6533b7d0fe1ef96bd125b93a

RESEARCH PRODUCT

Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities

Felicitas Domínguez-berjónCarlos AscasoMerce GotsensAgustín Montes-martínezGonzalo López-abenteRosa Puigpinós-rieraC. BorrellAntonio DaponteSantiago EsnaolaGemma SerralCarmen MartosAndreu NolascoImanol MontoyaIsabel M PasarínMarc SaezAna GandarillasPablo Sánchez-villegasMiguel A. Martinez-beneitoMontse CalvoMaica Rodríguez-sanzMarc Marí-dell’olmo

subject

MaleUrban PopulationEstudios transversalesCross-sectional studyEspaña:Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cross-Sectional Studies [Medical Subject Headings]Business Management and Accounting(all)Disparidades en el estado de saludPoblación urbanaHealth informatics:Health Care::Population Characteristics::Population::Urban Population [Medical Subject Headings]NeoplasmsHuman geographyEpidemiologyCàncerUrban areasSocioeconomicsSmall-Area Analysismedia_common:Geographicals::Geographic Locations::Europe::Spain [Medical Subject Headings]Geography:Diseases::Neoplasms [Medical Subject Headings]CensusNeoplasiasGeography:Health Care::Environment and Public Health::Public Health::Epidemiologic Methods::Statistics as Topic::Probability::Bayes Theorem [Medical Subject Headings]lcsh:R858-859.7EnfermeríaFemaleRisk assessmentComputer Science(all)Riskmedicine.medical_specialtyGeneral Computer ScienceInequalitymedia_common.quotation_subjectHealth geographyeducationBayesian probabilityMedi ambientCancer mortalitylcsh:Computer applications to medicine. Medical informaticsRisk AssessmentCàncer -- MortalitatCiutatsMortalitatmedicineConfidence IntervalsTeorema de BayesHumansCancer -- MortalitySocioeconomic statusPovertyPovertybusiness.industryPublic healthResearchPublic Health Environmental and Occupational HealthCorrection:Health Care::Environment and Public Health::Public Health::Epidemiologic Measurements::Demography::Health Status::Health Status Disparities [Medical Subject Headings]Bayes TheoremHealth Status DisparitiesGeneral Business Management and AccountingSocioeconomic deprivationBayesian statistical decisionCross-Sectional StudiesEstadística bayesianaSocioeconomic FactorsSpainInequalitiesbusinessDemography

description

incluye "Erratum to: Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities" 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. This article was partially supported by Fondo de Investigaciones Ssanitarias (FIS) projects numbers PI042013, PI040041, PI040170, PI040069, PI042602 PI040388, PI040489, PI042098 , PI041260, PI040399, PI081488 and by the CIBER en Epidemiología y Salud Pública (CIBERESP), Spain and by the program of "Intensificación de la Actividad Investigadora (Carme Borrell)" funded by the "Instituto de Salud Carlos III" and "Departament de Salut. Generalitat de Catalunya". Sí

yearjournalcountryeditionlanguage
2011-01-13International Journal of Health Geographics
10.1186/1476-072x-10-6http://europepmc.org/articles/PMC3033786