Publication: Desigualdades socioeconómicas en mortalidad en España en la primera década del siglo XXI
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2018-03-21
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Universidad Complutense de Madrid
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Abstract
Los principales estudios sobre desigualdades socioeconómicas en mortalidad en Europa que utilizan registros a nivel individual muestran que los países del sur, en concreto Italia y España, presentan desigualdades bajas en relación con otros países del entorno. Los datos de España en estos estudios proceden de las regiones de Madrid y el País Vasco y la ciudad de Barcelona, pero se desconoce si estos resultados son extrapolables al conjunto nacional. Adicionalmente, a pesar de que el patrón geográfico de mortalidad en España es bien conocido, existiendo una mortalidad mayor en las provincias del sur y levante, y menor en la meseta central, el patrón geográfico de las desigualdades en mortalidad no se ha estudiado. Por otro lado, se ha observado que las diferencias socioeconómicas en mortalidad en términos relativos son relativamente pequeñas en adultos jóvenes, mayores en adultos y menores en ancianos. Sin embargo, pocos estudios se han aventurado a estudiar diferencias socioeconómicas a edades avanzadas. De la misma manera se desconoce qué indicadores de posición socioeconómica son más apropiados para el estudio de las desigualdades socioeconómicas en mortalidad en este grupo de edad...
The main studies on socioeconomic inequalities in mortality in Europe using individual records show that the southern countries, such as Italy and Spain, have smaller inequalities in mortality in relation to other European countries. The Spanish data used in those studies come from the regions of Madrid and the Basque Country and the city of Barcelona, but it is unknown if the results of these areas can be extrapolated at national level. In addition, although the geographic pattern of mortality in Spain is well known, showing a higher mortality in the southern and eastern provinces and lower in the central plateau, the geographical pattern of mortality inequalities has not been studied. On the other hand, it has been observed that socioeconomic differences in relative mortality are relatively small in young adults, increasing in adults and decreasing in the elderly. However, few studies have analyzed intragroup differences at advanced ages. Likewise, it is unknown which socioeconomic position indicators are most appropriate to study socioeconomic inequalities in mortality in this age group...
The main studies on socioeconomic inequalities in mortality in Europe using individual records show that the southern countries, such as Italy and Spain, have smaller inequalities in mortality in relation to other European countries. The Spanish data used in those studies come from the regions of Madrid and the Basque Country and the city of Barcelona, but it is unknown if the results of these areas can be extrapolated at national level. In addition, although the geographic pattern of mortality in Spain is well known, showing a higher mortality in the southern and eastern provinces and lower in the central plateau, the geographical pattern of mortality inequalities has not been studied. On the other hand, it has been observed that socioeconomic differences in relative mortality are relatively small in young adults, increasing in adults and decreasing in the elderly. However, few studies have analyzed intragroup differences at advanced ages. Likewise, it is unknown which socioeconomic position indicators are most appropriate to study socioeconomic inequalities in mortality in this age group...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, leída el 21-04-2017