Pérez Glòria, Gotsens Mercè, Palència Laia, Marí-Dell'Olmo Marc, Domínguez-Berjón M Felicitas, Rodríguez-Sanz Maica, Puig Vanessa, Bartoll Xavier, Gandarillas Ana, Martín Unai, Bacigalupe Amaia, Díez Elia, Ruiz Miguel, Esnaola Santiago, Calvo Montserrat, Sánchez Pablo, Luque Fernández Miguel Ángel, Borrell Carme
Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; Departamento de Ciencias Experimentales y de la Salud, Universitat Pompeu Fabra, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España.
Servei de Sistemes d'Informació Sanitària, Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau, Barcelona, España.
Gac Sanit. 2016 Nov-Dec;30(6):472-476. doi: 10.1016/j.gaceta.2016.05.018. Epub 2016 Jul 26.
The aim is to present the protocol of the two sub-studies on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain. Substudy 1: describe the evolution of mortality and reproductive health between 1990 and 2013 through a longitudinal ecological study in the Autonomous Communities. This study will identify changes caused by the economic crisis in trends or reproductive health and mortality indicators using panel data (17 Autonomous Communities per study year) and adjusting Poisson models with random effects variance. Substudy 2: analyse inequalities by socioeconomic deprivation in mortality and reproductive health in several areas of Spain. An ecological study analysing trends in the pre-crisis (1999-2003 and 2004-2008) and crisis (2009-2013) periods will be performed. Random effects models Besag York and Mollié will be adjusted to estimate mortality indicators softened in reproductive health and census tracts.
目的是介绍关于经济危机对西班牙死亡率、生殖健康及健康不平等影响的两项子研究的方案。子研究1:通过对自治区的纵向生态研究,描述1990年至2013年间死亡率和生殖健康的演变。本研究将利用面板数据(每年17个自治区),通过具有随机效应方差的泊松模型调整,确定经济危机在生殖健康和死亡率指标趋势方面所导致的变化。子研究2:分析西班牙若干地区死亡率和生殖健康方面社会经济剥夺造成的不平等。将开展一项生态研究,分析危机前(1999 - 2003年和2004 - 2008年)和危机期间(2009 - 2013年)的趋势。将调整贝萨格·约克和莫利的随机效应模型,以估计生殖健康和普查区中经过平滑处理的死亡率指标。