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首页> 外文期刊>International Journal of Environmental Research and Public Health >Economic Crisis and Amenable Mortality in Spain
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Economic Crisis and Amenable Mortality in Spain

机译：西班牙的经济危机和适度的死亡率

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Background: Both overall mortality and avoidable mortality have decreased in recent years in most European countries. It has become clear that less privileged socioeconomic groups have an increased risk of death. In 2008, most countries went into a severe economic recession, whose effects on the health of the population are still ongoing. While on the one hand, some evidence associates the economic crisis with positive health outcomes (pro-cyclical effect), on the other hand, some other evidence suggests that the economic crisis may pose serious public health problems (counter-cyclical effect), which has given rise to controversy. Objectives: To describe the evolution of overall mortality and amenable mortality in Spain between 2002–2007 (before the economic crisis) and 2008–2013 (during the economic crisis), nationally and by province, as well as to analyse trends in the risks of death and their association with indicators of the impact of the crisis. Methods: Ecological study of overall mortality and amenable mortality describing the evolution of the risks of death between 2002–2007 and 2008–2013. Age Standardised Rates were calculated, as well as their percentage change between periods. The association between percentage changes and provincial indicators of the impact of the crisis was analysed. Amenable mortality was studied both overall and categorised into five groups. Results: Amenable mortality represented 8.25% of overall mortality in 2002–2007, and 6.93% in 2008–2013. Age Standardised Rates for overall mortality and global amenable mortality generally declined, with the sharpest decline in amenable mortality. Decreases in overall mortality and amenable mortality were directly related to vulnerability indicators. The most significant decreases were registered in ischaemic heart disease, cerebrovascular disease, and other amenable causes. The relationship with vulnerability indices varied from direct (cancer) to inverse (hypertensive disease). Conclusions: Amenable mortality shows a more significant decrease than overall mortality between both study periods, albeit unevenly between provinces causes of death. Higher vulnerability indicators entail greater declines, although this trend varied for different causes. Mortality trends and their relationship with socioeconomic indicators in a situation of crisis must be conducted cautiously, taking into consideration a possible pro-cyclical effect.
机译：背景：近年来，大多数欧洲国家的总体死亡率和可避免的死亡率均下降了。显然，特权较低的社会经济群体的死亡风险增加。 2008年，大多数国家陷入严重的经济衰退，其对人口健康的影响仍在持续。一方面，一些证据将经济危机与积极的健康结果相关联（顺周期效应），另一方面，另一些证据表明经济危机可能带来严重的公共卫生问题（逆周期效应），引起了争议。目标：描述西班牙在2002-2007年（经济危机之前）至2008-2013年（经济危机期间）全国和各省的总体死亡率和应计死亡率的演变，并分析西班牙的总体风险趋势死亡及其与危机影响指标的关系。方法：对总体死亡率和宜居死亡率进行的生态研究，描述了2002-2007年至2008-2013年之间死亡风险的演变。计算了年龄标准化费率以及各个期间之间的百分比变化。分析了百分比变化与危机影响的省级指标之间的关联。对总体死亡率进行了研究，并将其分为五组。结果：可满足的死亡率在2002-2007年占总死亡率的8.25％，在2008-2013年占6.93％。总死亡率和全球应得死亡率的年龄标准化率普遍下降，应得死亡率下降幅度最大。总体死亡率和宜人死亡率的下降与脆弱性指标直接相关。下降最明显的是缺血性心脏病，脑血管疾病和其他可治愈的原因。与脆弱性指标的关系从直接（癌症）到逆向（高血压疾病）不等。结论：尽管两个省的死亡原因之间的差异不大，但在两个研究期之间，可满足的死亡率显示出比总体死亡率更显着的下降。较高的脆弱性指标意味着更大的下降，尽管这种趋势因不同的原因而有所不同。在危机情况下，死亡率趋势及其与社会经济指标的关系必须谨慎考虑，并考虑可能的顺周期效应。

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