IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i16p8801-d618650.html
   My bibliography  Save this article

Socioeconomic Inequalities in Chronic Liver Diseases and Cirrhosis Mortality in European Urban Areas before and after the Onset of the 2008 Economic Recession

Author

Listed:
  • Carme Borrell

    (Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 20029 Madrid, Spain
    Institut d’Investigació Biomèdica (IIB Sant Pau), 08003 Barcelona, Spain
    Department of Experimental Sciences and Health, Universitat Pompeu Fabra, 08003 Barcelona, Spain)

  • Laia Palència

    (CIBER Epidemiología y Salud Pública (CIBERESP), 20029 Madrid, Spain
    Institut d’Investigació Biomèdica (IIB Sant Pau), 08003 Barcelona, Spain
    Service of Health Information Systems, Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain)

  • Lucia Bosakova

    (Department of Health Psychology and Research Methodology, Medical Faculty, P. J. Safarik University of Kosice, 04180 Kosice, Slovakia
    Olomouc University Social Health Institute (OUSHI), Palacky University in Olomouc, CZ-77900 Olomouc, Czech Republic)

  • Mercè Gotsens

    (Institut d’Investigació Biomèdica (IIB Sant Pau), 08003 Barcelona, Spain
    Service of Prevention and Care of Drug Addictions, Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain)

  • Joana Morrison

    (Institute of Health Equity at the Research Department of Epidemiology and Public Health, University College London, London WC1E 6BT, UK)

  • Claudia Costa

    (Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, 3000-370 Coimbra, Portugal)

  • Dagmar Dzurova

    (Faculty of Science, Charles University, 116 36 Prague, Czech Republic)

  • Patrick Deboosere

    (Department of Sociology, Interface Demography, Vrije Universiteit Brussel, 1050 Brussels, Belgium)

  • Michala Lustigova

    (Faculty of Science, Charles University, 116 36 Prague, Czech Republic)

  • Marc Marí-Dell’Olmo

    (CIBER Epidemiología y Salud Pública (CIBERESP), 20029 Madrid, Spain
    Institut d’Investigació Biomèdica (IIB Sant Pau), 08003 Barcelona, Spain
    Service of Environmental Quality and Interventions, Agència de Salut Pública de Barcelona, 08023 Barcelona, Spain)

  • Sophia Rodopoulou

    (Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, 106 79 Athens, Greece)

  • Paula Santana

    (Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, 3000-370 Coimbra, Portugal
    Department of Geography and Tourism, University of Coimbra, 3000-370 Coimbra, Portugal)

Abstract

Objective: To analyse the trends in chronic liver diseases and cirrhosis mortality, and the associated socioeconomic inequalities, in nine European cities and urban areas before and after the onset of the 2008 financial crisis. Methods: This is an ecological study of trends in three periods of time: two before (2000–2003 and 2004–2008), and one after (2009–2014) the onset of the economic crisis. The units of analysis were the geographical areas of nine cities or urban areas in Europe. We analysed chronic liver diseases and cirrhosis standardised mortality ratios, smoothing them with a hierarchical Bayesian model by each city, area, and sex. An ecological regression model was fitted to analyse the trends in socioeconomic inequalities, and included the socioeconomic deprivation index, the period, and their interaction. Results: In general, chronic liver diseases and cirrhosis mortality rates were higher in men than in women. These rates decreased in all cities during the financial crisis, except among men in Athens (rates increased from 8.50 per 100,000 inhabitants during the second period to 9.42 during the third). Socioeconomic inequalities in chronic liver diseases and cirrhosis mortality were found in six cities/metropolitan areas among men, and in four among women. Finally, in the periods studied, such inequalities did not significantly change. However, among men they increased in Turin and Barcelona and among women, several cities had lower inequalities in the third period. Conclusions: There are geographical socioeconomic inequalities in chronic liver diseases and cirrhosis mortality, mainly among men, that did not change during the 2008 financial crisis. These results should be monitored in the long term.

