Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis
Background: The relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship a...
| Autores: | , , , , , , , , , , , , , |
|---|---|
| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2013 |
| País: | España |
| Recursos: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10230/23199 |
| Acesso em linha: | http://hdl.handle.net/10230/23199 http://dx.doi.org/10.1186/1471-2458-13-480 |
| Access Level: | acceso abierto |
| Palavra-chave: | Mortalitat -- Aspectes socials -- Espanya Ciutats -- Espanya -- Estadístiques Deprivation Mortality Urban areas Pooled cross-sectional analysis Meta-analysis Spain |
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España |
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| dc.title.none.fl_str_mv |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| title |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| spellingShingle |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis Martínez Beneito, Miguel Ángel Mortalitat -- Aspectes socials -- Espanya Ciutats -- Espanya -- Estadístiques Deprivation Mortality Urban areas Pooled cross-sectional analysis Meta-analysis Spain |
| title_short |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| title_full |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| title_fullStr |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| title_full_unstemmed |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| title_sort |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis |
| dc.creator.none.fl_str_mv |
Martínez Beneito, Miguel Ángel Zurriaga, Oscar Botella Rocamora, Paloma Marí Dell'Olmo, Marc, 1978- Nolasco, Andreu Moncho, Joaquin Daponte Codina, Antonio Domínguez-Berjón, María Felicitas Gandarillas, Ana Martos, Carmen M. Montoya, Imanol Sánchez Villegas, Pablo Taracido, Margarita Borrell i Thió, Carme |
| author |
Martínez Beneito, Miguel Ángel |
| author_facet |
Martínez Beneito, Miguel Ángel Zurriaga, Oscar Botella Rocamora, Paloma Marí Dell'Olmo, Marc, 1978- Nolasco, Andreu Moncho, Joaquin Daponte Codina, Antonio Domínguez-Berjón, María Felicitas Gandarillas, Ana Martos, Carmen M. Montoya, Imanol Sánchez Villegas, Pablo Taracido, Margarita Borrell i Thió, Carme |
| author_role |
author |
| author2 |
Zurriaga, Oscar Botella Rocamora, Paloma Marí Dell'Olmo, Marc, 1978- Nolasco, Andreu Moncho, Joaquin Daponte Codina, Antonio Domínguez-Berjón, María Felicitas Gandarillas, Ana Martos, Carmen M. Montoya, Imanol Sánchez Villegas, Pablo Taracido, Margarita Borrell i Thió, Carme |
| author2_role |
author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Mortalitat -- Aspectes socials -- Espanya Ciutats -- Espanya -- Estadístiques Deprivation Mortality Urban areas Pooled cross-sectional analysis Meta-analysis Spain |
| topic |
Mortalitat -- Aspectes socials -- Espanya Ciutats -- Espanya -- Estadístiques Deprivation Mortality Urban areas Pooled cross-sectional analysis Meta-analysis Spain |
| description |
Background: The relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship across several cities has ever been undertaken. Such an analysis would determine, if appropriate, a joint relationship by linking the associations found. Methods: A pooled cross-sectional analysis of the data from the MEDEA project has been carried out for each of the causes of death studied. Specifically, a meta-analysis has been carried out to pool the relative risks in eleven Spanish cities. Different deprivation-mortality relationships across the cities are considered in the analysis (fixed and random effects models). The size of the cities is also considered as a possible factor explaining differences between cities. Results: Twenty studies have been carried out for different combinations of sex and causes of death. For nine of them (men: prostate cancer, diabetes, mental illnesses, Alzheimer’s disease, cerebrovascular disease; women: diabetes, mental illnesses, respiratory diseases, cirrhosis) no differences were found between cities in the effect of deprivation on mortality; in four cases (men: respiratory diseases, all causes of mortality; women: breast cancer, Alzheimer’s disease) differences not associated with the size of the city have been determined; in two cases (men: cirrhosis; women: lung cancer) differences strictly linked to the size of the city have been determined, and in five cases (men: lung cancer, ischaemic heart disease; women: ischaemic heart disease, cerebrovascular diseases, all causes of mortality) both kinds of differences have been found. Except for lung cancer in women, every significant relationship between deprivation and mortality goes in the same direction: deprivation increases mortality. Variability in the relative risks across cities was found for general mortality for both sexes. Conclusions: This study provides a general overview of the relationship between deprivation and mortality for a sample of large Spanish cities combined. This joint study allows the exploration of and, if appropriate, the quantification of the variability in that relationship for the set of cities considered. |
