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Investigating mortality heterogeneity among neighbourhoods of a highly industrialised Italian city: a meta-regression approach

Author

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  • Emilio Antonio Luca Gianicolo

    (National Research Council
    Johannes Gutenberg University of Mainz)

  • Cristina Mangia

    (National Research Council)

  • Marco Cervino

    (National Research Council)

Abstract

Objectives The purpose of this study was to investigate the role of various predictors to explain spatial mortality heterogeneity in Taranto. Methods Direct age-adjusted death rates (ADR) at a neighbourhood level for the period 1998–2010 were examined. SO2, PM10, distance from pollution sources, and socioeconomic status (SES) were tested as predictors within a meta-regression framework. We used τ 2 to quantify heterogeneity in ADR and I 2 statistic with 95 % confidence intervals to estimate the proportion of total variation across neighbourhoods attributable to the between-neighbourhood heterogeneity. Results High heterogeneity resulted for all and natural causes of death for both genders. One neighbourhood (Paolo VI) was detected as an outlier for all predictors except SO2, among males. After accounting for SES, moderate heterogeneity among residuals was observed for all-causes of death and was correlated with SO2. Higher concentrations of PM10 were observed in neighbourhoods close to the industrial site and higher concentrations of SO2 in neighbourhoods more distant from the industrial site. Conclusions SES and air pollutants were predictors of spatial heterogeneity in ADR. Different distributions of SO2 and PM10 in the city suggested two exposure patterns.

Suggested Citation

  • Emilio Antonio Luca Gianicolo & Cristina Mangia & Marco Cervino, 2016. "Investigating mortality heterogeneity among neighbourhoods of a highly industrialised Italian city: a meta-regression approach," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(7), pages 777-785, September.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:7:d:10.1007_s00038-016-0868-y
    DOI: 10.1007/s00038-016-0868-y
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    References listed on IDEAS

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    1. Maria Vigotti & Francesca Mataloni & Antonella Bruni & Caterina Minniti & Emilio Gianicolo, 2014. "Mortality analysis by neighbourhood in a city with high levels of industrial air pollution," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(4), pages 645-653, August.
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    Cited by:

    1. Erin Flanagan & Emilie Stroh & Anna Oudin & Ebba Malmqvist, 2019. "Connecting Air Pollution Exposure to Socioeconomic Status: A Cross-Sectional Study on Environmental Injustice among Pregnant Women in Scania, Sweden," IJERPH, MDPI, vol. 16(24), pages 1-24, December.

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