Abstract

RUIZ-RAMOS, Miguel; ESCOLAR PUJOLAR, Antonio; SANCHEZ PEREA, José  and  GARRUCHO RIVERO, Gloria. Trends in social inequalities in mortality in the city of Seville (Spain) (1994-2002). Gac Sanit [online]. 2006, vol.20, n.4, pp.303-310. ISSN 0213-9111.

Objectives: To know trends of social inequalities in general mortality in Seville (Spain) between 1997 and 2002. Material and method: Socioeconomic level of its the residential census tracts was assigned for each death, taken from the Socio-economic Synthetic Index built up after applying a principal components analysis from 2001 census variables. Using mortality indicators its magnitude and trend was described according socio-economic level. Results: General mortality standardized rates by age in the census tracts of lowest socio-economic level were 1.32 and 1.25 times greater than in the highest census tracts in men and 1.19 and 1.08 in women respectively in each periods. The truncated rates ratio and potential years of lost life in men went from 1.66 to 2.28 in men and 1.74 to 2.10 in women, respectively. The four years difference in life expectancy at birth between the census tracts of highest and lower level remained unchanged in men, and fell from 1.90 to 0.82 in women. The population attributable risk (all ages) went from 13.18% to 10.46% in men and 10.02% to 2.58% in women. Conclusions: Social inequalities in mortality for the general population decreased mainly in women. The inequalities increased in the early death and between 35-64 years old in men, basically due to a reduced mortality in higher socio-economic level census tracts.

Keywords : Social inequalities; Mortality; Trend.

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