Relative risk of death from causes amenable to health services'intervention was studied in a case-control design to ascertain regional and social class differences.
The data were 2091 deaths from amenable causes and 8364 randomly drawn living controls in 1980-1986 in the seven health districts in Helsinki, Finland.
Logistic regression was used to adjust relative risk estimates for age, sex and marital status.
Adjustments decreased the risk ratios.
Compared with the Southern District, the Middle District had significantly higher adjusted relative risk (RR=1.4 ; 95% confidence interval [Cl] : 1.1-1.7).
People with no address had even higher relative risk (RR=3.1 ; 95% Cl : 2.3-4.2).
Compared with social group I, increased relative risks were found in social group II (RR=1.3 ; 95% Cl : 1.1-1.6), group III (RR=2.0 ; 95% Cl : 1.6-2.4), group IV (RR=1.9 ; 95% Cl : 1.5-2.5) and group VI (RR=8.5 ; 95% Cl : 6.9-10.6).
Males had higher relative risk than females (RR=2.4 ; 95% Cl : 2.1-2.8).
Of the dead with no address, 29% were pensioners and 41% had been registered unemployed or occupation was unknown ; 48% were single and 17% divorced.
Our results suggest that regional inequalities in health care between various districts in Helsinki are small.
However, to a large extent two overlapping groups, social group VI and people with no address, seem to delineate a deprived group likely to need special help from health care.
Mots-clés Pascal : Mortalité, Epidémiologie, Homme, Variation géographique, Classe sociale, Statut socioéconomique, Cause, Finlande, Helsinki, Etude cas témoin, Europe
Mots-clés Pascal anglais : Mortality, Epidemiology, Human, Geographical variation, Social class, Socioeconomic status, Cause, Finland, Case control study, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0208159
Code Inist : 002B30A01A2. Création : 09/06/1995.