The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
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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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 |
dc.relation.none.fl_str_mv |
1660-4601 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
MDPI |
publisher.none.fl_str_mv |
MDPI |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
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 |
repository.mail.fl_str_mv |
|
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1799134115057893376 |