Monitoring the cluster of high-risk mortality areas in the southwest of Spain

Buxó-Pujolràs, Maria and Martínez, José Miguel and Yasui, Yutaka and Borrell, Carme and Martín, Juan Carlos and Vergara, Montserrat and Cervantes, Marta and Benach, Joan (2012) Monitoring the cluster of high-risk mortality areas in the southwest of Spain. Geospatial Health, 7 (1). pp. 73-81. ISSN 1970-7096

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Abstract

Inspired by a previous study showing a striking geographical mortality clustering, not attributable to chance, in the south-western region of Spain in 1987-1995, the authors have conducted an ecological study of time trends in all-cause mortality risk between 1987-1995 and 1996-2004 in 2,218 small areas of Spain. To identify high-risk areas, age-adjusted relative risks for each area, stratified by sex and time period, were computed using a Bayesian approach. Areas of high-risk in both periods, or in the second period only, were identified. Annual excess mortality and percentage of people living in these high-risk areas, again stratified by sex and time period, were estimated. The cluster of high mortality risk areas identified in the southwest of Spain during 1987-1995 persisted in the period 1996-2004 with an increase in the number of highrisk areas and in annual excess of mortality. These increases showed a gender difference, being more pronounced in women.

Item Type:	Article
Uncontrolled Keywords:	Geographical, mortality, clustering, time trends, high-risk, Spain
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 614 Medicina legale; incidenza delle malattie; Medicina preventiva pubblica
Depositing User:	Chiara D'Arpa
Date Deposited:	31 Jul 2014 10:56
Last Modified:	31 Jul 2014 10:56
URI:	http://eprints.bice.rm.cnr.it/id/eprint/9148

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