Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
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- dc.contributor.author Bartoll, Xavier
- dc.contributor.author Gotsens Miquel, Mercè, 1983-
- dc.contributor.author Marí Dell'Olmo, Marc, 1978-
- dc.contributor.author Palència Fernàndez, Laia, 1980-
- dc.contributor.author Calvo, Montse
- dc.contributor.author Esnaola, Santiago
- dc.contributor.author Borrell i Thió, Carme
- dc.date.accessioned 2020-07-22T06:38:57Z
- dc.date.available 2020-07-22T06:38:57Z
- dc.date.issued 2019
- dc.description.abstract Background: Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disease mortality. This study examines trends in socioeconomic inequalities in mortality due to ischaemic heart disease (IHD). Methods: We used linked census records with mortality registers available from the Basque Country and Barcelona city for population above 25 years, between 2001 and 04, the accelerated economic growth period of 2005-08, and 2009-12, with the last period coinciding with the Great Recession. Applying Poisson models, we calculated relative and absolute indexes of inequalities by education level for each period, age group, gender, and site. Results: We found moderate age-adjusted inequalities in IHD with a gradient of increasing rates through less educational level, but no significant evidence of increasing trends in socioeconomic inequalities in IHD mortality, rather an inverted U-shape time trend in some groups below 75 years in relative inequalities. Absolute inequalities decrease in the last period except for women from 50 to 64 years. Conclusions: This study shows that the economic crisis has not increased socioeconomic inequalities in IHD mortality in two geographical settings in Spain.
- dc.format.mimetype application/pdf
- dc.identifier.citation Bartoll X, Gotsens M, Marí-Dell'Olmo M, Palència L, Calvo M, Esnaola S, Borrell C. Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings. Arch Public Health. 2019; 77:12. DOI: 10.1186/s13690-019-0339-z
- dc.identifier.doi http://dx.doi.org/10.1186/s13690-019-0339-z
- dc.identifier.issn 0778-7367
- dc.identifier.uri http://hdl.handle.net/10230/45149
- dc.language.iso eng
- dc.publisher BioMed Central
- dc.relation.ispartof Arch Public Health. 2019; 77:12
- dc.rights © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided 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 Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Crisis
- dc.subject.keyword Economic
- dc.subject.keyword Ischaemic heart disease mortality
- dc.subject.keyword Socioeconomic inequalities
- dc.subject.keyword Spain
- dc.title Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion