Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/7059
Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities
Puigpinós-Riera, Rosa | Marí-Dell'Olmo, Marc | Gotsens, Mercè | Borrell, Carme | Serral, Gemma | Ascaso, Carlos | Calvo, Montse | Daponte, Antonio | Domínguez-Berjón, Felicitas M | Esnaola, Santiago | Gandarillas, Ana | Lopez-Abente, Gonzalo ISCIII | Martos, Carmen M | Martínez-Beneito, Miguel A | Montes-Martínez, Agustín | Montoya, Imanol | Nolasco, Andreu | Pasarín, Isabel M | Rodríguez-Sanz, Maica | Sáez, Marc | Sánchez-Villegas, Pablo
Int J Health Geogr. 2011 Jan 13;10:6.
BACKGROUND: Intra-urban inequalities in mortality have been infrequently analysed in European contexts. The aim of the present study was to analyse patterns of cancer mortality and their relationship with socioeconomic deprivation in small areas in 11 Spanish cities. METHODS: It is a cross-sectional ecological design using mortality data (years 1996-2003). Units of analysis were the census tracts. A deprivation index was calculated for each census tract. In order to control the variability in estimating the risk of dying we used Bayesian models. We present the RR of the census tract with the highest deprivation vs. the census tract with the lowest deprivation. RESULTS: In the case of men, socioeconomic inequalities are observed in total cancer mortality in all cities, except in Castellon, Cordoba and Vigo, while Barcelona (RR = 1.53 95%CI 1.42-1.67), Madrid (RR = 1.57 95%CI 1.49-1.65) and Seville (RR = 1.53 95%CI 1.36-1.74) present the greatest inequalities. In general Barcelona and Madrid, present inequalities for most types of cancer. Among women for total cancer mortality, inequalities have only been found in Barcelona and Zaragoza. The excess number of cancer deaths due to socioeconomic deprivation was 16,413 for men and 1,142 for women. CONCLUSION: This study has analysed inequalities in cancer mortality in small areas of cities in Spain, not only relating this mortality with socioeconomic deprivation, but also calculating the excess mortality which may be attributed to such deprivation. This knowledge is particularly useful to determine which geographical areas in each city need intersectorial policies in order to promote a healthy environment.
Confidence Intervals | Cross-Sectional Studies | Female | Geography | Humans | Male | Neoplasms | Poverty | Risk | Risk Assessment | Socioeconomic Factors | Spain | Urban Population | Bayes Theorem | Health Status Disparities
incluye "Erratum to: Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities"