Evidence of social deprivation on the spatial patterns of excess winter mortality

Ricardo Almendra (), Paula Santana and João Vasconcelos
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Ricardo Almendra: University of Coimbra
Paula Santana: University of Coimbra
João Vasconcelos: GITUR, Instituto Politécnico de Leiria

International Journal of Public Health, 2017, vol. 62, issue 8, No 3, 849-856

Abstract: Abstract Objectives The aims of this study are to identify the patterns of excess winter mortality (due to diseases of the circulatory system) and to analyse the association between the excess winter deaths (EWD) and socio-economic deprivation in Portugal. Methods The number of EWD in 2002–2011 was estimated by comparing the number of deaths in winter months with the average number in non-winter months. The EWD ratio of each municipality was calculated by following the indirect standardization method and then compared with two deprivation indexes (socio-material and housing deprivation index) through ecological regression models. Results This study found that: (1) the EWD ratio showed considerable asymmetry in its geography; (2) there are significant positive associations between the EWD ratio and both deprivation indexes; and (3) at the higher level of deprivation, housing conditions have a stronger association with EWD than socio-material conditions. Conclusions The significant association between two deprivation dimensions (socio-material and housing deprivation) and EWDs suggests that EWD geographical pattern is influenced by deprivation.

Keywords: Excess winter deaths; Socio-economic deprivation; Environmental vulnerability (search for similar items in EconPapers)
Date: 2017
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Citations: View citations in EconPapers (6)

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DOI: 10.1007/s00038-017-0964-7

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