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Socioeconomic inequalities in cause-specific mortality in 15 European cities
M. Marí-Dell'Olmo, M. Gotsens, L. Palència, B. Burström, D. Corman, G. Costa, P. Deboosere, È. Díez, F. Domínguez-Berjón, D. Dzúrová, A. Gandarillas, R. Hoffmann, K. Kovács, P. Martikainen, M. Demaria, H. Pikhart, M. Rodríguez-Sanz, M. Saez, P....
Language English Country England, Great Britain
Document type Journal Article, Research Support, Non-U.S. Gov't
NLK
ProQuest Central
from 1979-06-01 to 6 months ago
Nursing & Allied Health Database (ProQuest)
from 1979-06-01 to 6 months ago
Health & Medicine (ProQuest)
from 1979-06-01 to 6 months ago
Psychology Database (ProQuest)
from 1979-06-01 to 6 months ago
Public Health Database (ProQuest)
from 1979-06-01 to 6 months ago
- MeSH
- Bayes Theorem MeSH
- Poverty MeSH
- Health Status Disparities * MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Cause of Death trends MeSH
- Spatial Analysis MeSH
- Cross-Sectional Studies MeSH
- Social Determinants of Health * MeSH
- Socioeconomic Factors MeSH
- Educational Status MeSH
- Cities economics statistics & numerical data MeSH
- Urban Health economics statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
- Cities economics statistics & numerical data MeSH
BACKGROUND: Socioeconomic inequalities are increasingly recognised as an important public health issue, although their role in the leading causes of mortality in urban areas in Europe has not been fully evaluated. In this study, we used data from the INEQ-CITIES study to analyse inequalities in cause-specific mortality in 15 European cities at the beginning of the 21st century. METHODS: A cross-sectional ecological study was carried out to analyse 9 of the leading specific causes of death in small areas from 15 European cities. Using a hierarchical Bayesian spatial model, we estimated smoothed Standardized Mortality Ratios, relative risks and 95% credible intervals for cause-specific mortality in relation to a socioeconomic deprivation index, separately for men and women. RESULTS: We detected spatial socioeconomic inequalities for most causes of mortality studied, although these inequalities differed markedly between cities, being more pronounced in Northern and Central-Eastern Europe. In the majority of cities, most of these causes of death were positively associated with deprivation among men, with the exception of prostatic cancer. Among women, diabetes, ischaemic heart disease, chronic liver diseases and respiratory diseases were also positively associated with deprivation in most cities. Lung cancer mortality was positively associated with deprivation in Northern European cities and in Kosice, but this association was non-existent or even negative in Southern European cities. Finally, breast cancer risk was inversely associated with deprivation in three Southern European cities. CONCLUSIONS: The results confirm the existence of socioeconomic inequalities in many of the main causes of mortality, and reveal variations in their magnitude between different European cities.
CIBER Epidemiología y Salud Pública Barcelona Spain
CIBER Epidemiología y Salud Pública University of Girona Girona Spain
Demographic Research Institute Budapest Hungary
Department of Clinical and Biological Science University of Turin Turin Italy
Department of Epidemiology and Public Health University College London London UK
Department of Public Health Erasmus Medical Center Rotterdam the Netherlands
Department of Social Research University of Helsinki Helsinki Finland
Department of Social Research Vrije Universiteit Brussel Brussels Belgium
Statistik Stadt Zürich Zürich Switzerland
Subdirección de Promoción de la Salud y Prevención Consejería de Sanidad Comunidad de Madrid Spain
Universitat Pompeu Fabra Barcelona Spain CIBER Epidemiología y Salud Pública Barcelona Spain
References provided by Crossref.org
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- $a Socioeconomic inequalities in cause-specific mortality in 15 European cities / $c M. Marí-Dell'Olmo, M. Gotsens, L. Palència, B. Burström, D. Corman, G. Costa, P. Deboosere, È. Díez, F. Domínguez-Berjón, D. Dzúrová, A. Gandarillas, R. Hoffmann, K. Kovács, P. Martikainen, M. Demaria, H. Pikhart, M. Rodríguez-Sanz, M. Saez, P. Santana, C. Schwierz, L. Tarkiainen, C. Borrell,
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