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

Martínez Beneito, Miguel Ángel; Zurriaga, Oscar; Botella Rocamora, Paloma; Marí Dell'Olmo, Marc, 1978-; Nolasco, Andreu; Moncho, Joaquin; Daponte Codina, Antonio; Domínguez-Berjón, María Felicitas; Gandarillas, Ana; Martos, Carmen M.; Montoya, Imanol; Sánchez Villegas, Pablo; Taracido, Margarita; Borrell i Thió, Carme

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 Ángelca
dc.contributor.author Zurriaga, Oscarca
dc.contributor.author Botella Rocamora, Palomaca
dc.contributor.author Marí Dell'Olmo, Marc, 1978-ca
dc.contributor.author Nolasco, Andreuca
dc.contributor.author Moncho, Joaquinca
dc.contributor.author Daponte Codina, Antonioca
dc.contributor.author Domínguez-Berjón, María Felicitasca
dc.contributor.author Gandarillas, Anaca
dc.contributor.author Martos, Carmen M.ca
dc.contributor.author Montoya, Imanolca
dc.contributor.author Sánchez Villegas, Pabloca
dc.contributor.author Taracido, Margaritaca
dc.contributor.author Borrell i Thió, Carmeca
dc.date.accessioned 2015-03-17T08:18:24Z
dc.date.available 2015-03-17T08:18:24Z
dc.date.issued 2013ca
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.en
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), Spainen
dc.format.mimetype application/pdfca
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: 10.1186/1471-2458-13-480ca
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-13-480
dc.identifier.issn 1471-2458ca
dc.identifier.uri http://hdl.handle.net/10230/23199
dc.language.iso engca
dc.publisher BioMed Centralca
dc.relation.ispartof BMC Public Health. 2013;13:480
dc.relation.projectID info:eu-repo/grantAgreement/ES/3PN/MTM2010-19528
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.ca
dc.rights.accessRights info:eu-repo/semantics/openAccessca
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.keyword Deprivationen
dc.subject.keyword Mortalityen
dc.subject.keyword Urban areasen
dc.subject.keyword Pooled cross-sectional analysisen
dc.subject.keyword Meta-analysisen
dc.subject.keyword Spainen
dc.subject.other Mortalitat -- Aspectes socials -- Espanyaca
dc.subject.other Ciutats -- Espanya -- Estadístiquesca
dc.title Do socioeconomic inequalities in mortality vary between different Spanish cities? A pooled cross-sectional analysisca
dc.type info:eu-repo/semantics/articleca
dc.type.version info:eu-repo/semantics/publishedVersionca

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