Socio-economic inequalities in mortality due to injuries in small areas of ten cities in Spain (MEDEA Project)

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• 作者：Mercè ; Gotsens^a ; ^b ; ^c ; ^{mgotsens@aspb.cat" rel="nofollow} ; Marc Marí ; -Dell’ ; Olmo^a ; ^b ; ^c ; Miguel Á ; ngel Martí ; nez-Beneito^d ; Katherine Pé ; rez^b ; ^a ; ^c ; M. Isabel Pasarí ; n^b ; ^e ; ^a ; ^c ; Antonio Daponte^f ; ^a ; Rosa Puigpin&#xf3 ; s-Riera^b ; ^a ; ^c ; Maica Rodrí ; guez-Sanz^b ; ^a ; ^c ; Covadonga Audicana^g ; Andreu Nolasco^h ; Ana Gandarillasⁱ ; Gemma Serral^b ; ^a ; ^c ; Felicitas Domí ; nguez-Berj&#xf3 ; nⁱ ; Carmen Martos^j ; ^d ; Carme Borrell^b ; ^e ; ^a ; ^c
• 关键词：Mortality ; Injuries ; Geographical inequalities ; Urban areas ; Small areas
• 刊名：Accident Analysis & Prevention
• 出版年：2011
• 出版时间：September 2011
• 年：2011
• 卷：43
• 期：5
• 页码：1802-1810
• 全文大小：600 K

文摘

lass="h4">Objectives

To analyse socio-economic inequalities in mortality due to injuries among census tracts of ten Spanish cities by sex and age in the period 1996–2003.

lass="h4">Methods

This is a cross-sectional ecological study where the units of analysis are census tracts. The study population consisted of people residing in the cities during the period 1996–2003. For each census tract we obtained an index of socio-economic deprivation, and estimated standardized mortality ratios using hierarchical Bayesian models which take into account the spatial structure of the data.

lass="h4">Results

In the majority of the cities, the geographical pattern of total mortality from injuries is similar to that of the socio-economic deprivation index. There is an association between mortality due to injuries and the deprivation index in the majority of the cities which is more important among men and among those younger than 45 years. In these groups, traffic injuries and overdoses are the causes most often associated with deprivation in the cities. The percentage of excess mortality from injuries related to socio-economic deprivation is higher than 20% in the majority of the cities, the cause with the highest percentage being drug overdose.

lass="h4">Conclusions

In most cities, there are socio-economic inequalities in mortality due to overdose and traffic injuries. In contrast, few cities have found association between suicide mortality and deprivation. Finally, no association was found between deprivation and deaths due to falls. Inequalities are higher in men and those under 45 years of age. These results highlight the importance of intra-urban inequalities in mortality due to injuries.