Geographical patterns of excess mortality in Spain explained by two indices of deprivation.
作者信息
Benach J, Yasui Y
机构信息
Department of Experimental Sciences, Health and Technology, Pompeu Fabra University, Barcelona, Spain.
出版信息
J Epidemiol Community Health. 1999 Jul;53(7):423-31. doi: 10.1136/jech.53.7.423.
Abstract
STUDY OBJECTIVE
To analyse the geographical patterns and the magnitude of the association between deprivation and mortality in Spain. To estimate the excess of mortality in more deprived areas of the country by region.
DESIGN
Cross sectional ecological study using 1991 census variables and mortality data for 1987-1992.
SETTING
2220 small areas in Spain.
MAIN RESULTS
A geographical gradient from north east to south west was shown by both mortality and deprivation levels in Spain. Two dimensions of deprivation (that is, Index 1 and Index 2) obtained by exploratory factor analysis using four census indicators were found to predict mortality: mortality over 65 years of age was more associated with Index 1, while mortality under 65 years of age was more associated with Index 2. Excess mortality in the most deprived areas accounted for about 35,000 deaths.
CONCLUSIONS
Two indices of deprivation strongly predict mortality in two age groups. Excess number of deaths in the most deprived geographical areas account for 10% of total number of deaths annually. In Spain there is great potential for reducing mortality if the excess risk in more deprived areas fell to the level of the most affluent areas.
摘要
相似文献
1
Geographical patterns of excess mortality in Spain explained by two indices of deprivation.
J Epidemiol Community Health. 1999 Jul;53(7):423-31. doi: 10.1136/jech.53.7.423.
2
Socio-economic inequalities in mortality due to injuries in small areas of ten cities in Spain (MEDEA Project).西班牙十个城市小范围因伤死亡率的社会经济不平等（MEDEA 项目）
Accid Anal Prev. 2011 Sep;43(5):1802-10. doi: 10.1016/j.aap.2011.04.013. Epub 2011 May 19.
3
The public health burden of material deprivation: excess mortality in leading causes of death in Spain.物质匮乏对公共卫生的负担：西班牙主要死因中的超额死亡率
Prev Med. 2003 Mar;36(3):300-8. doi: 10.1016/s0091-7435(02)00014-2.
4
Inequalities in mortality in small areas of eleven Spanish cities (the multicenter MEDEA project).11 个西班牙城市小范围的死亡率不平等（多中心 MEDEA 项目）。
Health Place. 2010 Jul;16(4):703-11. doi: 10.1016/j.healthplace.2010.03.002. Epub 2010 Mar 23.
5
Is 'excess' mortality in Glasgow an artefact of measurement?格拉斯哥的“超额”死亡率是测量造成的假象吗？
Public Health. 2015 Jun;129(6):684-90. doi: 10.1016/j.puhe.2015.02.032. Epub 2015 Apr 17.
6
Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities.城市地区癌症死亡率的不平等：西班牙城市的贝叶斯小区域分析。
Int J Health Geogr. 2011 Jan 13;10:6. doi: 10.1186/1476-072X-10-6.
7
Area deprivation and mortality in the provincial capital cities of Andalusia and Catalonia (Spain).西班牙安达卢西亚和加泰罗尼亚首府城市的地区贫困与死亡率
J Epidemiol Community Health. 2008 Feb;62(2):147-52. doi: 10.1136/jech.2006.053280.
8
Socio-economic inequalities in lung cancer mortality in Spain: a nation-wide study using area-based deprivation.西班牙肺癌死亡率的社会经济不平等：一项基于地区贫困程度的全国性研究。
Int J Equity Health. 2023 Aug 2;22(1):145. doi: 10.1186/s12939-023-01970-y.
9
Association of proximity to polluting industries, deprivation and mortality in small areas of the Basque Country (Spain).巴斯克地区（西班牙）小范围的污染工业接近程度、贫困程度与死亡率的关联性。
Eur J Public Health. 2013 Feb;23(1):171-6. doi: 10.1093/eurpub/ckr213. Epub 2012 Feb 7.
10
Why is mortality higher in poorer areas and in more northern areas of England and Wales?为何在英格兰和威尔士较贫困地区以及更靠北的地区死亡率更高？
J Epidemiol Community Health. 1998 Jun;52(6):344-52. doi: 10.1136/jech.52.6.344.
引用本文的文献
1
Census-Tract-Level Median Household Income and Median Family Income Estimates: A Unidimensional Measure of Neighborhood Socioeconomic Status?普查地段层面家庭收入中位数和家庭收入中位数估计：衡量邻里社会经济地位的单一维度指标？
Int J Environ Res Public Health. 2022 Dec 23;20(1):211. doi: 10.3390/ijerph20010211.
2
Classification of Deprivation Indices That Applied to Detect Health Inequality: A Scoping Review.用于检测健康不平等的剥夺指数分类：范围综述。
Int J Environ Res Public Health. 2022 Aug 15;19(16):10063. doi: 10.3390/ijerph191610063.
