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Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis

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dc.contributor.author Martínez Beneito, Miguel Ángel
dc.contributor.author Zurriaga, Oscar
dc.contributor.author Botella Rocamora, Paloma
dc.contributor.author Marí Dell'Olmo, Marc, 1978-
dc.contributor.author Nolasco, Andreu
dc.contributor.author Moncho, Joaquin
dc.contributor.author Daponte Codina, Antonio
dc.contributor.author Domínguez-Berjón, María Felicitas
dc.contributor.author Gandarillas, Ana
dc.contributor.author Martos, Carmen M.
dc.contributor.author Montoya, Imanol
dc.contributor.author Sánchez Villegas, Pablo
dc.contributor.author Taracido, Margarita
dc.contributor.author Borrell i Thió, Carme
dc.date.accessioned 2015-03-17T08:18:24Z
dc.date.available 2015-03-17T08:18:24Z
dc.date.issued 2013
dc.identifier.citation Martinez-Beneito MA, Zurriaga O, Botella-Rocamora P, Marí-Dell'Olmo M, Nolasco A, Moncho J, Daponte A et al. Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis. BMC Public Health. 2013;13:480. DOI: 10.1186/1471-2458-13-480
dc.identifier.issn 1471-2458
dc.identifier.uri http://hdl.handle.net/10230/23199
dc.description.abstract Background: The relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship across several cities has ever been undertaken. Such an analysis would determine, if appropriate, a joint relationship by linking the associations found. Methods: A pooled cross-sectional analysis of the data from the MEDEA project has been carried out for each of the causes of death studied. Specifically, a meta-analysis has been carried out to pool the relative risks in eleven Spanish cities. Different deprivation-mortality relationships across the cities are considered in the analysis (fixed and random effects models). The size of the cities is also considered as a possible factor explaining differences between cities. Results: Twenty studies have been carried out for different combinations of sex and causes of death. For nine of them (men: prostate cancer, diabetes, mental illnesses, Alzheimer’s disease, cerebrovascular disease; women: diabetes, mental illnesses, respiratory diseases, cirrhosis) no differences were found between cities in the effect of deprivation on mortality; in four cases (men: respiratory diseases, all causes of mortality; women: breast cancer, Alzheimer’s disease) differences not associated with the size of the city have been determined; in two cases (men: cirrhosis; women: lung cancer) differences strictly linked to the size of the city have been determined, and in five cases (men: lung cancer, ischaemic heart disease; women: ischaemic heart disease, cerebrovascular diseases, all causes of mortality) both kinds of differences have been found. Except for lung cancer in women, every significant relationship between deprivation and mortality goes in the same direction: deprivation increases mortality. Variability in the relative risks across cities was found for general mortality for both sexes. Conclusions: This study provides a general overview of the relationship between deprivation and mortality for a sample of large Spanish cities combined. This joint study allows the exploration of and, if appropriate, the quantification of the variability in that relationship for the set of cities considered.
dc.description.sponsorship This article was partially funded by Ministerio de Economia y Competitividad via the research grant MTM2010-19528 (jointly financed with European Regional Development Fund), the FIS-FEDER projects: PI042013, PI040041, PI040170, PI040069, PI042602, PI040388, PI040489, PI042098, PI041260, PI040399, PI08/1488, PI08/0330 and by the CIBER Epidemiología y Salud Publica (CIBERESP), Spain
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof BMC Public Health. 2013;13:480
dc.rights © 2013 Martinez-Beneito et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.other Mortalitat -- Aspectes socials -- Espanya
dc.subject.other Ciutats -- Espanya -- Estadístiques
dc.title Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysis
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-13-480
dc.subject.keyword Deprivation
dc.subject.keyword Mortality
dc.subject.keyword Urban areas
dc.subject.keyword Pooled cross-sectional analysis
dc.subject.keyword Meta-analysis
dc.subject.keyword Spain
dc.relation.projectID info:eu-repo/grantAgreement/ES/3PN/MTM2010-19528
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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