Borrell i Thió C, Arias i Enrich A
Servei d'Informació Sanitària, Institut Municipal de la Salut de Barcelona.
Gac Sanit. 1993 Sep-Oct;7(38):205-20. doi: 10.1016/s0213-9111(93)71153-x.
This study is aimed to describe the differences in mortality among the 38 wards of the city of Barcelona for the period 1983-89. Mortality data for years 1983 to 1989 came from the death certificates. The indicators used for the 38 city wards and the 10 city districts were: Comparative Mortality Figure, Ratio, Ratio of Potential Years of Life Lost, and Life Expectancy at birth. A descriptive analysis of these indicators by wards and district is offered; a cluster analysis based on these indicators was also performed. Wards from the same district are considered homogeneous for a given indicator, when all ward's values are higher, equal or lower to district average. The ward with the most unfavourable indicators and worst situation was Montjuïc, an exponent of shanty town problems until few years ago and located near the centre. Next in ranking, from worst to best situation, did appear the four wards of the city centre district, the old historical quarter. Other wards with high mortality rates were some peripheral areas, nearly all built recently such as Ciutat Meridiana, Bon Pastor and Zona Franca, and also other old wards, such as Poble Sec. Cluster analysis classified the wards with higher mortality in several different clusters, clearly split from the other more homogeneous wards. Five of 10 districts have been considered as homogeneous. This study has allowed a deeper knowledge of the geographical distribution of mortality in the city of Barcelona, until now analysed by city districts.
本研究旨在描述1983 - 1989年期间巴塞罗那市38个病房的死亡率差异。1983年至1989年的死亡率数据来自死亡证明。用于38个城市病房和10个城市区的指标有:比较死亡率图、比率、潜在寿命损失比率和出生时预期寿命。提供了按病房和区对这些指标的描述性分析;还基于这些指标进行了聚类分析。当所有病房的指标值高于、等于或低于区平均值时,同一区的病房在给定指标上被视为同质。指标最不利、情况最差的病房是蒙特惠奇,直到几年前它还是棚户区问题的典型代表,位于市中心附近。排名其次的,从最差到最佳情况,依次是市中心区的四个病房,即古老的历史街区。其他死亡率高的病房是一些周边地区,几乎都是最近建成的,如城市子午线区、邦帕斯托区和自由区,还有其他一些老病房,如波布勒塞克区。聚类分析将死亡率较高的病房归为几个不同的类别,与其他更同质的病房明显区分开来。10个区中有5个被认为是同质的。本研究使人们对巴塞罗那市死亡率的地理分布有了更深入的了解,此前该市死亡率是按城区进行分析的。