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Cause-specific mortality and income inequality in São Paulo, Brazil

Alexandre Dias Porto Chiavegatto Filho Sabina Léa Davidson Gotlieb; Ichiro Kawachi

Revista de Saúde Pública São Paulo v. 46, n. 1, p. 712-718,ago. 2012

São Paulo 2012

Localização: FSP - Faculdade de Saúde Pública    (Acessar)

  • Título:
    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: . 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
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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