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Gaceta Sanitaria
Print version ISSN 0213-9111
Abstract
MONTOYA, Imanol et al. Effect of the population in collective dwellings on small-area mortality risk estimation in the Basque Country region (Spain). Gac Sanit [online]. 2020, vol.34, n.5, pp.480-484. Epub Feb 15, 2021. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2018.12.004.
Objective
To quantify the effect of the inclusion of the population in collective dwellings on the estimation of mortality risk in the census areas of the Basque Country (Spain) for the main causes of mortality in the period 1996-2003.
Method
Small-area ecological cross-sectional study. The main causes of mortality by sex were analyzed.
Results
When the general effect on all areas with a a population in collective dwellings was analyzed, hardly any noticeable effect was seen on either men or women. On the other hand, an effect was found when selecting the areas where the population in collective dwellings is more than 10% of the area's population.
Conclusions
The effect of the inclusion of the population in collective dwellings clearly seen in causes of mortality, such as dementia and Alzheimer's disease, and in chronic obstructive pulmonary disease, related to greater dependence or frailty, and therefore related to being in a nursing or elderly persons' home, over-estimating the risk of mortality by approximately 8% and 4%, respectively, in these geographical areas.
Keywords : Small-area analysis; Mortality risk; Collective dwellings population effect; Spatial analysis.