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

Author

Listed:
  • Ricardo Almendra

    (University of Coimbra
    University of Coimbra)

  • Paula Santana

    (University of Coimbra
    University of Coimbra)

  • João Vasconcelos

    (GITUR, Instituto Politécnico de Leiria)

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.

Suggested Citation

  • Ricardo Almendra & Paula Santana & João Vasconcelos, 2017. "Evidence of social deprivation on the spatial patterns of excess winter mortality," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 849-856, November.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:8:d:10.1007_s00038-017-0964-7
    DOI: 10.1007/s00038-017-0964-7
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    References listed on IDEAS

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    1. Mahamoud, Aziza & Roche, Brenda & Homer, Jack, 2013. "Modelling the social determinants of health and simulating short-term and long-term intervention impacts for the city of Toronto, Canada," Social Science & Medicine, Elsevier, vol. 93(C), pages 247-255.
    2. Santana, Paula, 2002. "Poverty, social exclusion and health in Portugal," Social Science & Medicine, Elsevier, vol. 55(1), pages 33-45, July.
    3. Julian Besag & Jeremy York & Annie Mollié, 1991. "Bayesian image restoration, with two applications in spatial statistics," Annals of the Institute of Statistical Mathematics, Springer;The Institute of Statistical Mathematics, vol. 43(1), pages 1-20, March.
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    Cited by:

    1. Claudia Costa & Angela Freitas & Ricardo Almendra & Paula Santana, 2020. "The Association between Material Deprivation and Avoidable Mortality in Lisbon, Portugal," IJERPH, MDPI, vol. 17(22), pages 1-16, November.
    2. Francesco Scalone & Alessandra Samoggia, 2018. "Neonatal mortality, cold weather, and socioeconomic status in two northern Italian rural parishes, 1820–1900," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 39(18), pages 525-560.
    3. Adriana Loureiro & Paula Santana & Carla Nunes & Ricardo Almendra, 2019. "The Role of Individual and Neighborhood Characteristics on Mental Health after a Period of Economic Crisis in the Lisbon Region (Portugal): A Multilevel Analysis," IJERPH, MDPI, vol. 16(15), pages 1-16, July.
    4. Marc Marí-Dell’Olmo & Aurelio Tobías & Anna Gómez-Gutiérrez & Maica Rodríguez-Sanz & Patricia García de Olalla & Esteve Camprubí & Antonio Gasparrini & Carme Borrell, 2019. "Social inequalities in the association between temperature and mortality in a South European context," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 27-37, January.
    5. Michala Lustigova & Dagmar Dzurova & Claudia Costa & Paula Santana, 2019. "Health Disparities in Czechia and Portugal at Country and Municipality Levels," IJERPH, MDPI, vol. 16(7), pages 1-16, March.
    6. Rodney P Jones, 2021. "Excess Winter Mortality (EWM) as a Dynamic Forensic Tool: Where, When, Which Conditions, Gender, Ethnicity and Age," IJERPH, MDPI, vol. 18(4), pages 1-22, February.

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