Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain

Background: An increase in suicide mortality is often observed in economic recessions. The objective of this study was to analyse trends in socioeconomic inequalities in suicide mortality before and during the economic recession in two geographical settings in Spain. Methods: This study analyses ine...

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Autores: Borrell, C, Mari-Dell'Olmo, M, Gotsens, M, Calvo, M, Rodriguez-Sanz, M, Bartoll, X, Esnaola, S
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p6093
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6093
Access Level:acceso abierto
Palabra clave:Suicide
Mortality
Inequalities
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spelling Socioeconomic inequalities in suicide mortality before and after the economic recession in SpainBorrell, CMari-Dell'Olmo, MGotsens, MCalvo, MRodriguez-Sanz, MBartoll, XEsnaola, SSuicideMortalityInequalitiesBackground: An increase in suicide mortality is often observed in economic recessions. The objective of this study was to analyse trends in socioeconomic inequalities in suicide mortality before and during the economic recession in two geographical settings in Spain. Methods: This study analyses inequalities in mortality according to educational level during 3 different time periods based on individual data from the Basque Country and Barcelona city. We analysed suicide mortality data for all residents over 25 years of age from 2001 to 2012. Two periods before the crisis (2001-2004 and 2005-2008) and another during the crisis (2009-2012) were studied. We performed independent analyses for sex, age group, and for the two geographical settings. We fit Poisson regression models to study the relationship between educational level and mortality, and calculated the relative index of inequality (RII) and the slope index of inequality (SII) as comparative measures. Results: For men in the Basque Country, all RII values for the three time periods were similar and almost all were greater than 2; in Barcelona the RII values were generally lower. The SII values for Barcelona tended to decrease over time, whereas in the Basque Country they showed a U-shaped pattern. Among women aged 25-44 years we found an association between educational level and suicide mortality during the first time period; however, we found no clear association for other age groups or time periods. Conclusion: This study within two geographical settings in Spain shows that trends in inequalities in suicide mortality according to educational level remained stable among men before and during the economic recession.BMC2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6093BMC PUBLIC HEALTHISSN: 14712458reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p60932026-06-14T12:41:47Z
dc.title.none.fl_str_mv Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
title Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
spellingShingle Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
Borrell, C
Suicide
Mortality
Inequalities
title_short Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
title_full Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
title_fullStr Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
title_full_unstemmed Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
title_sort Socioeconomic inequalities in suicide mortality before and after the economic recession in Spain
dc.creator.none.fl_str_mv Borrell, C
Mari-Dell'Olmo, M
Gotsens, M
Calvo, M
Rodriguez-Sanz, M
Bartoll, X
Esnaola, S
author Borrell, C
author_facet Borrell, C
Mari-Dell'Olmo, M
Gotsens, M
Calvo, M
Rodriguez-Sanz, M
Bartoll, X
Esnaola, S
author_role author
author2 Mari-Dell'Olmo, M
Gotsens, M
Calvo, M
Rodriguez-Sanz, M
Bartoll, X
Esnaola, S
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Suicide
Mortality
Inequalities
topic Suicide
Mortality
Inequalities
description Background: An increase in suicide mortality is often observed in economic recessions. The objective of this study was to analyse trends in socioeconomic inequalities in suicide mortality before and during the economic recession in two geographical settings in Spain. Methods: This study analyses inequalities in mortality according to educational level during 3 different time periods based on individual data from the Basque Country and Barcelona city. We analysed suicide mortality data for all residents over 25 years of age from 2001 to 2012. Two periods before the crisis (2001-2004 and 2005-2008) and another during the crisis (2009-2012) were studied. We performed independent analyses for sex, age group, and for the two geographical settings. We fit Poisson regression models to study the relationship between educational level and mortality, and calculated the relative index of inequality (RII) and the slope index of inequality (SII) as comparative measures. Results: For men in the Basque Country, all RII values for the three time periods were similar and almost all were greater than 2; in Barcelona the RII values were generally lower. The SII values for Barcelona tended to decrease over time, whereas in the Basque Country they showed a U-shaped pattern. Among women aged 25-44 years we found an association between educational level and suicide mortality during the first time period; however, we found no clear association for other age groups or time periods. Conclusion: This study within two geographical settings in Spain shows that trends in inequalities in suicide mortality according to educational level remained stable among men before and during the economic recession.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=6093
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv BMC PUBLIC HEALTH
ISSN: 14712458
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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