Socioeconomic inequalities in suicide mortality in European urban areas before and during the economic recession

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Palència Fernàndez, Laia, 1980-
• dc.contributor.author Dell’Olmo, Marc Marí
• dc.contributor.author Morrisson, Joana
• dc.contributor.author Deboosere, Patrick
• dc.contributor.author Gotsens Miquel, Mercè, 1983-
• dc.contributor.author Dzúrová, Dagmar
• dc.contributor.author Costa, Claudia
• dc.contributor.author Lustigova, Michala
• dc.contributor.author Burström, Bo
• dc.contributor.author Rodríguez Sanz, Maica, 1974-
• dc.contributor.author Bosakova, Lucia
• dc.contributor.author Zengarini, Nicolas
• dc.contributor.author Katsouyanni, Klea
• dc.contributor.author Santana, Paula
• dc.date.accessioned 2021-03-01T07:27:38Z
• dc.date.available 2021-03-01T07:27:38Z
• dc.date.issued 2020
• dc.description.abstract Background: Few studies have assessed the impact of the financial crisis on inequalities in suicide mortality in European urban areas. The objective of the study was to analyse the trend in area socioeconomic inequalities in suicide mortality in nine European urban areas before and after the beginning of the financial crisis. Methods: This ecological study of trends was based on three periods, two before the economic crisis (2000-2003, 2004-2008) and one during the crisis (2009-2014). The units of analysis were the small areas of nine European cities or metropolitan areas, with a median population ranging from 271 (Turin) to 193 630 (Berlin). For each small area and sex, we analysed smoothed standardized mortality ratios of suicide mortality and their relationship with a socioeconomic deprivation index using a hierarchical Bayesian model. Results: Among men, the relative risk (RR) comparing suicide mortality of the 95th percentile value of socioeconomic deprivation (severe deprivation) to its 5th percentile value (low deprivation) were higher than 1 in Stockholm and Lisbon in the three periods. In Barcelona, the RR was 2.06 (95% credible interval: 1.24-3.21) in the first period, decreasing in the other periods. No significant changes were observed across the periods. Among women, a positive significant association was identified only in Stockholm (RR around 2 in the three periods). There were no significant changes across the periods except in London with a RR of 0.49 (95% CI: 0.35-0.68) in the third period. Conclusions: Area socioeconomic inequalities in suicide mortality did not change significantly after the onset of the crisis in the areas studied.
• dc.description.sponsorship This study is a part of the EURO-HEALTHY project (Shaping EUROpean policies to promote HEALTH equity) and has received funding from the European Union’s Horizon 2020 research and innovation programme under Grant Agreement No 643398. Michala Lustigova was supported by Charles University (UNCE/HUM 018, too).
• dc.format.mimetype application/pdf
• dc.identifier.citation Borrell C, Palència L, Dell’Olmo MM, Morrisson J, Deboosere P, Gotsens M et al. Socioeconomic inequalities in suicide mortality in European urban areas before and during the economic recession. Eur J Public Health. 2020; 30(1):92-8. DOI: 10.1093/eurpub/ckz125
• dc.identifier.doi http://dx.doi.org/10.1093/eurpub/ckz125
• dc.identifier.issn 1101-1262
• dc.identifier.uri http://hdl.handle.net/10230/46609
• dc.language.iso eng
• dc.publisher Oxford University Press
• dc.relation.ispartof Eur J Public Health. 2020; 30(1):92-8
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/643398
• dc.rights © The Author(s) 2019. Published by Oxford University Press on behalf of the European Public Health Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Socioeconomic factors
• dc.subject.keyword Economics
• dc.subject.keyword Mortality
• dc.subject.keyword Suicide
• dc.subject.keyword Social determinants
• dc.title Socioeconomic inequalities in suicide mortality in European urban areas before and during the economic recession
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion