title: [Hospital admissions in Bahía de Algeciras (Cádiz, Spain). Comparison with the rest of Andalusia and Spain (2001-2005)].
abstract: OBJECTIVE
  To describe hospital admissions data in the Bay of Algeciras from 2001 to 2005 compared with the rest of Andalusia and Spain and to analyze the relationship between these data and the most frequent diagnoses leading to excessive premature mortality in this area.
  
  
  METHODS
  We carried out a cross-sectional study. The study population consisted of the residents of the municipalities of the Bay of Algeciras, obtained from the Population and Household Census of 2001. Age-adjusted annual average hospital admission rates were compared between the Bay of Algeciras (2001-2005) and the rest of Andalusia and Spain using the relative and attributable risk. Hospital admissions and premature mortality rates were compared by means of the relative risk of the most important causes.
  
  
  RESULTS
  Hospital admissions in the Bay of Algeciras were significantly lower for most of the diagnoses studied. There was also excessive premature mortality, especially for circulatory diseases (RR for hospital admissions: 0.79 in men and 0.87 in women; RR for premature mortality: 1.39 in men and 1.70 in women). Notable specific diseases were diabetes in both genders and cerebrovascular disease and liver cirrhosis in men.
  
  
  CONCLUSIONS
  This study found a lower use of healthcare services and a higher risk of premature mortality due to severe diseases in this region. Further studies analyzing the potential socioeconomic and environmental determinants of the area are required.
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Sevilla, España. cruzrojo@us.es
authors.forename: Concepción
authors.initials: C
authors.lastname: Cruz-Rojo
authors.forename: Luis María
authors.initials: LM
authors.lastname: Bejar
authors.forename: Daniel Jesús
authors.initials: DJ
authors.lastname: López
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology; D002391:Catchment Area, Health; D003141:Communicable Diseases / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000706:statistics & numerical data; D003920:Diabetes Mellitus / Q000453:epidemiology; D003953:Diagnosis-Related Groups; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D008103:Liver Cirrhosis / Q000453:epidemiology; D008297:Male; D009026:Mortality / Q000639:trends; D009369:Neoplasms / Q000453:epidemiology; D010343:Patient Admission / Q000706:statistics & numerical data*; D012306:Risk; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology