| Journal: | Revista de saude publica |
| Database: | |
| System number: | 000535569 |
| ISSN: | 0034-8910 |
| Authors: | Fantin, Romain1 Delpierre, Cyrille4 Barboza Solís, Cristina3 |
| Institutions: | 1Universidad de Costa Rica, Centro Centroamericano de Población, San José. Costa Rica 2Universidad de Costa Rica, Facultad de Medicina, San José. Costa Rica 3Universidad de Costa Rica, Facultad de Odontología, San José. Costa Rica 4Inserm-University Toulouse III Paul Sabatier, Center for Epidemiology and Research in Population health, Toulouse. Francia |
| Year: | 2023 |
| Volumen: | 57 |
| Country: | Brasil |
| Language: | Inglés |
| English abstract | OBJECTIVE To analyze health inequalities in cause-specific mortality in Costa Rica from 2010 to 2018, observing the main causes for inequality in the country. METHODS The National Electoral Rolls were used to follow-up all Costa Rican adults aged 20 years or older from 2010 to 2018 (n = 2,739,733) in an ecological study. A parametric survival model based on the Gompertz distribution was performed and the event death was classified according to the ICD-10. RESULTS After adjustment for urbanicity, the poorest districts had a higher mortality than the wealthier districts for most causes of death except neoplasms, mental and behavioral disorders, and diseases of the nervous system. Urban districts showed significantly higher mortality than mixed and rural districts after adjustment for wealth for most causes except mental and behavioral disorders, diseases of the nervous system, and diseases of the respiratory system. Differences according to wealth were more frequent in women than men, whereas differences according to urbanicity were more frequent in men than in women. CONCLUSIONS The study’s findings were consistent, but not fully similar, to the international literature. |
| Keyword: | Cause of Death, Health Status Disparities, Socioeconomic Factors, Developing Countries, Ecological Studies |
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