Economic Crisis and Amenable Mortality in Spain
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10045/82432
Title: | Economic Crisis and Amenable Mortality in Spain |
---|---|
Authors: | Nolasco, Andreu | Pereyra-Zamora, Pamela | Sanchis-Matea, Elvira | Tamayo Fonseca, Nayara | Caballero, Pablo | Melchor-Alós, Inmaculada | Moncho, Joaquin |
Research Group/s: | Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia |
Center, Department or Service: | Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia |
Keywords: | Mortality | Amenable mortality | Economic recession | Socioeconomic factors | Spain |
Knowledge Area: | Enfermería |
Issue Date: | 19-Oct-2018 |
Publisher: | MDPI |
Citation: | 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 |
Abstract: | 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. |
Sponsor: | Supported by University of Alicante I + D Projects (GRE 16-14). |
URI: | http://hdl.handle.net/10045/82432 |
ISSN: | 1661-7827 (Print) | 1660-4601 (Online) |
DOI: | 10.3390/ijerph15102298 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © 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 (http://creativecommons.org/licenses/by/4.0/). |
Peer Review: | si |
Publisher version: | https://doi.org/10.3390/ijerph15102298 |
Appears in Collections: | INV - SALUD - Artículos de Revistas |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
2018_Nolasco_etal_IntJEnvironResPublicHealth.pdf | 341,99 kB | Adobe PDF | Open Preview | |
This item is licensed under a Creative Commons License