Socioeconomic inequalities in cause-specific mortality in 15 European cities
Background: Socioeconomic inequalities are increasingly recognised as an important public health issue, although their role in the leading causes of mortality in urban areas in Europe has not been fully evaluated. In this study, we used data from the INEQCITIES study to analyse inequalities in cause...
| Autores: | , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2015 |
| 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:p10435 |
| Acceso en línea: | https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10435 http://hdl.handle.net/10256/18466 |
| Access Level: | acceso abierto |
| Palabra clave: | health risk mortality public health socioeconomic survey twenty first century urban area Europe adult Bayes theorem cause of death city cross-sectional study economics educational status epidemiology female health health disparity human male middle aged poverty social determinants of health socioeconomics spatial analysis statistics and numerical data trends Adult Bayes Theorem Cause of Death Cities Cross-Sectional Studies Educational Status Female Health Status Disparities Humans Male Middle Aged Poverty Social Determinants of Health Socioeconomic Factors Spatial Analysis Urban Health |
| id |
ES_15d3f5ef9ed6ee48e35d62f4c33fcc4f |
|---|---|
| oai_identifier_str |
oai:iibsantpau.fundanetsuite.com:p10435 |
| network_acronym_str |
ES |
| network_name_str |
España |
| repository_id_str |
|
| spelling |
Socioeconomic inequalities in cause-specific mortality in 15 European citiesMarí-Dell'Olmo M.Gotsens M.Palència L.Burström B.Corman D.Costa G.Deboosere P.Díez E.Domínguez-Berjón F.Dzúrová D.Gandarillas A.Hoffmann R.Kovács K.Martikainen P.Demaria M.Pikhart H.Rodríguez-Sanz M.Saez M.Santana P.Schwierz C.Tarkiainen L.Borrell C.health riskmortalitypublic healthsocioeconomic surveytwenty first centuryurban areaEuropeadultBayes theoremcause of deathcitycross-sectional studyeconomicseducational statusepidemiologyEuropefemalehealthhealth disparityhumanmalemiddle agedpovertysocial determinants of healthsocioeconomicsspatial analysisstatistics and numerical datatrendsAdultBayes TheoremCause of DeathCitiesCross-Sectional StudiesEducational StatusEuropeFemaleHealth Status DisparitiesHumansMaleMiddle AgedPovertySocial Determinants of HealthSocioeconomic FactorsSpatial AnalysisUrban HealthBackground: Socioeconomic inequalities are increasingly recognised as an important public health issue, although their role in the leading causes of mortality in urban areas in Europe has not been fully evaluated. In this study, we used data from the INEQCITIES study to analyse inequalities in cause-specific mortality in 15 European cities at the beginning of the 21st century. Methods: A cross-sectional ecological study was carried out to analyse 9 of the leading specific causes of death in small areas from 15 European cities. Using a hierarchical Bayesian spatial model, we estimated smoothed Standardized Mortality Ratios, relative risks and 95% credible intervals for cause-specific mortality in relation to a socioeconomic deprivation index, separately for men and women. Results: We detected spatial socioeconomic inequalities for most causes of mortality studied, although these inequalities differed markedly between cities, being more pronounced in Northern and Central-Eastern Europe. In the majority of cities, most of these causes of death were positively associated with deprivation among men, with the exception of prostatic cancer. Among women, diabetes, ischaemic heart disease, chronic liver diseases and respiratory diseases were also positively associated with deprivation in most cities. Lung cancer mortality was positively associated with deprivation in Northern European cities and in Kosice, but this association was non-existent or even negative in Southern European cities. Finally, breast cancer risk was inversely associated with deprivation in three Southern European cities. Conclusions: The results confirm the existence of socioeconomic inequalities in many of the main causes of mortality, and reveal variations in their magnitude between different European cities.BMJ PUBLISHING GROUP2015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10435http://hdl.handle.net/10256/18466JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTHISSN: 0143005XISSNe: 14702738reponame: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:p104352026-06-14T12:41:47Z |
| dc.title.none.fl_str_mv |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| title |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| spellingShingle |
Socioeconomic inequalities in cause-specific mortality in 15 European cities Marí-Dell'Olmo M. health risk mortality public health socioeconomic survey twenty first century urban area Europe adult Bayes theorem cause of death city cross-sectional study economics educational status epidemiology Europe female health health disparity human male middle aged poverty social determinants of health socioeconomics spatial analysis statistics and numerical data trends Adult Bayes Theorem Cause of Death Cities Cross-Sectional Studies Educational Status Europe Female Health Status Disparities Humans Male Middle Aged Poverty Social Determinants of Health Socioeconomic Factors Spatial Analysis Urban Health |
