Effect of the Financial Crisis on Socioeconomic Inequalities in Mortality in Small Areas in Seven Spanish Cities
Por:
Gotsens, M, Ferrando, J, Mari-Dell'Olmo, M, Palencia, L, Bartoll, X, Gandarillas, A, Sanchez-Villegas, P, Esnaola, S, Daponte, A, Borrell, C
Publicada:
1 feb 2020
Resumen:
Background: The aim of this study was to analyze the trend in socioeconomic inequalities in mortality in small areas due to several specific causes before (2001-2004, 2005-2008) and during (2009-2012) the economic crisis in seven Spanish cities. Methods: This ecological study of trends, with census tracts as the areas of analysis, was based on three periods. Several causes of death were studied. A socioeconomic deprivation index was calculated for each census tract. For each small area, we estimated standardized mortality ratios, and controlled for their variability using Bayesian models (sSMR). We also estimated the relative risk of mortality according to deprivation in the different cities, periods, and sexes. Results: In general, a similar geographical pattern was found for the socioeconomic deprivation index and sSMR. For men, there was an association in all cities between the deprivation index and all-cause mortality that remained stable over the three periods. For women, there was an association in Barcelona, Granada, and Sevilla between the deprivation index and all-cause mortality in the third period. Patterns by causes of death were more heterogeneous. Conclusions: After the start of the financial crisis, socioeconomic inequalities in total mortality in small areas of Spanish cities remained stable in most cities, although several causes of death showed a different pattern.
Filiaciones:
Gotsens, M:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Ferrando, J:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Mari-Dell'Olmo, M:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
CIBERESP, Madrid 28029, Spain
Palencia, L:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
CIBERESP, Madrid 28029, Spain
Bartoll, X:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
Gandarillas, A:
Consejeria Sanidad Comunidad Madrid, Direcc Gen Salud Publ, Madrid 28035, Spain
Sanchez-Villegas, P:
CIBERESP, Madrid 28029, Spain
Escuela Andaluza Salud Publ, Observatorio Salud & Medio Ambiente Andalucia, Granada 18080, Spain
Esnaola, S:
Dept Hlth Basque Country, Vitoria 01006, Spain
Daponte, A:
CIBERESP, Madrid 28029, Spain
Escuela Andaluza Salud Publ, Observatorio Salud & Medio Ambiente Andalucia, Granada 18080, Spain
Borrell, C:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed IIB St Pau, Barcelona 08041, Spain
CIBERESP, Madrid 28029, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08002, Spain
Gold, Green Published
|