Municipality Data as a Rapid and Effective Tool to Analyse Spatial and Temporal Variations of All-Cause Mortality by Town District: The Experience in Genoa (Italy)

Paolo Contiero, Giovanna Tagliabue, Andrea Tittarelli, Martina Bertoldi, Claudio Tresoldi, Giulio Barigelletti, Viviana Perotti, Vittoria Balbo, Stefania Rizzieri, Marco D’Orazi and Valerio Gennaro
Additional contact information
Paolo Contiero: Environmental Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Giovanna Tagliabue: Cancer Registry Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Andrea Tittarelli: Cancer Registry Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Martina Bertoldi: Environmental Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Claudio Tresoldi: Cancer Registry Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Giulio Barigelletti: Cancer Registry Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Viviana Perotti: Cancer Registry Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Vittoria Balbo: Information Office of the Municipality of Genoa, 16149 Genoa, Italy
Stefania Rizzieri: Information Office of the Municipality of Genoa, 16149 Genoa, Italy
Marco D’Orazi: Information Office of the Municipality of Genoa, 16149 Genoa, Italy
Valerio Gennaro: International Society of Doctors for the Environment (ISDE), Past Director of the Liguria Mesothelioma Registry, Ospedale Policlinico S. Martino, 16132 Genoa, Italy

IJERPH, 2021, vol. 18, issue 16, 1-11

Abstract: The main objective of this study was to analyse the space–time epidemiological differences by sex during the 2009–2020 period in the total mortality recorded among residents in each of the 25 districts of the Genoa municipality, net of the age effect. The analysis was based on official statistical data relating to total mortality and on the resident population. An estimate of the expected deaths was made to calculate the sex-specific age-standardised mortality ratio (SMR). The temporal trends and age-standardized death rates (SDRs) with respect to those of the European population specific to sex and calendar year were identified for each district. Over the entire observation period, the SMR for males ranged from 124.4 (Cornigliano) to 82.0 (Albaro); for females, the values ranged between 133.4 (Cornigliano) and 85.6 (Nervi-Quinto-S. Ilario). Between 2019 and 2020, Genoa recorded an increase in SDR of 24.5%, more pronounced in males (+26.7%) than in females (+22.4%). This epidemiological methodology is replicable and allows to quickly identify spatial, temporal, sex, and age differences in the general mortality within a municipality.

Keywords: environmental health inequalities; environmental health justice; urban health; mortality analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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