Background: The study objectives were to describe the evolution of mortality and some socioeconomic indicators in the Spanish provinces (n=50) in order to quantify their association and assess the capability of these socioeconomic factors in explaining mortality levels in the Spanish provinces over the period 1962–1991. Methods: An ecological cross-sectional study was performed in order to assess the relationships between some socioeconomic indicators and mortality in Spain. Data on both-sexes, all-causes, age-adjusted mortality and infant mortality, gross national product per head, economically active population and unemployment rates, population density, state hospital functioning beds and state primary school units were obtained at a provincial aggregation level. A convergence σ coefficient was calculated for all these indicators and simple and multiple linear regression models for mortality were fitted. Results and conclusions: The results suggested that, over the study period, mortality rates fell and socioeconomic indicators converged between provinces, but differences in mortality between provinces did not decrease. Socioeconomic factors such as unemployment or economic level - as measured through gross national product - were consistently associated with mortality over all the study period.
背景:研究目标是描述西班牙各省 (n=50) 的死亡率和一些社会经济指标的演变,以量化其关联并评估这些社会经济因素解释西班牙各省在此期间死亡率
水平的能力1962 年至 1991 年。方法:进行了一项生态横断面研究,以评估西班牙一些社会经济指标与死亡率之间的关系。有关男女、全因、年龄调整死亡率和婴儿死亡率、人均国民生产总值、经济活动人口和失业率、人口密度、公立医院功能性床位和公立小学单位的数据是在省级汇总
水平上获得的。计算所有这些指标的收敛 σ 系数,并拟合死亡率的简单和多元线性回归模型。结果与结论:结果表明,在研究期间,各省间死亡率下降,社会经济指标趋同,但各省间死亡率差异并未缩小。在整个研究期间,失业或经济
水平等社会经济因素(通过国民生产总值衡量)始终与死亡率相关。