CIBER Epidemiología y Salud Pública (CIBERESP), Spain; Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain.
Health Place. 2013 Nov;24:165-72. doi: 10.1016/j.healthplace.2013.09.003. Epub 2013 Sep 17.
This study analysed socioeconomic inequalities in mortality due to injuries in small areas of 15 European cities, by sex, at the beginning of this century. A cross-sectional ecological study with units of analysis being small areas within 15 European cities was conducted. Relative risks of injury mortality associated with the socioeconomic deprivation index were estimated using hierarchical Bayesian model. The number of small areas varies from 17 in Bratislava to 2666 in Turin. The median population per small area varies by city (e.g. Turin had 274 inhabitants per area while Budapest had 76,970). Socioeconomic inequalities in all injury mortality are observed in the majority of cities and are more pronounced in men. In the cities of northern and western Europe, socioeconomic inequalities in injury mortality are found for most types of injuries. These inequalities are not significant in the majority of cities in southern Europe among women and in the majority of central eastern European cities for both sexes. The results confirm the existence of socioeconomic inequalities in injury related mortality and reveal variations in their magnitude between different European cities.
本研究分析了本世纪初，在 15 个欧洲城市的小区域中，因伤害导致的与性别相关的社会经济不平等现象。采用了一种跨城市、以小区域为单位的生态研究。使用分层贝叶斯模型估计了与社会经济剥夺指数相关的伤害死亡率的相对风险。小区域的数量从布拉迪斯拉发的 17 个到都灵的 2666 个不等。每个小区域的平均人口数量因城市而异（例如，都灵的每个区域有 274 名居民，而布达佩斯则有 76970 名居民）。在大多数城市中，都观察到了所有伤害性死亡率的社会经济不平等现象，而且在男性中更为明显。在北欧和西欧的城市中，发现了大多数类型伤害导致的死亡中存在社会经济不平等现象。而在大多数南欧城市中，女性和中欧和东欧的大多数城市中，两性都不存在这种不平等现象。研究结果证实了伤害相关死亡率存在社会经济不平等现象，并揭示了不同欧洲城市之间其程度的差异。
