TITLE

Ecological association between a deprivation index and mortality in France over the period 1997 - 2001: variations with spatial scale, degree of urbanicity, age, gender and cause of death

AUTHOR(S)
Rey, Grégoire; Jougla, Eric; Fouillet, Anne; Hémon, Denis
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9 Issue 1, p33
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Spatial health inequalities have often been analysed in terms of deprivation. The aim of this study was to create an ecological deprivation index and evaluate its association with mortality over the entire mainland France territory. More specifically, the variations with the degree of urbanicity, spatial scale, age, gender and cause of death, which influence the association between mortality and deprivation, have been described. Methods: The deprivation index, "FDep99", was developed at the "commune"(smallest administrative unit in France) level as the first component of a principal component analysis of four socioeconomic variables. Proxies of the Carstairs and Townsend indices were calculated for comparison. The spatial association between FDep99 and mortality was studied using five different spatial scales, and by degree of urbanicity (five urban unit categories), age, gender and cause of death, over the period 1997-2001. "Avoidable" causes of death were also considered for subjects aged less than 65 years. They were defined as causes related to risk behaviour and primary prevention (alcohol, smoking, accidents). Results: The association between the FDep99 index and mortality was positive and quasi-log-linear, for all geographic scales. The standardized mortality ratio (SMR) was 24% higher for the communes of the most deprived quintile than for those of the least deprived quintile. The between-urban unit category and between-région heterogeneities of the log-linear associations were not statistically significant. The association was positive for all the categories studied and was significantly greater for subjects aged less than 65 years, for men, and for "avoidable" mortality. The amplitude and regularity of the associations between mortality and the Townsend and Carstairs indices were lower. Conclusion: The deprivation index proposed reflects a major part of spatial socioeconomic heterogeneity, in a homogeneous manner over the whole country. The index may be routinely used by healthcare authorities to observe, analyse, and manage spatial health inequalities.
ACCESSION #
51511429

 

Related Articles

  • Multivariate analysis of infant death in England and Wales in 2005-06, with focus on socio-economic status and deprivation. Oakley, Laura; Maconochie, Noreen; Doyle, Pat; Dattani, Nirupa; Moser, Kath // Health Statistics Quarterly;Summer2009, Vol. 42, p22 

    Current health inequality targets include the goal of reducing the differential in infant mortality between social groups. This article reports on a multivariate analysis of risk factors for infant mortality, with specific focus on deprivation and socio-economic status. Data on all singleton...

  • Death in 12-24-Year-Old Youth in Nova Scotia: High Risk of Preventable Deaths for Males, Socially Deprived and Rural Populations--A Report from the NSYOUTHS Program. Dummer, T. J. B.; Bellemare, S.; MacDonald, N.; Parker, L. // International Journal of Pediatrics;2010, p1 

    Deaths from avoidable causes represent the largest component of deaths in young people in Canada and have a considerable social cost in relation to years of potential life lost. We evaluated social and demographic determinants of deaths in youth aged 12–24 years in Nova Scotia for the...

  • Food Inequality Negatively Impacts Cardiac Health in Rabbits. Heidary, Fatemeh; Mahdavi, Mohammad Reza Vaeze; Momeni, Farshad; Minaii, Bagher; Rogani, Mehrdad; Fallah, Nader; Heidary, Roghayeh; Gharebaghi, Reza // PLoS ONE;2008, Vol. 3 Issue 11, p1 

    Background: Individuals with lower socioeconomic status experience higher rates of mortality and are more likely to suffer from numerous diseases. While some studies indicate that humans who suffer from social inequality suffer generally worse health, to our knowledge no controlled experiments...

  • Quantifying the Impact of Deprivation on Preterm Births: A Retrospective Cohort Study. Taylor-Robinson, David; Agarwal, Umber; Diggle, Peter J.; Platt, Mary Jane; Yoxall, Bill; Alfirevic, Zarko // PLoS ONE;2011, Vol. 6 Issue 8, p1 

    Background: Social deprivation is associated with higher rates of preterm birth and subsequent infant mortality. Our objective was to identify risk factors for preterm birth in the UK's largest maternity unit, with a particular focus on social deprivation, and related factors....

  • Social deprivation and premature mortality: regional comparison across England. Eames, Margaret; Ben-Shlomo, Yoav; Marmot, M.G. // BMJ: British Medical Journal (International Edition);10/30/93, Vol. 307 Issue 6912, p1097 

    Investigates the relationship between social deprivation in electoral wards and premature mortality for health region in England. Use of census variables for ecological study; Relationship between heart disease and smoking related diseases mortality; Affluence of the poorest area in premature...

  • Association Among Individual Deprivation, Glycemic Control, and Diabetes Complications. Bihan, Hélène; Laurent, Silvana; Sass, Catherine; Nguyen, Gérard; Huot, Caroline; Moulin, Jean Jacques; Guegen, René; Le Toumelin, Philippe; Le Clésiau, Hervé; La Rosa, Emilio; Reach, Gérard; Cohen, Régis // Diabetes Care;Nov2005, Vol. 28 Issue 11, p2680 

    OBJECTIVE -- Previous studies have related poor glycemic control and/or some diabetes complications to low socioeconomic status. Some aspects of socioeconomic status have not been assessed in these studies. In the present study, we used an individual index of deprivation, the Evaluation de la...

  • Television viewing and other screen-based entertainment in relation to multiple socioeconomic status indicators and area deprivation: the Scottish Health Survey 2003. Stamatakis, E.; Hillsdon, M.; Mishra, G.; Hamer, M.; Marmot, M. // Journal of Epidemiology & Community Health;Sep2009, Vol. 63 Issue 9, p734 

    Background: Sedentary behaviour (sitting) is detrimental to health, independently of participation in physical activity. Socioeconomic position (SEP) is known to relate strongly to physical activity participation but we know very little about how SEP relates to sedentary behaviour. This study...

  • Confounding by socioeconomic position remains after adjusting for neighbourhood deprivation: an example using smoking and mortality. Blakely, Tony; Hunt, Darren; Woodward, Alistair // Journal of Epidemiology & Community Health;Dec2004, Vol. 58 Issue 12, p1030 

    The article reports an example in which residual confounding by personal socioeconomic position remains after adjusting for neighborhood deprivation. Neither indices of neighborhood socioeconomic deprivation nor single individual socioeconomic factors fully characterize socioeconomic position....

  • Investigation of the association between excess winter mortality and socio-economic deprivation. Lawlor, Deborah A.; Harvey, Daniel; Dews, Howard G. // Journal of Public Health Medicine;Jun2000, Vol. 22 Issue 2, p176 

    Background. Excess winter mortality is higher in England and Wales than in other European countries with similar or lower average winter temperatures. It might be expected that excess winter mortality would be higher in areas with greater socio-economic deprivation, and if this were so...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics