Abstract
Census track level socioeconomic inequalities in mortality are described in the Basque Country and its three main cities in the 1996-2003 period. An ecological crosssectional study of small areas was performed. Using principal component analysis a socioeconomic deprivation index was calculated. The mortality risk for each census track and the relation between mortality and socioeconomic deprivation were studied by means of hierarchical Bayesian models. Geographical patterns of the mortality risk and the deprivation index were similar, with higher mortality in more deprived areas. In the Basque Country as a whole the magnitude of the association between mortality and deprivation was higher in men than in women. In the cities, the association was only apparent for men. These results are useful to guide health policies and identify geographical areas with greater needs.
Highlights
D by means of hierarchical Bayesian models
Algunos países de nuestro entorno ya han desarrollado políticas específicas para reducir las desigualdades en salud (Swedish National Institute of Public Health, 2003; Norwegian Ministry of Health and Care Services, 2006; Ministry of Social Affairs and Health, 2008)
FIGURA 4 MORTALIDAD POR SECCIONES CENSALES EN LAS MUJERES DEL PAÍS VASCO Y SUS TRES CAPITALES, 1996-2003
Summary
Los datos sobre las defunciones, la población y los indicadores socioeconómicos se obtuvieron del Instituto Vasco de Estadística (Eustat). Los datos sobre el número de residentes en cada sección censal (por sexo y grupos quinquenales de edad) y sobre los indicadores socioeconómicos provienen del Censo de Población y Viviendas de 2001. Los relativos a las defunciones proceden de la Estadística de Defunciones de la CAPV realizada por Eustat en colaboración con el INE y el Departamento de Sanidad del Gobierno Vasco. Se obtuvo así el número de defunciones observadas por sexo, grupo quinquenal de edad y sección censal de residencia. El número de defunciones esperadas en cada sexo, grupo quinquenal de edad y sección censal se calculó a partir de las tasas por sexo y grupo de edad de la CAPV para el año 2001
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