Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession

Objective: To analyse the trends in chronic liver diseases and cirrhosis mortality, and the associated socioeconomic inequalities, in nine European cities and urban areas before and after the onset of the 2008 financial crisis. Methods: This is an ecological study of trends in three periods of time:...

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Autores: Borrell i Thió, Carme|||0000-0002-1170-2505, Palència, Laia|||0000-0002-3726-9893, Bosakova, Lucia|||0000-0001-8381-7064, Gotsens, Mercè|||0000-0003-2952-2024, Morrison, Joana|||0000-0002-2181-4869, Costa, Claudia|||0000-0002-7422-6139, Dzurova, Dagmar|||0000-0003-0530-4997, Deboosere, Patrick|||0000-0002-8148-3694, Lustigova, Michala|||0000-0002-5235-1932, Marí-Dell'Olmo, Marc|||0000-0003-4345-4988, Rodopoulou, S., Santana, Paula|||0000-0002-7658-8475
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:269672
Acceso en línea:https://ddd.uab.cat/record/269672
https://dx.doi.org/urn:doi:10.3390/ijerph18168801
Access Level:acceso abierto
Palabra clave:Chronic liver diseases
Liver cirrhosis
Mortality
Inequalities
Urban areas
Financial crisis
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spelling Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recessionBorrell i Thió, Carme|||0000-0002-1170-2505Palència, Laia|||0000-0002-3726-9893Bosakova, Lucia|||0000-0001-8381-7064Gotsens, Mercè|||0000-0003-2952-2024Morrison, Joana|||0000-0002-2181-4869Costa, Claudia|||0000-0002-7422-6139Dzurova, Dagmar|||0000-0003-0530-4997Deboosere, Patrick|||0000-0002-8148-3694Lustigova, Michala|||0000-0002-5235-1932Marí-Dell'Olmo, Marc|||0000-0003-4345-4988Rodopoulou, S.Santana, Paula|||0000-0002-7658-8475Chronic liver diseasesLiver cirrhosisMortalityInequalitiesUrban areasFinancial crisisObjective: To analyse the trends in chronic liver diseases and cirrhosis mortality, and the associated socioeconomic inequalities, in nine European cities and urban areas before and after the onset of the 2008 financial crisis. Methods: This is an ecological study of trends in three periods of time: two before (2000-2003 and 2004-2008), and one after (2009-2014) the onset of the economic crisis. The units of analysis were the geographical areas of nine cities or urban areas in Europe. We analysed chronic liver diseases and cirrhosis standardised mortality ratios, smoothing them with a hierarchical Bayesian model by each city, area, and sex. An ecological regression model was fitted to analyse the trends in socioeconomic inequalities, and included the socioeconomic deprivation index, the period, and their interaction. Results: In general, chronic liver diseases and cirrhosis mortality rates were higher in men than in women. These rates decreased in all cities during the financial crisis, except among men in Athens (rates increased from 8.50 per 100,000 inhabitants during the second period to 9.42 during the third). Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality were found in six cities/metropolitan areas among men, and in four among women. Finally, in the periods studied, such inequalities did not significantly change. However, among men they increased in Turin and Barcelona and among women, several cities had lower inequalities in the third period. Conclusions: There are geographical socioeconomic inequalities in chronic liver diseases and cirrhosis mortality, mainly among men, that did not change during the 2008 financial crisis. These results should be monitored in the long term. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/269672https://dx.doi.org/urn:doi:10.3390/ijerph18168801reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengEuropean Commission https://doi.org/10.13039/501100000780 643398open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2696722026-06-06T12:50:31Z
dc.title.none.fl_str_mv Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
title Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
spellingShingle Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
Borrell i Thió, Carme|||0000-0002-1170-2505
Chronic liver diseases
Liver cirrhosis
Mortality
Inequalities
Urban areas
Financial crisis
title_short Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
title_full Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
title_fullStr Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
title_full_unstemmed Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
title_sort Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality in european urban areas before and after the onset of the 2008 economic recession
dc.creator.none.fl_str_mv Borrell i Thió, Carme|||0000-0002-1170-2505
Palència, Laia|||0000-0002-3726-9893
Bosakova, Lucia|||0000-0001-8381-7064
Gotsens, Mercè|||0000-0003-2952-2024
Morrison, Joana|||0000-0002-2181-4869
Costa, Claudia|||0000-0002-7422-6139
Dzurova, Dagmar|||0000-0003-0530-4997
Deboosere, Patrick|||0000-0002-8148-3694
Lustigova, Michala|||0000-0002-5235-1932
Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
Rodopoulou, S.
Santana, Paula|||0000-0002-7658-8475
author Borrell i Thió, Carme|||0000-0002-1170-2505
author_facet Borrell i Thió, Carme|||0000-0002-1170-2505
Palència, Laia|||0000-0002-3726-9893
Bosakova, Lucia|||0000-0001-8381-7064
Gotsens, Mercè|||0000-0003-2952-2024
Morrison, Joana|||0000-0002-2181-4869
Costa, Claudia|||0000-0002-7422-6139
Dzurova, Dagmar|||0000-0003-0530-4997
Deboosere, Patrick|||0000-0002-8148-3694
Lustigova, Michala|||0000-0002-5235-1932
Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
Rodopoulou, S.
Santana, Paula|||0000-0002-7658-8475
author_role author
author2 Palència, Laia|||0000-0002-3726-9893
Bosakova, Lucia|||0000-0001-8381-7064
Gotsens, Mercè|||0000-0003-2952-2024
Morrison, Joana|||0000-0002-2181-4869
Costa, Claudia|||0000-0002-7422-6139
Dzurova, Dagmar|||0000-0003-0530-4997
Deboosere, Patrick|||0000-0002-8148-3694
Lustigova, Michala|||0000-0002-5235-1932
Marí-Dell'Olmo, Marc|||0000-0003-4345-4988
Rodopoulou, S.
Santana, Paula|||0000-0002-7658-8475
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Chronic liver diseases
Liver cirrhosis
Mortality
Inequalities
Urban areas
Financial crisis
topic Chronic liver diseases
Liver cirrhosis
Mortality
Inequalities
Urban areas
Financial crisis
description Objective: To analyse the trends in chronic liver diseases and cirrhosis mortality, and the associated socioeconomic inequalities, in nine European cities and urban areas before and after the onset of the 2008 financial crisis. Methods: This is an ecological study of trends in three periods of time: two before (2000-2003 and 2004-2008), and one after (2009-2014) the onset of the economic crisis. The units of analysis were the geographical areas of nine cities or urban areas in Europe. We analysed chronic liver diseases and cirrhosis standardised mortality ratios, smoothing them with a hierarchical Bayesian model by each city, area, and sex. An ecological regression model was fitted to analyse the trends in socioeconomic inequalities, and included the socioeconomic deprivation index, the period, and their interaction. Results: In general, chronic liver diseases and cirrhosis mortality rates were higher in men than in women. These rates decreased in all cities during the financial crisis, except among men in Athens (rates increased from 8.50 per 100,000 inhabitants during the second period to 9.42 during the third). Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality were found in six cities/metropolitan areas among men, and in four among women. Finally, in the periods studied, such inequalities did not significantly change. However, among men they increased in Turin and Barcelona and among women, several cities had lower inequalities in the third period. Conclusions: There are geographical socioeconomic inequalities in chronic liver diseases and cirrhosis mortality, mainly among men, that did not change during the 2008 financial crisis. These results should be monitored in the long term.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/269672
https://dx.doi.org/urn:doi:10.3390/ijerph18168801
url https://ddd.uab.cat/record/269672
https://dx.doi.org/urn:doi:10.3390/ijerph18168801
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv European Commission https://doi.org/10.13039/501100000780 643398
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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