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Journal article
Mortality amenable to healthcare in Latin American cities: a cross-sectional study examining between-country variation in amenable mortality and the role of urban metrics
International journal of epidemiology, v 51(1), pp 303-313
18 Feb 2022
PMID: 34339492
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background This study examined the variation in city-level amenable mortality, i.e. mortality due to conditions that can be mitigated in the presence of timely and effective healthcare, in 363 Latin American cities and measured associations between amenable-mortality rates and urban metrics. Methods We used death records from 363 cities with populations of >100 000 people in nine Latin American countries from 2010 to 2016. We calculated sex-specific age-adjusted amenable-mortality rates per 100 000. We fitted multilevel linear models with cities nested within countries and estimated associations between amenable mortality and urban metrics, including population size and growth, fragmentation of urban development and socio-economic status. Results Cities in Mexico, Colombia and Brazil had the highest rates of amenable mortality. Overall, >70% of the variability in amenable mortality was due to between-country heterogeneity. But for preventable amenable mortality, those for which the healthcare system can prevent new cases, most of the variability in rates occurred between cities within countries. Population size and fragmentation of urban development were associated with amenable mortality. Higher fragmentation of urban development was associated with lower amenable mortality in small cities and higher amenable mortality in large cities. Population growth and higher city-level socio-economic status were associated with lower amenable mortality. Conclusions Most of the variability in amenable mortality in Latin American cities was due to between-county heterogeneity. However, urban metrics such as population size and growth, fragmentation of urban development and city-level socio-economic status may have a role in the distribution of amenable mortality across cities within countries.
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Details
- Title
- Mortality amenable to healthcare in Latin American cities: a cross-sectional study examining between-country variation in amenable mortality and the role of urban metrics
- Creators
- Pricila H. Mullachery - Drexel UniversityDaniel A. Rodriguez - Department of City and Regional Planning and Institute for Transportation Studies, University of California Berkeley, Berkeley, CA, USA.J. Jaime Miranda - Cayetano Heredia UniversityNancy Lopez-Olmedo - Instituto Nacional de Salud PúblicaKevin Martinez-Folgar - Drexel UniversityMauricio L. Barreto - Oswaldo Cruz FoundationAna V. Diez Roux - Drexel UniversityUsama Bilal - Drexel University
- Publication Details
- International journal of epidemiology, v 51(1), pp 303-313
- Publisher
- Oxford Univ Press
- Number of pages
- 11
- Grant note
- DP5OD26429 / Office of the Director of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA 205177/Z/16/Z / Wellcome Trust initiative, 'Our Planet, Our Health'
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000756458700001
- Scopus ID
- 2-s2.0-85125001445
- Other Identifier
- 991019167671004721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health