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Trends in socioeconomic inequalities in general mortality in the city of Cadiz, Spain (1992-2007)
Servicio de Medicina Preventiva, Salud Pública y Promoción de la Salud, Hospital Universitario Puerta del Mar, Cádiz, España.
Servicio de Medicina Preventiva, Salud Pública y Promoción de la Salud, Hospital Universitario Puerta del Mar, Cádiz, España and Delegación Territorial de Igualdad, Salud y Políticas Sociales, Cádiz, España.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Delegación Territorial de Igualdad, Salud y Políticas Sociales, Cádiz, España.
2014 (English)In: Gaceta Sanitaria, ISSN 0213-9111, E-ISSN 1578-1283, Vol. 28, no 4, 313-315 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To analyze trends in socioeconomic inequality in mortality in the city of Cadiz (Spain) from 1992 to 2007. Methods: An ecological study was performed of trends over 3 cross-sections, with the census tract as the unit of analysis. Deaths were grouped into three periods: 1992-1996, 1997-2001 and 2002-2007 and were then classified according to a deprivation index of the census tract. We calculated adjusted rates by the direct method and three measures of health inequality. Results: Of 18,586 deaths, 96.7% was geocoded to a census tract. The population-attributable risk decreased in men and women, respectively, from 15.4% and 12.2% in 1992-1996 to 9.3% and 5.6% in 2002-2007. The other measures, slope index and the relative index also showed a decline in inequality but only among women. Conclusions: Despite a decreasing trend, social inequalities are a substantial component in the distribution of overall mortality in the city of Cadiz. 

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 28, no 4, 313-315 p.
Keyword [en]
Health inequalities, Mortality, Socioeconomic factors, Cadiz
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-91369DOI: 10.1016/j.gaceta.2014.02.003ISI: 000338095700010OAI: oai:DiVA.org:umu-91369DiVA: diva2:737829
Note

Titel på spanska: Evolución de las desigualdades sociales en la mortalidad general de la ciudad de Cádiz (1992–2007)

Available from: 2014-08-14 Created: 2014-08-04 Last updated: 2017-12-05Bibliographically approved

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