Do socioeconomic inequalities in mortality vary between different Spanish cities? a pooled cross-sectional analysis
| Autor: | Ana Gandarillas, Marc Marí-Dell'Olmo, Imanol Montoya, Joaquín Moncho, Antonio Daponte, Paloma Botella-Rocamora, Miguel A. Martinez-Beneito, Margarita Taracido, Carmen Martos, Carme Borrell, Oscar Zurriaga, Pablo Sánchez-Villegas, M. Felicitas Domínguez-Berjón, Andreu Nolasco |
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| Přispěvatelé: | Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina, [Martinez-Beneito,MA, Zurriaga,O, Martos,C] Centro Superior de Investigación en Salud Pública, Valencia, Spain. [Martinez-Beneito,MA, Marí-Dell'Olmo,M, Daponte,A, Martos,C, Sánchez-Villegas,P, Taracido,M, Borrell,C] Ciber de Epidemiología y Salud Pública-CIBERESP, Instituto de Salud Carlos III, Madrid, Spain. [Zurriaga,O] Dirección General de Salud Pública. Conselleria de Sanitat, Generalitat Valenciana, Valencia, Spain. [Botella-Rocamora,P] Departamento de Ciencias Físicas, Matemáticas y de la Computación, Universidad CEU-Cardenal Herrera, Alfara del Patriarca, Spain. [Marí-Dell'Olmo,M, Borrell,C] Agència de Salut Pública de Barcelona, Barcelona, Spain. [Marí-Dell'Olmo,M, Borrell,C] Institut de Recerca Biomèdica Sant Pau (IIB Sant Pau), Barcelona, Spain. [Nolasco,A, Moncho,J] Unidad de Investigación en 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, Spain. [Daponte,A, Sánchez-Villegas,P] Observatorio de Salud y Medio Ambiente de Andalucía (OSMAN). Escuela Andaluza de Salud Pública, Granada, Spain. [Domínguez-Berjón,MF, Gandarillas,A] Subdirección de Promoción de la Salud y Prevención. Dirección General de Atención Primaria, Consejería de Sanidad. Comunidad de Madrid, Madrid, Spain. [Montoya,I] Departamento de Sanidad del Gobierno Vasco, Vitoria-Gasteiz, Álava, Spain. [Taracido,M] Departamento de Medicina Preventiva y Salud Pública, Universidad de Santiago de Compostela, Santiago de Compostela, Spain. [Borrell,C] Universitat Pompeu Fabra, Barcelona, Spain., This article was partially funded by Ministerio de Economia y Competitividad via the research grant MTM2010-19528 (jointly financed with European Regional Development Fund), the FIS-FEDER projects: PI042013, PI040041,PI040170, PI040069, PI042602, PI040388, PI040489, PI042098, PI041260, PI040399, PI08/1488, PI08/0330 and by the CIBER Epidemiología y Salud Publica (CIBERESP), Spain., 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 |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Ciutats -- Espanya -- Estadístiques Deprivation Urban Population Cross-sectional study España Mortalitat -- Aspectes socials -- Espanya Estudios Transversales Psychosocial Deprivation Disease Breast cancer Publication Characteristics::Study Characteristics::Meta-Analysis [Medical Subject Headings] Epidemiology medicine Humans Cities Mortality Urban areas Geographicals::Geographic Locations::Europe::Spain [Medical Subject Headings] Pooled cross-sectional analysis business.industry Public health Public Health Environmental and Occupational Health Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Vital Statistics::Mortality [Medical Subject Headings] Factores Socioeconómicos Health Status Disparities medicine.disease Metanálisis Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings] Meta-analysis Cross-Sectional Studies Socioeconomic Factors Spain Relative risk Chronic Disease Mortalidad Female Enfermería Disciplines and Occupations::Social Sciences::Sociology::Socioeconomic Factors [Medical Subject Headings] Biostatistics business Research Article Demography |
| Zdroj: | BMC Public Health r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) r-FISABIO. Repositorio Institucional de Producción Científica instname Recercat. Dipósit de la Recerca de Catalunya Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela BMC PUBLIC HEALTH r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau RUA. Repositorio Institucional de la Universidad de Alicante Universidad de Alicante (UA) Minerva: Repositorio Institucional de la Universidad de Santiago de Compostela Universidad de Santiago de Compostela (USC) |
| ISSN: | 1471-2458 |
| Popis: | Background The relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship across several cities has ever been undertaken. Such an analysis would determine, if appropriate, a joint relationship by linking the associations found. Methods A pooled cross-sectional analysis of the data from the MEDEA project has been carried out for each of the causes of death studied. Specifically, a meta-analysis has been carried out to pool the relative risks in eleven Spanish cities. Different deprivation-mortality relationships across the cities are considered in the analysis (fixed and random effects models). The size of the cities is also considered as a possible factor explaining differences between cities. Results Twenty studies have been carried out for different combinations of sex and causes of death. For nine of them (men: prostate cancer, diabetes, mental illnesses, Alzheimer’s disease, cerebrovascular disease; women: diabetes, mental illnesses, respiratory diseases, cirrhosis) no differences were found between cities in the effect of deprivation on mortality; in four cases (men: respiratory diseases, all causes of mortality; women: breast cancer, Alzheimer’s disease) differences not associated with the size of the city have been determined; in two cases (men: cirrhosis; women: lung cancer) differences strictly linked to the size of the city have been determined, and in five cases (men: lung cancer, ischaemic heart disease; women: ischaemic heart disease, cerebrovascular diseases, all causes of mortality) both kinds of differences have been found. Except for lung cancer in women, every significant relationship between deprivation and mortality goes in the same direction: deprivation increases mortality. Variability in the relative risks across cities was found for general mortality for both sexes. Conclusions This study provides a general overview of the relationship between deprivation and mortality for a sample of large Spanish cities combined. This joint study allows the exploration of and, if appropriate, the quantification of the variability in that relationship for the set of cities considered. This article was partially funded by Ministerio de Economia y Competitividad via the research grant MTM2010-19528 (jointly financed with European Regional Development Fund), the FIS-FEDER projects: PI042013, PI040041, PI040170, PI040069, PI042602, PI040388, PI040489, PI042098, PI041260, PI040399, PI08/1488, PI08/0330 and by the CIBER Epidemiología y Salud Publica (CIBERESP), Spain SI |
| Databáze: | OpenAIRE |
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