Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/272
Title: Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities
Authors: Puigpinós-Riera, Rosa
Marí-Dell'Olmo, Marc
Gotsens, Mercè
Borrell, Carmen
Serral, Gemma
Ascaso, Carlos
Calvo, Montse
Daponte, Antonio
Domínguez-Berjón, Felicitas M
Esnaola, Santiago
Gandarillas, Ana
López-Abente, Gonzalo
Martos, Carmen M
Martínez-Beneito, Miguel A
Montes-Martínez, Agustín
Montoya, Imanol
Nolasco, Andreu
Pasarín, Isabel M
Rodríguez-Sanz, Maica
Sáez, Marc
Sánchez-Villegas, Pablo
metadata.dc.contributor.authoraffiliation: [Puigpinós-Riera R, Ascaso C] Departament de Salut Pública, Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain. [Puigpinós-Riera R, Marí-Dell'Olmo M, Gotsens M, Borrell C, Serral G, Pasarín IM, Rodríguez-Sanz M] Servei de Sistemes d'Informació Sanitaria, Agència de Salut Pública de Barcelona, Barcelona, Spain. [Puigpinós-Riera R, Marí-Dell'Olmo M, Gotsens M, Borrell C, Serral G,Daponte A, Montes-Martínez A, Pasarín IM, Rodríguez-Sanz M, Sáez M] CIBER Epidemiología y Salud Pública (CIBERESP), Parc de Recerca Biomédica de Barcelona, Barcelona, Spain. [Borrell C, Pasarín IM, Sáez M] Universitat Pompeu Fabra, Barcelona, Spain. [Calvo M, Esnaola S, Montoya I] Estudios e investigación Sanitaria, Departamento de Sanidad y Consumo. Gobierno Vasco, Vitoria-Gasteiz, Spain. [Daponte A, Sánchez-Villegas P] bservatorio de Salud y Medio Ambiente de Andalucía (OSMAN), Area de Salud Pública y Protección de la Salud, Escuela Andaluza de Salud Pública, Granada, Spain. [Domínguez-Berjón FM] Servicio de Informes de Salud y Estudios, Instituto de Salud Pública, Dirección General de Salud Pública y Alimentación, Consejería de Sanidad, Comunidad de Madrid. [Gandarillas A] Servicio de Epidemiologia, Dirección General de Atención Primaria, Comunidad de Madrid. [López-Abente G] Area de Epidemiología Ambiental y Cáncer, Centro Nacional de Epidemiología, Madrid, Spain. [Martos CM, Martínez-Beneito MA] Area de Desigualdades en Salud, Centro Superior de Investigación en Salud Pública de Valencia, Spain. [Martos CM] Instituto Aragonés de Ciencias de la Salud, Aragón, Spain. [Montes-Martínez A] Departamento de Medicina Preventiva e Saude Pública, Universidade de Santiago de Compostela, Spain. [Nolasco A] Unitat d'Investigació en Anàlisi de la Mortalitat i Estadística Sanitaria, Departament d'Infermeria Comunitària, Medecina Preventiva i Salut Pública i Història de la Ciencia, Universitat d'Alacant, Spain. [Sáez M] Research Group on Statistics, Applied Economics and Health (GRECS), University of Girona, Spain
Keywords: Neoplasias;Disparidades en el estado de salud;Teorema de Bayes;Población urbana;España;Estudios transversales
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Neoplasms
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Measurements::Demography::Health Status::Health Status Disparities
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Statistics as Topic::Probability::Bayes Theorem
Medical Subject Headings::Health Care::Population Characteristics::Population::Urban Population
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies
Medical Subject Headings::Geographicals::Geographic Locations::Europe::Spain
Issue Date: 13-Jan-2011
Publisher: Biomed Central
Citation: Puigpinós-Riera R, Marí-Dell'Olmo M, Gotsens M, Borrell C, Serral G, Ascaso C, et al. Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities. Int J Health Geogr. 2011 Jan 13; 10:6
Abstract: 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. Conclusion This 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.
Description: This paper forms part of the PhD dissertation of Rosa Puigpinós I Riera in the Doctoral Programme in Public Health, University of Barcelona.
URI: http://hdl.handle.net/10668/272
metadata.dc.relation.publisherversion: http://www.ij-healthgeographics.com/content/10/1/6
metadata.dc.identifier.doi: 10.1186/1476-072X-10-6
Appears in Collections:01- Artículos - EASP. Escuela Andaluza de Salud Pública

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