Trends in mortality inequalities in an urban area: the influence of immigration
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- dc.contributor.author Rodríguez Sanz, Maica, 1974-
- dc.contributor.author Gotsens Miquel, Mercè, 1983-
- dc.contributor.author Marí Dell'Olmo, Marc, 1978-
- dc.contributor.author Borrell i Thió, Carme
- dc.date.accessioned 2020-06-17T06:47:40Z
- dc.date.available 2020-06-17T06:47:40Z
- dc.date.issued 2019
- dc.description.abstract Background: Nearly 20% of the population in Barcelona is foreign-born and this percentage rises to up to 40% in some neighborhoods. Consequently, migration health patterns may play an important role in trends in socioeconomic geographical inequalities in mortality. The objective of this study was to analyze the trend in socioeconomic inequalities in mortality between neighborhoods in Barcelona during the period 2001-2012 in the foreign-born and Spanish-born population. Methods: Repeated cross-sectional design of the population aged 25-64 years in Barcelona between 2001 and 2012. Hierarchical data consisted of yearly mortality linked-population. The variables analyzed were age, sex, education, and country of birth (Spanish-born, foreign-born), neighborhood of residence, and the socioeconomic level of the neighborhoods using quartiles of unemployment rates. Age-standardized mortality rates were estimated, and mixed Poisson regressions were applied using generalized linear mixed models, including two random effects to consider the intracorrelation within neighborhoods and across years. Results: The number of foreign-born residents aged 25-64 increased notably in disadvantaged neighborhoods. Approximately 9% of premature deaths occurred in foreign-born individuals. Premature mortality rates were higher in disadvantaged neighborhoods and in the Spanish-born population in all periods. Despite the stabilized socioeconomic inequalities in mortality in the Spanish-born population, no inequalities were found between neighborhoods in foreign-born men and women. Conclusions: Evidence of the 'healthy migrant' effect in mortality and socioeconomic inequalities in mortality was found in Barcelona, which seems to alter the distribution of mortality through time and space, related to the low levels of premature mortality and the selective residence of immigrants in socioeconomically disadvantaged neighborhoods.
- dc.format.mimetype application/pdf
- dc.identifier.citation Rodríguez-Sanz M, Gotsens M, Marí dell'Olmo M, Borrell C. Trends in mortality inequalities in an urban area: the influence of immigration. Int J Equity Health. 2019; 18(1):37. DOI: 10.1186/s12939-019-0939-9
- dc.identifier.doi http://dx.doi.org/10.1186/s12939-019-0939-9
- dc.identifier.issn 1475-9276
- dc.identifier.uri http://hdl.handle.net/10230/44996
- dc.language.iso eng
- dc.publisher BioMed Central
- dc.relation.ispartof Int J Equity Health. 2019; 18(1):37
- 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 Epidemiology
- dc.subject.keyword Health equity
- dc.title Trends in mortality inequalities in an urban area: the influence of immigration
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion