Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/348156
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dc.contributor.CRUESPUNIVERSIDADE ESTADUAL DE CAMPINASpt_BR
dc.contributor.authorunicampBelon, Ana Paula-
dc.contributor.authorunicampBarros, Marilisa Berti de Azevedo-
dc.contributor.authorunicampMarin-León, Letícia-
dc.typeArtigopt_BR
dc.titleMortality among adults: gender and socioeconomic differences in a Brazilian citypt_BR
dc.contributor.authorBelon, Ana Paula-
dc.contributor.authorBarros, Marilisa B. A.-
dc.contributor.authorMarin-Leon, Leticia-
dc.subjectDesigualdades em saúdept_BR
dc.subjectMortalidadept_BR
dc.subject.otherlanguageHealth inequalitiespt_BR
dc.subject.otherlanguageMortalitypt_BR
dc.description.abstractPopulation groups living in deprived areas are more exposed to several risk factors for diseases and injuries and die prematurely when compared with their better-off counterparts. The strength and patterning of the relationships between socioeconomic status and mortality differ depending on age, gender, and diseases or injuries. The objective of this study was to identify the magnitude of social differences in mortality among adult residents in a city of one million people in Southeastern Brazil in 2004-2008. Forty-nine health care unit areas were classified into three homogeneous strata using 2000 Census small-area socioeconomic indicators. Mortality rates by age group, sex, and cause of death were calculated for each socioeconomic stratum. Mortality rate ratios (RR) and 95% confidence intervals were estimated for the low and middle socioeconomic strata compared with the high stratum. In general, age-specific mortality rates showed a social gradient of increasing risks of death with decreasing socioeconomic status. The highest mortality rate ratios between low and high strata were observed in the 30-39 age group for males (RR = 1.74, 95% CI 1.59-1.89), and females (RR = 1.90, 95% CI 1.65-2.15). Concerning specific diseases and injuries, the greatest inequalities between low and high strata were found for homicides (RR = 2.44, 95% CI 2.27-2.61) and traffic accidents (RR = 1.64, 95% CI 1.45-1.83) among males. For women, the highest inequalities between the low and high strata were for chronic respiratory diseases (RR = 2.19, 95% CI 1.94-2.45) and acute myocardial infarction (RR = 1.93, 95% CI 1.79-2.07). Only breast cancer showed a reversed social gradient (RR = 0.70, 95% CI 0.48-0.92). Inequalities in circulatory and respiratory diseases mortality were greater among females than among males. Substandard living conditions are related to unhealthy behaviors, as well as difficulties in accessing health care. Therefore, the Brazilian Health System (SUS) must ensure greater access to primary and hospital care, and develop programs that promote healthier lifestyles among vulnerable groups to reduce social inequalities in mortality. Moreover, because deaths from external causes are concentrated in poor areas, cooperative and coordinated intersectoral actions should be taken to combat the deadly violence cyclept_BR
dc.relation.ispartofBMC public healthpt_BR
dc.relation.ispartofabbreviationBMC public healthpt_BR
dc.publisher.cityLondonpt_BR
dc.publisher.countryReino Unidopt_BR
dc.publisherSpringer Naturept_BR
dc.date.issued2012-
dc.date.monthofcirculationJan.pt_BR
dc.language.isoengpt_BR
dc.description.volume12pt_BR
dc.rightsAbertopt_BR
dc.sourceWOSpt_BR
dc.identifier.eissn1471-2458pt_BR
dc.identifier.doi10.1186/1471-2458-12-39pt_BR
dc.identifier.urlhttps://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-39pt_BR
dc.description.sponsorshipCONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO - CNPQpt_BR
dc.description.sponsorshipCOORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPESpt_BR
dc.date.available2020-08-27T18:21:37Z-
dc.date.accessioned2020-08-27T18:21:37Z-
dc.description.provenanceSubmitted by Cintia Oliveira de Moura (cintiaom@unicamp.br) on 2020-08-27T18:21:37Z No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2020-08-27T18:21:37Z (GMT). No. of bitstreams: 0 Previous issue date: 2012en
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/348156-
dc.contributor.departmentsem informaçãopt_BR
dc.contributor.departmentDepartamento de Saúde Coletivapt_BR
dc.contributor.departmentsem informaçãopt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.contributor.unidadeFaculdade de Ciências Médicaspt_BR
dc.subject.keywordSocial Inequalitiespt_BR
dc.subject.keywordSocioeconomic statuspt_BR
dc.identifier.source000302912700001pt_BR
dc.creator.orcid0000-0002-4600-3202pt_BR
dc.creator.orcid0000-0003-3974-195Xpt_BR
dc.creator.orcid0000-0001-6214-1173pt_BR
dc.type.formArtigo de pesquisapt_BR
dc.identifier.articleid39pt_BR
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