Assessing the effects on health inequalities of differential exposure and differential susceptibility of air pollution and environmental noise in Barcelona, 2007–2014

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• dc.contributor.author Sáez i Zafra, Marc
• dc.contributor.author López i Casasnovas, Guillem
• dc.date.accessioned 2020-05-25T08:46:02Z
• dc.date.available 2020-05-25T08:46:02Z
• dc.date.issued 2019
• dc.description.abstract The hypotheses we intended to contrast were, first, that the most deprived neighborhoods in Barcelona, Spain, present high exposure to environmental hazards (differential exposure) and, secondly, that the health effects of this greater exposure were higher in the most deprived neighborhoods (differential susceptibility). The population studied corresponded to the individuals residing in the neighborhoods of Barcelona in the period 2007–2014. We specified the association between the relative risk of death and environmental hazards and socioeconomic indicators by means of spatio-temporal ecological regressions, formulated as a generalized linear mixed model with Poisson responses. There was a differential exposure (higher in more deprived neighborhoods) in almost all the air pollutants considered, when taken individually. The exposure was higher in the most affluent in the cases of environmental noise. Nevertheless, for both men and women, the risk of dying due to environmental hazards in a very affluent neighborhood is about 30% lower than in a very depressed neighborhood. The effect of environmental hazards was more harmful to the residents of Barcelona’s most deprived neighborhoods. This increased susceptibility cannot be attributed to a single problem but rather to a set of environmental hazards that, overall, a neighborhood may present.en
• dc.description.sponsorship This work was partly funded by the CIBER of Epidemiology and Public Health (CIBERESP) through the strategic subprogram ‘Crisis and Health’, by the AGAUR, Catalan Government Project ‘Compositional and Spatial Analysis’ (COSDA), 2014SGR551 and by the Research Grant to Improve the Scientific Productivity of the Research Groups of the University of Girona 2016-2018 (MPCUdG2016/69). Authors acknowledge the unrestricted grant from ‘Obra Social de la Caixa’ 2016 to CRES-UPF. None of the funders participated in the design of the study, collection, analysis and interpretation of data or in writing the manuscript.
• dc.format.mimetype application/pdf
• dc.identifier.citation Saez M, López-Casasnovas G. Assessing the effects on health inequalities of differential exposure and differential susceptibility of air pollution and environmental noise in Barcelona, 2007–2014. Int J Environ Res Public Health. 2019 Sep 18;16(18):3470. DOI: 10.3390/ijerph16183470
• dc.identifier.doi http://dx.doi.org/10.3390/ijerph16183470
• dc.identifier.issn 1660-4601
• dc.identifier.uri http://hdl.handle.net/10230/44672
• dc.language.iso eng
• dc.publisher MDPI
• dc.relation.ispartof International Journal of Environmental Research and Public Health. 2019 Sep 18;16(18):3470
• dc.rights © 2019 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.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Exposure differentialen
• dc.subject.keyword Susceptibility differentialen
• dc.subject.keyword Ecological regressionen
• dc.subject.keyword Spatial misalignmenten
• dc.subject.keyword Spatio-temporal adjustmenten
• dc.title Assessing the effects on health inequalities of differential exposure and differential susceptibility of air pollution and environmental noise in Barcelona, 2007–2014en
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion