Journal article
Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina
CADERNOS DE SAUDE PUBLICA, v 39(5), e00181222
2023
PMID: 37255190
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Although mortality from ischemic heart disease has declined over the past de-cades in Argentina, ischemic heart disease remains one of the most frequent causes of death. This study aimed to describe the role of individual and con-textual factors on premature ischemic heart disease mortality and to analyze how educational differentials in premature ischemic heart disease mortality changed during economic fluctuations in two provinces of Argentina from 1990 to 2018. To test the relationship between individual (age, sex, and educa-tional level) and contextual (urbanization, poverty, and macroeconomic vari-ations) factors, a multilevel Poisson model was estimated. When controlling for the level of poverty at the departmental level, we observed inequalities in premature ischemic heart disease mortality according to the educational level of individuals, affecting population of low educational level. Moreover, eco-nomic expansion was related to an increase in ischemic heart disease mortal-ity, however, expansion years were not associated with increasing educational inequalities in ischemic heart disease mortality. At the departmental level, we found no contextual association beween area-related socioeconomic level and the risk of ischemic heart disease mortality. Despite the continuing decline in ischemic heart disease mortality in Argentina, this study highlighted that so-cial inequalities in mortality risk increased over time. Therefore, prevention policies should be more focused on populations of lower socioeconomic status in Argentina.
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Details
- Title
- Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina
- Publication Details
- CADERNOS DE SAUDE PUBLICA, v 39(5), e00181222
- Publisher
- CADERNOS SAUDE PUBLICA; RIO DE JANIERO
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001004877300001
- Scopus ID
- 2-s2.0-85160604491
- Other Identifier
- 991021861194504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health