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Socioeconomic Inequalities in Mortality among Foreign-Born and Spanish-Born in Small Areas in Cities of the Mediterranean Coast in Spain, 2009–2015

Author

Listed:
  • Adriana Oliva-Arocas

    (Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, 03080 Alicante, Spain)

  • Pamela Pereyra-Zamora

    (Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, 03080 Alicante, Spain)

  • José M. Copete

    (Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, 03080 Alicante, Spain)

  • Carlos Vergara-Hernández

    (Área de Desigualdades en Salud, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), 46035 Valencia, Spain)

  • Miguel A. Martínez-Beneito

    (Departament d’Estadística i Investigació Operativa, Universitat de València, 46100 Valencia, Spain)

  • Andreu Nolasco

    (Research Unit for the Analysis of Mortality and Health Statistics, Department of Community Nursing, Preventive Medicine, Public Health and History of Science, University of Alicante, 03080 Alicante, Spain)

Abstract

Many studies have analysed socioeconomic inequalities and its association with mortality in urban areas. However, few of them have differentiated between native and immigrant populations. This study is an ecological study of mortality by overall mortality and analyses the inequalities in mortality in these populations according to the level of deprivation in small areas of large cities in the Valencian Community, from 2009 to 2015. The census tract was classified into five deprivation levels using an index based on socioeconomic indicators from the 2011 census. Rates and relative risks of death were calculated by sex, age, level of deprivation and country of birth. Poisson regression models have been used. In general, there was a higher risk of death in natives at the levels of greatest deprivation, which did not happen in immigrants. During the 2009–2015 period, there were socioeconomic inequalities in mortality, particularly in natives, who presented a higher risk of death than immigrants. Future interventions and social policies should be implemented in order to reduce inequalities in mortality amongst socioeconomic levels and to maintain the advantage that the immigrant population enjoys.

Suggested Citation

  • Adriana Oliva-Arocas & Pamela Pereyra-Zamora & José M. Copete & Carlos Vergara-Hernández & Miguel A. Martínez-Beneito & Andreu Nolasco, 2020. "Socioeconomic Inequalities in Mortality among Foreign-Born and Spanish-Born in Small Areas in Cities of the Mediterranean Coast in Spain, 2009–2015," IJERPH, MDPI, vol. 17(13), pages 1-18, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:13:p:4672-:d:377788
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    References listed on IDEAS

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    2. Mercè Gotsens & Josep Ferrando & Marc Marí-Dell’Olmo & Laia Palència & Xavier Bartoll & Ana Gandarillas & Pablo Sanchez-Villegas & Santi Esnaola & Antonio Daponte & Carme Borrell, 2020. "Effect of the Financial Crisis on Socioeconomic Inequalities in Mortality in Small Areas in Seven Spanish Cities," IJERPH, MDPI, vol. 17(3), pages 1-16, February.
    3. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    4. Anna Oksuzyan & Eleonora Mussino & Sven Drefahl, 2019. "Sex differences in mortality in migrants and the Swedish-born population: Is there a double survival advantage for immigrant women?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 377-386, April.
    5. repec:cai:poeine:pope_505_0655 is not listed on IDEAS
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