Suggested Citation

  • Carme Borrell & Laia Palència & Lucia Bosakova & Mercè Gotsens & Joana Morrison & Claudia Costa & Dagmar Dzurova & Patrick Deboosere & Michala Lustigova & Marc Marí-Dell’Olmo & Sophia Rodopoulou & Pau, 2021. "Socioeconomic Inequalities in Chronic Liver Diseases and Cirrhosis Mortality in European Urban Areas before and after the Onset of the 2008 Economic Recession," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8801-:d:618650
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/16/8801/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/16/8801/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. de Goeij, Moniek C.M. & Suhrcke, Marc & Toffolutti, Veronica & van de Mheen, Dike & Schoenmakers, Tim M. & Kunst, Anton E., 2015. "How economic crises affect alcohol consumption and alcohol-related health problems: A realist systematic review," Social Science & Medicine, Elsevier, vol. 131(C), pages 131-146.
    2. Geert Dom & Jerzy Samochowiec & Sara Evans-Lacko & Kristian Wahlbeck & Guido Van Hal & David McDaid, 2016. "The Impact of the 2008 Economic Crisis on Substance Use Patterns in the Countries of the European Union," IJERPH, MDPI, vol. 13(1), pages 1-11, January.
    3. Dom, Geert & Samochowiec, Jerzy & Evans-Lacko, Sara & Wahlbeck, Kristian & Van Hal, Guido & McDaid, David, 2016. "The impact of the 2008 economic crisis on substance use patterns in the countries of the European Union," LSE Research Online Documents on Economics 65068, London School of Economics and Political Science, LSE Library.
    4. Julian Besag & Jeremy York & Annie Mollié, 1991. "Bayesian image restoration, with two applications in spatial statistics," Annals of the Institute of Statistical Mathematics, Springer;The Institute of Statistical Mathematics, vol. 43(1), pages 1-20, March.
    5. Johan P Mackenbach & Ivana Kulhánová & Matthias Bopp & Carme Borrell & Patrick Deboosere & Katalin Kovács & Caspar W N Looman & Mall Leinsalu & Pia Mäkelä & Pekka Martikainen & Gwenn Menvielle & Maica, 2015. "Inequalities in Alcohol-Related Mortality in 17 European Countries: A Retrospective Analysis of Mortality Registers," PLOS Medicine, Public Library of Science, vol. 12(12), pages 1-31, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Toni P. Miles & Changle Li & M. Mahmud Khan & Rana Bayakly & Deborah Carr, 2023. "Estimating Prevalence of Bereavement, Its Contribution to Risk for Binge Drinking, and Other High-Risk Health States in a State Population Survey, 2019 Georgia Behavioral Risk Factor Surveillance Surv," IJERPH, MDPI, vol. 20(10), pages 1-15, May.
    2. Ioannis Vardopoulos & Sophia Ioannides & Marios Georgiou & Irene Voukkali & Luca Salvati & Yannis E. Doukas, 2023. "Shaping Sustainable Cities: A Long-Term GIS-Emanated Spatial Analysis of Settlement Growth and Planning in a Coastal Mediterranean European City," Sustainability, MDPI, vol. 15(14), pages 1-24, July.
    3. Giorgio Mattei & Roberto De Vogli & Silvia Ferrari & Luca Pingani & Marco Rigatelli & Gian Maria Galeazzi, 2017. "Impact of the economic crisis on health-related behaviors in Italy," International Journal of Social Psychiatry, , vol. 63(7), pages 649-656, November.
    4. Drydakis, Nick, 2023. "Health Inequalities Among People Experiencing Food Insecurity. An Intersectional Approach," GLO Discussion Paper Series 1362, Global Labor Organization (GLO).
    5. Xiao Hu & Yang Wang & Jidong Huang & Rong Zheng, 2019. "Cigarette Affordability and Cigarette Consumption among Adult and Elderly Chinese Smokers: Evidence from A Longitudinal Study," IJERPH, MDPI, vol. 16(23), pages 1-20, December.
    6. Amanda Ritchie & Marianne Hrabok & Ogechi Igwe & Joy Omeje & Olurotimi Ogunsina & Lorella Ambrosano & Sandra Corbett & Michal Juhás & Vincent IO Agyapong, 2018. "Impact of oil recession on community mental health service utilization in an oil sands mining region in Canada," International Journal of Social Psychiatry, , vol. 64(6), pages 563-569, September.
