Inequalities in mortality in small areas of eleven Spanish cities (the multicenter MEDEA project)
| Autor: | María Felícitas Domínguez-Berjón, Rebeca Ramis, Berta Ibáñez, Rosa Puigpinos-Riera, Javier García-Pérez, Miguel A. Martinez-Beneito, Merce Gotsens, Andreu Nolasco, Carme Borrell, Koldo Cambra, José Miguel Martínez Martínez |
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| Rok vydání: | 2010 |
| Předmět: |
Employment
Male Health (social science) Inequality Cross-sectional study media_common.quotation_subject Geography Planning and Development Age Distribution International Classification of Diseases Residence Characteristics Cause of Death Poverty Areas Humans Registries Mortality Sex Distribution Socioeconomic status Small-Area Analysis media_common Cause of death Analysis of Variance Principal Component Analysis Urban Health Public Health Environmental and Occupational Health Ecological study Health Status Disparities Census Cross-Sectional Studies Geography Socioeconomic Factors Spain Population Surveillance Educational Status Regression Analysis Female Geographical inequalities Demography |
| Zdroj: | Health & Place. 16:703-711 |
| ISSN: | 1353-8292 |
| Popis: | The objectives of this study are to identify inequalities in mortality among census tracts of 11 Spanish cities in the period 1996-2003 and to analyse the relationship between these geographical inequalities and socioeconomic deprivation. It is a cross-sectional ecological study where the units of analysis are census tracts. We obtained an index of socioeconomic deprivation and estimated SMR by each census tract using hierarchical Bayesian models which take into account the spatial structure. In the majority of the cities geographical patterns in total mortality were found in both sexes, which were similar to those for the index of socioeconomic deprivation. Among men, four specific causes of death (lung cancer, ischemic heart diseases, respiratory diseases and cirrhosis) were positively associated with deprivation in the majority of cities. Among women the specific causes diabetes and cirrhosis were positively associated, while lung cancer was negatively associated with deprivation. The excess of mortality related with deprivation was 59,445 deaths among men and 23,292 among women. These results highlight the importance of intra-urban inequalities in health. |
| Databáze: | OpenAIRE |
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