西班牙两大城市（巴塞罗那和马德里）小地理区域内死亡率的社会经济不平等演变，1996-2007 年。
Evolution of socio-economic inequalities in mortality in small geographical areas of the two largest cities in Spain (Barcelona and Madrid), 1996-2007.
机构信息
Universitat Pompeu Fabra, Barcelona, Spain; Agència de Salut Pública de Barcelona, Barcelona, Spain.
出版信息
Public Health. 2013 Oct;127(10):916-21. doi: 10.1016/j.puhe.2013.07.001. Epub 2013 Sep 25.
OBJECTIVES
To describe the evolution of socio-economic inequalities in mortality in small areas of two Spanish cities (Barcelona and Madrid) from 1996 to 2001 and from 2002 to 2007.
STUDY DESIGN
A small-area ecological study of trends was performed, in which the units of analysis were census tracts.
METHODS
The association between mortality and socio-economic deprivation was assessed through Poisson regression analysis. Models were stratified by sex, age group and period of study. The trend in inequalities in mortality was assessed by introducing an interaction term between deprivation and the period of study.
RESULTS
Mortality in the most-deprived areas was significantly higher than mortality in the less-deprived areas in both periods and most age groups. However, inequalities seemed to diminish in young people and elderly women, especially in Barcelona.
CONCLUSIONS
There is a need to monitor inequalities in mortality in the near future because the current financial crisis could change this situation.
目的
描述 1996 年至 2001 年和 2002 年至 2007 年期间，两个西班牙城市（巴塞罗那和马德里）小范围地区社会经济不平等与死亡率之间的变化关系。
研究设计
采用小范围生态研究趋势的方法，分析单位为人口普查区。
方法
通过泊松回归分析评估死亡率与社会经济剥夺之间的关联。根据性别、年龄组和研究期间对模型进行分层。通过引入剥夺与研究期间的交互项来评估死亡率不平等的变化趋势。
结果
在两个时期和大多数年龄组中，最贫困地区的死亡率明显高于较贫困地区。然而，不平等现象似乎在年轻人和老年妇女中有所减少，尤其是在巴塞罗那。
结论
需要在不久的将来监测死亡率的不平等，因为当前的金融危机可能会改变这种情况。
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