Association of proximity to polluting industries, deprivation and mortality in small areas of the Basque Country (Spain).

Background: The study is aimed at assessing social inequities in the location of polluting industries in the Basque Country, and at exploring if the effect on mortality of living near air polluting industries is modified by economic deprivation. Methods: This is a cross-sectional ecological study th...

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Publicado en:European Journal of Public Health Vol. 23; no. 1; pp. 171 - 177
Autores principales: Cambra, Koldo, Martínez-Rueda, Teresa, Alonso-Fustel, Eva, Cirarda, Francisco B., Audicana, Covadonga, Esnaola, Santiago, Ibáñez, Berta
Formato: equations & formulas research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2013
      vid: 23
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      pub: Oxford University Press / USA
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        atl: Association of proximity to polluting industries, deprivation and mortality in small areas of the Basque Country (Spain).
      aug:
        au:
          Cambra, Koldo
          Martínez-Rueda, Teresa
          Alonso-Fustel, Eva
          Cirarda, Francisco B.
          Audicana, Covadonga
          Esnaola, Santiago
          Ibáñez, Berta
        affil: Centro de Investigación Biomédica, Pamplona, Spain
      sug:
        subj:
          Environmental Pollution
          Industry
          Poverty Areas Spain
          Mortality Risk Factors
          Social Determinants of Health
          Human
          Funding Source
          Spain
          Cross Sectional Studies Spain
          Census Utilization
          Cause of Death Classification
          Logistic Regression
          Models, Statistical Utilization
          Poisson Distribution
          Correlational Studies
          Sex Factors
          Descriptive Statistics
          Male
          Female
          Metallurgy
          Odds Ratio
          Confidence Intervals
          Urban Areas Spain
          Disease Susceptibility
          Male
          Female
      ab: Background: The study is aimed at assessing social inequities in the location of polluting industries in the Basque Country, and at exploring if the effect on mortality of living near air polluting industries is modified by economic deprivation. Methods: This is a cross-sectional ecological study that uses the census sections as analysis units. Mortality from all causes, lung cancer, respiratory diseases and ischaemic heart disease were studied. Ordinal logistic regression models were fitted to assess if proximity of census sections to polluting industries is associated with deprivation. Bayesian Poisson regression models were used to explore if the association between proximity to polluting industries and mortality is modified by socio-economic deprivation. Results: Proximity to a polluting industry and deprivation are positively associated, showing a clear gradient across deprivation quintiles. In women, the risk associated with proximity to metal-processing industries grows as the deprivation of the area increases in the case of total and lung cancer mortality. In men, the interaction terms between proximity and deprivation are positive for total, ischaemic heart disease mortality, with a credibility level approaching 90%. High levels of deprivation are associated with greater risk of mortality, excepting lung cancer in women. Conclusion: There is a higher proportion of more deprived census sections around polluting industries in the Basque Country. Risks of mortality associated with proximity to polluting industries tend to be higher in more deprived areas.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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