Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018)
Knowing the heterogeneity in social and health indicators within cities allows for designing public policies based on evidence to reduce health inequities. We evaluated the variability in life expectancy at birth (LE) at the census fraction (fracción censal) level, describing the spatial pattern of...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39055 |
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I10-R327-article-39055 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
life expectancy inequities heterogeneity census fractions Córdoba Argentina esperanza de vida desigualdades heterogeneidad fracciones censales Córdoba Argentina |
| spellingShingle |
life expectancy inequities heterogeneity census fractions Córdoba Argentina esperanza de vida desigualdades heterogeneidad fracciones censales Córdoba Argentina Rodríguez López, S Tumas, N Bilal, U Moore, K Acharya, B Quick, H Acevedo, GE Diez Roux, AV Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) |
| topic_facet |
life expectancy inequities heterogeneity census fractions Córdoba Argentina esperanza de vida desigualdades heterogeneidad fracciones censales Córdoba Argentina |
| author |
Rodríguez López, S Tumas, N Bilal, U Moore, K Acharya, B Quick, H Acevedo, GE Diez Roux, AV |
| author_facet |
Rodríguez López, S Tumas, N Bilal, U Moore, K Acharya, B Quick, H Acevedo, GE Diez Roux, AV |
| author_sort |
Rodríguez López, S |
| title |
Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) |
| title_short |
Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) |
| title_full |
Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) |
| title_fullStr |
Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) |
| title_full_unstemmed |
Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) |
| title_sort |
intraurban socioeconomic inequalities in life expectancy in the city of córdoba, argentina (2015-2018) |
| description |
Knowing the heterogeneity in social and health indicators within cities allows for designing public policies based on evidence to reduce health inequities. We evaluated the variability in life expectancy at birth (LE) at the census fraction (fracción censal) level, describing the spatial pattern of LE and examining the association between census fraction socioeconomic characteristics and LE.
A cross-sectional study was carried out based on 40,898 death records in the city of Córdoba (2015-2018), including population projections by age, sex (2015-2018), and population data and socioeconomic characteristics from the 2010 national population census in 99 census fractions. The variability in the LE was analyzed by calculating the difference between the 90th and 10th percentiles of the LE distribution in the census fractions (P90-P10) and the association with various socioeconomic characteristics of these areas was evaluated by linear regressions.
The median LE was 80.3 years in women (P90-P10=3.2 years) and 75.1 years in men (P90-P10=4.6 years). We found higher LE in the central part of the city and a spatial pattern with higher LE in the center and northwest, more evident among women. We found positive associations between better socioeconomic characteristics and LE, more noticeable among men. The mean differences in LE (in years) associated with a value of 1 standard deviation in the characteristics of the census fractions in men (and women, respectively) were 0.97 (0.83), 1.04 (0.80 ), and 0.60 (0.55) for the % of adults with secondary education or higher, % of people aged 15 to 17 who attend school and % with water inside the home, respectively. Lower values of % of overcrowded households and lower unemployment rate were associated with a higher LE (0.86 and 0.89 years in men and 0.75 and 0.76 years in women, respectively).
This study provides the first characterization of the heterogeneity in LE at the census fraction level, suggesting a social pattern of longevity in the city. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/39055 |
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I10-R327-article-390552024-04-15T16:14:45Z Intraurban socioeconomic inequalities in life expectancy in the city of Córdoba, Argentina (2015-2018) Inequidades sociales intraurbanas en la esperanza de vida en la ciudad de Córdoba, Argentina (2015-2018) Rodríguez López, S Tumas, N Bilal, U Moore, K Acharya, B Quick, H Acevedo, GE Diez Roux, AV life expectancy inequities heterogeneity census fractions Córdoba Argentina esperanza de vida desigualdades heterogeneidad fracciones censales Córdoba Argentina Knowing the heterogeneity in social and health indicators within cities allows for designing public policies based on evidence to reduce health inequities. We evaluated the variability in life expectancy at birth (LE) at the census fraction (fracción censal) level, describing the spatial pattern of LE and examining the association between census fraction socioeconomic characteristics and LE. A cross-sectional study was carried out based on 40,898 death records in the city of Córdoba (2015-2018), including population projections by age, sex (2015-2018), and population data and socioeconomic characteristics from the 2010 national population census in 99 census fractions. The variability in the LE was analyzed by calculating the difference between the 90th and 10th percentiles of the LE distribution in the census fractions (P90-P10) and the association with various socioeconomic characteristics of these areas was evaluated by linear regressions. The median LE was 80.3 years in women (P90-P10=3.2 years) and 75.1 years in men (P90-P10=4.6 years). We found higher LE in the central part of the city and a spatial pattern with higher LE in the center and northwest, more evident among women. We found positive associations between better socioeconomic characteristics and LE, more noticeable among men. The mean differences in LE (in years) associated with a value of 1 standard deviation in the characteristics of the census fractions in men (and women, respectively) were 0.97 (0.83), 1.04 (0.80 ), and 0.60 (0.55) for the % of adults with secondary education or higher, % of people aged 15 to 17 who attend school and % with water inside the home, respectively. Lower values of % of overcrowded households and lower unemployment rate were associated with a higher LE (0.86 and 0.89 years in men and 0.75 and 0.76 years in women, respectively). This study provides the first characterization of the heterogeneity in LE at the census fraction level, suggesting a social pattern of longevity in the city. Conocer la heterogeneidad en indicadores sociales y de salud al interior de las ciudades permite diagramar políticas públicas basadas en evidencia a fin de reducir las inequidades en salud. Se evaluó la variabilidad de la esperanza de vida al nacer (EVN) a nivel de fracciones censales, describiendo el patrón espacial de la EVN y examinando la asociación entre las características socioeconómicas de las fracciones censales y la EVN. Se realizó un estudio transversal utilizando 40.898 registros de defunciones de la ciudad (2015-2018), incluyendo proyecciones de población por edad, sexo (2015-2018) y datos de población y características socioeconómicas del censo nacional de población de 2010 en 99 fracciones censales de la ciudad de Córdoba. Se analizó la variabilidad en la EVN calculando la diferencia entre los percentiles 90 y 10 de la distribución de la EVN en las fracciones censales (P90-P10) y se evaluó la asociación con diversas características socioeconómicas de éstas mediante regresión lineal. La mediana de la EVN fue 80,3 años en mujeres (P90-P10=3,2 años) y 75,1 años en varones (P90-P10=4,6 años). Se encontraron mayores EVN en la parte central de la ciudad y un patrón espacial con EVN más altas en el centro y noroeste, más evidente entre las mujeres. Se evidenciaron asociaciones positivas entre mejores características socioeconómicas y la EVN, más notorio entre los varones. Las diferencias medias en la EVN (en años) asociadas a un valor de 1 desvío estándar en las características de las fracciones censales en varones (y mujeres, respectivamente) fueron 0,97 (0,83), 1,04 (0,80) y 0,60 (0,55) para el % de adultos con educación secundaria o superior, % personas de 15 a 17 años que asisten a la escuela y % con agua dentro de la vivienda, respectivamente. Menores valores de % de hogares hacinados y menor tasa de desempleo se asociaron con una mayor EVN (0,86 y 0,89 años en varones y 0,75 y 0,76 años en mujeres, respectivamente). Este estudio proporciona la primera caracterización de la heterogeneidad en la EVN a nivel de fracciones censales, sugiriendo un patrón social de longevidad en la ciudad. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion . https://revistas.unc.edu.ar/index.php/med/article/view/39055 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |