Cause-specific mortality and income inequality in São Paulo, Brazil
ABCD PBi
Cause-specific mortality and income inequality in São Paulo, Brazil
Autor:
Alexandre Dias Porto Chiavegatto Filho
Sabina Léa Davidson Gotlieb
;
Ichiro Kawachi
Assuntos:
MORTALIDADE (ASPECTOS SOCIOECONÔMICOS)
;
CAUSA BÁSICA DE MORTE
;
DESIGUALDADES SOCIAIS
;
ACESSO AOS SERVIÇOS DE SAÚDE (ASPECTOS SOCIOECONÔMICOS)
;
CAUSA DA MORTE
;
ESTATÍSTICA (MÉTODOS ANALÍTICOS)
É parte de:
Revista de Saúde Pública São Paulo v. 46, n. 1, p. 712-718,ago. 2012
Notas:
Disponível em: <http://dx.doi.org/10.1590/S0034-89102012005000039 >. Acesso em: 31 out. 2012.
Descrição:
OBJECTIVE: To analyze cause-specific mortality rates according to the relative income hypothesis. METHODS: All 96 administrative areas of the city of São Paulo, southeastern Brazil, were divided into two groups based on the Gini coefficient of income inequality: high (>0.25) and low (<0.25). The propensity score matching method was applied to control for confounders associated with socioeconomic differences among areas. RESULTS: The difference between high and low income inequality areas was statistically 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 (3.58 per 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 for 72.30% of the mortality difference. Infant mortality also had significantly higher age-adjusted rates in high inequality areas (2.80 per 10,000 [95%CI 0.86;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 in more unequal areas. Studies on income inequality in smaller areas should take proper accounting of heterogeneity of social and demographic characteristics
Editor:
São Paulo
Data de criação/publicação:
2012
Formato:
p. 712-718.
Idioma:
Inglês
Disponível na Biblioteca:
FSP - Faculdade de Saúde Pública