Educational inequalities in cardiovascular mortality in Spanish regions (2016-2021)

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2025-01-01 DOI:10.1016/j.gaceta.2025.102458

Enrique Pérez-Miguel, Sergi Trias-Llimós

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Abstract

Objective

Cardiovascular diseases (CVD) are the leading cause of death in low-mortality countries, but subpopulation level differences exist. This study assesses educational inequalities in CVD mortality by sex in Spanish regions (2016-2021).

Method

Age-standardised mortality rates by sex, region and education were estimated using individual-level mortality data from individuals aged ≥35 years residing in Spain provided by the Spanish National Statistics Institute. The Relative and the Slope Indexes of Inequality (RII and SII) were estimated to assess educational inequalities.

Results

For the whole Spain, RII was 1.79 (IC95%: 1.42-2.26) for women and 1.59 (IC95%: 1.33-1.91) for men, with differences across regions. The greatest inequalities were found in the Balearic and Canary Islands, and the lowest in La Rioja.

Conclusions

Continued efforts monitoring and tackling cardiovascular morbidity and its determinants are needed at the national and regional level to further contribute to reducing cardiovascular mortality levels and inequalities therein.

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西班牙各地区心血管死亡率的教育不平等（2016-2021年）

目的心血管疾病（CVD）是低死亡率国家的主要死亡原因，但存在亚人群水平差异。本研究评估了西班牙地区按性别划分的心血管疾病死亡率的教育不平等（2016-2021）。方法使用西班牙国家统计局提供的年龄≥35岁居住在西班牙的个人死亡率数据，估计按性别、地区和教育程度划分的年龄标准化死亡率。估计了不平等的相对指数和斜率指数（RII和SII）来评估教育不平等。结果在整个西班牙，女性的RII为1.79 (IC95%: 1.42-2.26)，男性的RII为1.59 (IC95%: 1.33-1.91)，各地区存在差异。贫富差距最大的是巴利阿里群岛和加那利群岛，最低的是里奥哈群岛。结论需要在国家和区域层面继续努力监测和解决心血管疾病发病率及其决定因素，以进一步降低心血管疾病死亡率水平和其中的不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.