Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)

Objective: Cardiovascular diseases (CVD) are the leading cause of death in low-mortality countries, but subpopulation level differences exist. This study assesses educational inequalities in CVD mortality by sex in Spanish regions (2016-2021). Method: Age-standardised mortality rates by sex, region...

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Detalles Bibliográficos
Autores: Pérez-Miguel, Enrique|||0000-0002-6315-7297, Trias Llimós, Sergi|||0000-0002-8052-6736
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:309220
Acceso en línea:https://ddd.uab.cat/record/309220
https://dx.doi.org/urn:doi:10.1016/j.gaceta.2025.102458
Access Level:acceso abierto
Palabra clave:Cardiovascular diseases mortality
Socioeconomic inequalities
Regional inequalities
Health inequalities
Mortalidad por causa cardiovascular
Desigualdades socioeconómicas
Desigualdades regionales
Desigualdades en salud
Descripción
Sumario:Objective: Cardiovascular diseases (CVD) are the leading cause of death in low-mortality countries, but subpopulation level differences exist. This study assesses educational inequalities in CVD mortality by sex in Spanish regions (2016-2021). Method: Age-standardised mortality rates by sex, region and education were estimated using individual-level mortality data from individuals aged ≥35 years residing in Spain provided by the Spanish National Statistics Institute. The Relative and the Slope Indexes of Inequality (RII and SII) were estimated to assess educational inequalities. Results: For the whole Spain, RII was 1.79 (IC95%: 1.42-2.26) for women and 1.59 (IC95%: 1.33-1.91) for men, with differences across regions. The greatest inequalities were found in the Balearic and Canary Islands, and the lowest in La Rioja. Conclusions: Continued efforts monitoring and tackling cardiovascular morbidity and its determinants are needed at the national and regional level to further contribute to reducing cardiovascular mortality levels and inequalities therein.