Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina
Abstract: Although mortality from ischemic heart disease has declined over the past decades in Argentina, ischemic heart disease remains one of the most frequent causes of death. This study aimed to describe the role of individual and contextual factors on premature ischemic heart disease mortality...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2023-05-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000505006&tlng=en |
| _version_ | 1797783394045657088 |
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| author | Carlos Marcelo Leveau Mustafa Hussein José A. Tapia-Granados Guillermo A. Velázquez |
| author_facet | Carlos Marcelo Leveau Mustafa Hussein José A. Tapia-Granados Guillermo A. Velázquez |
| author_sort | Carlos Marcelo Leveau |
| collection | DOAJ |
| description | Abstract: Although mortality from ischemic heart disease has declined over the past decades in Argentina, ischemic heart disease remains one of the most frequent causes of death. This study aimed to describe the role of individual and contextual factors on premature ischemic heart disease mortality and to analyze how educational differentials in premature ischemic heart disease mortality changed during economic fluctuations in two provinces of Argentina from 1990 to 2018. To test the relationship between individual (age, sex, and educational level) and contextual (urbanization, poverty, and macroeconomic variations) factors, a multilevel Poisson model was estimated. When controlling for the level of poverty at the departmental level, we observed inequalities in premature ischemic heart disease mortality according to the educational level of individuals, affecting population of low educational level. Moreover, economic expansion was related to an increase in ischemic heart disease mortality, however, expansion years were not associated with increasing educational inequalities in ischemic heart disease mortality. At the departmental level, we found no contextual association beween area-related socioeconomic level and the risk of ischemic heart disease mortality. Despite the continuing decline in ischemic heart disease mortality in Argentina, this study highlighted that social inequalities in mortality risk increased over time. Therefore, prevention policies should be more focused on populations of lower socioeconomic status in Argentina. |
| first_indexed | 2024-03-13T00:25:24Z |
| format | Article |
| id | doaj.art-a35f9a7bd98a49558f2c1da0d376dee3 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-03-13T00:25:24Z |
| publishDate | 2023-05-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-a35f9a7bd98a49558f2c1da0d376dee32023-07-11T07:44:01ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642023-05-0139510.1590/0102-311xen181222Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in ArgentinaCarlos Marcelo Leveauhttps://orcid.org/0000-0001-6240-9811Mustafa Husseinhttps://orcid.org/0000-0002-7364-5796José A. Tapia-Granadoshttps://orcid.org/0000-0003-4101-1024Guillermo A. Velázquezhttps://orcid.org/0000-0003-0892-6572Abstract: Although mortality from ischemic heart disease has declined over the past decades in Argentina, ischemic heart disease remains one of the most frequent causes of death. This study aimed to describe the role of individual and contextual factors on premature ischemic heart disease mortality and to analyze how educational differentials in premature ischemic heart disease mortality changed during economic fluctuations in two provinces of Argentina from 1990 to 2018. To test the relationship between individual (age, sex, and educational level) and contextual (urbanization, poverty, and macroeconomic variations) factors, a multilevel Poisson model was estimated. When controlling for the level of poverty at the departmental level, we observed inequalities in premature ischemic heart disease mortality according to the educational level of individuals, affecting population of low educational level. Moreover, economic expansion was related to an increase in ischemic heart disease mortality, however, expansion years were not associated with increasing educational inequalities in ischemic heart disease mortality. At the departmental level, we found no contextual association beween area-related socioeconomic level and the risk of ischemic heart disease mortality. Despite the continuing decline in ischemic heart disease mortality in Argentina, this study highlighted that social inequalities in mortality risk increased over time. Therefore, prevention policies should be more focused on populations of lower socioeconomic status in Argentina.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000505006&tlng=enMyocardial IschemiaEconomic RecessionSocioeconomic Disparities in HealthMortalityMultilevel Analysis |
| spellingShingle | Carlos Marcelo Leveau Mustafa Hussein José A. Tapia-Granados Guillermo A. Velázquez Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina Cadernos de Saúde Pública Myocardial Ischemia Economic Recession Socioeconomic Disparities in Health Mortality Multilevel Analysis |
| title | Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina |
| title_full | Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina |
| title_fullStr | Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina |
| title_full_unstemmed | Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina |
| title_short | Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina |
| title_sort | economic fluctuations and educational inequalities in premature ischemic heart disease mortality in argentina |
| topic | Myocardial Ischemia Economic Recession Socioeconomic Disparities in Health Mortality Multilevel Analysis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023000505006&tlng=en |
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