title: Spatial interactions between urban areas and cause-specific mortality differentials in France.
abstract: Spatial interactions constitute a challenging but promising approach for investigation of spatial mortality inequalities. Among spatial interactions measures, between-spatial unit migration differentials are a marker of socioeconomic imbalance, but also reflect discrepancies due to other factors. Specifically, this paper asks whether population exchange intensities measure differentials or similarities that are not captured by usual socioeconomic indicators. Urban areas were grouped pairwise by the intensity of connection estimated from a gravity model. The mortality differences for several causes of death were observed to be significantly smaller for strongly connected pairs than for weakly connected pairs even after adjustment on deprivation.
authors.affiliation: Inserm CépiDc, Le Kremlin-Bicêtre, France. Electronic address: walid.ghosn@inserm.fr.
authors.forename: Walid
authors.initials: W
authors.lastname: Ghosn
authors.forename: Daouda
authors.initials: D
authors.lastname: Kassie
authors.forename: Eric
authors.initials: E
authors.lastname: Jougla
authors.forename: Stéphane
authors.initials: S
authors.lastname: Rican
authors.forename: Grégoire
authors.initials: G
authors.lastname: Rey
mesh_terms: D000368:Aged; D000465:Algorithms; D002423:Cause of Death / Q000639:trends*; D016208:Databases, Factual; D005260:Female; D005602:France / Q000453:epidemiology; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009026:Mortality / Q000639:trends*; D017062:Small-Area Analysis; D012923:Social Class; D014505:Urban Population
keywords: Gravity model; Migration; Mortality; Spatial inequalities; Spatial interactions