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Title: Social differences in avoidable mortality between small areas of 15 European cities: an ecological study
Authors: Hoffmann, Rasmus
Borsboom, Gerard
Saez, Marc
Marí-Dell'Olmo, Marc 
Burström, Bo 
Corman, Diana
Costa, Cláudia 
Deboosere, Patrick 
Domínguez-Berjón, M Felicitas
Dzúrová, Dagmar 
Gandarillas, Ana
Gotsens, Mercè 
Kovács, Katalin
Mackenbach, Johan
Martikainen, Pekka
Maynou, Laia
Morrison, Joana
Palència, Laia 
Pérez, Gloria
Pikhart, Hynek
Rodríguez-Sanz, Maica 
Santana, Paula 
Saurina, Carme
Tarkiainen, Lasse
Borrell, Carme 
Keywords: Avoidable mortality; Health inequality; Small area; Urban health; Spatial analysis; Bayesian methods
Issue Date: 12-Mar-2014
Publisher: Springer Nature
Serial title, monograph or event: International Journal of Health Geographics
Volume: 13
Issue: 1
Abstract: Background: Health and inequalities in health among inhabitants of European cities are of major importance for European public health and there is great interest in how different health care systems in Europe perform in the reduction of health inequalities. However, evidence on the spatial distribution of cause-specific mortality across neighbourhoods of European cities is scarce. This study presents maps of avoidable mortality in European cities and analyses differences in avoidable mortality between neighbourhoods with different levels of deprivation. Methods: We determined the level of mortality from 14 avoidable causes of death for each neighbourhood of 15 large cities in different European regions. To address the problems associated with Standardised Mortality Ratios for small areas we smooth them using the Bayesian model proposed by Besag, York and Mollié. Ecological regression analysis was used to assess the association between social deprivation and mortality. Results: Mortality from avoidable causes of death is higher in deprived neighbourhoods and mortality rate ratios between areas with different levels of deprivation differ between gender and cities. In most cases rate ratios are lower among women. While Eastern and Southern European cities show higher levels of avoidable mortality, the association of mortality with social deprivation tends to be higher in Northern and lower in Southern Europe. Conclusions: There are marked differences in the level of avoidable mortality between neighbourhoods of European cities and the level of avoidable mortality is associated with social deprivation. There is no systematic difference in the magnitude of this association between European cities or regions. Spatial patterns of avoidable mortality across small city areas can point to possible local problems and specific strategies to reduce health inequality which is important for the development of urban areas and the well-being of their inhabitants.
ISSN: 1476-072X
DOI: 10.1186/1476-072X-13-8
Rights: openAccess
Appears in Collections:I&D CEGOT - Artigos em Revistas Internacionais

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