Rural-urban disparities in the reduction of avoidable mortality and mortality from all other causes of death in Spain, 2003-2019

Moreno Lostao, Almudena; Pulido, José; Cea-Soriano, Lucía; Guerras, Juan M.; Ronda, Elena; Lostao Unzu, Lourdes; Regidor Poyatos, Enrique

Rural-urban disparities in the reduction of avoidable mortality and mortality from all other causes of death in Spain, 2003-2019

dc.contributor.author	Moreno Lostao, Almudena
dc.contributor.author	Pulido, José
dc.contributor.author	Cea-Soriano, Lucía
dc.contributor.author	Guerras, Juan M.
dc.contributor.author	Ronda, Elena
dc.contributor.author	Lostao Unzu, Lourdes
dc.contributor.author	Regidor Poyatos, Enrique
dc.contributor.department	Sociología y Trabajo Social	es_ES
dc.contributor.department	Soziologia eta Gizarte Lana	eu
dc.contributor.department	Institute for Advanced Social Research - ICOMMUNITAS	en
dc.contributor.funder	Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa	es
dc.date.accessioned	2024-05-20T08:39:57Z
dc.date.available	2024-05-20T08:39:57Z
dc.date.issued	2023
dc.date.updated	2024-05-20T08:03:53Z
dc.description.abstract	Aim: This study aims to evaluate the trend of avoidable mortality and of mortality from all other causes of death in urban and rural areas in Spain, throughout the first 2 decades of the twenty-first century. Methods: Data deaths and population by age and sex, according to the area of residence, were obtained from the National Institute of Statistics. Avoidable mortality refers to premature deaths (≤ 75 years old) for which there is reasonable scientific consensus that they should not occur in the presence of timely health care. In large urban, small urban, and rural areas, annual age-standardized mortality rates from avoidable causes and from all other causes of death were calculated from 2003 to 2019. The annual percentage change (APC) in the mortality rate in each area was estimated using linear regression models and taking age-standardized mortality rates as dependent variable. Results: Mortality rates decreased between the beginning and the end of the period analysed. Large urban areas and rural areas showed the largest and smallest reduction in mortality rate respectively. The APC in avoidable mortality was -3.5% in men and -3.0% in women in large urban areas, and -2.7% in men and -2.6% in women in rural areas. The APC in the mortality rate from all other causes of death was -2.4% in men and -1.2% in women in large urban areas, and -1.4% in men and -1.0% in women in rural areas. Conclusion: In Spain, avoidable mortality and mortality from other causes of death in rural and urban areas show similar trends, which suggests the presence of a common factor responsible for such findings.	en
dc.description.sponsorship	Open Access funding provided by Universidad Pública de Navarra. This study was supported by the Universidad Complutense de Madrid (grant No UCM 2022-920743).	en
dc.format.mimetype	application/pdf	en
dc.format.mimetype	application/msword	en
dc.identifier.citation	Moreno, A., Pulido, J., Cea-Soriano, L., Guerras, J. M., Ronda, E., Lostao, L., Regidor, E. (2023) Rural-urban disparities in the reduction of avoidable mortality and mortality from all other causes of death in Spain, 2003-2019. Journal of Public Health (Germany), 1-11. https://doi.org/10.1007/s10389-023-02108-8.	es_ES
dc.identifier.doi	10.1007/s10389-023-02108-8
dc.identifier.issn	2198-1833
dc.identifier.uri	https://academica-e.unavarra.es/handle/2454/48122
dc.language.iso	eng	en
dc.publisher	Springer	en
dc.relation.ispartof	Journal of Public Health (2023)	es_ES
dc.relation.publisherversion	https://doi.org/10.1007/s10389-023-02108-8
dc.rights	© The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License.	en
dc.rights.accessRights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/
dc.subject	Avoidable mortality	en
dc.subject	Mortality	en
dc.subject	Rural areas	en
dc.subject	Spain	en
dc.subject	Urban areas	en
dc.title	Rural-urban disparities in the reduction of avoidable mortality and mortality from all other causes of death in Spain, 2003-2019	en
dc.type	info:eu-repo/semantics/article
dc.type.version	info:eu-repo/semantics/publishedVersion
dspace.entity.type	Publication
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