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  1. Social inequality in mortality in Sao Paulo State, Brazil.

    Article - En anglais

    Background

    Epidemiological studies have consistently demonstrated social inequality to be an important factor in the distribution of illness and death in society.

    However, little work has been published on social differentials in mortality in the world's developing countries, where socioeconomic contrasts are often considerably greater.

    Methods

    In order to evaluate the extent of social differentials in mortality in a setting of major social inequality - the State of Sao Paulo, Brazil, deaths in men aged 15-64 years residing in Sao Paulo from 1980 to 1982 were linked in broad, occupationally-determined categories to estimates of population size based on the 1980 Brazilian national census.

    The occupational categorizations utilized a Brazilian classification scheme and additionally that of the British Registrar General.

    Results

    Mortality was 3.8 and 2.9 times greater comparing least to most socially favoured occupational category in each of the two classification systems, respectively.

    Independent of system, mortality decreased approximately 1.1% for each 1% increase along the occupationally-defined social gradient.

    This decrease was 48% greater than the equivalent calculated decrease for men of England and Wales.

    Conclusions

    These data support the contention that mortality for Brazilian adults, even more so than for adults of the world's more economically developed nations, is inextricably bound to the issue of social equity.

    Mots-clés Pascal : Mortalité, Homme, Brésil, Classe sociale, Epidémiologie, Pays en développement, Statut socioéconomique, Amérique du Sud, Amérique

    Mots-clés Pascal anglais : Mortality, Human, Brazil, Social class, Epidemiology, Developing countries, Socioeconomic status, South America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0318060

    Code Inist : 002B30A02B. Création : 01/03/1996.