Inequalities in mortality by socioeconomic factors and Roma ethnicity in the two biggest cities in Slovakia:a multilevel analysis

Background: The socioeconomic and ethnic composition of urban neighbourhoods may affect mortality, but evidence on Central European cities is lacking. The aim of this study was to assess the associations between socioeconomic and ethnic neighbourhood indicators and the mortality of individuals aged 20-64 years old in the two biggest cities of the Slovak Republic. Methods: We obtained data on the characteristics of neighbourhoods and districts (educational level, unemployment, income and share of Roma) and on individual mortality of residents aged 20-64 years old, for the two largest cities in... Mehr ...

Verfasser: Rosicova, Katarina
Reijneveld, Sijmen A.
Geckova, Andrea Madarasova
Stewart, Roy E.
Rosic, Martin
Groothoff, Johan W.
van Dijk, Jitse P.
Dokumenttyp: Artikel
Erscheinungsdatum: 2015
Reihe/Periodikum: Rosicova , K , Reijneveld , S A , Geckova , A M , Stewart , R E , Rosic , M , Groothoff , J W & van Dijk , J P 2015 , ' Inequalities in mortality by socioeconomic factors and Roma ethnicity in the two biggest cities in Slovakia : a multilevel analysis ' , International journal for equity in health , vol. 14 , no. 1 , 123 . https://doi.org/10.1186/s12939-015-0262-z
Schlagwörter: Mortality / Multilevel analyses / Roma population / Socioeconomic indicators / Urban areas / ALL-CAUSE MORTALITY / SELF-RATED HEALTH / INCOME INEQUALITY / URBAN NEIGHBORHOODS / DUTCH CITIES / AREA / PEOPLE / RISK / UNEMPLOYMENT / DISADVANTAGE
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29027662
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/40d6981b-52f0-4bef-9d27-5412cefdff06

Background: The socioeconomic and ethnic composition of urban neighbourhoods may affect mortality, but evidence on Central European cities is lacking. The aim of this study was to assess the associations between socioeconomic and ethnic neighbourhood indicators and the mortality of individuals aged 20-64 years old in the two biggest cities of the Slovak Republic. Methods: We obtained data on the characteristics of neighbourhoods and districts (educational level, unemployment, income and share of Roma) and on individual mortality of residents aged 20-64 years old, for the two largest cities in the Slovak Republic (Bratislava and Kosice) in the period 2003-2005. We performed multilevel Poisson regression analyses adjusted for age and gender on the individual (mortality), neighbourhood (education level and share of Roma in population) and district levels (unemployment and income). Results: The proportions of Roma and of low-educated residents were associated with mortality at the neighbourhood level in both cities. Mutually adjusted, only the association with the proportion of Roma remained in the model (risk ratio 1.02; 95 % confidence interval 1.01-1.04). The area indicators - high education, income and unemployment - were not associated with mortality. Conclusion: The proportion of Roma is associated with early mortality in the two biggest cities in the Slovak Republic.