Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities

Background: Intra-urban inequalities in mortality have been infrequently analysed in European contexts. The aim of the present study was to analyse patterns of cancer mortality and their relationship with socioeconomic deprivation in small areas in 11 Spanish cities. Methods: It is a cross-sectional...

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Detalles Bibliográficos
Autores: Puigpinós i Riera, Rosa, Marí Dell'Olmo, Marc, 1978-, Gotsens Miquel, Mercè, 1983-, Borrell i Thió, Carme, Serral Cano, Gemma, 1973-, Ascaso, Carlos, Calvo, Montse, Daponte Codina, Antonio, Domínguez-Berjón, María Felicitas, Esnaola, Santiago, Gandarillas, Ana, López Abente, Gonzalo, Martos, Carmen M., Martínez Beneito, Miguel Ángel, Montes Martínez, Agustín, Montoya, Imanol, Nolasco, Andreu, Pasarín i Rua, M. Isabel, Rodríguez Sanz, Maica, 1974-, Sáez, Marc, Sánchez Villegas, Pablo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/23030
Acceso en línea:http://hdl.handle.net/10230/23030
http://dx.doi.org/10.1186/1476-072X-10-6
Access Level:acceso abierto
Palabra clave:Mortalitat
Ciutats
Càncer
Medi ambient
Descripción
Sumario:Background: Intra-urban inequalities in mortality have been infrequently analysed in European contexts. The aim of the present study was to analyse patterns of cancer mortality and their relationship with socioeconomic deprivation in small areas in 11 Spanish cities. Methods: It is a cross-sectional ecological design using mortality data (years 1996-2003). Units of analysis were the census tracts. A deprivation index was calculated for each census tract. In order to control the variability in estimating the risk of dying we used Bayesian models. We present the RR of the census tract with the highest deprivation vs. the census tract with the lowest deprivation. Results: In the case of men, socioeconomic inequalities are observed in total cancer mortality in all cities, except in Castellon, Cordoba and Vigo, while Barcelona (RR = 1.53 95%CI 1.42-1.67), Madrid (RR = 1.57 95%CI 1.49-1.65) and Seville (RR = 1.53 95%CI 1.36-1.74) present the greatest inequalities. In general Barcelona and Madrid, present inequalities for most types of cancer. Among women for total cancer mortality, inequalities have only been found in Barcelona and Zaragoza. The excess number of cancer deaths due to socioeconomic deprivation was 16,413 for men and 1,142 for women./n/nConclusion/nThis study has analysed inequalities in cancer mortality in small areas of cities in Spain, not only relating this mortality with socioeconomic deprivation, but also calculating the excess mortality which may be attributed to such deprivation. This knowledge is particularly useful to determine which geographical areas in each city need intersectorial policies in order to promote a healthy environment.

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