title: [The economic crisis at the beginning of the XXI century and mortality in Spain. Trend and impact on social inequalities. SESPAS Report 2014].
abstract: This study aimed to assess the impact of the current economic crisis on mortality trends in Spain and its effect on social inequalities in mortality in Andalusia. We used data from vital statistics and the Population Register for 1999 to 2011, as provided by the Spanish Institute of Statistics, to estimate general and sex- and age-specific mortality rates. The Longitudinal Database of the Andalusian Population (2001 census cohort) was used to estimate general mortality rates and ratios by educational level. The annual percentages of change and trends were calculated using Joinpoint regressions. No significant change in the mortality trend was observed in Spain from 2008 onward. A downward trend after 1999 was confirmed for all causes and both sexes, with the exception of nervous system-related diseases. The reduction in mortality due to traffic accidents accelerated after 2003, while the negative trend in suicide was unchanged throughout the period studied. In Andalusia, social inequalities in mortality have increased among men since the beginning of the crisis, mainly due to a more intense reduction in mortality among persons with a higher educational level. Among women, no changes were observed in the pattern of inequality.
authors.affiliation: Servicio de Información y Evaluación, Consejería de Salud y Bienestar Social de Andalucía, Sevilla, España. Electronic address: miguel.ruiz.ramos@juntadeandalucia.es.
authors.forename: Miguel
authors.initials: M
authors.lastname: Ruiz-Ramos
authors.affiliation: Delegación Territorial de Salud y Bienestar Social de la Junta de Andalucía, Cádiz, España; Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Córdoba-Doña
authors.affiliation: Departamento de Sociología 2, Universidad del País Vasco UPV/EHU, Vizcaya, España.
authors.forename: Amaia
authors.initials: A
authors.lastname: Bacigalupe
authors.affiliation: Centre for Economic Demography, Lund University, Lund, Sweden.
authors.forename: Sol
authors.initials: S
authors.lastname: Juárez
authors.affiliation: Delegación Territorial de Salud y Bienestar Social de la Junta de Andalucía, Cádiz, España; Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Puerta del Mar, Cádiz.
authors.forename: Antonio
authors.initials: A
authors.lastname: Escolar-Pujolar
mesh_terms: D000293:Adolescent; D000328:Adult; D057172:Economic Recession; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D013997:Time Factors; D055815:Young Adult
keywords: Andalucía; Andalusia; Cause-specific mortality; Crisis económica; Desigualdades sociales; Economic crisis; España; General mortality; Mortalidad general; Mortalidad por causas; Social inequalities; Spain; Tendencias; Trends