Life expectancy and mortality in 363 cities of Latin America

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• dc.contributor.author Bilal, Usama
• dc.contributor.author Tumas, Natalia
• dc.contributor.author Bolinaga, Andrea
• dc.contributor.author The SALURBAL group
• dc.date.accessioned 2024-05-07T06:52:10Z
• dc.date.available 2024-05-07T06:52:10Z
• dc.date.issued 2021
• dc.description.abstract The concept of a so-called urban advantage in health ignores the possibility of heterogeneity in health outcomes across cities. Using a harmonized dataset from the SALURBAL project, we describe variability and predictors of life expectancy and proportionate mortality in 363 cities across nine Latin American countries. Life expectancy differed substantially across cities within the same country. Cause-specific mortality also varied across cities, with some causes of death (unintentional and violent injuries and deaths) showing large variation within countries, whereas other causes of death (communicable, maternal, neonatal and nutritional, cancer, cardiovascular disease and other noncommunicable diseases) varied substantially between countries. In multivariable mixed models, higher levels of education, water access and sanitation and less overcrowding were associated with longer life expectancy, a relatively lower proportion of communicable, maternal, neonatal and nutritional deaths and a higher proportion of deaths from cancer, cardiovascular disease and other noncommunicable diseases. These results highlight considerable heterogeneity in life expectancy and causes of death across cities of Latin America, revealing modifiable factors that could be amenable to urban policies aimed toward improving urban health in Latin America and more generally in other urban environments.
• dc.format.mimetype application/pdf
• dc.identifier.citation Bilal U, Hessel P, Perez-Ferrer C, Michael YL, Alfaro T, Tenorio-Mucha J, et al. Life expectancy and mortality in 363 cities of Latin America. Nat Med. 2021 Mar;27(3):463-70. DOI: 10.1038/s41591-020-01214-4
• dc.identifier.doi http://dx.doi.org/10.1038/s41591-020-01214-4
• dc.identifier.issn 1078-8956
• dc.identifier.uri http://hdl.handle.net/10230/60038
• dc.language.iso eng
• dc.publisher Nature Research
• dc.relation.ispartof Nature Medicine. 2021 Mar;27(3):463-70
• dc.rights This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit 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.other Amèrica Llatina -- Condicions socials
• dc.subject.other Amèrica Llatina -- Condicions econòmiques
• dc.subject.other Benestar social
• dc.title Life expectancy and mortality in 363 cities of Latin America
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion