Intraurban socioeconomic inequalities in life expectancy: a population-based cross-sectional analysis in the city of Córdoba, Argentina (2015-2018).
epidemiology
public health
social medicine
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
02 09 2022
02 09 2022
Historique:
entrez:
23
1
2023
pubmed:
24
1
2023
medline:
26
1
2023
Statut:
epublish
Résumé
To evaluate variability in life expectancy at birth in small areas, describe the spatial pattern of life expectancy, and examine associations between small-area socioeconomic characteristics and life expectancy in a mid-sized city of a middle-income country. Cross-sectional, using data from death registries (2015-2018) and socioeconomic characteristics data from the 2010 national population census. 40 898 death records in 99 small areas of the city of Córdoba, Argentina. We summarised variability in life expectancy at birth by using the difference between the 90th and 10th percentile of the distribution of life expectancy across small areas (P90-P10 gap) and evaluated associations with small-area socioeconomic characteristics by calculating a Slope Index of Inequality in linear regression. Life expectancy at birth. The median life expectancy at birth was 80.3 years in women (P90-P10 gap=3.2 years) and 75.1 years in men (P90-P10 gap=4.6 years). We found higher life expectancies in the core and northwest parts of the city, especially among women. We found positive associations between life expectancy and better small-area socioeconomic characteristics, especially among men. Mean differences in life expectancy between the highest versus the lowest decile of area characteristics in men (women) were 3.03 (2.58), 3.52 (2.56) and 2.97 (2.31) years for % adults with high school education or above, % persons aged 15-17 attending school, and % households with water inside the dwelling, respectively. Lower values of % overcrowded households and unemployment rate were associated with longer life expectancy: mean differences comparing the lowest versus the highest decile were 3.03 and 2.73 in men and 2.57 and 2.34 years in women, respectively. Life expectancy is substantially heterogeneous and patterned by socioeconomic characteristics in a mid-sized city of a middle-income country, suggesting that small-area inequities in life expectancy are not limited to large cities or high-income countries.
Identifiants
pubmed: 36691155
pii: bmjopen-2022-061277
doi: 10.1136/bmjopen-2022-061277
pmc: PMC9442478
mid: EMS154770
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e061277Subventions
Organisme : Wellcome Trust
ID : 205177
Pays : United Kingdom
Organisme : Wellcome Trust
ID : 205177/Z/16/Z
Pays : United Kingdom
Organisme : FIC NIH HHS
ID : K01 TW011782
Pays : United States
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Epidemiol Community Health. 2014 Dec;68(12):1125-32
pubmed: 25124188
Lancet Planet Health. 2019 Dec;3(12):e503-e510
pubmed: 31836433
Health Place. 2022 Sep;77:102611
pubmed: 34210611
Lancet Public Health. 2017 Sep;2(9):e400-e410
pubmed: 29253411
J Urban Health. 2007 May;84(3):319-33
pubmed: 17357849
Ann N Y Acad Sci. 2010 Feb;1186:125-45
pubmed: 20201871
Am J Epidemiol. 2015 Jul 15;182(2):138-47
pubmed: 26081676
Am J Public Health. 2011 Mar;101(3):517-23
pubmed: 21233437
J Urban Health. 2011 Dec;88(6):1183-93
pubmed: 21850555
Proc Natl Acad Sci U S A. 2020 Jul 28;117(30):17688-17694
pubmed: 32661145
BMC Public Health. 2020 May 6;20(1):632
pubmed: 32375737
Public Health. 2008 May;122(5):487-96
pubmed: 18222508
SSM Popul Health. 2020 Aug 19;12:100649
pubmed: 32923576
Am J Epidemiol. 2012 Nov 15;176(10):929-37
pubmed: 23136165
J Epidemiol Community Health. 2013 May;67(5):389-91
pubmed: 23413097
Soc Sci Med. 2012 Oct;75(8):1477-87
pubmed: 22795359
Nat Med. 2021 Mar;27(3):463-470
pubmed: 33495602
Demography. 2018 Aug;55(4):1363-1388
pubmed: 29978339
BMJ Open. 2020 Jul 22;10(7):e035932
pubmed: 32699164
Popul Health Metr. 2003 Apr 14;1(1):2
pubmed: 12773214
PLoS One. 2018 May 30;13(5):e0197047
pubmed: 29847573
J Urban Health. 2019 Apr;96(2):311-337
pubmed: 30465261
Popul Health Metr. 2019 Mar 28;17(1):3
pubmed: 30922340