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Trends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996–2007 (MEDEA project)

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dc.contributor.authorNolasco, Andreu
dc.contributor.authorQuesada, José Antonio
dc.contributor.authorMoncho, Joaquín
dc.contributor.authorMelchor, Inmaculada
dc.contributor.authorPereyra Zamora, Pamela
dc.contributor.authorTamayo Fonseca, Nayara
dc.contributor.authorMartínez Beneito, Miguel Ángel
dc.contributor.authorZurriaga, Óscar
dc.contributor.authorBallesta Ruiz, Mónica
dc.contributor.authorDaponte, Antonio,
dc.contributor.authorGandarillas, Ana
dc.contributor.authorDomínguez Berjón, María Felicitas
dc.contributor.authorMarí-Dell'Olmo, Marc
dc.contributor.authorGotsens, Mercè
dc.contributor.authorIzco, Natividad
dc.contributor.authorMoreno, María Concepción
dc.contributor.authorSáez, Marc
dc.contributor.authorSánchez Villegas, Pablo
dc.contributor.authorBorrell, Carme
dc.contributor.departmentCiencias Sociosanitarias
dc.contributor.otherFacultades de la UMU::Facultad de Enfermería
dc.date.accessioned2026-02-20T13:22:03Z
dc.date.available2026-02-20T13:22:03Z
dc.date.copyright© 2015 Nolasco et al.
dc.date.issued2015-04-01
dc.description.abstractBackground Preventable mortality is a good indicator of possible problems to be investigated in the primary prevention chain, making it also a useful tool with which to evaluate health policies particularly public health policies. This study describes inequalities in preventable avoidable mortality in relation to socioeconomic status in small urban areas of thirty three Spanish cities, and analyses their evolution over the course of the periods 1996–2001 and 2002–2007. Methods We analysed census tracts and all deaths occurring in the population residing in these cities from 1996 to 2007 were taken into account. The causes included in the study were lung cancer, cirrhosis, AIDS/HIV, motor vehicle traffic accidents injuries, suicide and homicide. The census tracts were classified into three groups, according their socioeconomic level. To analyse inequalities in mortality risks between the highest and lowest socioeconomic levels and over different periods, for each city and separating by sex, Poisson regression were used. Results Preventable avoidable mortality made a significant contribution to general mortality (around 7.5%, higher among men), having decreased over time in men (12.7 in 1996–2001 and 10.9 in 2002–2007), though not so clearly among women (3.3% in 1996–2001 and 2.9% in 2002–2007). It has been observed in men that the risks of death are higher in areas of greater deprivation, and that these excesses have not modified over time. The result in women is different and differences in mortality risks by socioeconomic level could not be established in many cities. Conclusions Preventable mortality decreased between the 1996–2001 and 2002–2007 periods, more markedly in men than in women. There were socioeconomic inequalities in mortality in most cities analysed, associating a higher risk of death with higher levels of deprivation. Inequalities have remained over the two periods analysed. This study makes it possible to identify those areas where excess preventable mortality was associated with more deprived zones. It is in these deprived zones where actions to reduce and monitor health inequalities should be put into place. Primary healthcare may play an important role in this process.
dc.formatapplication/pdf
dc.format.extent15
dc.identifier.citationInternational Journal for Equity in Health, 2015, Vol. 14, 33
dc.identifier.doihttps://doi.org/10.1186/s12939-015-0164-0
dc.identifier.eissn1475-9276
dc.identifier.urihttp://hdl.handle.net/10201/209461
dc.languageeng
dc.publisherBioMed Central
dc.relationThis work was partly supported by the FIS-FEDER projects PI080330, PI081713, PI081978, PI0463/2010, PI081017, PI081785, PI081058, PI080142, and the FUNDACIÓN CAJAMURCIA project FFIS/CM10/27.
dc.relation.publisherversionhttps://link.springer.com/article/10.1186/s12939-015-0164-0
dc.rightsAttribution 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectCauses of death
dc.subjectInequalities in health
dc.subjectSmall area analysis
dc.subjectPreventable avoidable mortality
dc.subject.odsNo relacionado con ningún objetivo de desarrollo sostenible
dc.titleTrends in socioeconomic inequalities in preventable mortality in urban areas of 33 Spanish cities, 1996–2007 (MEDEA project)
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublicationes
relation.isAuthorOfPublicationdbc036f9-e429-4373-a198-0082097acf67
relation.isAuthorOfPublication.latestForDiscoverydbc036f9-e429-4373-a198-0082097acf67
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