title: The influence of socioeconomic, biogeophysical and built environment on old-age survival in a Southern European city.
abstract: Old-age survival is a good indicator of population health and regional development. We evaluated the spatial distribution of old-age survival across Porto neighbourhoods and its relation with physical (biogeophysical and built) and socioeconomic factors (deprivation). Smoothed survival rates and odds ratio (OR) were estimated using Bayesian spatial models. There were important geographical differentials in the chances of survival after 75 years of age. Socioeconomic deprivation strongly impacted old-age survival (Men: least deprived areas OR=1.31(1.05-1.63); Women OR=1.53(1.24-1.89)), explaining over 40% of the spatial variance. Walkability and biogeophysical environment were unrelated to old-age survival and also unrelated to socioeconomic deprivation, being fairly evenly distributed through the city.
authors: EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Portugal; i3S-Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; INEB-Instituto de Engenharia Biomédica, Universidade do Porto, Portugal; Departamento de Epidemiologia Clínica, Medicina Preditiva e Saúde Pública, Faculdade de Medicina, Universidade do Porto, Portugal. Electronic address: anaisabelribeiro@med.up.pt.
authors: Ana Isabel
authors: AI
authors: Ribeiro
authors: Departamento de Estatística, Universidade Federal do Paraná, Curitiba, Brazil; The Norwegian University for Science and Technology, Trondheim, Norway. Electronic address: elias.krainski@math.ntnu.no.
authors: Elias Teixeira
authors: ET
authors: Krainski
authors: Centro de Investigação em Atividade Física, Saúde e Lazer-Faculdade de Desporto da Universidade do Porto, Portugal. Electronic address: roseautran@gmail.com.
authors: Roseanne
authors: R
authors: Autran
authors: i3S-Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; INEB-Instituto de Engenharia Biomédica, Universidade do Porto, Portugal. Electronic address: HugoTeixeira@ineb.up.pt.
authors: Hugo
authors: H
authors: Teixeira
authors: PROCC-Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. Electronic address: carvalho@fiocruz.br.
authors: Marilia Sá
authors: MS
authors: Carvalho
authors: i3S-Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; ICICT/FIOCRUZ-Instituto de Comunicação e Informação Científica e Tecnológica em Saúde/Fundação Oswaldo Cruz, Rio de Janeiro, Brazil; CARTO-FEN/UERJ-Departamento de Engenharia Cartográfica, Faculdade de Engenharia da Universidade do Estado do Rio de Janeiro, Brazil. Electronic address: fpina@ineb.up.pt.
authors: Maria de Fátima
authors: MF
authors: de Pina
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D001499:Bayes Theorem; D004777:Environment; D004781:Environmental Exposure; D005060:Europe; D005160:Facility Design and Construction; D005260:Female; D005843:Geography; D054624:Health Status Disparities; D006801:Humans; D008017:Life Expectancy; D008297:Male; D011174:Portugal; D012111:Residence Characteristics; D017678:Sex Distribution; D012923:Social Class; D012959:Socioeconomic Factors; D013534:Survival; D016138:Walking
keywords: Climate; Land-use; Life expectancy; Residential characteristics; Socioeconomic status