Gabriel Jesús Rodríguez1, Antonio Escolar-Pujolar2, Juan Antonio Córdoba-Doña3. 1. Servicio de Medicina Preventiva, Salud Pública y Promoción de la Salud, Hospital Universitario Puerta del Mar, Cádiz, España. Electronic address: gabrieljesusrodriguez@gmail.com. 2. Servicio de Medicina Preventiva, Salud Pública y Promoción de la Salud, Hospital Universitario Puerta del Mar, Cádiz, España; Delegación Territorial de Igualdad, Salud y Políticas Sociales, Cádiz, España. 3. Delegación Territorial de Igualdad, Salud y Políticas Sociales, Cádiz, España; Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Sweden.
Abstract
OBJECTIVE: To analyze trends in socioeconomic inequality in mortality in the city of Cadiz (Spain) from 1992 to 2007. METHODS: An ecological study was performed of trends over 3 cross-sections, with the census tract as the unit of analysis. Deaths were grouped into three periods: 1992-1996, 1997-2001 and 2002-2007 and were then classified according to a deprivation index of the census tract. We calculated adjusted rates by the direct method and three measures of health inequality. RESULTS: Of 18,586 deaths, 96.7% was geocoded to a census tract. The population-attributable risk decreased in men and women, respectively, from 15.4% and 12.2% in 1992-1996 to 9.3% and 5.6% in 2002-2007. The other measures, slope index and the relative index also showed a decline in inequality but only among women. CONCLUSIONS: Despite a decreasing trend, social inequalities are a substantial component in the distribution of overall mortality in the city of Cadiz.
OBJECTIVE: To analyze trends in socioeconomic inequality in mortality in the city of Cadiz (Spain) from 1992 to 2007. METHODS: An ecological study was performed of trends over 3 cross-sections, with the census tract as the unit of analysis. Deaths were grouped into three periods: 1992-1996, 1997-2001 and 2002-2007 and were then classified according to a deprivation index of the census tract. We calculated adjusted rates by the direct method and three measures of health inequality. RESULTS: Of 18,586 deaths, 96.7% was geocoded to a census tract. The population-attributable risk decreased in men and women, respectively, from 15.4% and 12.2% in 1992-1996 to 9.3% and 5.6% in 2002-2007. The other measures, slope index and the relative index also showed a decline in inequality but only among women. CONCLUSIONS: Despite a decreasing trend, social inequalities are a substantial component in the distribution of overall mortality in the city of Cadiz.
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: Vanessa Santos-Sánchez; Juan Antonio Córdoba-Doña; Javier García-Pérez; Antonio Escolar-Pujolar; Lucia Pozzi; Rebeca Ramis Journal: Int J Environ Res Public Health Date: 2020-03-13 Impact factor: 3.390