Inequality in health : socioeconomic differentials in mortality in Rome, 1990-95.
Study objective-Population groups with a lower socioeconomic status (SES) have a greater risk of disease and mortality.
The aim of this study was to investigate the relation between SES and mortality in the metropolitan area of Rome during the six year period 1990-1995, and to examine variations in mortality differentials between 1990-92 and 1993-95.
Design-Rome has a population of approximately 2 800 000, with 6100 census tracts (CTs).
During the study period, 149 002 deaths occurred among residents.
The cause-specific mortality rates were compared among four socioeconomic categories defined by a socioeconomic index, derived from characteristics of the CT of residence.
Main results-Among men, total mortality and mortality for the major causes of death showed an inverse association with SES.
Among 15-44 year old men, the strong positive association between total mortality and low SES was attributable to AIDS and overdose mortality.
Among women, a positive association with lower SES was observed for stomach cancer, uterus cancer and cardiovascular disease, whereas mortality for lung and breast cancers was higher in the groups with higher SES.
Comparing the periods 1990-92 and 1993-95, differences in total mortality between socioeconomic groups widened in both sexes.
Increasing differences were observed for tuberculosis and lung cancer among men, and for uterus cancer, traffic accidents, and overdose mortality among women. (...)
Mots-clés Pascal : Mortalité, Evolution, Statut socioéconomique, Pauvreté, Epidémiologie, Facteur risque, Homme, Italie, Europe, Zone urbaine
Mots-clés Pascal anglais : Mortality, Evolution, Socioeconomic status, Poverty, Epidemiology, Risk factor, Human, Italy, Europe, Urban area
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0505119
Code Inist : 002B30A01A2. Création : 22/03/2000.