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Health Place. 2021 Nov;72:102692. doi: 10.1016/j.healthplace.2021.102692. Epub 2021 Oct 30.

A spatiotemporal analysis of inequalities in life expectancy and 20 causes of mortality in sub-neighbourhoods of Metro Vancouver, British Columbia, Canada, 1990-2016.

Health & place

Jessica Yu, Laura Dwyer-Lindgren, James Bennett, Majid Ezzati, Paul Gustafson, Martino Tran, Michael Brauer

Affiliations

  1. School of Population of Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z3, Canada. Electronic address: [email protected].
  2. Institute for Health Metrics and Evaluation, University of Washington, 3980 15th Ave. NE, Seattle, WA, 98195, United States. Electronic address: [email protected].
  3. Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, United Kingdom. Electronic address: [email protected].
  4. Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, Norfolk Place, London, W2 1PG, United Kingdom; MRC Centre for Environment and Health, Imperial College London, London, United Kingdom; Abdul Latif Jameel Institute for Disease and Emergency Analytics, Imperial College London, London, United Kingdom. Electronic address: [email protected].
  5. Department of Statistics, University of British Columbia, 3182 Earth Sciences Building, 2207 Main Mall, Vancouver, BC, V6T 1Z4, Canada. Electronic address: [email protected].
  6. School of Community and Regional Planning, University of British Columbia, 433 - 6333 Memorial Road, Vancouver, BC, V6T 1Z2, Canada. Electronic address: [email protected].
  7. School of Population of Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z3, Canada; Institute for Health Metrics and Evaluation, University of Washington, 3980 15th Ave. NE, Seattle, WA, 98195, United States. Electronic address: [email protected].

PMID: 34736154 DOI: 10.1016/j.healthplace.2021.102692

Abstract

Spatially varying baseline data can help identify and prioritise actions directed to determinants of intra-urban health inequalities. Twenty-seven years (1990-2016) of cause-specific mortality data in British Columbia, Canada were linked to three demographic data sources. Bayesian small area estimation models were used to estimate life expectancy (LE) at birth and 20 cause-specific mortality rates by sex and year. The gaps in LE for males and females ranged from 6.9 years to 9.5 years with widening inequality in more recent years. Inequality ratios increased for almost all causes, especially for HIV/AIDS and sexually transmitted infections, maternal and neonatal disorders, and neoplasms.

Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Cause-specific mortality; Geospatial analysis; Health equity; Life expectancy; Small area models; Urban health

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