Trends in socio-economic inequalities in injury mortality among men in small areas of 26 Spanish cities, 1996–2007
- 1 March 2013
- journal article
- Published by Elsevier BV in Accident Analysis & Prevention
- Vol. 51, 120-128
- https://doi.org/10.1016/j.aap.2012.10.020
Abstract
To analyse trends in socio-economic inequalities in mortality due to all injuries, as well as, suicide and motor vehicle injuries, in men in the census tracts of 26 Spanish cities for the periods 1996-2001 and 2002-2007. Ecological study of trends based on two periods (1996-2001 and 2002-2007). The study population consisted of male residents in each city during the period 1996-2007. We fitted a hierarchical Bayesian model which takes into account the spatial structure of the data in order to obtain relative risks (RRs), and their 95% credible intervals (CIs), between mortality and a socio-economic deprivation index, in each period. In most of the cities, mortality due to total injuries presents the same geographical pattern as the deprivation index in the two periods. Moreover, inequalities remained stable. In contrast, socio-economic inequalities in mortality due to motor vehicle injuries tended to diminish in the second period in the majority of the cities, particularly Castellón (first period: RR(1)=2.56; 95%CI: 1.19-4.84; second period: RR(2)=1.06; 95%CI: 0.45-2.12), whereas in the case of suicides, the inequalities remain stable but are only significant in large cities. This study has demonstrated that socio-economic inequalities in mortality due to all injuries in small areas of 26 Spanish cities remain stable over time. These results highlight the importance of intra-urban inequalities in mortality due to injuries and their evolution over time.Keywords
Funding Information
- Plan Nacional de I+D+I 2008–2011
- Instituto de Salud Carlos III (ISCIII) – Subdirección General de Evaluación y Fomento de la Investigación (PI081340, PI08/1017, PI080367, PI080803, PI081785, PI080330, PI081713, PI080662, PI126/08, PI081978, P08/0142, PI081488, PI081058)
- Fundación Canaria de Investigación Sanitaria FUNCIS 84/07
- CIBER Epidemiología y Salud Pública (CIBERESP)
This publication has 31 references indexed in Scilit:
- Geography of suicide in Taiwan: Spatial patterning and socioeconomic correlatesHealth & Place, 2011
- Socio-economic inequalities in suicide attempts and suicide mortality in Québec, Canada, 1990–2005Public Health, 2010
- Trends in socioeconomic mortality inequalities in a southern European urban setting at the turn of the 21st centuryJournal of Epidemiology and Community Health, 2008
- Inequalities in mortality during and after restructuring of the New Zealand economy: repeated cohort studiesBMJ, 2008
- Comparability between ICD-9 and ICD-10 for the leading causes of death in SpainRevue D'epidemiologie Et de Sante Publique, 2006
- Socioeconomic Inequalities in Injury: Critical Issues in Design and AnalysisAnnual Review of Public Health, 2002
- Investigating Neighborhood and Area Effects on HealthAmerican Journal of Public Health, 2001
- Discrepancias en el número de muertes por reacción aguda a sustancias psicoactivas registradas en EspañaGaceta Sanitaria, 1999
- Widening social inequalities in mortality: the case of Barcelona, a southern European city.Journal of Epidemiology and Community Health, 1997
- Bayesian image restoration, with two applications in spatial statisticsAnnals of the Institute of Statistical Mathematics, 1991