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Title: Area deprivation and mortality in the provincial capital cities of Andalusia and Catalonia (Spain)
Authors: Ocaña Riola, Ricardo
Saurina, C
Fernández-Ajuria, A
Lertxundi, A
Sánchez-Cantalejo, C
Saez, M
Ruiz-Ramos, M
Barceló, M A
March, Joan Carles
Martínez, J M
Daponte, A
Benach, J
metadata.dc.contributor.authoraffiliation: [Ocaña Riola,R; Fernández-Ajuria,A; Sánchez-Cantalejo,C; March,JC] Escuela Andaluza de Salud Pública, Granada, Spain. [Saurina,C; Lertxundi,A; Saez,M; Barceló,MA] Grup de Recerca en Estadística, Economia Aplicada i Salut (GRECS), Universitat de Girona, Girona, Spain. [Ruiz-Ramos,M] Consejería de Salud de la Junta de Andalucía, Seville, Spain. [Martínez,JM; Benach,J] Departament de Ciències Experimentals i la Salut. Unitat de Recerca en Salut Laboral, Universitat Pompeu Fabra, Barcelona, Spain
Keywords: Hierarchical Bayesian models;Andalucía;Cataluña;Mortalidad;Epidemiología
metadata.dc.subject.mesh: Medical Subject Headings::Information Science::Information Science::Data Collection::Vital Statistics::Mortality
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Medicine::Public Health::Epidemiology
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Bayes Theorem
Medical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Educational Status
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Factors::Sex Factors
Medical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Employment::Unemployment
Medical Subject Headings::Health Care::Population Characteristics::Health::Urban Health
Issue Date: 2008
Publisher: BMJ Publishing Group
Citation: Ocaña-Riola R, Saurina C, Fernández-Ajuria A, Lertxundi A, Sánchez-Cantalejo C, Saez M, et al. Area deprivation and mortality in the provincial capital cities of Andalusia and Catalonia (Spain). J Epidemiol Community Health. 2008 Feb;62(2):147-52.
Abstract: Objective: To study the linkage between material deprivation and mortality from all causes, for men and women separately, in the capital cities of the provinces in Andalusia and Catalonia (Spain). Methods: A small-area ecological study was devised using the census section as the unit for analysis. 188 983 Deaths occurring in the capital cities of the Andalusian provinces and 109 478 deaths recorded in the Catalan capital cities were examined. Principal components factorial analysis was used to devise a material deprivation index comprising the percentage of manual labourers, unemployment and illiteracy. A hierarchical Bayesian model was used to study the relationship between mortality and area deprivation. Main results: In most cities, results show an increased male mortality risk in the most deprived areas in relation to the least depressed. In Andalusia, the relative risks between the highest and lowest deprivation decile ranged from 1.24 (Malaga) to 1.40 (Granada), with 95% credibility intervals showing a significant excess risk. In Catalonia, relative risks ranged between 1.08 (Girona) and 1.50 (Tarragona). No evidence was found for an excess of female mortality in most deprived areas in either of the autonomous communities. Conclusions: Within cities, gender-related differences were revealed when deprivation was correlated geographically with mortality rates. These differences were found from an ecological perspective. Further research is needed in order to validate these results from an individual approach. The idea to be analysed is to identify those factors that explain these differences at an individual level.
Description: Research report
metadata.dc.identifier.doi: doi:10.1136/jech.2006.053280
ISSN: 0143-005X (Print)
1470-2738 (Online)
Appears in Collections:01- Artículos - Consejería de Salud y Familias
01- Artículos - EASP. Escuela Andaluza de Salud Pública

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