[Association between social deprivation and causes of mortality among elderly residents in the city of Recife, Pernambuco State, Brazil].
This paper aims to analyze mortality among elderly residents in the city of Recife, Pernambuco State, Brazil, and its association with social deprivation (hardship) in the year 2000. An ecological study was performed, and 94 neighborhoods and 5 social strata were analyzed. The independent variable consisted of a composite social deprivation indicator, obtained for each neighborhood and calculated through a scoring technique based on census variables: water supply, sewage, illiteracy, and head-of-household's years of schooling and income. The dependent variables were: mortality rate in individuals > 60 years of age and cause-specific mortality rates. The association was calculated by means of the Pearson correlation coefficient, linear regression, and mortality odds between social deprivation strata formed by grouping of neighborhoods according to the indicator's quintiles. The data show a statistically significant positive correlation between social deprivation and mortality in the elderly from pneumonia, protein-energy malnutrition, tuberculosis, diarrhea/gastroenteritis, and traffic accidents, and a negative correlation with deaths from bronchopulmonary and breast cancers.
Silva
Vanessa de Lima
Vde L
Departamento de Medicina Social, Universidade Federal de Pernambuco, Avenida Professor Moraes Rego s/n, Recife, Brazil. vlsilva@pop.com.br
Leal
Márcia Carréra Campos
MC
Marino
Jacira Guiro
JG
Marques
Ana Paula de Oliveira
AP
D000063:Accidents, Traffic / Q000401:mortality; D001938:Brazil / Q000453:epidemiology; D001984:Bronchial Neoplasms / Q000401:mortality; D002423:Cause of Death; D003967:Diarrhea / Q000401:mortality; D005260:Female; D005759:Gastroenteritis / Q000401:mortality; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000401:mortality; D011203:Poverty / Q000145:classification; D011502:Protein-Energy Malnutrition / Q000401:mortality; D012016:Reference Values; D012111:Residence Characteristics / Q000706:statistics & numerical data; D018709:Statistics, Nonparametric; D014376:Tuberculosis / Q000401:mortality; D014652:Vascular Diseases / Q000401:mortality