OBJECTIVE: To analyse trends in socio-economic inequalities in mortality due to all injuries, as well as, suicide and motor vehicle injuries, in men in the census tracts of 26 Spanish cities for the periods 1996-2001 and 2002-2007. METHODS: Ecological study of trends based on two periods (1996-2001 and 2002-2007). The study population consisted of male residents in each city during the period 1996-2007. We fitted a hierarchical Bayesian model which takes into account the spatial structure of the data in order to obtain relative risks (RRs), and their 95% credible intervals (CIs), between mortality and a socio-economic deprivation index, in each period. RESULTS: In most of the cities, mortality due to total injuries presents the same geographical pattern as the deprivation index in the two periods. Moreover, inequalities remained stable. In contrast, socio-economic inequalities in mortality due to motor vehicle injuries tended to diminish in the second period in the majority of the cities, particularly Castellón (first period: RR(1)=2.56; 95%CI: 1.19-4.84; second period: RR(2)=1.06; 95%CI: 0.45-2.12), whereas in the case of suicides, the inequalities remain stable but are only significant in large cities. CONCLUSION: This study has demonstrated that socio-economic inequalities in mortality due to all injuries in small areas of 26 Spanish cities remain stable over time. These results highlight the importance of intra-urban inequalities in mortality due to injuries and their evolution over time.
OBJECTIVE: To analyse trends in socio-economic inequalities in mortality due to all injuries, as well as, suicide and motor vehicle injuries, in men in the census tracts of 26 Spanish cities for the periods 1996-2001 and 2002-2007. METHODS: Ecological study of trends based on two periods (1996-2001 and 2002-2007). The study population consisted of male residents in each city during the period 1996-2007. We fitted a hierarchical Bayesian model which takes into account the spatial structure of the data in order to obtain relative risks (RRs), and their 95% credible intervals (CIs), between mortality and a socio-economic deprivation index, in each period. RESULTS: In most of the cities, mortality due to total injuries presents the same geographical pattern as the deprivation index in the two periods. Moreover, inequalities remained stable. In contrast, socio-economic inequalities in mortality due to motor vehicle injuries tended to diminish in the second period in the majority of the cities, particularly Castellón (first period: RR(1)=2.56; 95%CI: 1.19-4.84; second period: RR(2)=1.06; 95%CI: 0.45-2.12), whereas in the case of suicides, the inequalities remain stable but are only significant in large cities. CONCLUSION: This study has demonstrated that socio-economic inequalities in mortality due to all injuries in small areas of 26 Spanish cities remain stable over time. These results highlight the importance of intra-urban inequalities in mortality due to injuries and their evolution over time.
Authors: Andreu Nolasco; Joaquin Moncho; Jose Antonio Quesada; Inmaculada Melchor; Pamela Pereyra-Zamora; Nayara Tamayo-Fonseca; Miguel Angel Martínez-Beneito; Oscar Zurriaga; Mónica Ballesta; Antonio Daponte; Ana Gandarillas; M Felicitas Domínguez-Berjón; Marc Marí-Dell'Olmo; Mercè Gotsens; Natividad Izco; M Concepción Moreno; Marc Sáez; Carmen Martos; Pablo Sánchez-Villegas; Carme Borrell Journal: Int J Equity Health Date: 2015-04-01
Authors: Marc Marí-Dell'Olmo; Mercè Gotsens; Laia Palència; Maica Rodríguez-Sanz; Miguel A Martinez-Beneito; Mónica Ballesta; Montse Calvo; Lluís Cirera; Antonio Daponte; Felicitas Domínguez-Berjón; Ana Gandarillas; Natividad Izco Goñi; Carmen Martos; Conchi Moreno-Iribas; Andreu Nolasco; Diego Salmerón; Margarita Taracido; Carme Borrell Journal: BMC Public Health Date: 2016-07-29 Impact factor: 3.295
Authors: Andreu Nolasco; Pamela Pereyra-Zamora; Elvira Sanchis-Matea; Nayara Tamayo-Fonseca; Pablo Caballero; Inmaculada Melchor; Joaquín Moncho Journal: Int J Environ Res Public Health Date: 2018-10-19 Impact factor: 3.390