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Effect of the financial crisis on socioeconomic inequalities in mortality in small areas in seven spanish cities

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dc.contributor.author Gotsens Miquel, Mercè, 1983-
dc.contributor.author Ferrando, Josep
dc.contributor.author Marí Dell'Olmo, Marc, 1978-
dc.contributor.author Palència Fernàndez, Laia
dc.contributor.author Bartoll, Xavier
dc.contributor.author Gandarillas, Ana
dc.contributor.author Sánchez Villegas, Pablo
dc.contributor.author Esnaola, Santiago
dc.contributor.author Daponte, Antonio
dc.contributor.author Borrell i Thió, Carme
dc.date.accessioned 2021-03-01T07:27:45Z
dc.date.available 2021-03-01T07:27:45Z
dc.date.issued 2020
dc.identifier.citation Gotsens M, Ferrando J, Marí-Dell'Olmo M, Palència L, Bartoll X, Gandarillas A, Sanchez-Villegas P, Esnaola S, Daponte A, Borrell C. Effect of the financial crisis on socioeconomic inequalities in mortality in small areas in seven spanish cities. Int J Environ Res Public Health. 2020; 17(3):958. DOI: 10.3390/ijerph17030958
dc.identifier.issn 1661-7827
dc.identifier.uri http://hdl.handle.net/10230/46611
dc.description.abstract Background: The aim of this study was to analyze the trend in socioeconomic inequalities in mortality in small areas due to several specific causes before (2001-2004, 2005-2008) and during (2009-2012) the economic crisis in seven Spanish cities. Methods: This ecological study of trends, with census tracts as the areas of analysis, was based on three periods. Several causes of death were studied. A socioeconomic deprivation index was calculated for each census tract. For each small area, we estimated standardized mortality ratios, and controlled for their variability using Bayesian models (sSMR). We also estimated the relative risk of mortality according to deprivation in the different cities, periods, and sexes. Results: In general, a similar geographical pattern was found for the socioeconomic deprivation index and sSMR. For men, there was an association in all cities between the deprivation index and all-cause mortality that remained stable over the three periods. For women, there was an association in Barcelona, Granada, and Sevilla between the deprivation index and all-cause mortality in the third period. Patterns by causes of death were more heterogeneous. Conclusions: After the start of the financial crisis, socioeconomic inequalities in total mortality in small areas of Spanish cities remained stable in most cities, although several causes of death showed a different pattern.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartof Int J Environ Res Public Health. 2020; 17(3):958
dc.rights © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Effect of the financial crisis on socioeconomic inequalities in mortality in small areas in seven spanish cities
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.3390/ijerph17030958
dc.subject.keyword Inequalities
dc.subject.keyword Mortality
dc.subject.keyword Small areas
dc.subject.keyword Socioeconomic factors
dc.subject.keyword Trends
dc.subject.keyword Urban areas
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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