Evidence map›Paper›PMID 21459841›Full record

ArticleEuropean journal of public health2012

Spatiotemporal association between deprivation and mortality: trends in France during the nineties.

Fanny Windenberger, Stéphane Rican, Eric Jougla, Grégoire Rey

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Article in European journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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20citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Characteristics of Composite Deprivation Indices Used in Public Health: A Scoping Review Protocol.International journal of environmental research and public health · 2022
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  18. Observational
  19. Worsening trends and increasing disparities in health-related quality of life: evidence from two French population-based cross-sectional surveys, 1995-2003.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013
    Article
  20. Article
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Fanny WindenbergerInserm, CépiDc, Le Vésinet, France.
Stéphane Rican
Eric Jougla
Grégoire Rey

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonitoring the time course of socio-economic inequalities in mortality is a key public health issue. The aim of this study is to analyse this trend at an ecological level, in mainland France, over the 1990s, using a deprivation index enabling time comparisons.

methodsDeprivation indexes (FDep) were built using the 1990 and 1999 data and the same methodology. The indices were defined as the first component of a principal component analysis including four specific socio-economic variables. The time course of the association between mortality and deprivation was evaluated on the 'commune' geographic scale (36 000 U in mainland France), without considering spatial autocorrelation and on the larger 'canton' scale (3700 U), considering spatial autocorrelation. The analysis was carried out by gender, age and degree of urbanicity and applied to general mortality and a specific subcategory: 'avoidable' deaths.

resultsArea-level socio-economic inequalities in mortality tended to increase during the 1990s. For the period 1997-2001, the standard mortality ratio (SMR) was 24% higher for the communes in the most deprived quintile than for those in the least deprived quintile, while this differential was of 20% for the period 1988-92. This increase in the differentials concerned especially males and people in the age group of <65 years. For both men and women, it was stronger for the 'avoidable' mortality subcategory.

conclusionAs observed at the individual level in previous studies, area-level socio-economic inequalities in health increased during the nineties, while general health improved.

Indexed as

AdultAgedAge FactorsFemaleFranceHealth BehaviorHealth Status DisparitiesHealth SurveysHumansMaleMiddle AgedMortalityResidence CharacteristicsSex FactorsSocioeconomic Factors

Identifiers

PMID21459841
PMCPMC3904423

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