ArticleJournal of epidemiology and community health1999
Geographical patterns of excess mortality in Spain explained by two indices of deprivation.
Article in Journal of epidemiology and community health, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Predictors of long-term mortality from a 23-year database of emergency medical admissions.Irish journal of medical science · 2026Article
- Census-Tract-Level Median Household Income and Median Family Income Estimates: A Unidimensional Measure of Neighborhood Socioeconomic Status?International journal of environmental research and public health · 2022Article
- Classification of Deprivation Indices That Applied to Detect Health Inequality: A Scoping Review.International journal of environmental research and public health · 2022Article
- Socioeconomic Disparities Do Not Explain the U.S. International Disadvantage in Mortality.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022Article
- Measuring health-related social deprivation in small areas: development of an index and examination of its association with cancer mortality.International journal for equity in health · 2021Article
- The Magnitude of Black/Hispanic Disparity in COVID-19 Mortality Across United States Counties During the First Waves of the COVID-19 Pandemic.International journal of public health · 2021Article
- Non-compensatory aggregation method to measure social and material deprivation in an urban area: relationship with premature mortality.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Risk patterns of lung cancer mortality in northern Thailand.BMC public health · 2018Article
- Inequalities in rural communities: adapting national deprivation indices for rural settings.Journal of public health (Oxford, England) · 2018Article
- Social Factors Determine the Emergency Medical Admission Workload.Journal of clinical medicine · 2017Article
- A multi-criteria spatial deprivation index to support health inequality analyses.International journal of health geographics · 2015Article
- Article
- Premature mortality due to social and material deprivation in Nova Scotia, Canada.International journal for equity in health · 2014Article
- Spatial relationship quantification between environmental, socioeconomic and health data at different geographic levels.International journal of environmental research and public health · 2014Article
- Measuring socioeconomic inequality in the incidence of AIDS: rural-urban considerations.AIDS and behavior · 2013Article
- Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities.International journal of health geographics · 2011Article
- Social class, marginality and self-assessed health: a cross-sectional analysis of the health gradient in Mexico.International journal for equity in health · 2009Article
- Ecological association between a deprivation index and mortality in France over the period 1997 - 2001: variations with spatial scale, degree of urbanicity, age, gender and cause of death.BMC public health · 2009Article
- Mortality and socioeconomic deprivation in census tracts of an urban setting in southern Europe.Journal of urban health : bulletin of the New York Academy of Medicine · 2005Article
- Geographical variation in life expectancy at birth in England and Wales is largely explained by deprivation.Journal of epidemiology and community health · 2005Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveTo analyse the geographical patterns and the magnitude of the association between deprivation and mortality in Spain. To estimate the excess of mortality in more deprived areas of the country by region.
designCross sectional ecological study using 1991 census variables and mortality data for 1987-1992.
setting2220 small areas in Spain. MAIN
resultsA geographical gradient from north east to south west was shown by both mortality and deprivation levels in Spain. Two dimensions of deprivation (that is, Index 1 and Index 2) obtained by exploratory factor analysis using four census indicators were found to predict mortality: mortality over 65 years of age was more associated with Index 1, while mortality under 65 years of age was more associated with Index 2. Excess mortality in the most deprived areas accounted for about 35,000 deaths.
conclusionsTwo indices of deprivation strongly predict mortality in two age groups. Excess number of deaths in the most deprived geographical areas account for 10% of total number of deaths annually. In Spain there is great potential for reducing mortality if the excess risk in more deprived areas fell to the level of the most affluent areas.
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