Abstract

CAICEDO-VELASQUEZ, Beatriz; ALVAREZ-CASTANO, Luz Stella; MARI-DELL'OLMO, Marc  and  BORRELL, Carme. Trend in inequalities in mortality due to external causes among the municipalities of Antioquia (Colombia). Gac Sanit [online]. 2016, vol.30, n.4, pp.279-286. ISSN 0213-9111.  https://dx.doi.org/10.1016/j.gaceta.2016.02.010.

Objective: To analyse the trend in inequalities in mortality due to external causes among municipalities in Antioquia, department of Colombia, from 2000 to 2010, and its association with socioeconomic conditions. External causes included violent deaths, such as homicides, suicides and traffic accidents, among others. Methods: Ecological design of mortality trends, with the 125 municipalities of Antioquia as the unit of analysis. The age-adjusted smoothed standardized mortality ratio (SMR) was estimated for each of the municipalities by using an empirical Bayesian model. Differences in the SMR between the poorest and least poor municipalities were estimated by using a two-level hierarchical model (level-1: year, level-2: municipality). Results: Mortality due to external causes showed a downward trend in the department in the period under review, although the situation was not similar in all municipalities. The findings showed that the risk of death from external causes significantly increased in poor and underdeveloped municipalities. Conclusions: Intervention is required through policies that take into account local differences in mortality due to external causes.

Keywords : Healthcare disparities; Social determinants of health; Mortality; Violence; Residence characteristics; Spatial analysis; Geographic mapping.

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