Effect of the recent economic crisis on socioeconomic inequalities in mortality in nine urban areas in Europe
Palència, Laia (Institut d'Investigació Biomèdica Sant Pau)
Gotsens, Mercè (Institut d'Investigació Biomèdica Sant Pau)
Marí-Dell'Olmo, Marc 1978- (Institut d'Investigació Biomèdica Sant Pau)
Bosakova, Lucia (Palacky University in Olomouc)
Burstrom, Bo (Karolinska Institutet (Estocolm, Suècia))
Costa, Cláudia (University of Coimbra)
Deboosere, Patrick (Vrije Universiteit Brussels)
Dzurova, Dagmar (Charles University)
Lustigova, Michala (Charles University)
Morrison, Joana (University College London)
Santana, Paula (University of Coimbra)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	To analyse socioeconomic inequalities in all-cause mortality among men and women in nine European urban areas during the recent economic crisis, and to compare the results to those from two periods before the crisis. This is an ecological study of trends based on three time periods (2000-2003, 2004-2008 and 2009-2014). The units of analysis were the small areas of nine European urban areas. We used a composite deprivation index as a socioeconomic indicator, along with other single indicators. As a mortality indicator, we used the smoothed standardized mortality ratio, calculated using the hierarchical Bayesian model proposed by Besag, York and Mollié. To analyse the evolution of socioeconomic inequalities, we fitted an ecological regression model that included the socioeconomic indicator, the period of time, and the interaction between these terms. Results: We observed significant inequalities in mortality among men for almost all the socioeconomic indicators, periods, and urban areas studied. However, no significant changes occurred during the period of the economic crisis. While inequalities among women were less common, there was a statistically significant increase in inequality during the crisis period in terms of unemployment and the deprivation index in Prague and Stockholm, respectively. Future analyses should also consider time-lag in the effect of crises on mortality and specific causes of death, and differential effects between genders.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Castellà
Document:	Article ; recerca ; Versió publicada
Matèria:	All-cause mortality ; Economic crisis ; Europe ; Small areas ; Socioeconomic inequalities
Publicat a:	Gaceta sanitaria, Vol. 34 Núm. 3 (mayo 2020) , p. 253-260, ISSN 1578-1283

DOI: 10.1016/j.gaceta.2019.11.001
PMID: 31983478

8 p, 1.4 MB

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