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dc.contributor.authorMartínez Beneito, Miguel A.
dc.contributor.authorZurriaga, Óscar
dc.contributor.authorBotella Rocamora, Paloma
dc.contributor.authorMarí Dell'Olmo, Marc
dc.contributor.authorNolasco, Andreu
dc.contributor.authorMoncho, Joaquín
dc.contributor.authorDaponte, Antonio
dc.contributor.authorDomínguez Berjón, M. Felicitas
dc.contributor.authorGandarillas, Ana
dc.contributor.authorMartos, Carmen
dc.contributor.authorMontoya, Imanol
dc.contributor.authorSánchez Villegas, Pablo
dc.contributor.authorTaracido Trunk, Margarita
dc.contributor.authorBorrell, Carme
dc.date.accessioned2020-06-18T09:28:06Z
dc.date.available2020-06-18T09:28:06Z
dc.date.issued2013
dc.identifier.citationMartinez-Beneito, M.A., Zurriaga, O., Botella-Rocamora, P. et al. Do socioeconomic inequalities in mortality vary between different Spanish cities? a pooled cross-sectional analysis. BMC Public Health 13, 480 (2013). https://doi.org/10.1186/1471-2458-13-480
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/10347/23039
dc.description.abstractBackground The relationship between deprivation and mortality in urban settings is well established. This relationship has been found for several causes of death in Spanish cities in independent analyses (the MEDEA project). However, no joint analysis which pools the strength of this relationship across several cities has ever been undertaken. Such an analysis would determine, if appropriate, a joint relationship by linking the associations found. Methods A pooled cross-sectional analysis of the data from the MEDEA project has been carried out for each of the causes of death studied. Specifically, a meta-analysis has been carried out to pool the relative risks in eleven Spanish cities. Different deprivation-mortality relationships across the cities are considered in the analysis (fixed and random effects models). The size of the cities is also considered as a possible factor explaining differences between cities. Results Twenty studies have been carried out for different combinations of sex and causes of death. For nine of them (men: prostate cancer, diabetes, mental illnesses, Alzheimer’s disease, cerebrovascular disease; women: diabetes, mental illnesses, respiratory diseases, cirrhosis) no differences were found between cities in the effect of deprivation on mortality; in four cases (men: respiratory diseases, all causes of mortality; women: breast cancer, Alzheimer’s disease) differences not associated with the size of the city have been determined; in two cases (men: cirrhosis; women: lung cancer) differences strictly linked to the size of the city have been determined, and in five cases (men: lung cancer, ischaemic heart disease; women: ischaemic heart disease, cerebrovascular diseases, all causes of mortality) both kinds of differences have been found. Except for lung cancer in women, every significant relationship between deprivation and mortality goes in the same direction: deprivation increases mortality. Variability in the relative risks across cities was found for general mortality for both sexes. Conclusions This study provides a general overview of the relationship between deprivation and mortality for a sample of large Spanish cities combined. This joint study allows the exploration of and, if appropriate, the quantification of the variability in that relationship for the set of cities considered.
dc.description.sponsorshipThis article was partially funded by Ministerio de Economia y Competitividad via the research grant MTM2010-19528 (jointly financed with European Regional Development Fund), the FIS-FEDER projects: PI042013, PI040041, PI040170, PI040069, PI042602, PI040388, PI040489, PI042098, PI041260, PI040399, PI08/1488, PI08/0330 and by the CIBER Epidemiología y Salud Publica (CIBERESP), Spain
dc.language.isoeng
dc.publisherBioMed Central
dc.rights© 2013 Martinez-Beneito et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
dc.rights.urihttp://creativecommons.org/licenses/by/2.0
dc.subjectDeprivation
dc.subjectMortality
dc.subjectUrban areas
dc.subjectPooled cross-sectional analysis
dc.subjectMeta-analysis
dc.subjectSpain
dc.titleDo socioeconomic inequalities in mortality vary between different Spanish cities? a pooled cross-sectional analysis
dc.typejournal article
dc.identifier.doi10.1186/1471-2458-13-480
dc.relation.publisherversionhttps://doi.org/10.1186/1471-2458-13-480
dc.type.hasVersionVoR
dc.rights.accessRightsopen access
dc.contributor.affiliationUniversidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina
dc.description.peerreviewedSI


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© 2013 Martinez-Beneito et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
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 © 2013 Martinez-Beneito et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited





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