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Journal article
Life expectancy and mortality in 363 cities of Latin America
Nature medicine, v 27(3), pp 463-470
Mar 2021
PMID: 33495602
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The concept of a so-called urban advantage in health ignores the possibility of heterogeneity in health outcomes across cities. Using a harmonized dataset from the SALURBAL project, we describe variability and predictors of life expectancy and proportionate mortality in 363 cities across nine Latin American countries. Life expectancy differed substantially across cities within the same country. Cause-specific mortality also varied across cities, with some causes of death (unintentional and violent injuries and deaths) showing large variation within countries, whereas other causes of death (communicable, maternal, neonatal and nutritional, cancer, cardiovascular disease and other noncommunicable diseases) varied substantially between countries. In multivariable mixed models, higher levels of education, water access and sanitation and less overcrowding were associated with longer life expectancy, a relatively lower proportion of communicable, maternal, neonatal and nutritional deaths and a higher proportion of deaths from cancer, cardiovascular disease and other noncommunicable diseases. These results highlight considerable heterogeneity in life expectancy and causes of death across cities of Latin America, revealing modifiable factors that could be amenable to urban policies aimed toward improving urban health in Latin America and more generally in other urban environments.
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Details
- Title
- Life expectancy and mortality in 363 cities of Latin America
- Creators
- SALURBAL group (Collaboration)Usama Bilal - Drexel University, Dana and David Dornsife School of Public HealthPhilipp Hessel - Universidad de Los AndesCarolina Perez-Ferrer - Secretaría de Ciencia, Humanidades, Tecnología e InnovaciónYvonne L Michael - Drexel University, Dana and David Dornsife School of Public HealthTania Alfaro - University of ChileJaneth Tenorio-Mucha - Universidad Peruana Cayetano HerediaAmelia A L Friche - Universidade Federal de Minas GeraisMaria Fatima Pina - i3S - Instituto de Investigação e Inovação em Saúde, Universidade do PortoAlejandra Vives - Centre For Sustainable Urban DevelopmentHarrison Quick - Drexel University, Dana and David Dornsife School of Public HealthMarcio Alazraqui - Universidad Nacional de LanúsDaniel A Rodriguez - University of California, BerkeleyJ Jaime Miranda - Universidad Peruana Cayetano HerediaAna V Diez-Roux - Drexel University, Dana and David Dornsife School of Public HealthGoro Yamada - Drexel University, Urban Health Collaborative
- Publication Details
- Nature medicine, v 27(3), pp 463-470
- Publisher
- Springer Nature
- Number of pages
- 8
- Grant note
- DP5 OD026429 / NIH HHS Wellcome Trust 205177/Z/16/Z / Wellcome Trust K01 TW011782 / FIC NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000611467500002
- Scopus ID
- 2-s2.0-85099945586
- Other Identifier
- 991019167459404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Biochemistry & Molecular Biology
- Cell Biology
- Medicine, Research & Experimental