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[Constructing a deprivation index based on census data in large Spanish cities(the MEDEA project)]
M Felícitas Domínguez-Berjón1, Carme Borrell, Gemma Cano-Serral
1Servicio de Informes de Salud y Estudios, Instituto de Salud Pública, Dirección General de Salud Pública y Alimentación, Consejería de Sanidad, Comunidad de Madrid, Madrid, España. felicitas.dominguez@salud.madrid.org
A new deprivation index, based on work and education indicators, effectively identifies areas with unfavorable socioeconomic conditions and higher mortality rates in Spanish cities.
Area of Science:
- Socioeconomic Determinants of Health
- Public Health
- Urban Health Research
Context:
- Urban areas face challenges in identifying localized socioeconomic disparities.
- Understanding the link between socioeconomic status and mortality is crucial for public health interventions.
Purpose:
- To develop a deprivation index by census tract for major Spanish cities.
- To identify areas with the least favorable socioeconomic conditions.
- To analyze the association between this index and overall mortality.
Summary:
- A deprivation index was constructed using 2001 Census data from Barcelona, Bilbao, Madrid, Seville, and Valencia.
- Key indicators included unemployment, manual/eventual workers, and education levels.
- This index, weighted by principal component factor loadings, explained over 75% of variability and showed stronger correlations with mortality than individual indicators.
Impact:
- The proposed deprivation index serves as a valuable tool for health planning in identifying areas with unfavorable socioeconomic characteristics.
- It aids in detecting small areas within large cities that are associated with higher mortality.
- This index can contribute to the study of social inequalities in health within Spain.
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