Desigualdades Recursos Atención a la Salud Desigualdades en Salud Territorio Mortality, material deprivation and urbanization: exploring the social patterns of a metropolitan area

Título
Mortality, material deprivation and urbanization: exploring the social patterns of a metropolitan area
Resumen
Introduction:Socioeconomic inequalities affecting health are of major importance in Europe. The literature enhances the role of social determinants of health, such as socioeconomic characteristics and urbanization, to achieve health equity. Yet, there is still much to know, mainly concerning the association between cause-specific mortality and several social determinants, especially in metropolitan areas.This study aims to describe the geographical pattern of cause-specific mortality in the Lisbon Metropolitan Area (LMA), at small area level (parishes), and analyses the statistical association between mortality risk and health determinants (material deprivation and urbanization level). Fourteen causes have been selected, representing almost 60 % of total mortality between 1995 and 2008, particularly those associated with urbanization and material deprivation. Methods:A cross-sectional ecological study was carried out. Using a hierarchical Bayesian spatial model, we estimated sex–specific smoothed Standardized Mortality Ratios (sSMR) and measured the relative risks (RR), and 95 % credible intervals, for cause-specific mortality relative to 1. urbanization level, 2. material deprivation and 3. material deprivation adjusted by urbanization. Results:The statistical association between mortality and material deprivation and between mortality and urbanization changes by cause of death and sex. Dementia and MN larynx, trachea, bronchus and lung are the causes of death showin ...
Autoría
Paula Santana, Claudia Costa, Marc Marí-Dell’Olmo, Mercè Gotsens, Carme Borrell
Datos fuente
International journal for equity in health, 14(1), 55.
Tipo
  • Comunicaciones/Informes/Artículos (individual)
Idioma
  • Inglés
Formato
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Publicado en ODS
2015-06-30
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