RT Journal Article
T1 Do socioeconomic inequalities in mortality vary between different Spanish cities? a pooled cross-sectional analysis.
A1 Martinez-Beneito, Miguel A.
A1 Zurriaga, Oscar
A1 Botella-Rocamora, Paloma
A1 Marí-Dell'Olmo, Marc
A1 Nolasco, Andreu
A1 Moncho, Joaquín
A1 Daponte, Antonio
A1 Domínguez-Berjón, M. Felicitas
A1 Gandarillas, Ana
A1 Martos, Carmen
A1 Montoya, Imanol
A1 Sánchez-Villegas, Pablo
A1 Taracido, Margarita
A1 Borrell, Carme
K1 Deprivation
K1 Mortality
K1 Urban areas
K1 Pooled cross-sectional analysis
K1 Meta-analysis
K1 Spain
K1 Factores Socioeconómicos
K1 Mortalidad
K1 Estudios Transversales
K1 Metanálisis
K1 España
AB BACKGROUNDThe relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship across several cities has ever been undertaken. Such an analysis would determine, if appropriate, a joint relationship by linking the associations found.METHODSA pooled cross-sectional analysis of the data from the MEDEA project has been carried out for each of the causes of death studied. Specifically, a meta-analysis has been carried out to pool the relative risks in eleven Spanish cities. Different deprivation-mortality relationships across the cities are considered in the analysis (fixed and random effects models). The size of the cities is also considered as a possible factor explaining differences between cities.RESULTSTwenty studies have been carried out for different combinations of sex and causes of death. For nine of them (men: prostate cancer, diabetes, mental illnesses, Alzheimer's disease, cerebrovascular disease; women: diabetes, mental illnesses, respiratory diseases, cirrhosis) no differences were found between cities in the effect of deprivation on mortality; in four cases (men: respiratory diseases, all causes of mortality; women: breast cancer, Alzheimer's disease) differences not associated with the size of the city have been determined; in two cases (men: cirrhosis; women: lung cancer) differences strictly linked to the size of the city have been determined, and in five cases (men: lung cancer, ischaemic heart disease; women: ischaemic heart disease, cerebrovascular diseases, all causes of mortality) both kinds of differences have been found. Except for lung cancer in women, every significant relationship between deprivation and mortality goes in the same direction: deprivation increases mortality. Variability in the relative risks across cities was found for general mortality for both sexes.CONCLUSIONSThis study provides a general overview of the relationship between deprivation and mortality for a sample of large Spanish cities combined. This joint study allows the exploration of and, if appropriate, the quantification of the variability in that relationship for the set of cities considered.
PB BioMed Central
YR 2013
FD 2013-05-16
LK http://hdl.handle.net/10668/1577
UL http://hdl.handle.net/10668/1577
LA en
NO Martinez-Beneito MA, Zurriaga O, Botella-Rocamora P, Marí-Dell'Olmo M, Nolasco A, Moncho J, et al. Do socioeconomic inequalities in mortality vary between different Spanish cities? a pooled cross-sectional analysis. BMC Public Health. 2013; 13:480
NO Journal Article; Research Support, Non-U.S. Gov't;
DS RISalud
RD Apr 13, 2025