Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings

Background: Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disea...

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Autores: Bartoll, Xavier, Gotsens Miquel, Mercè, 1983-, Marí Dell'Olmo, Marc, 1978-, Palència Fernàndez, Laia, 1980-, Calvo, Montse, Esnaola, Santiago, Borrell i Thió, Carme
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución: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:10230/45149
Acceso en línea:http://hdl.handle.net/10230/45149
http://dx.doi.org/10.1186/s13690-019-0339-z
Access Level:acceso abierto
Palabra clave:Crisis
Economic
Ischaemic heart disease mortality
Socioeconomic inequalities
Spain
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spelling Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settingsBartoll, XavierGotsens Miquel, Mercè, 1983-Marí Dell'Olmo, Marc, 1978-Palència Fernàndez, Laia, 1980-Calvo, MontseEsnaola, SantiagoBorrell i Thió, CarmeCrisisEconomicIschaemic heart disease mortalitySocioeconomic inequalitiesSpainBackground: Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disease mortality. This study examines trends in socioeconomic inequalities in mortality due to ischaemic heart disease (IHD). Methods: We used linked census records with mortality registers available from the Basque Country and Barcelona city for population above 25 years, between 2001 and 04, the accelerated economic growth period of 2005-08, and 2009-12, with the last period coinciding with the Great Recession. Applying Poisson models, we calculated relative and absolute indexes of inequalities by education level for each period, age group, gender, and site. Results: We found moderate age-adjusted inequalities in IHD with a gradient of increasing rates through less educational level, but no significant evidence of increasing trends in socioeconomic inequalities in IHD mortality, rather an inverted U-shape time trend in some groups below 75 years in relative inequalities. Absolute inequalities decrease in the last period except for women from 50 to 64 years. Conclusions: This study shows that the economic crisis has not increased socioeconomic inequalities in IHD mortality in two geographical settings in Spain.BioMed Central202020202019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/45149http://dx.doi.org/10.1186/s13690-019-0339-zreponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésArch Public Health. 2019; 77:12© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/451492026-05-29T05:05:01Z
dc.title.none.fl_str_mv Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
title Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
spellingShingle Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
Bartoll, Xavier
Crisis
Economic
Ischaemic heart disease mortality
Socioeconomic inequalities
Spain
title_short Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
title_full Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
title_fullStr Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
title_full_unstemmed Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
title_sort Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
dc.creator.none.fl_str_mv Bartoll, Xavier
Gotsens Miquel, Mercè, 1983-
Marí Dell'Olmo, Marc, 1978-
Palència Fernàndez, Laia, 1980-
Calvo, Montse
Esnaola, Santiago
Borrell i Thió, Carme
author Bartoll, Xavier
author_facet Bartoll, Xavier
Gotsens Miquel, Mercè, 1983-
Marí Dell'Olmo, Marc, 1978-
Palència Fernàndez, Laia, 1980-
Calvo, Montse
Esnaola, Santiago
Borrell i Thió, Carme
author_role author
author2 Gotsens Miquel, Mercè, 1983-
Marí Dell'Olmo, Marc, 1978-
Palència Fernàndez, Laia, 1980-
Calvo, Montse
Esnaola, Santiago
Borrell i Thió, Carme
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Crisis
Economic
Ischaemic heart disease mortality
Socioeconomic inequalities
Spain
topic Crisis
Economic
Ischaemic heart disease mortality
Socioeconomic inequalities
Spain
description Background: Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disease mortality. This study examines trends in socioeconomic inequalities in mortality due to ischaemic heart disease (IHD). Methods: We used linked census records with mortality registers available from the Basque Country and Barcelona city for population above 25 years, between 2001 and 04, the accelerated economic growth period of 2005-08, and 2009-12, with the last period coinciding with the Great Recession. Applying Poisson models, we calculated relative and absolute indexes of inequalities by education level for each period, age group, gender, and site. Results: We found moderate age-adjusted inequalities in IHD with a gradient of increasing rates through less educational level, but no significant evidence of increasing trends in socioeconomic inequalities in IHD mortality, rather an inverted U-shape time trend in some groups below 75 years in relative inequalities. Absolute inequalities decrease in the last period except for women from 50 to 64 years. Conclusions: This study shows that the economic crisis has not increased socioeconomic inequalities in IHD mortality in two geographical settings in Spain.
publishDate 2019
dc.date.none.fl_str_mv 2019
2020
2020
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 http://hdl.handle.net/10230/45149
http://dx.doi.org/10.1186/s13690-019-0339-z
url http://hdl.handle.net/10230/45149
http://dx.doi.org/10.1186/s13690-019-0339-z
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Arch Public Health. 2019; 77:12
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
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