Effect of the financial crisis on socioeconomic inequalities in mortality in small areas in seven Spanish cities
Gotsens, Mercè (Institut d'Investigació Biomèdica Sant Pau)
Ferrando, J. (Agència de Salut Pública de Barcelona)
Marí-Dell'Olmo, Marc 1978- (Institut d'Investigació Biomèdica Sant Pau)
Palència, Laia (Institut d'Investigació Biomèdica Sant Pau)
Bartoll, Xavier (Institut d'Investigació Biomèdica Sant Pau)
Gandarillas, A. (Dirección General de Salud Pública. Consejería de Sanidad. Comunidad de Madrid)
Sanchez-Villegas, P. (Escuela Andaluza de Salud Pública)
Esnaola, S. (Department of Health of the Basque Country)
Daponte, A. (Escuela Andaluza de Salud Pública)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2020
Abstract:	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. 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. 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. 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.
Grants:	Ministerio de Economía y Competitividad PI13/00897
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Inequalities ; Mortality ; Small areas ; Socioeconomic factors ; Trends ; Urban areas
Published in:	International journal of environmental research and public health, Vol. 17 Núm. 3 (january 2020) , p. 958, ISSN 1660-4601

DOI: 10.3390/ijerph17030958
PMID: 32033162

16 p, 1.1 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles