Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project)
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...
| Autores: | , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2015 |
| País: | España |
| Institución: | Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
| Repositorio: | r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| OAI Identifier: | oai:iibsantpau.fundanetsuite.com:p10573 |
| Acceso en línea: | https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10573 https://www.scopus.com/inward/record.uri?eid=2-s2.0-84927930689&doi=10.1186%2fs12939-015-0164-0&partnerID=40&md5=5aa785bc0f3f6f9334a74cc656b36355 |
| Access Level: | acceso abierto |
| Palabra clave: | cause of death census equity health policy health risk public health regression analysis socioeconomic status spatiotemporal analysis urban area acquired immune deficiency syndrome adolescent adult Article child city controlled study female health disparity homicide human human rights infant injury liver cirrhosis lung cancer male middle aged mortality newborn preventable mortality priority journal social status Spain suicide traffic accident trend study aged epidemiology health population research preschool child sex ratio socioeconomics trends young adult Adolescent Adult Aged Cause of Death Censuses Child Child, Preschool Cities Female Health Status Disparities Humans Infant Male Middle Aged Mortality Sex Distribution Socioeconomic Factors Urban Health Young Adult |
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Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project)Nolasco A.Moncho J.Quesada J.A.Melchor I.Pereyra-Zamora P.Tamayo-Fonseca N.Martínez-Beneito M.A.Zurriaga O.Ballesta M.Daponte A.Gandarillas A.Domínguez-Berjón M.F.Marí-Dell'Olmo M.Gotsens M.Izco N.Moreno M.C.Sáez M.Martos C.Sánchez-Villegas P.Borrell C.cause of deathcensusequityhealth policyhealth riskpublic healthregression analysissocioeconomic statusspatiotemporal analysisurban areaacquired immune deficiency syndromeadolescentadultArticlecause of deathchildcitycontrolled studyfemalehealth disparityhomicidehumanhuman rightsinfantinjuryliver cirrhosislung cancermalemiddle agedmortalitynewbornpreventable mortalitypriority journalsocial statusSpainsuicidetraffic accidenttrend studyurban areaagedepidemiologyhealthmortalitypopulation researchpreschool childsex ratiosocioeconomicstrendsyoung adultSpainAdolescentAdultAgedCause of DeathCensusesChildChild, PreschoolCitiesFemaleHealth Status DisparitiesHumansInfantMaleMiddle AgedMortalitySex DistributionSocioeconomic FactorsSpainUrban HealthYoung AdultBackground: 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. © 2015 Nolasco et al.; licensee BioMed Central.BMC2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10573https://www.scopus.com/inward/record.uri?eid=2-s2.0-84927930689&doi=10.1186%2fs12939-015-0164-0&partnerID=40&md5=5aa785bc0f3f6f9334a74cc656b36355International Journal for Equity in HealthISSN: 14759276reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p105732026-06-14T12:41:47Z |
| dc.title.none.fl_str_mv |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| title |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| spellingShingle |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) Nolasco A. cause of death census equity health policy health risk public health regression analysis socioeconomic status spatiotemporal analysis urban area acquired immune deficiency syndrome adolescent adult Article cause of death child city controlled study female health disparity homicide human human rights infant injury liver cirrhosis lung cancer male middle aged mortality newborn preventable mortality priority journal social status Spain suicide traffic accident trend study urban area aged epidemiology health mortality population research preschool child sex ratio socioeconomics trends young adult Spain Adolescent Adult Aged Cause of Death Censuses Child Child, Preschool Cities Female Health Status Disparities Humans Infant Male Middle Aged Mortality Sex Distribution Socioeconomic Factors Spain Urban Health Young Adult |
| title_short |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| title_full |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| title_fullStr |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| title_full_unstemmed |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| title_sort |
Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project) |
| dc.creator.none.fl_str_mv |
Nolasco A. Moncho J. Quesada J.A. Melchor I. Pereyra-Zamora P. Tamayo-Fonseca N. Martínez-Beneito M.A. Zurriaga O. Ballesta M. Daponte A. Gandarillas A. Domínguez-Berjón M.F. Marí-Dell'Olmo M. Gotsens M. Izco N. Moreno M.C. Sáez M. Martos C. Sánchez-Villegas P. Borrell C. |
| author |
Nolasco A. |
| author_facet |
Nolasco A. Moncho J. Quesada J.A. Melchor I. Pereyra-Zamora P. Tamayo-Fonseca N. Martínez-Beneito M.A. Zurriaga O. Ballesta M. Daponte A. Gandarillas A. Domínguez-Berjón M.F. Marí-Dell'Olmo M. Gotsens M. Izco N. Moreno M.C. Sáez M. Martos C. Sánchez-Villegas P. Borrell C. |
| author_role |
author |
| author2 |
Moncho J. Quesada J.A. Melchor I. Pereyra-Zamora P. Tamayo-Fonseca N. Martínez-Beneito M.A. Zurriaga O. Ballesta M. Daponte A. Gandarillas A. Domínguez-Berjón M.F. Marí-Dell'Olmo M. Gotsens M. Izco N. Moreno M.C. Sáez M. Martos C. Sánchez-Villegas P. Borrell C. |
| author2_role |
author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
cause of death census equity health policy health risk public health regression analysis socioeconomic status spatiotemporal analysis urban area acquired immune deficiency syndrome adolescent adult Article cause of death child city controlled study female health disparity homicide human human rights infant injury liver cirrhosis lung cancer male middle aged mortality newborn preventable mortality priority journal social status Spain suicide traffic accident trend study urban area aged epidemiology health mortality population research preschool child sex ratio socioeconomics trends young adult Spain Adolescent Adult Aged Cause of Death Censuses Child Child, Preschool Cities Female Health Status Disparities Humans Infant Male Middle Aged Mortality Sex Distribution Socioeconomic Factors Spain Urban Health Young Adult |
| topic |
cause of death census equity health policy health risk public health regression analysis socioeconomic status spatiotemporal analysis urban area acquired immune deficiency syndrome adolescent adult Article cause of death child city controlled study female health disparity homicide human human rights infant injury liver cirrhosis lung cancer male middle aged mortality newborn preventable mortality priority journal social status Spain suicide traffic accident trend study urban area aged epidemiology health mortality population research preschool child sex ratio socioeconomics trends young adult Spain Adolescent Adult Aged Cause of Death Censuses Child Child, Preschool Cities Female Health Status Disparities Humans Infant Male Middle Aged Mortality Sex Distribution Socioeconomic Factors Spain Urban Health Young Adult |
| description |
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. © 2015 Nolasco et al.; licensee BioMed Central. |
| publishDate |
2015 |
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2015 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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International Journal for Equity in Health ISSN: 14759276 reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
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r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
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