Instituto Aragonés de Ciencias de la Salud, Zaragoza, España., This work was partly supported by the FIS-FEDER projects PI080330, PI081713, PI081978, PI0463/2010, PI081017, PI081785, PI081058, PI080142, and the FUNDACIÓN CAJAMURCIA project FFIS/CM10/27, Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia |
| Rok vydání: | 2015 |
| Předmět: |
Male
Disciplines and Occupations::Social Sciences::Sociology::Social Class [Medical Subject Headings] Geographicals::Geographic Locations::Cities [Medical Subject Headings] Mortalitat -- Aspectes econòmics Clase Social España Mortalitat -- Espanya -- Estadístiques Poison control Ciudades Occupational safety and health Cause of Death Medicine Child Causes of death Mortality -- Economic aspects Preventable avoidable mortality Geographicals::Geographic Locations::Europe::Spain [Medical Subject Headings] education.field_of_study Inequalities in health Health Policy Censuses Moratality -- Spain -- Statistics Factores Socioeconómicos Middle Aged Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Self-Injurious Behavior::Suicide [Medical Subject Headings] Child Preschool Neoplasias Pulmonares symbols Female Enfermería Disciplines and Occupations::Social Sciences::Sociology::Socioeconomic Factors [Medical Subject Headings] Adult medicine.medical_specialty Adolescent Population Síndrome de Inmunodeficiencia Adquirida Diseases::Neoplasms::Neoplasms by Site::Thoracic Neoplasms::Respiratory Tract Neoplasms::Lung Neoplasms [Medical Subject Headings] Young Adult symbols.namesake Small area analysis Injury prevention Humans Diseases::Immune System Diseases::Immunologic Deficiency Syndromes::HIV Infections::Acquired Immunodeficiency Syndrome [Medical Subject Headings] Suicidio Poisson regression Cities Mortality Sex Distribution education Socioeconomic status Health policy Aged business.industry Research Public health Urban Health Public Health Environmental and Occupational Health Infant Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Mortality [Medical Subject Headings] Health Status Disparities Accidentes de Tránsito Health Care::Environment and Public Health::Public Health::Accidents::Accidents Traffic [Medical Subject Headings] Socioeconomic Factors Spain Mortalidad business Demography |
| Zdroj: | International Journal for Equity in Health, 2015, vol. 14, art.núm. 33 Articles publicats (D-EC) DUGiDocs – Universitat de Girona instname RUA. Repositorio Institucional de la Universidad de Alicante Universidad de Alicante (UA) International Journal for Equity in Health |
| ISSN: | 1475-9276 |
| Popis: | Background Preventable mortality is a good indicator of possible problems to be investigated in the primary prevention chain, making it also a useful tool with which to evaluate health policies particularly public health policies. This study describes inequalities in preventable avoidable mortality in relation to socioeconomic status in small urban areas of thirty three Spanish cities, and analyses their evolution over the course of the periods 1996–2001 and 2002–2007. Methods We analysed census tracts and all deaths occurring in the population residing in these cities from 1996 to 2007 were taken into account. The causes included in the study were lung cancer, cirrhosis, AIDS/HIV, motor vehicle traffic accidents injuries, suicide and homicide. The census tracts were classified into three groups, according their socioeconomic level. To analyse inequalities in mortality risks between the highest and lowest socioeconomic levels and over different periods, for each city and separating by sex, Poisson regression were used. Results Preventable avoidable mortality made a significant contribution to general mortality (around 7.5%, higher among men), having decreased over time in men (12.7 in 1996–2001 and 10.9 in 2002–2007), though not so clearly among women (3.3% in 1996–2001 and 2.9% in 2002–2007). It has been observed in men that the risks of death are higher in areas of greater deprivation, and that these excesses have not modified over time. The result in women is different and differences in mortality risks by socioeconomic level could not be established in many cities. Conclusions Preventable mortality decreased between the 1996–2001 and 2002–2007 periods, more markedly in men than in women. There were socioeconomic inequalities in mortality in most cities analysed, associating a higher risk of death with higher levels of deprivation. Inequalities have remained over the two periods analysed. This study makes it possible to identify those areas where excess preventable mortality was associated with more deprived zones. It is in these deprived zones where actions to reduce and monitor health inequalities should be put into place. Primary healthcare may play an important role in this process This work was partly supported by the FIS-FEDER projects PI080330, PI081713, PI081978, PI0463/2010, PI081017, PI081785, PI081058, PI080142, and the FUNDACIÓN CAJAMURCIA project FFIS/CM10/27 |
| Databáze: | OpenAIRE |
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