title: [Trend in inequalities in mortality due to external causes among the municipalities of Antioquia (Colombia)].
abstract: OBJECTIVE
  To analyse the trend in inequalities in mortality due to external causes among municipalities in Antioquia, department of Colombia, from 2000 to 2010, and its association with socioeconomic conditions. External causes included violent deaths, such as homicides, suicides and traffic accidents, among others.
  
  
  METHODS
  Ecological design of mortality trends, with the 125 municipalities of Antioquia as the unit of analysis. The age-adjusted smoothed standardized mortality ratio (SMR) was estimated for each of the municipalities by using an empirical Bayesian model. Differences in the SMR between the poorest and least poor municipalities were estimated by using a two-level hierarchical model (level-1: year, level-2: municipality).
  
  
  RESULTS
  Mortality due to external causes showed a downward trend in the department in the period under review, although the situation was not similar in all municipalities. The findings showed that the risk of death from external causes significantly increased in poor and underdeveloped municipalities.
  
  
  CONCLUSIONS
  Intervention is required through policies that take into account local differences in mortality due to external causes.
authors.affiliation: Facultad Nacional de Salud Pública, Universidad de Antioquia, Medellín, Colombia; Grupo de Investigación Demografía y Salud. Electronic address: bcaicedov@gmail.com.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Caicedo-Velásquez
authors.affiliation: Escuela de Nutrición y Dietética, Universidad de Antioquia, Medellín, Colombia; Grupo de Investigación de los Determinantes Sociales del Estado de Salud y Nutrición.
authors.forename: Luz Stella
authors.initials: LS
authors.lastname: Álvarez-Castaño
authors.affiliation: CIBER de Epidemiología y Salud Pública (CIBERESP), España; Agència de Salut Pública de Barcelona, Barcelona, España; Instituto de Investigación Biomédica Sant Pau (IIB Sant Pau), Barcelona, España; Universitat Rovira i Virgili, Tarragona, España.
authors.forename: Marc
authors.initials: M
authors.lastname: Marí-Dell'Olmo
authors.affiliation: Agència de Salut Pública de Barcelona, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biomédica Sant Pau (IIB Sant Pau), Barcelona, España; Universitat Pompeu Fabra, Barcelona, España.
authors.forename: Carme
authors.initials: C
authors.lastname: Borrell
mesh_terms: D017677:Age Distribution; D000367:Age Factors; D001499:Bayes Theorem; D002423:Cause of Death / Q000639:trends*; D002947:Cities; D003105:Colombia; D006801:Humans; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014505:Urban Population
keywords: Análisis espacial; Desigualdades en salud; Determinantes sociales de la salud; Distribución espacial de la población; Geographic mapping; Healthcare disparities; Mapeo geográfico; Mortalidad; Mortality; Residence characteristics; Social determinants of health; Spatial analysis; Violence; Violencia