Health inequalities in cause-specific mortality in Costa Rica: a population-based cohort study
Rev. saúde pública (Online)
;
57: 3, 2023. tab
Article
in English
| LILACS
| ID: biblio-1424434
ABSTRACT
ABSTRACT OBJECTIVE To analyze health inequalities in cause-specific mortality in Costa Rica from 2010 to 2018, observing the main causes for inequality in the country. METHODS The National Electoral Rolls were used to follow-up all Costa Rican adults aged 20 years or older from 2010 to 2018 (n = 2,739,733) in an ecological study. A parametric survival model based on the Gompertz distribution was performed and the event death was classified according to the ICD-10. RESULTS After adjustment for urbanicity, the poorest districts had a higher mortality than the wealthier districts for most causes of death except neoplasms, mental and behavioral disorders, and diseases of the nervous system. Urban districts showed significantly higher mortality than mixed and rural districts after adjustment for wealth for most causes except mental and behavioral disorders, diseases of the nervous system, and diseases of the respiratory system. Differences according to wealth were more frequent in women than men, whereas differences according to urbanicity were more frequent in men than in women. CONCLUSIONS The study's findings were consistent, but not fully similar, to the international literature.
Full text:
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Index:
LILACS (Americas)
Main subject:
Socioeconomic Factors
/
Cause of Death
/
Developing Countries
/
Health Status Disparities
/
Ecological Studies
Type of study:
Etiology study
/
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Central America
/
Costa Rica
Language:
English
Journal:
Rev. saúde pública (Online)
Journal subject:
Sa£de P£blica
Year:
2023
Type:
Article
Affiliation country:
Costa Rica
/
France
Institution/Affiliation country:
Inserm-University Toulouse III Paul Sabatier/FR
/
Universidad de Costa Rica/CR
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