Cause-specific mortality and income inequality in São Paulo, Brazil
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| Format: | Artículo científico |
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Universidade de São Paulo
2012
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| author | Alexandre Dias Porto Chiavegatto Filho |
| author_facet | Alexandre Dias Porto Chiavegatto Filho |
| contents | Cause-specific mortality and income inequality in São Paulo, Brazil Alexandre Dias Porto Chiavegatto Filho Sabina Léa Davidson Gotlieb Ichiro Kawachi Salud Income Mortality Cause of Death Social Inequity Health Inequalities OBJECTIVE:To analyze cause-specific mortality rates according to the relativeincome hypothesis.METHODS:All 96 administrative areas of the city of São Paulo, southeasternBrazil, were divided into two groups based on the Gini coefficient of incomeinequality: high (≥0.25) and low (<0.25). The propensity score matchingmethod was applied to control for confounders associated with socioeconomicdifferences among areas.RESULTS:The difference between high and low income inequality areas wasstatistically significant for homicide (8.57 per 10,000; 95%CI: 2.60;14.53);ischemic heart disease (5.47 per 10,000 [95%CI 0.76;10.17]); HIV/AIDS (3.58per 10,000 [95%CI 0.58;6.57]); and respiratory diseases (3.56 per 10,000[95%CI 0.18;6.94]). The ten most common causes of death accounted for72.30% of the mortality difference. Infant mortality also had significantlyhigher age-adjusted rates in high inequality areas (2.80 per 10,000 [95%CI0.86;4.74]), as well as among males (27.37 per 10,000 [95%CI 6.19;48.55])and females (15.07 per 10,000 [95%CI 3.65;26.48]).CONCLUSIONS:The study results support the relative income hypothesis.After propensity score matching cause-specific mortality rates was higher inmore unequal areas. Studies on income inequality in smaller areas should takeproper accounting of heterogeneity of social and demographic characteristics. 2012 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240199016 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.4 Vol.46 |
| format | Artículo científico |
| id | redalyc_67240199016 |
| institution | Redalyc |
| language | en |
| publishDate | 2012 |
| publisher | Universidade de São Paulo |
| spellingShingle | Cause-specific mortality and income inequality in São Paulo, Brazil Alexandre Dias Porto Chiavegatto Filho Salud Income Mortality Cause of Death Social Inequity Health Inequalities Cause-specific mortality and income inequality in São Paulo, Brazil Alexandre Dias Porto Chiavegatto Filho Sabina Léa Davidson Gotlieb Ichiro Kawachi Salud Income Mortality Cause of Death Social Inequity Health Inequalities OBJECTIVE:To analyze cause-specific mortality rates according to the relativeincome hypothesis.METHODS:All 96 administrative areas of the city of São Paulo, southeasternBrazil, were divided into two groups based on the Gini coefficient of incomeinequality: high (≥0.25) and low (<0.25). The propensity score matchingmethod was applied to control for confounders associated with socioeconomicdifferences among areas.RESULTS:The difference between high and low income inequality areas wasstatistically significant for homicide (8.57 per 10,000; 95%CI: 2.60;14.53);ischemic heart disease (5.47 per 10,000 [95%CI 0.76;10.17]); HIV/AIDS (3.58per 10,000 [95%CI 0.58;6.57]); and respiratory diseases (3.56 per 10,000[95%CI 0.18;6.94]). The ten most common causes of death accounted for72.30% of the mortality difference. Infant mortality also had significantlyhigher age-adjusted rates in high inequality areas (2.80 per 10,000 [95%CI0.86;4.74]), as well as among males (27.37 per 10,000 [95%CI 6.19;48.55])and females (15.07 per 10,000 [95%CI 3.65;26.48]).CONCLUSIONS:The study results support the relative income hypothesis.After propensity score matching cause-specific mortality rates was higher inmore unequal areas. Studies on income inequality in smaller areas should takeproper accounting of heterogeneity of social and demographic characteristics. 2012 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240199016 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.4 Vol.46 |
| title | Cause-specific mortality and income inequality in São Paulo, Brazil |
| topic | Salud Income Mortality Cause of Death Social Inequity Health Inequalities |
| url | https://www.redalyc.org/articulo.oa?id=67240199016 |