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[Trend in inequalities in mortality due to external causes among the municipalities of Antioquia (Colombia)].

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  • Additional Information
    • Transliterated Title:
      Evolución de las inequidades en mortalidad por causas externas entre los municipios de Antioquia (Colombia).
    • Source:
      Publisher: Elsevier España Country of Publication: Spain NLM ID: 8901623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1578-1283 (Electronic) Linking ISSN: 02139111 NLM ISO Abbreviation: Gac Sanit Subsets: MEDLINE
    • Publication Information:
      Publication: Madrid : Elsevier España
      Original Publication: [Barcelona] : Ajuntament de Barcelona, Àrea de Sanitat, Salut Pública i Medi Ambient, 1987-
    • Subject Terms:
      Socioeconomic Factors*; Cause of Death/*trends; Age Distribution ; Age Factors ; Bayes Theorem ; Cities ; Colombia ; Humans ; Sex Distribution ; Urban Population
    • Abstract:
      Objective: To analyse the trend in inequalities in mortality due to external causes among municipalities in Antioquia, department of Colombia, from 2000 to 2010, and its association with socioeconomic conditions. External causes included violent deaths, such as homicides, suicides and traffic accidents, among others.
      Methods: Ecological design of mortality trends, with the 125 municipalities of Antioquia as the unit of analysis. The age-adjusted smoothed standardized mortality ratio (SMR) was estimated for each of the municipalities by using an empirical Bayesian model. Differences in the SMR between the poorest and least poor municipalities were estimated by using a two-level hierarchical model (level-1: year, level-2: municipality).
      Results: Mortality due to external causes showed a downward trend in the department in the period under review, although the situation was not similar in all municipalities. The findings showed that the risk of death from external causes significantly increased in poor and underdeveloped municipalities.
      Conclusions: Intervention is required through policies that take into account local differences in mortality due to external causes.
      (Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.)
    • Contributed Indexing:
      Keywords: Análisis espacial; Desigualdades en salud; Determinantes sociales de la salud; Distribución espacial de la población; Geographic mapping; Healthcare disparities; Mapeo geográfico; Mortalidad; Mortality; Residence characteristics; Social determinants of health; Spatial analysis; Violence; Violencia
    • Publication Date:
      Date Created: 20160502 Date Completed: 20180316 Latest Revision: 20181202
    • Publication Date:
      20240104
    • Accession Number:
      10.1016/j.gaceta.2016.02.010
    • Accession Number:
      27132193