    7. Heide Busse & Christoph Buck & Christiane Stock & Hajo Zeeb & Claudia R. Pischke & Paula Mayara Matos Fialho & Claus Wendt & Stefanie Maria Helmer, 2021. "Engagement in Health Risk Behaviours before and during the COVID-19 Pandemic in German University Students: Results of a Cross-Sectional Study," IJERPH, MDPI, vol. 18(4), pages 1-16, February.
    8. Katherine Wilson & Jon Wakefield, 2022. "A probabilistic model for analyzing summary birth history data," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(11), pages 291-344.
    9. Melanie Koeger & Hannah Schillok & Stephan Voss & Michaela Coenen & Christina Merkel & Caroline Jung-Sievers & On behalf of the COSMO Study Team, 2022. "Alcohol Use of German Adults during Different Pandemic Phases: Repeated Cross-Sectional Analyses in the COVID-19 Snapshot Monitoring Study (COSMO)," IJERPH, MDPI, vol. 19(9), pages 1-17, May.
    10. Eibich, Peter & Ziebarth, Nicolas, 2014. "Examining the Structure of Spatial Health Effects in Germany Using Hierarchical Bayes Models," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 49, pages 305-320.
    11. Moniek C. M. Goeij & Jan-Willem Bruggink & Ferdy Otten & Anton E. Kunst, 2017. "Harmful drinking after job loss: a stronger association during the post-2008 economic crisis?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 563-572, June.
    12. Shreosi Sanyal & Thierry Rochereau & Cara Nichole Maesano & Laure Com-Ruelle & Isabella Annesi-Maesano, 2018. "Long-Term Effect of Outdoor Air Pollution on Mortality and Morbidity: A 12-Year Follow-Up Study for Metropolitan France," IJERPH, MDPI, vol. 15(11), pages 1-8, November.
    13. Mayer Alvo & Jingrui Mu, 2023. "COVID-19 Data Analysis Using Bayesian Models and Nonparametric Geostatistical Models," Mathematics, MDPI, vol. 11(6), pages 1-13, March.
    14. Gil, Guilherme Dôco Roberti & Costa, Marcelo Azevedo & Lopes, Ana Lúcia Miranda & Mayrink, Vinícius Diniz, 2017. "Spatial statistical methods applied to the 2015 Brazilian energy distribution benchmarking model: Accounting for unobserved determinants of inefficiencies," Energy Economics, Elsevier, vol. 64(C), pages 373-383.
    15. Isabela Maria MONTEIRO VIEIRA & Brenda Lohanny PASSOS SANTOS & Denise SANTOS RUZENE & Tomáš BRÁNYIK & José António TEIXEIRA & João Batista E DE ALMEIDA SILVA & Daniel PEREIRA SILVA, 2018. "Alcohol and Health: Standards of Consumption, Benefits and Harm - a Review," Czech Journal of Food Sciences, Czech Academy of Agricultural Sciences, vol. 36(6), pages 427-440.
    16. Vanessa Santos-Sánchez & Juan Antonio Córdoba-Doña & Javier García-Pérez & Antonio Escolar-Pujolar & Lucia Pozzi & Rebeca Ramis, 2020. "Cancer Mortality and Deprivation in the Proximity of Polluting Industrial Facilities in an Industrial Region of Spain," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    17. Berti, Patrizia & Dreassi, Emanuela & Rigo, Pietro, 2014. "Compatibility results for conditional distributions," Journal of Multivariate Analysis, Elsevier, vol. 125(C), pages 190-203.
    18. Louise Choo & Stephen G. Walker, 2008. "A new approach to investigating spatial variations of disease," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 171(2), pages 395-405, April.
    19. Young‐Geun Choi & Lawrence P. Hanrahan & Derek Norton & Ying‐Qi Zhao, 2022. "Simultaneous spatial smoothing and outlier detection using penalized regression, with application to childhood obesity surveillance from electronic health records," Biometrics, The International Biometric Society, vol. 78(1), pages 324-336, March.
    20. Zhengyi Zhou & David S. Matteson & Dawn B. Woodard & Shane G. Henderson & Athanasios C. Micheas, 2015. "A Spatio-Temporal Point Process Model for Ambulance Demand," Journal of the American Statistical Association, Taylor & Francis Journals, vol. 110(509), pages 6-15, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8801-:d:618650. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.