| publishDate |
2013 |
| dc.date.none.fl_str_mv |
2013 2015 2015 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10230/23199 http://dx.doi.org/10.1186/1471-2458-13-480 |
| url |
http://hdl.handle.net/10230/23199 http://dx.doi.org/10.1186/1471-2458-13-480 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
BMC Public Health. 2013;13:480 info:eu-repo/grantAgreement/ES/3PN/MTM2010-19528 |
| dc.rights.none.fl_str_mv |
http://creativecommons.org/licenses/by/2.0 info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by/2.0 |
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openAccess |
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application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
BioMed Central |
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BioMed Central |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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1869403480726175744 |
| spelling |
Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysisMartínez Beneito, Miguel ÁngelZurriaga, OscarBotella Rocamora, PalomaMarí Dell'Olmo, Marc, 1978-Nolasco, AndreuMoncho, JoaquinDaponte Codina, AntonioDomínguez-Berjón, María FelicitasGandarillas, AnaMartos, Carmen M.Montoya, ImanolSánchez Villegas, PabloTaracido, MargaritaBorrell i Thió, CarmeMortalitat -- Aspectes socials -- EspanyaCiutats -- Espanya -- EstadístiquesDeprivationMortalityUrban areasPooled cross-sectional analysisMeta-analysisSpainBackground: The relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship across several cities has ever been undertaken. Such an analysis would determine, if appropriate, a joint relationship by linking the associations found. Methods: A pooled cross-sectional analysis of the data from the MEDEA project has been carried out for each of the causes of death studied. Specifically, a meta-analysis has been carried out to pool the relative risks in eleven Spanish cities. Different deprivation-mortality relationships across the cities are considered in the analysis (fixed and random effects models). The size of the cities is also considered as a possible factor explaining differences between cities. Results: Twenty studies have been carried out for different combinations of sex and causes of death. For nine of them (men: prostate cancer, diabetes, mental illnesses, Alzheimer’s disease, cerebrovascular disease; women: diabetes, mental illnesses, respiratory diseases, cirrhosis) no differences were found between cities in the effect of deprivation on mortality; in four cases (men: respiratory diseases, all causes of mortality; women: breast cancer, Alzheimer’s disease) differences not associated with the size of the city have been determined; in two cases (men: cirrhosis; women: lung cancer) differences strictly linked to the size of the city have been determined, and in five cases (men: lung cancer, ischaemic heart disease; women: ischaemic heart disease, cerebrovascular diseases, all causes of mortality) both kinds of differences have been found. Except for lung cancer in women, every significant relationship between deprivation and mortality goes in the same direction: deprivation increases mortality. Variability in the relative risks across cities was found for general mortality for both sexes. Conclusions: This study provides a general overview of the relationship between deprivation and mortality for a sample of large Spanish cities combined. This joint study allows the exploration of and, if appropriate, the quantification of the variability in that relationship for the set of cities considered.This article was partially funded by Ministerio de Economia y Competitividad via the research grant MTM2010-19528 (jointly financed with European Regional Development Fund), the FIS-FEDER projects: PI042013, PI040041, PI040170, PI040069, PI042602, PI040388, PI040489, PI042098, PI041260, PI040399, PI08/1488, PI08/0330 and by the CIBER Epidemiología y Salud Publica (CIBERESP), SpainBioMed Central201520152013info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/23199http://dx.doi.org/10.1186/1471-2458-13-480reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésBMC Public Health. 2013;13:480info:eu-repo/grantAgreement/ES/3PN/MTM2010-19528© 2013 Martinez-Beneito et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/2.0info:eu-repo/semantics/openAccessoai:recercat.cat:10230/231992026-05-29T05:05:01Z |
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15,812429 |