3
Socioeconomic Disparities Do Not Explain the U.S. International Disadvantage in Mortality.社会经济差异并不能解释美国在死亡率方面的国际劣势。
J Gerontol B Psychol Sci Soc Sci. 2022 May 27;77(Suppl_2):S158-S166. doi: 10.1093/geronb/gbac030.
4
The Magnitude of Black/Hispanic Disparity in COVID-19 Mortality Across United States Counties During the First Waves of the COVID-19 Pandemic.美国 COVID-19 大流行第一波期间，县一级的新冠死亡率中黑人和西班牙裔之间差异的严重程度。
Int J Public Health. 2021 Sep 22;66:1604004. doi: 10.3389/ijph.2021.1604004. eCollection 2021.
5
Measuring health-related social deprivation in small areas: development of an index and examination of its association with cancer mortality.衡量小区域内与健康相关的社会剥夺程度：指数的制定及其与癌症死亡率关系的检验。
Int J Equity Health. 2021 Sep 27;20(1):216. doi: 10.1186/s12939-021-01545-9.
6
Non-compensatory aggregation method to measure social and material deprivation in an urban area: relationship with premature mortality.非补偿性聚合方法衡量城市地区的社会和物质剥夺程度：与过早死亡的关系。
Eur J Health Econ. 2020 Apr;21(3):381-396. doi: 10.1007/s10198-019-01139-x. Epub 2019 Dec 6.
7
Risk patterns of lung cancer mortality in northern Thailand.泰国北部肺癌死亡率的风险模式。
BMC Public Health. 2018 Sep 24;18(1):1138. doi: 10.1186/s12889-018-6025-1.
8
Social Factors Determine the Emergency Medical Admission Workload.社会因素决定急诊医疗入院工作量。
J Clin Med. 2017 Jun 9;6(6):59. doi: 10.3390/jcm6060059.
9
Inequalities in rural communities: adapting national deprivation indices for rural settings.农村社区的不平等：适应国家贫困指数以适应农村环境。
J Public Health (Oxf). 2018 Jun 1;40(2):419-425. doi: 10.1093/pubmed/fdx048.
10
The Association of Geographic Coordinates with Mortality in People with Lower and Higher Education and with Mortality Inequalities in Spain.西班牙低学历和高学历人群中地理坐标与死亡率的关联以及死亡率不平等情况
PLoS One. 2015 Jul 24;10(7):e0133765. doi: 10.1371/journal.pone.0133765. eCollection 2015.
本文引用的文献
1
Socioeconomic inequalities in morbidity and mortality in western Europe. The EU Working Group on Socioeconomic Inequalities in Health.西欧发病率和死亡率方面的社会经济不平等。欧盟健康领域社会经济不平等问题工作组。
Lancet. 1997 Jun 7;349(9066):1655-9. doi: 10.1016/s0140-6736(96)07226-1.
2
Measuring social class in US public health research: concepts, methodologies, and guidelines.美国公共卫生研究中的社会阶层测量：概念、方法与指南。
Annu Rev Public Health. 1997;18:341-78. doi: 10.1146/annurev.publhealth.18.1.341.
3
Does the variation in the socioeconomic characteristics of an area affect mortality?一个地区社会经济特征的差异会影响死亡率吗？
BMJ. 1996 Apr 20;312(7037):1013-4. doi: 10.1136/bmj.312.7037.1013.
4
Single measures of deprivation.贫困的单一衡量标准。
J Epidemiol Community Health. 1995 Dec;49 Suppl 2(Suppl 2):S51-6. doi: 10.1136/jech.49.suppl_2.s51.
5
Census based deprivation indices: their weighting and validation.基于人口普查的贫困指数：其权重及验证
J Epidemiol Community Health. 1995 Dec;49 Suppl 2(Suppl 2):S39-44. doi: 10.1136/jech.49.suppl_2.s39.
6
Deprivation indices: their interpretation and use in relation to health.剥夺指数：其与健康相关的解读及应用
J Epidemiol Community Health. 1995 Dec;49 Suppl 2(Suppl 2):S3-8. doi: 10.1136/jech.49.suppl_2.s3.
7
Privilege and health--what is the connection?特权与健康——有什么联系？
N Engl J Med. 1993 Jul 8;329(2):126-7. doi: 10.1056/NEJM199307083290210.
8
[Health inequalities in Barcelona and Valencia].[巴塞罗那和巴伦西亚的健康不平等现象]
Med Clin (Barc). 1993 Feb 27;100(8):281-7.
9
Social deprivation and premature mortality: regional comparison across England.社会剥夺与过早死亡：英格兰地区比较
BMJ. 1993 Oct 30;307(6912):1097-102. doi: 10.1136/bmj.307.6912.1097.
10
Widening inequality of health in northern England, 1981-91.1981 - 1991年英格兰北部健康不平等状况加剧
BMJ. 1994 Apr 30;308(6937):1125-8. doi: 10.1136/bmj.308.6937.1125.
Zotero 插件