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Journal article
Scaling of mortality in 742 metropolitan areas of the Americas
Science advances, v 7(50), pp eabl6325-eabl6325
10 Dec 2021
PMID: 34878846
Abstract
The scaling of mortality in cities of the Americas varies widely by cause and region.
We explored how mortality scales with city population size using vital registration and population data from 742 cities in 10 Latin American countries and the United States. We found that more populated cities had lower mortality (sublinear scaling), driven by a sublinear pattern in U.S. cities, while Latin American cities had similar mortality across city sizes. Sexually transmitted infections and homicides showed higher rates in larger cities (superlinear scaling). Tuberculosis mortality behaved sublinearly in U.S. and Mexican cities and superlinearly in other Latin American cities. Other communicable, maternal, neonatal, and nutritional deaths, and deaths due to noncommunicable diseases were generally sublinear in the United States and linear or superlinear in Latin America. Our findings reveal distinct patterns across the Americas, suggesting no universal relation between city size and mortality, pointing to the importance of understanding the processes that explain heterogeneity in scaling behavior or mortality to further advance urban health policies.
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16 citations in Scopus
Details
- Title
- Scaling of mortality in 742 metropolitan areas of the Americas
- Creators
- Usama Bilal - Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.Caio P. de Castro - Knowledge IntegrationTania Alfaro - University of ChileTonatiuh Barrientos-Gutierrez - Instituto Nacional de Salud PúblicaMauricio L. Barreto - Knowledge IntegrationCarlos M. Leveau - Instituto de Producción, Economía y Trabajo, Universidad Nacional de Lanús, Buenos Aires, Argentina., Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, ArgentinaKevin Martinez-Folgar - Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.J. Jaime Miranda - Cayetano Heredia UniversityFelipe Montes - Universidad de Los AndesPricila Mullachery - Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.Maria Fatima Pina - Institute for Information and Communication on Health—ICICT/FIOCRUZ, Rio de Janeiro, Brazil., i3S—Instituto de Investigação e Inovação em Saúde, Porto, PortugalDaniel A. Rodriguez - Department of City and Regional Planning, University of California, Berkeley, Berkeley, CA, USA.Gervasio F. dos Santos - Knowledge IntegrationRoberto F. S. Andrade - Knowledge IntegrationAna V. Diez Roux - Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, USA., Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PA, USA
- Publication Details
- Science advances, v 7(50), pp eabl6325-eabl6325
- Publisher
- American Association for the Advancement of Science (AAAS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000728174000002
- Scopus ID
- 2-s2.0-85120769764
- Other Identifier
- 991019167643304721