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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Authors: Pérez-Miguel, Enrique|||0000-0002-6315-7297, Trias Llimós, Sergi|||0000-0002-8052-6736
Format: article
Publication Date:2025
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:309220
Online Access:https://ddd.uab.cat/record/309220
https://dx.doi.org/urn:doi:10.1016/j.gaceta.2025.102458
Access Level:Open access
Keyword:Cardiovascular diseases mortality
Socioeconomic inequalities
Regional inequalities
Health inequalities
Mortalidad por causa cardiovascular
Desigualdades socioeconómicas
Desigualdades regionales
Desigualdades en salud
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oai_identifier_str oai:ddd.uab.cat:309220
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network_name_str España
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dc.title.none.fl_str_mv Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
Desigualdades educativas en mortalidad por causa cardiovascular en las regiones españolas (2016-2021)
title Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
spellingShingle Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
Pérez-Miguel, Enrique|||0000-0002-6315-7297
Cardiovascular diseases mortality
Socioeconomic inequalities
Regional inequalities
Health inequalities
Mortalidad por causa cardiovascular
Desigualdades socioeconómicas
Desigualdades regionales
Desigualdades en salud
title_short Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
title_full Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
title_fullStr Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
title_full_unstemmed Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
title_sort Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)
dc.creator.none.fl_str_mv Pérez-Miguel, Enrique|||0000-0002-6315-7297
Trias Llimós, Sergi|||0000-0002-8052-6736
author Pérez-Miguel, Enrique|||0000-0002-6315-7297
author_facet Pérez-Miguel, Enrique|||0000-0002-6315-7297
Trias Llimós, Sergi|||0000-0002-8052-6736
author_role author
author2 Trias Llimós, Sergi|||0000-0002-8052-6736
author2_role author
dc.contributor.none.fl_str_mv Centre d'Estudis Demogràfics
dc.subject.none.fl_str_mv Cardiovascular diseases mortality
Socioeconomic inequalities
Regional inequalities
Health inequalities
Mortalidad por causa cardiovascular
Desigualdades socioeconómicas
Desigualdades regionales
Desigualdades en salud
topic Cardiovascular diseases mortality
Socioeconomic inequalities
Regional inequalities
Health inequalities
Mortalidad por causa cardiovascular
Desigualdades socioeconómicas
Desigualdades regionales
Desigualdades en salud
description 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.
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
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http://purl.org/coar/version/c_970fb48d4fbd8a85
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dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/309220
https://dx.doi.org/urn:doi:10.1016/j.gaceta.2025.102458
url https://ddd.uab.cat/record/309220
https://dx.doi.org/urn:doi:10.1016/j.gaceta.2025.102458
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 864616
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2021-128892OB-I00
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2023-148727OA-I00
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2021-033123-I
Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2024FI-100301
Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2021/SGR-01337
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
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http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/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
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spelling Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)Desigualdades educativas en mortalidad por causa cardiovascular en las regiones españolas (2016-2021)Pérez-Miguel, Enrique|||0000-0002-6315-7297Trias Llimós, Sergi|||0000-0002-8052-6736Cardiovascular diseases mortalitySocioeconomic inequalitiesRegional inequalitiesHealth inequalitiesMortalidad por causa cardiovascularDesigualdades socioeconómicasDesigualdades regionalesDesigualdades en saludObjective: 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.Objetivo: Las enfermedades cardiovasculares (ECV) son la principal causa de muerte en los países de baja mortalidad, aunque presentan desigualdades entre subpoblaciones. Este estudio evalúa desigualdades educativas en mortalidad por ECV según el sexo en las regiones españolas (2016-2021). Método: Se estimaron tasas de mortalidad estandarizadas por edad, sexo, región y nivel educativo utilizando datos individuales de mortalidad de individuos ≥35 años residentes en España, proporcionados por el Instituto Nacional de Estadística. Se estimaron los índices de desigualdad relativa y de pendiente (RII y SII) para evaluar las desigualdades educativas. Resultados: Para toda España, el RII fue de 1,79 (IC95%: 1,42-2,26) para las mujeres y de 1,59 (IC95%: 1,33-1,91) para los varones, observándose diferencias entre regiones. Las mayores desigualdades se encontraron en las Islas Baleares y Canarias, y las menores en La Rioja. Conclusiones: Es necesario continuar con los esfuerzos de seguimiento y abordaje de la morbilidad cardiovascular y sus determinantes en los ámbitos nacional y regional para seguir contribuyendo a reducir los niveles de mortalidad por causa cardiovascular y sus desigualdades.Centre d'Estudis Demogràfics 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/309220https://dx.doi.org/urn:doi:10.1016/j.gaceta.2025.102458reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengEuropean Commission https://doi.org/10.13039/501100000780 864616Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2021-128892OB-I00Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2023-148727OA-I00Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 RYC2021-033123-IAgència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2024FI-100301Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2021/SGR-01337open 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, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3092202026-06-06T12:50:31Z
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