Geographies of life and death in Ecuador : Understanding inequalities in material deprivation and mortality in a context with deficient data sources

The aim of this dissertation was to analyse social and geographical inequalities in mortality in Ecuador, correcting the potential deficiencies found in the mortality registry. For this purpose, four studies were developed. In the first study we found that, at the national and provincial levels, the...

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Detalles Bibliográficos
Autor: Peralta Chiriboga, Alejandro Andrés
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/668155
Acceso en línea:http://hdl.handle.net/10803/668155
Access Level:acceso abierto
Palabra clave:Mortality
Vital Statistics
Social Determinants of Healt
Material Deprivation
Ecuador
Mortalidad
Estadísticas Vitales
Determinantes Sociales de la Salud
Privación Material
614
Descripción
Sumario:The aim of this dissertation was to analyse social and geographical inequalities in mortality in Ecuador, correcting the potential deficiencies found in the mortality registry. For this purpose, four studies were developed. In the first study we found that, at the national and provincial levels, the mortality registry of Ecuador performs poorly both in terms of completeness and quality. In most of the studied areas, indicators were poorer for the mortality registry in women. Moreover, quality and completeness were lower in the Amazon, central Andean, and northern Coastal regions where historically excluded groups have traditionally lived. In the second study, after correcting deficiencies in the completeness and quality of the mortality registry in the country, we observed not only changes in the number of deaths, but also in the geographic patterns of mortality risks due to some of the main causes of death in women and men. In the third study, a clear geographical pattern of material deprivation in the country was evidenced. High levels of material deprivation were found in areas in the northern Coastal, central Andean and Amazonic regions. In the final study of the dissertation, unique patterns of specific cause of death mortality were observed in women and men in the country. Moreover, many of the main causes of death in men and women were positively associated with material deprivation.