Document Detail


Power relations and premature mortality in Spain's autonomous communities.
MedLine Citation:
PMID:  14758856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This trends ecological study analyzes, across 17 autonomous communities of Spain from 1989 to 1998, the relationship between mortality (total and by main causes of death) and power relations (type of government: social democratic (SDP), conservative (CDP), and others), labor market variables, welfare state variables, income inequality, absolute income, poverty, and number of civil associations. The authors conducted a descriptive analysis; a bivariate analysis (Pearson correlation coefficients) between mortality and each of the independent variables; and a multivariate analysis, adjusting multilevel linear regression models. All dimensions of the conceptual power relations model were related to premature mortality in the direction hypothesized. The cross-pooled multilevel regression models show that total premature mortality in males, male and female cerebrovascular mortality, male and female cirrhosis mortality, and male lung cancer mortality decreased somewhat more in communities where primary health care reform was implemented more quickly. Premature mortality decreased somewhat more in SDP than in CDP communities for male and female total premature mortality, cerebrovascular mortality, and cirrhosis mortality, and male lung cancer mortality. These results are in accord with earlier studies that found a relationship among health indicators and variables related to labor market, welfare state, income inequalities, civil associations, and power relations.
Authors:
Maica Rodríguez-Sanz; Carme Borrell; Rosa Urbanos; M Isabel Pasarín; Ana Rico; Marta Fraile; Xavier Ramos; Vicente Navarro
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of health services : planning, administration, evaluation     Volume:  33     ISSN:  0020-7314     ISO Abbreviation:  Int J Health Serv     Publication Date:  2003  
Date Detail:
Created Date:  2004-02-04     Completed Date:  2004-03-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1305035     Medline TA:  Int J Health Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  687-722; discussion 743-9     Citation Subset:  IM    
Affiliation:
Health Information Service, Agency of Public Health of Barcelona, Spain. mrodri@imsb.bcn.es
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Cerebrovascular Disorders / economics,  mortality
Child
Child, Preschool
Community Health Planning*
Female
Health Care Reform
Humans
Infant
Liver Cirrhosis / economics,  mortality
Lung Neoplasms / economics,  mortality
Male
Middle Aged
Mortality*
Myocardial Ischemia / economics,  mortality
Politics*
Poverty / statistics & numerical data
Power (Psychology)*
Primary Health Care
Residence Characteristics / statistics & numerical data*
Socioeconomic Factors
Spain / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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