Search results for "Poverty Areas"
showing 5 items of 5 documents
Socio-economic inequalities in mortality due to injuries in small areas of ten cities in Spain (MEDEA Project).
2011
Abstract Objectives To analyse socio-economic inequalities in mortality due to injuries among census tracts of ten Spanish cities by sex and age in the period 1996–2003. Methods This is a cross-sectional ecological study where the units of analysis are census tracts. The study population consisted of people residing in the cities during the period 1996–2003. For each census tract we obtained an index of socio-economic deprivation, and estimated standardized mortality ratios using hierarchical Bayesian models which take into account the spatial structure of the data. Results In the majority of the cities, the geographical pattern of total mortality from injuries is similar to that of the soc…
Inequalities in mortality in small areas of eleven Spanish cities (the multicenter MEDEA project)
2009
The objectives of this study are to identify inequalities in mortality among census tracts of 11 Spanish cities in the period 1996-2003 and to analyse the relationship between these geographical inequalities and socioeconomic deprivation. It is a cross-sectional ecological study where the units of analysis are census tracts. We obtained an index of socioeconomic deprivation and estimated SMR by each census tract using hierarchical Bayesian models which take into account the spatial structure. In the majority of the cities geographical patterns in total mortality were found in both sexes, which were similar to those for the index of socioeconomic deprivation. Among men, four specific causes …
Poor prenatal care in an urban area: a geographic analysis.
2009
Abstract Poor prenatal care increases the risk of having a premature or low-birth-weight infant. Rates of poor prenatal care vary spatially, influenced not only by individual mothers’ characteristics but also by social neighborhood context and proximity to healthcare services. The aim of this article is to identify and map the spatial patterns of prenatal care and to analyze the spatial and social origins of such inequalities. Our study concerns 30,338 individuals who received antenatal care in a highly urbanized French district: Seine-Saint-Denis. The geographical distribution of poor prenatal care is revealed by exploratory spatial data analysis tools. This spatial clustering is related t…
Does hospital competition harm equity? Evidence from the English National Health Service
2011
Increasing evidence shows that hospital competition under fixed prices can improve quality and reduce cost. Concerns remain, however, that competition may undermine socio-economic equity in the utilisation of care. We test this hypothesis in the context of the pro-competition reforms of the English National Health Service progressively introduced from 2004 to 2006. We use a panel of 32,482 English small areas followed from 2003 to 2008 and a difference in differences approach. The effect of competition on equity is identified by the interaction between market structure, small area income deprivation and year. We find a negative association between market competition and elective admissions …
Early marriage and cultural constructions of adulthood in two slums in Dar es Salaam.
2018
This study examines under-18 marriage in urban Tanzania from an ethnographic perspective. Due to poverty and high unemployment, some girls aspire to early marriage. Two pathways to early marriage are identified: first, poverty and gendered economic disparities motivate girls to begin transactional sexual activity at an early age, leading parents to favour early marriage as a risk-reduction measure. Second, educational opportunities are often closed off to girls before marriage, as a result of which early marriage becomes the only culturally approved pathway that allows girls to present themselves to others as a self-sufficient agent. These pathways are reinforced by cultural and religious c…