%0 Journal Article
%A Nolasco, Andreu
%A Moncho, Joaquin
%A Quesada, Jose Antonio
%A Melchor, Inmaculada
%A Pereyra-Zamora, Pamela
%A Tamayo-Fonseca, Nayara
%A Martínez-Beneito, Miguel Angel
%A Zurriaga, Oscar
%A Ballesta, Mónica
%A Daponte, Antonio
%A Gandarillas, Ana
%A Domínguez-Berjón, M Felicitas
%A Marí-Dell'Olmo, Marc
%A Gotsens, Mercè
%A Izco, Natividad
%A Moreno, M Concepción
%A Sáez, Marc
%A Martos, Carmen
%A Sánchez-Villegas, Pablo
%A Borrell, Carme
%T Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996-2007 (MEDEA project).
%D 2015
%U http://hdl.handle.net/10668/1944
%X AbstractBackground: Preventable mortality is a good indicator of possible problems to be investigated in the primaryprevention chain, making it also a useful tool with which to evaluate health policies particularly public healthpolicies. This study describes inequalities in preventable avoidable mortality in relation to socioeconomic status insmall urban areas of thirty three Spanish cities, and analyses their evolution over the course of the periods1996–2001 and 2002–2007.Methods: We analysed census tracts and all deaths occurring in the population residing in these cities from1996 to 2007 were taken into account. The causes included in the study were lung cancer, cirrhosis, AIDS/HIV,motor vehicle traffic accidents injuries, suicide and homicide. The census tracts were classified into three groups,according their socioeconomic level. To analyse inequalities in mortality risks between the highest and lowestsocioeconomic levels and over different periods, for each city and separating by sex, Poisson regression were used.Results: Preventable avoidable mortality made a significant contribution to general mortality (around 7.5%, higheramong men), having decreased over time in men (12.7 in 1996–2001 and 10.9 in 2002–2007), though not so clearlyamong women (3.3% in 1996–2001 and 2.9% in 2002–2007). It has been observed in men that the risks of death arehigher in areas of greater deprivation, and that these excesses have not modified over time. The result in women isdifferent and differences in mortality risks by socioeconomic level could not be established in many cities.Conclusions: Preventable mortality decreased between the 1996–2001 and 2002–2007 periods, more markedly inmen than in women. There were socioeconomic inequalities in mortality in most cities analysed, associating a higherrisk of death with higher levels of deprivation. Inequalities have remained over the two periods analysed. This studymakes it possible to identify those areas where excess preventable mortality was associated with more deprivedzones. It is in these deprived zones where actions to reduce and monitor health inequalities should be put intoplace. Primary healthcare may play an important role in this process.Keywords: Preventable avoidable mortality, Causes of death, Inequalities in health, Small area analysis
%K Preventable avoidable mortality
%K Causes of death
%K Inequalities in health
%K Small area analysis
%K Factores Socioeconómicos
%K Clase Social
%K España
%K Mortalidad
%K Accidentes de Tránsito
%K Síndrome de Inmunodeficiencia Adquirida
%K Ciudades
%K Neoplasias Pulmonares
%K Suicidio
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