ArticleInternational journal of health geographics2014
Social differences in avoidable mortality between small areas of 15 European cities: an ecological study.
Article in International journal of health geographics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Frequent Users of Emergency Departments: Analysis of the Characteristics and Geographical Distribution in a Local Health Authority in Rome, Italy.Healthcare (Basel, Switzerland) · 2025Article
- Spatial Inequities in Life Expectancy in Small Areas of Buenos Aires, Argentina 2015-2017.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Health inequalities in cause-specific mortality in Costa Rica: a population-based cohort study.Revista de saude publica · 2023Article
- Avoidable Mortality between Metropolitan and Non-Metropolitan Areas in Korea from 1995 to 2019: A Descriptive Study of Implications for the National Healthcare Policy.International journal of environmental research and public health · 2022Article
- Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education.SSM - population health · 2021Article
- Rural patients' experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study.International journal of circumpolar health · 2021Article
- Reserves for Reducing Mortality in Russia Due to the Efficiency of Health Care.Herald of the Russian Academy of Sciences · 2021Article
- The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal.International journal of environmental research and public health · 2020Article
- Article
- 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
- [Infant mortality and social inequalities in Argentina, 1980-2017].Revista panamericana de salud publica = Pan American journal of public health · 2020Article
- Assessing the Effects on Health Inequalities of Differential Exposure and Differential Susceptibility of Air Pollution and Environmental Noise in Barcelona, 2007-2014.International journal of environmental research and public health · 2019Article
- Geographical Variations in Patients with Heart Failure and Preserved Ejection Fraction: A Sub-Group Analysis of the APOLLON RegistryBalkan medical journal · 2019Observational
- Health Disparities in Czechia and Portugal at Country and Municipality Levels.International journal of environmental research and public health · 2019Article
- Population Health Inequalities Across and Within European Metropolitan Areas through the Lens of the EURO-HEALTHY Population Health Index.International journal of environmental research and public health · 2019Article
- Application of socio-economic-health deprivation index, analysis of mortality and influenza vaccination coverage in the elderly population of Tuscany.Journal of preventive medicine and hygiene · 2018Article
- Does community deprivation determine longevity after the age of 75? A cross-national analysis.International journal of public health · 2018Article
- The Portuguese version of the European Deprivation Index: Development and association with all-cause mortality.PloS one · 2018Article
- Review
- Area-level socioeconomic deprivation and mortality differentials in Thailand: results from principal component analysis and cluster analysis.International journal for equity in health · 2017Article
Corrections and comments
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Authors and funding
25 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth 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.
methodsWe 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.
resultsMortality 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.
conclusionsThere 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.
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