Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings
Abstract Background Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic hea...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13690-019-0339-z |
| _version_ | 1818020480034013184 |
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| author | Xavier Bartoll Mercè Gotsens Marc Marí-Dell’Olmo Laia Palència Montse Calvo Santiago Esnaola Carme Borrell |
| author_facet | Xavier Bartoll Mercè Gotsens Marc Marí-Dell’Olmo Laia Palència Montse Calvo Santiago Esnaola Carme Borrell |
| author_sort | Xavier Bartoll |
| collection | DOAJ |
| description | Abstract Background Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disease mortality. This study examines trends in socioeconomic inequalities in mortality due to ischaemic heart disease (IHD). Methods We used linked census records with mortality registers available from the Basque Country and Barcelona city for population above 25 years, between 2001 and 04, the accelerated economic growth period of 2005–08, and 2009–12, with the last period coinciding with the Great Recession. Applying Poisson models, we calculated relative and absolute indexes of inequalities by education level for each period, age group, gender, and site. Results We found moderate age-adjusted inequalities in IHD with a gradient of increasing rates through less educational level, but no significant evidence of increasing trends in socioeconomic inequalities in IHD mortality, rather an inverted U-shape time trend in some groups below 75 years in relative inequalities. Absolute inequalities decrease in the last period except for women from 50 to 64 years. Conclusions This study shows that the economic crisis has not increased socioeconomic inequalities in IHD mortality in two geographical settings in Spain. |
| first_indexed | 2024-04-14T08:05:47Z |
| format | Article |
| id | doaj.art-fdbbbac0b0154c2aaa4671f0816ff286 |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-04-14T08:05:47Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-fdbbbac0b0154c2aaa4671f0816ff2862022-12-22T02:04:45ZengBMCArchives of Public Health2049-32582019-03-017711910.1186/s13690-019-0339-zStable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settingsXavier Bartoll0Mercè Gotsens1Marc Marí-Dell’Olmo2Laia Palència3Montse Calvo4Santiago Esnaola5Carme Borrell6Agència de Salut Pública de BarcelonaAgència de Salut Pública de BarcelonaAgència de Salut Pública de BarcelonaAgència de Salut Pública de BarcelonaDepartamento de Salud, Gobierno del País VascoDepartamento de Salud, Gobierno del País VascoAgència de Salut Pública de BarcelonaAbstract Background Prior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disease mortality. This study examines trends in socioeconomic inequalities in mortality due to ischaemic heart disease (IHD). Methods We used linked census records with mortality registers available from the Basque Country and Barcelona city for population above 25 years, between 2001 and 04, the accelerated economic growth period of 2005–08, and 2009–12, with the last period coinciding with the Great Recession. Applying Poisson models, we calculated relative and absolute indexes of inequalities by education level for each period, age group, gender, and site. Results We found moderate age-adjusted inequalities in IHD with a gradient of increasing rates through less educational level, but no significant evidence of increasing trends in socioeconomic inequalities in IHD mortality, rather an inverted U-shape time trend in some groups below 75 years in relative inequalities. Absolute inequalities decrease in the last period except for women from 50 to 64 years. Conclusions This study shows that the economic crisis has not increased socioeconomic inequalities in IHD mortality in two geographical settings in Spain.http://link.springer.com/article/10.1186/s13690-019-0339-zIschaemic heart disease mortalitySocioeconomic inequalitiesEconomicCrisisSpain |
| spellingShingle | Xavier Bartoll Mercè Gotsens Marc Marí-Dell’Olmo Laia Palència Montse Calvo Santiago Esnaola Carme Borrell Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings Archives of Public Health Ischaemic heart disease mortality Socioeconomic inequalities Economic Crisis Spain |
| title | Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings |
| title_full | Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings |
| title_fullStr | Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings |
| title_full_unstemmed | Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings |
| title_short | Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings |
| title_sort | stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis a time trend analysis in 2 spanish settings |
| topic | Ischaemic heart disease mortality Socioeconomic inequalities Economic Crisis Spain |
| url | http://link.springer.com/article/10.1186/s13690-019-0339-z |
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