| title_short |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| title_full |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| title_fullStr |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| title_full_unstemmed |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| title_sort |
Socioeconomic inequalities in cause-specific mortality in 15 European cities |
| dc.creator.none.fl_str_mv |
Marí-Dell'Olmo M. Gotsens M. Palència L. Burström B. Corman D. Costa G. Deboosere P. Díez E. Domínguez-Berjón F. Dzúrová D. Gandarillas A. Hoffmann R. Kovács K. Martikainen P. Demaria M. Pikhart H. Rodríguez-Sanz M. Saez M. Santana P. Schwierz C. Tarkiainen L. Borrell C. |
| author |
Marí-Dell'Olmo M. |
| author_facet |
Marí-Dell'Olmo M. Gotsens M. Palència L. Burström B. Corman D. Costa G. Deboosere P. Díez E. Domínguez-Berjón F. Dzúrová D. Gandarillas A. Hoffmann R. Kovács K. Martikainen P. Demaria M. Pikhart H. Rodríguez-Sanz M. Saez M. Santana P. Schwierz C. Tarkiainen L. Borrell C. |
| author_role |
author |
| author2 |
Gotsens M. Palència L. Burström B. Corman D. Costa G. Deboosere P. Díez E. Domínguez-Berjón F. Dzúrová D. Gandarillas A. Hoffmann R. Kovács K. Martikainen P. Demaria M. Pikhart H. Rodríguez-Sanz M. Saez M. Santana P. Schwierz C. Tarkiainen L. Borrell C. |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
health risk mortality public health socioeconomic survey twenty first century urban area Europe adult Bayes theorem cause of death city cross-sectional study economics educational status epidemiology Europe female health health disparity human male middle aged poverty social determinants of health socioeconomics spatial analysis statistics and numerical data trends Adult Bayes Theorem Cause of Death Cities Cross-Sectional Studies Educational Status Europe Female Health Status Disparities Humans Male Middle Aged Poverty Social Determinants of Health Socioeconomic Factors Spatial Analysis Urban Health |
| topic |
health risk mortality public health socioeconomic survey twenty first century urban area Europe adult Bayes theorem cause of death city cross-sectional study economics educational status epidemiology Europe female health health disparity human male middle aged poverty social determinants of health socioeconomics spatial analysis statistics and numerical data trends Adult Bayes Theorem Cause of Death Cities Cross-Sectional Studies Educational Status Europe Female Health Status Disparities Humans Male Middle Aged Poverty Social Determinants of Health Socioeconomic Factors Spatial Analysis Urban Health |
| description |
Background: Socioeconomic inequalities are increasingly recognised as an important public health issue, although their role in the leading causes of mortality in urban areas in Europe has not been fully evaluated. In this study, we used data from the INEQCITIES study to analyse inequalities in cause-specific mortality in 15 European cities at the beginning of the 21st century. Methods: A cross-sectional ecological study was carried out to analyse 9 of the leading specific causes of death in small areas from 15 European cities. Using a hierarchical Bayesian spatial model, we estimated smoothed Standardized Mortality Ratios, relative risks and 95% credible intervals for cause-specific mortality in relation to a socioeconomic deprivation index, separately for men and women. Results: We detected spatial socioeconomic inequalities for most causes of mortality studied, although these inequalities differed markedly between cities, being more pronounced in Northern and Central-Eastern Europe. In the majority of cities, most of these causes of death were positively associated with deprivation among men, with the exception of prostatic cancer. Among women, diabetes, ischaemic heart disease, chronic liver diseases and respiratory diseases were also positively associated with deprivation in most cities. Lung cancer mortality was positively associated with deprivation in Northern European cities and in Kosice, but this association was non-existent or even negative in Southern European cities. Finally, breast cancer risk was inversely associated with deprivation in three Southern European cities. Conclusions: The results confirm the existence of socioeconomic inequalities in many of the main causes of mortality, and reveal variations in their magnitude between different European cities. |
| publishDate |
2015 |
| dc.date.none.fl_str_mv |
2015 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10435 http://hdl.handle.net/10256/18466 |
| url |
https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=10435 http://hdl.handle.net/10256/18466 |
| 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 |
BMJ PUBLISHING GROUP |
| publisher.none.fl_str_mv |
BMJ PUBLISHING GROUP |
| dc.source.none.fl_str_mv |
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH ISSN: 0143005X ISSNe: 14702738 reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
| instname_str |
Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau) |
| reponame_str |
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| collection |
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1869403817894739968 |
| score |
15,812429 |