title: Socio-economic inequalities in mortality due to injuries in small areas of ten cities in Spain (MEDEA Project).
abstract: OBJECTIVE
  To analyse socio-economic inequalities in mortality due to injuries among census tracts of ten Spanish cities by sex and age in the period 1996-2003.
  
  
  METHODS
  This is a cross-sectional ecological study where the units of analysis are census tracts. The study population consisted of people residing in the cities during the period 1996-2003. For each census tract we obtained an index of socio-economic deprivation, and estimated standardized mortality ratios using hierarchical Bayesian models which take into account the spatial structure of the data.
  
  
  RESULTS
  In the majority of the cities, the geographical pattern of total mortality from injuries is similar to that of the socio-economic deprivation index. There is an association between mortality due to injuries and the deprivation index in the majority of the cities which is more important among men and among those younger than 45 years. In these groups, traffic injuries and overdoses are the causes most often associated with deprivation in the cities. The percentage of excess mortality from injuries related to socio-economic deprivation is higher than 20% in the majority of the cities, the cause with the highest percentage being drug overdose.
  
  
  CONCLUSIONS
  In most cities, there are socio-economic inequalities in mortality due to overdose and traffic injuries. In contrast, few cities have found association between suicide mortality and deprivation. Finally, no association was found between deprivation and deaths due to falls. Inequalities are higher in men and those under 45 years of age. These results highlight the importance of intra-urban inequalities in mortality due to injuries.
authors.affiliation: CIBER Epidemiología y Salud Pública, Spain. mgotsens@aspb.cat
authors.forename: Mercè
authors.initials: M
authors.lastname: Gotsens
authors.forename: Marc
authors.initials: M
authors.lastname: Marí-Dell'Olmo
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Martínez-Beneito
authors.forename: Katherine
authors.initials: K
authors.lastname: Pérez
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Pasarín
authors.forename: Antonio
authors.initials: A
authors.lastname: Daponte
authors.forename: Rosa
authors.initials: R
authors.lastname: Puigpinós-Riera
authors.forename: Maica
authors.initials: M
authors.lastname: Rodríguez-Sanz
authors.forename: Covadonga
authors.initials: C
authors.lastname: Audicana
authors.forename: Andreu
authors.initials: A
authors.lastname: Nolasco
authors.forename: Ana
authors.initials: A
authors.lastname: Gandarillas
authors.forename: Gemma
authors.initials: G
authors.lastname: Serral
authors.forename: Felicitas
authors.initials: F
authors.lastname: Domínguez-Berjón
authors.forename: Carmen
authors.initials: C
authors.lastname: Martos
authors.forename: Carme
authors.initials: C
authors.lastname: Borrell
mesh_terms: D000293:Adolescent; D000328:Adult; D001499:Bayes Theorem; D002423:Cause of Death; D019352:Censuses; D002947:Cities / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D011204:Poverty Areas; D012111:Residence Characteristics; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D014504:Urban Health; D014947:Wounds and Injuries / Q000209:etiology / Q000401:mortality*; D055815:Young Adult