Rodríguez-Sanz Maica, Gotsens Mercè, Marí-Dell'Olmo Marc, Mehdipanah Roshanak, Borrell Carme
Agència de Salut Pública de Barcelona, Barcelona, Spain; Institut d'Investigació Biomèdica (IIB Sant Pau), Barcelona, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Spain; Universitat Pompeu Fabra, Barcelona, Spain.
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. 2016 May;39:142-52. doi: 10.1016/j.healthplace.2016.03.004. Epub 2016 Apr 20.
The objective of this study was to analyse trends in socioeconomic inequalities in premature mortality in Barcelona from 1992 to 2011, accounting for population changes. We conducted a repeated cross-sectional study of the Barcelona population (25-64 years) using generalized linear mixed models for trend analysis, and found that socioeconomic inequalities in premature mortality persisted between neighbourhoods, but tended to diminish. However, the reduction in inequality was related to an increase in the number of foreign-born individuals mainly in socioeconomic disadvantaged neighbourhoods, in which the decrease in premature mortality was more marked. To study trends in geographical inequalities in mortality, it is essential to understand demographic changes occurred in different places related to local levels of deprivation.
本研究的目的是分析1992年至2011年巴塞罗那早产死亡率的社会经济不平等趋势，并考虑人口变化。我们对巴塞罗那人口（25至64岁）进行了重复横断面研究，使用广义线性混合模型进行趋势分析，发现早产死亡率的社会经济不平等在各社区之间持续存在，但有减少的趋势。然而，不平等的减少与主要在社会经济弱势社区的外国出生人口数量增加有关，在这些社区早产死亡率的下降更为明显。要研究死亡率的地理不平等趋势，必须了解与当地贫困水平相关的不同地方发生的人口变化。
