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Social differences in avoidable mortality between small areas of 15 European cities: an ecological study

Health and inequalities in health among inhabitants of European cities are of major importance for European public health and there is great interest in how different health care systems in Europe perform in the reduction of health inequalities. However, evidence on the spatial distribution of cause-specific mortality across neighbourhoods of European cities is scarce. This study presents maps of avoidable mortality in European cities and analyses differences in avoidable mortality between neighbourhoods with different levels of deprivation. Methods: We determined the level of mortality from 14 avoidable causes of death for each neighbourhood of 15 large cities in different European regions. To address the problems associated with Standardised Mortality Ratios for small areas we smooth them using the Bayesian model proposed by Besag, York and Mollié. Ecological regression analysis was used to assess the association between social deprivation and mortality. Results: Mortality from avoidable causes of death is higher in deprived neighbourhoods and mortality rate ratios between areas with different levels of deprivation differ between gender and cities. In most cases rate ratios are lower among women. While Eastern and Southern European cities show higher levels of avoidable mortality, the association of mortality with social deprivation tends to be higher in Northern and lower in Southern Europe. Conclusions: There are marked differences in the level of avoidable mortality between neighbourhoods of European cities and the level of avoidable mortality is associated with social deprivation. There is no systematic difference in the magnitude of this association between European cities or regions. Spatial patterns of avoidable mortality across small city areas can point to possible local problems and specific strategies to reduce health inequality which is important for the development of urban areas and the well-being of their inhabitants

International Journal of Health Geographics, 2014, vol. 13, p. 8

BioMed Central

Author: Hoffmann, Rasmus
Borsboom, Gerard
Sáez Zafra, Marc
Marí Dell’Olmo, Marc
Burström, Bo
Corman, Diana
Costa, Claudia
Deboosere, Patrick
Domínguez Berjón, Felicitas M.
Dzúrová, Dagmar
Gandarillas, Ana
Gotsens, Mercè
Kovács, Katalin
Mackenbach, Johan
Martikainen, Pekka
Maynou Pujolràs, Laia
Morrison, Joana
Palència, Laia
Pérez, Glòria
Pikhart, Hynek
Rodríguez Sanz, Maica
Santana, Paula
Saurina, Carme
Tarkiainen, Lasse
Borrell, Carme
Date: 2014
Abstract: Health and inequalities in health among inhabitants of European cities are of major importance for European public health and there is great interest in how different health care systems in Europe perform in the reduction of health inequalities. However, evidence on the spatial distribution of cause-specific mortality across neighbourhoods of European cities is scarce. This study presents maps of avoidable mortality in European cities and analyses differences in avoidable mortality between neighbourhoods with different levels of deprivation. Methods: We determined the level of mortality from 14 avoidable causes of death for each neighbourhood of 15 large cities in different European regions. To address the problems associated with Standardised Mortality Ratios for small areas we smooth them using the Bayesian model proposed by Besag, York and Mollié. Ecological regression analysis was used to assess the association between social deprivation and mortality. Results: Mortality from avoidable causes of death is higher in deprived neighbourhoods and mortality rate ratios between areas with different levels of deprivation differ between gender and cities. In most cases rate ratios are lower among women. While Eastern and Southern European cities show higher levels of avoidable mortality, the association of mortality with social deprivation tends to be higher in Northern and lower in Southern Europe. Conclusions: There are marked differences in the level of avoidable mortality between neighbourhoods of European cities and the level of avoidable mortality is associated with social deprivation. There is no systematic difference in the magnitude of this association between European cities or regions. Spatial patterns of avoidable mortality across small city areas can point to possible local problems and specific strategies to reduce health inequality which is important for the development of urban areas and the well-being of their inhabitants
Format: application/pdf
ISSN: 1476-072X
Document access: http://hdl.handle.net/10256/9274
Language: eng
Publisher: BioMed Central
Collection: Reproducció digital del document publicat a: http://www.ij-healthgeographics.com/content/13/1/8
Articles publicats (D-PS)
Is part of: International Journal of Health Geographics, 2014, vol. 13, p. 8
Rights: Attribution 3.0 Spain
Rights URI: http://creativecommons.org/licenses/by/3.0/es/
Subject: Estadística bayesiana
Bayesian statistical decision theory
Anàlisi espacial (Estadística)
Spatial analysis (Statistics)
Mortalitat -- Estadístiques
Moratality -- Statistics
Salut urbana
Urban health
Title: Social differences in avoidable mortality between small areas of 15 European cities: an ecological study
Type: info:eu-repo/semantics/article
Repository: DUGiDocs

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