Economic Crisis and Amenable Mortality in Spain

Por favor, use este identificador para citar o enlazar este ítem:
Información del item - Informació de l'item - Item information
Título: Economic Crisis and Amenable Mortality in Spain
Autor/es: Nolasco, Andreu | Pereyra-Zamora, Pamela | Sanchis-Matea, Elvira | Tamayo Fonseca, Nayara | Caballero, Pablo | Melchor-Alós, Inmaculada | Moncho, Joaquin
Grupo/s de investigación o GITE: Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia
Centro, Departamento o Servicio: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Palabras clave: Mortality | Amenable mortality | Economic recession | Socioeconomic factors | Spain
Área/s de conocimiento: Enfermería
Fecha de publicación: 19-oct-2018
Editor: MDPI
Cita bibliográfica: Nolasco A, Pereyra-Zamora P, Sanchis-Matea E, Tamayo-Fonseca N, Caballero P, Melchor I, Moncho J. Economic Crisis and Amenable Mortality in Spain. International Journal of Environmental Research and Public Health. 2018; 15(10):2298. doi:10.3390/ijerph15102298
Resumen: Background: Both overall mortality and avoidable mortality have decreased in recent years in most European countries. It has become clear that less privileged socioeconomic groups have an increased risk of death. In 2008, most countries went into a severe economic recession, whose effects on the health of the population are still ongoing. While on the one hand, some evidence associates the economic crisis with positive health outcomes (pro-cyclical effect), on the other hand, some other evidence suggests that the economic crisis may pose serious public health problems (counter-cyclical effect), which has given rise to controversy. Objectives: To describe the evolution of overall mortality and amenable mortality in Spain between 2002–2007 (before the economic crisis) and 2008–2013 (during the economic crisis), nationally and by province, as well as to analyse trends in the risks of death and their association with indicators of the impact of the crisis. Methods: Ecological study of overall mortality and amenable mortality describing the evolution of the risks of death between 2002–2007 and 2008–2013. Age Standardised Rates were calculated, as well as their percentage change between periods. The association between percentage changes and provincial indicators of the impact of the crisis was analysed. Amenable mortality was studied both overall and categorised into five groups. Results: Amenable mortality represented 8.25% of overall mortality in 2002–2007, and 6.93% in 2008–2013. Age Standardised Rates for overall mortality and global amenable mortality generally declined, with the sharpest decline in amenable mortality. Decreases in overall mortality and amenable mortality were directly related to vulnerability indicators. The most significant decreases were registered in ischaemic heart disease, cerebrovascular disease, and other amenable causes. The relationship with vulnerability indices varied from direct (cancer) to inverse (hypertensive disease). Conclusions: Amenable mortality shows a more significant decrease than overall mortality between both study periods, albeit unevenly between provinces causes of death. Higher vulnerability indicators entail greater declines, although this trend varied for different causes. Mortality trends and their relationship with socioeconomic indicators in a situation of crisis must be conducted cautiously, taking into consideration a possible pro-cyclical effect.
Patrocinador/es: Supported by University of Alicante I + D Projects (GRE 16-14).
ISSN: 1661-7827 (Print) | 1660-4601 (Online)
DOI: 10.3390/ijerph15102298
Idioma: eng
Tipo: info:eu-repo/semantics/article
Derechos: © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
Revisión científica: si
Versión del editor:
Aparece en las colecciones:INV - BISCHA - Artículos de Revistas

Archivos en este ítem:
Archivos en este ítem:
Archivo Descripción TamañoFormato 
Thumbnail2018_Nolasco_etal_IntJEnvironResPublicHealth.pdf341,99 kBAdobe PDFAbrir Vista previa

Este ítem está licenciado bajo Licencia Creative Commons Creative Commons