RT Journal Article
T1 Effect of the Financial Crisis on Socioeconomic Inequalities in Mortality in Small Areas in Seven Spanish Cities.
A1 Gotsens, Mercè
A1 Ferrando, Josep
A1 Marí-Dell'Olmo, Marc
A1 Palència, Laia
A1 Bartoll, Xavier
A1 Gandarillas, Ana
A1 Sanchez-Villegas, Pablo
A1 Esnaola, Santi
A1 Daponte, Antonio
A1 Borrell, Carme
K1 inequalities
K1 mortality
K1 small areas
K1 socioeconomic factors
K1 trends
K1 urban areas
AB The aim of this study was to analyze the trend in socioeconomic inequalities in mortality in small areas due to several specific causes before (2001-2004, 2005-2008) and during (2009-2012) the economic crisis in seven Spanish cities. This ecological study of trends, with census tracts as the areas of analysis, was based on three periods. Several causes of death were studied. A socioeconomic deprivation index was calculated for each census tract. For each small area, we estimated standardized mortality ratios, and controlled for their variability using Bayesian models (sSMR). We also estimated the relative risk of mortality according to deprivation in the different cities, periods, and sexes. In general, a similar geographical pattern was found for the socioeconomic deprivation index and sSMR. For men, there was an association in all cities between the deprivation index and all-cause mortality that remained stable over the three periods. For women, there was an association in Barcelona, Granada, and Sevilla between the deprivation index and all-cause mortality in the third period. Patterns by causes of death were more heterogeneous. After the start of the financial crisis, socioeconomic inequalities in total mortality in small areas of Spanish cities remained stable in most cities, although several causes of death showed a different pattern.
YR 2020
FD 2020-02-04
LK http://hdl.handle.net/10668/15069
UL http://hdl.handle.net/10668/15069
LA en
DS RISalud
RD Apr 7, 2025