Socioeconomic inequalities in suicide mortality in European urban areas before and during the economic recession

被引：13

作者：

Borrell, Carme ^{[1
,2
,3
,4
]}

Palencia, Laia ^{[2
,3
,5
]}

Mari Dell'Olmo, Marc ^{[2
,3
,6
]}

Morrisson, Joana ^{[7
]}

Deboosere, Patrick ^{[8
]}

Gotsens, Merce ^{[3
,9
]}

Dzurova, Dagmar ^{[10
]}

Costa, Claudia ^{[11
]}

Lustigova, Michala ^{[10
]}

Burstrom, Bo ^{[12
]}

Rodriguez-Sanz, Maica ^{[2
,3
,4
,13
]}

Bosakova, Lucia ^{[14
,15
]}

Zengarini, Nicolas ^{[16
]}

Katsouyanni, Klea ^{[17
,18
,19
]}

Santana, Paula ^{[11
]}

机构：

[1] Agencia Salut Publ Barcelona, Placa Lesseps 1, Barcelona 08023, Spain

[2] CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain

[3] Inst Invest Biomed IIB St Pau, Barcelona, Spain

[4] Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain

[5] Agencia Salut Publ Barcelona, Serv Hlth Informat Syst, Barcelona, Spain

[6] Agencia Salut Publ Barcelona, Serv Environm Qual & Intervent, Barcelona, Spain

[7] UCL, Inst Hlth Equ, Res Dept Epidemiol & Publ Hlth, London, England

[8] Vrije Univ Brussel, Dept Sociol, Interface Demog, Brussels, Belgium

[9] Agencia Salut Publ Barcelona, Serv Prevent & Attent Drug Use, Barcelona, Spain

[10] Charles Univ Prague, Fac Sci, Dept Social Geog & Reg Dev, Prague, Czech Republic

[11] Univ Coimbra, Ctr Studies Geog & Spatial Planning CEGOT, Dept Geog & Tourism, Coimbra, Portugal

[12] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden

[13] Agencia Salut Publ Barcelona, Unit Res Training & Commun, Barcelona, Spain

[14] PJ Safarik Univ Kosice, Med Fac, Dept Hlth Psychol, Kosice, Slovakia

[15] Palacky Univ Olomouc, Olomouc Univ Social Hlth Inst OUSHI, Olomouc, Czech Republic

[16] Univ Turin, Dept Publ Hlth, Turin, Italy

[17] Natl & Kapodistrian Univ Athens, Med Sch, Dept Hyg Epidemiol & Med Stat, Athens, Greece

[18] Kings Coll London, Sch Populat Hlth & Environm Sci, Dept Populat Hlth Sci, London, England

[19] Kings Coll London, Sch Populat Hlth & Environm Sci, Dept Analyt Environm & Forens Sci, London, England

来源：

EUROPEAN JOURNAL OF PUBLIC HEALTH | 2020年 / 30卷 / 01期

基金：

欧盟地平线“2020”;

关键词：

CRISIS; RISK; COUNTRIES; GREECE; RATES;

D O I：

10.1093/eurpub/ckz125

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Few studies have assessed the impact of the financial crisis on inequalities in suicide mortality in European urban areas. The objective of the study was to analyse the trend in area socioeconomic inequalities in suicide mortality in nine European urban areas before and after the beginning of the financial crisis. Methods: This ecological study of trends was based on three periods, two before the economic crisis (2000-2003, 2004-2008) and one during the crisis (2009-2014). The units of analysis were the small areas of nine European cities or metropolitan areas, with a median population ranging from 271 (Turin) to 193 630 (Berlin). For each small area and sex, we analysed smoothed standardized mortality ratios of suicide mortality and their relationship with a socioeconomic deprivation index using a hierarchical Bayesian model. Results: Among men, the relative risk (RR) comparing suicide mortality of the 95th percentile value of socioeconomic deprivation (severe deprivation) to its 5th percentile value (low deprivation) were higher than 1 in Stockholm and Lisbon in the three periods. In Barcelona, the RR was 2.06 (95% credible interval: 1.24-3.21) in the first period, decreasing in the other periods. No significant changes were observed across the periods. Among women, a positive significant association was identified only in Stockholm (RR around 2 in the three periods). There were no significant changes across the periods except in London with a RR of 0.49 (95% CI: 0.35-0.68) in the third period. Conclusions: Area socioeconomic inequalities in suicide mortality did not change significantly after the onset of the crisis in the areas studied.

引用

页码：92 / 98

页数：7

共 34 条

[21] Suicide by occupation: systematic review and meta-analysis [J].