title: [Trends in socioeconomic inequalities in general mortality in the city of Cadiz, Spain (1992-2007)].
abstract: OBJECTIVE
  To analyze trends in socioeconomic inequality in mortality in the city of Cadiz (Spain) from 1992 to 2007.
  
  
  METHODS
  An ecological study was performed of trends over 3 cross-sections, with the census tract as the unit of analysis. Deaths were grouped into three periods: 1992-1996, 1997-2001 and 2002-2007 and were then classified according to a deprivation index of the census tract. We calculated adjusted rates by the direct method and three measures of health inequality.
  
  
  RESULTS
  Of 18,586 deaths, 96.7% was geocoded to a census tract. The population-attributable risk decreased in men and women, respectively, from 15.4% and 12.2% in 1992-1996 to 9.3% and 5.6% in 2002-2007. The other measures, slope index and the relative index also showed a decline in inequality but only among women.
  
  
  CONCLUSIONS
  Despite a decreasing trend, social inequalities are a substantial component in the distribution of overall mortality in the city of Cadiz.
authors.affiliation: Servicio de Medicina Preventiva, Salud Pública y Promoción de la Salud, Hospital Universitario Puerta del Mar, Cádiz, España. Electronic address: gabrieljesusrodriguez@gmail.com.
authors.forename: Gabriel Jesús
authors.initials: GJ
authors.lastname: Rodríguez
authors.affiliation: Servicio de Medicina Preventiva, Salud Pública y Promoción de la Salud, Hospital Universitario Puerta del Mar, Cádiz, España; Delegación Territorial de Igualdad, Salud y Políticas Sociales, Cádiz, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Escolar-Pujolar
authors.affiliation: Delegación Territorial de Igualdad, Salud y Políticas Sociales, Cádiz, España; Department of Public Health and Clinical Medicine, Unit of Epidemiology and Global Health, Umeå University, Sweden.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Córdoba-Doña
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009026:Mortality / Q000639:trends*; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data*; D035862:Vulnerable Populations
keywords: Cadiz; Cádiz; Desigualdades en la salud; Factores socioeconómicos; Health inequalities; Mortalidad; Mortality; Socioeconomic factors