The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal

Detalhes bibliográficos
Autor(a) principal: Costa, Claudia
Data de Publicação: 2020
Outros Autores: Freitas, Ângela, Almendra, Ricardo, Santana, Paula
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/106175
https://doi.org/10.3390/ijerph17228517
Resumo: There is considerable evidence pointing to the existence of a socioeconomic gradient in mortality, which tends to be steeper in urban areas. Similar to other European cities, Lisbon is far from homogeneous since considerable geographical inequalities exist between the more advantaged and the more deprived neighborhoods. The main goals of this study are to describe the geographical pattern of premature deaths (before 65 years old), avoidable deaths (preventable and amenable to healthcare) and cause-specific mortality (HIV/AIDS and suicide) in Lisbon, at the lower administrative level (civil parish, in Portuguese: Freguesia), and analyze the statistical association between mortality risk and deprivation, before (1999-2003) and during the economic crisis (2008-2012). Smoothed Standardized Mortality Ratios (sSMR) and Relative Risk (RR) with 95% credible intervals were calculated to identify the association between mortality and deprivation. The analysis of the geographical distribution of cause-specific mortality reveals that civil parishes with high sSMR in the first period continued to present higher mortality rates in the second. Moreover, a significant statistical association was found between all the causes of death and deprivation, except suicide. These findings contribute to understanding how social conditions influence health outcomes and can offer insights about potential policy directions for local government.
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spelling The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugalinequalitiesarea deprivationavoidable deathspremature mortalitypreventable deathsamenable deaths due to healthcareHIV/AIDSsuicideurban healthcitiesgeographyAdolescentAdultAgedChildChild, PreschoolCitiesFemaleHumansInfantInfant, NewbornMaleMiddle AgedMortalityPortugalYoung AdultMortality, PrematureResidence CharacteristicsSocioeconomic FactorsThere is considerable evidence pointing to the existence of a socioeconomic gradient in mortality, which tends to be steeper in urban areas. Similar to other European cities, Lisbon is far from homogeneous since considerable geographical inequalities exist between the more advantaged and the more deprived neighborhoods. The main goals of this study are to describe the geographical pattern of premature deaths (before 65 years old), avoidable deaths (preventable and amenable to healthcare) and cause-specific mortality (HIV/AIDS and suicide) in Lisbon, at the lower administrative level (civil parish, in Portuguese: Freguesia), and analyze the statistical association between mortality risk and deprivation, before (1999-2003) and during the economic crisis (2008-2012). Smoothed Standardized Mortality Ratios (sSMR) and Relative Risk (RR) with 95% credible intervals were calculated to identify the association between mortality and deprivation. The analysis of the geographical distribution of cause-specific mortality reveals that civil parishes with high sSMR in the first period continued to present higher mortality rates in the second. Moreover, a significant statistical association was found between all the causes of death and deprivation, except suicide. These findings contribute to understanding how social conditions influence health outcomes and can offer insights about potential policy directions for local government.MDPI2020-11-17info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/106175http://hdl.handle.net/10316/106175https://doi.org/10.3390/ijerph17228517eng1660-4601Costa, ClaudiaFreitas, ÂngelaAlmendra, RicardoSantana, Paulainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-23T21:34:58Zoai:estudogeral.uc.pt:10316/106175Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:22:38.124470Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
title The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
spellingShingle The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
Costa, Claudia
inequalities
area deprivation
avoidable deaths
premature mortality
preventable deaths
amenable deaths due to healthcare
HIV/AIDS
suicide
urban health
cities
geography
Adolescent
Adult
Aged
Child
Child, Preschool
Cities
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Mortality
Portugal
Young Adult
Mortality, Premature
Residence Characteristics
Socioeconomic Factors
title_short The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
title_full The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
title_fullStr The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
title_full_unstemmed The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
title_sort The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
author Costa, Claudia
author_facet Costa, Claudia
Freitas, Ângela
Almendra, Ricardo
Santana, Paula
author_role author
author2 Freitas, Ângela
Almendra, Ricardo
Santana, Paula
author2_role author
author
author
dc.contributor.author.fl_str_mv Costa, Claudia
Freitas, Ângela
Almendra, Ricardo
Santana, Paula
dc.subject.por.fl_str_mv inequalities
area deprivation
avoidable deaths
premature mortality
preventable deaths
amenable deaths due to healthcare
HIV/AIDS
suicide
urban health
cities
geography
Adolescent
Adult
Aged
Child
Child, Preschool
Cities
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Mortality
Portugal
Young Adult
Mortality, Premature
Residence Characteristics
Socioeconomic Factors
topic inequalities
area deprivation
avoidable deaths
premature mortality
preventable deaths
amenable deaths due to healthcare
HIV/AIDS
suicide
urban health
cities
geography
Adolescent
Adult
Aged
Child
Child, Preschool
Cities
Female
Humans
Infant
Infant, Newborn
Male
Middle Aged
Mortality
Portugal
Young Adult
Mortality, Premature
Residence Characteristics
Socioeconomic Factors
description There is considerable evidence pointing to the existence of a socioeconomic gradient in mortality, which tends to be steeper in urban areas. Similar to other European cities, Lisbon is far from homogeneous since considerable geographical inequalities exist between the more advantaged and the more deprived neighborhoods. The main goals of this study are to describe the geographical pattern of premature deaths (before 65 years old), avoidable deaths (preventable and amenable to healthcare) and cause-specific mortality (HIV/AIDS and suicide) in Lisbon, at the lower administrative level (civil parish, in Portuguese: Freguesia), and analyze the statistical association between mortality risk and deprivation, before (1999-2003) and during the economic crisis (2008-2012). Smoothed Standardized Mortality Ratios (sSMR) and Relative Risk (RR) with 95% credible intervals were calculated to identify the association between mortality and deprivation. The analysis of the geographical distribution of cause-specific mortality reveals that civil parishes with high sSMR in the first period continued to present higher mortality rates in the second. Moreover, a significant statistical association was found between all the causes of death and deprivation, except suicide. These findings contribute to understanding how social conditions influence health outcomes and can offer insights about potential policy directions for local government.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-17
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/106175
http://hdl.handle.net/10316/106175
https://doi.org/10.3390/ijerph17228517
url http://hdl.handle.net/10316/106175
https://doi.org/10.3390/ijerph17228517
dc.language.iso.fl_str_mv eng
language eng
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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