Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015
We aimed to explore the existence and trends of social inequalities related to pneumonia mortality in Colombian adults using education as a proxy of socioeconomic status. We obtained death certificates due to pneumonia and population data from Departamento Administrativo Nacional de Estadística for...
- Autores:
-
Alvis-Zakzuk, N.J.
Arroyave, I.
Castañeda-Orjuela;, C.
Alvis-Guzmán, N.
De La Hoz, F.
- Tipo de recurso:
- http://purl.org/coar/resource_type/c_816b
- Fecha de publicación:
- 2019
- Institución:
- Corporación Universidad de la Costa
- Repositorio:
- REDICUC - Repositorio CUC
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.cuc.edu.co:11323/5192
- Acceso en línea:
- https://hdl.handle.net/11323/5192
https://repositorio.cuc.edu.co/
- Palabra clave:
- Mortality
Pneumonia
Colombia
- Rights
- openAccess
- License
- CC0 1.0 Universal
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oai:repositorio.cuc.edu.co:11323/5192 |
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REDICUC - Repositorio CUC |
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|
dc.title.spa.fl_str_mv |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
title |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
spellingShingle |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 Mortality Pneumonia Colombia |
title_short |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
title_full |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
title_fullStr |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
title_full_unstemmed |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
title_sort |
Educational inequality trends in mortality due to pneumonia in Colombia, 1998-2015 |
dc.creator.fl_str_mv |
Alvis-Zakzuk, N.J. Arroyave, I. Castañeda-Orjuela;, C. Alvis-Guzmán, N. De La Hoz, F. |
dc.contributor.author.spa.fl_str_mv |
Alvis-Zakzuk, N.J. Arroyave, I. Castañeda-Orjuela;, C. Alvis-Guzmán, N. De La Hoz, F. |
dc.subject.spa.fl_str_mv |
Mortality Pneumonia Colombia |
topic |
Mortality Pneumonia Colombia |
description |
We aimed to explore the existence and trends of social inequalities related to pneumonia mortality in Colombian adults using education as a proxy of socioeconomic status. We obtained death certificates due to pneumonia and population data from Departamento Administrativo Nacional de Estadística for 1998-2015. Educational level data were gathered from microdata of the Colombian Demography Health Surveys. Annual trends in Age Standardized Mortality Rates by sex and educational level were quantified by calculating the Estimated Annual Percentage Change (EAPC). We estimated Rate Ratios (RR) by using Poisson regressionmodels, comparing mortality of educational groups with mortality in the highest education group. We estimated the Relative Index of Inequality (RII) to assess changes in disparities, regressing mortality on the mid-point of the cumulative distribution of education, thereby considering the size of each educational group. All analyses were conducted in SAS®V.9.2. For adults 25+ years, the risk of dying was significantly higher among lower educated. The RRs depict increased risks of dying comparing lower and highest education level, and this tendency was stronger in woman than in men [RRprimary=2.34 (2.32-2.36), RRsecondary=1.77 (1.75-1.78) vs. RRprimary=1.83(1.81-1.85), RR secondary=1.51 (1.50-1.53)]. According to age groups, young adults (25-44 years) showed the largest inequality in terms of educational level; RRs for pneumonia mortality regarding to the tertiary educated groups show increased mortality in the lower and secondary educated, and these differences decreased with ages. RII in pneumonia mortality among adult men was 2.01 (95%CI 2.00-2.03) and in women 2.46 (95%CI 2.43-2.48). The RII was greatest at young ages, for both sexes. Time trends showed steadily significant increases for RII in both men and women (EAPCmen=3.8; EAPCwomen=2.6). Pneumonia mortality rates in adults evidenced a clear age-dependency, with lowest rates for young and much higher rates for senior adults. All estimated mortality rates were higher in men than in women. |
publishDate |
2019 |
dc.date.accessioned.none.fl_str_mv |
2019-08-27T00:36:18Z |
dc.date.available.none.fl_str_mv |
2019-08-27T00:36:18Z |
dc.date.issued.none.fl_str_mv |
2019-05 |
dc.type.spa.fl_str_mv |
Pre-Publicación |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_816b |
dc.type.content.spa.fl_str_mv |
Text |
dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/preprint |
dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/ARTOTR |
dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/acceptedVersion |
format |
http://purl.org/coar/resource_type/c_816b |
status_str |
acceptedVersion |
dc.identifier.uri.spa.fl_str_mv |
https://hdl.handle.net/11323/5192 |
dc.identifier.instname.spa.fl_str_mv |
Corporación Universidad de la Costa |
dc.identifier.reponame.spa.fl_str_mv |
REDICUC - Repositorio CUC |
dc.identifier.repourl.spa.fl_str_mv |
https://repositorio.cuc.edu.co/ |
url |
https://hdl.handle.net/11323/5192 https://repositorio.cuc.edu.co/ |
identifier_str_mv |
Corporación Universidad de la Costa REDICUC - Repositorio CUC |
dc.language.iso.none.fl_str_mv |
eng |
language |
eng |
dc.rights.spa.fl_str_mv |
CC0 1.0 Universal |
dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/publicdomain/zero/1.0/ |
dc.rights.accessrights.spa.fl_str_mv |
info:eu-repo/semantics/openAccess |
dc.rights.coar.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
rights_invalid_str_mv |
CC0 1.0 Universal http://creativecommons.org/publicdomain/zero/1.0/ http://purl.org/coar/access_right/c_abf2 |
eu_rights_str_mv |
openAccess |
dc.publisher.spa.fl_str_mv |
Universidad de la Costa |
institution |
Corporación Universidad de la Costa |
bitstream.url.fl_str_mv |
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Alvis-Zakzuk, N.J.Arroyave, I.Castañeda-Orjuela;, C.Alvis-Guzmán, N.De La Hoz, F.2019-08-27T00:36:18Z2019-08-27T00:36:18Z2019-05https://hdl.handle.net/11323/5192Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/We aimed to explore the existence and trends of social inequalities related to pneumonia mortality in Colombian adults using education as a proxy of socioeconomic status. We obtained death certificates due to pneumonia and population data from Departamento Administrativo Nacional de Estadística for 1998-2015. Educational level data were gathered from microdata of the Colombian Demography Health Surveys. Annual trends in Age Standardized Mortality Rates by sex and educational level were quantified by calculating the Estimated Annual Percentage Change (EAPC). We estimated Rate Ratios (RR) by using Poisson regressionmodels, comparing mortality of educational groups with mortality in the highest education group. We estimated the Relative Index of Inequality (RII) to assess changes in disparities, regressing mortality on the mid-point of the cumulative distribution of education, thereby considering the size of each educational group. All analyses were conducted in SAS®V.9.2. For adults 25+ years, the risk of dying was significantly higher among lower educated. The RRs depict increased risks of dying comparing lower and highest education level, and this tendency was stronger in woman than in men [RRprimary=2.34 (2.32-2.36), RRsecondary=1.77 (1.75-1.78) vs. RRprimary=1.83(1.81-1.85), RR secondary=1.51 (1.50-1.53)]. According to age groups, young adults (25-44 years) showed the largest inequality in terms of educational level; RRs for pneumonia mortality regarding to the tertiary educated groups show increased mortality in the lower and secondary educated, and these differences decreased with ages. RII in pneumonia mortality among adult men was 2.01 (95%CI 2.00-2.03) and in women 2.46 (95%CI 2.43-2.48). The RII was greatest at young ages, for both sexes. Time trends showed steadily significant increases for RII in both men and women (EAPCmen=3.8; EAPCwomen=2.6). Pneumonia mortality rates in adults evidenced a clear age-dependency, with lowest rates for young and much higher rates for senior adults. All estimated mortality rates were higher in men than in women.Alvis-Zakzuk, N.J.Arroyave, I.Castañeda-Orjuela;, C.Alvis-Guzmán, N.De La Hoz, F.engUniversidad de la CostaCC0 1.0 Universalhttp://creativecommons.org/publicdomain/zero/1.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2MortalityPneumoniaColombiaEducational inequality trends in mortality due to pneumonia in Colombia, 1998-2015Pre-Publicaciónhttp://purl.org/coar/resource_type/c_816bTextinfo:eu-repo/semantics/preprinthttp://purl.org/redcol/resource_type/ARTOTRinfo:eu-repo/semantics/acceptedVersionPublicationORIGINALEducational inequality trends in mortality due to pneumonia in Colombia.pdfEducational inequality trends in mortality due to pneumonia in Colombia.pdfapplication/pdf7651https://repositorio.cuc.edu.co/bitstreams/6fb71c20-a6b6-4688-acc4-948e5301f5e6/download8cf99e793ee36f3377b766014d4d5a93MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8701https://repositorio.cuc.edu.co/bitstreams/e64f9a43-9ec8-4991-81aa-59a9b961f4f1/download42fd4ad1e89814f5e4a476b409eb708cMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.cuc.edu.co/bitstreams/678b3484-7189-4274-ad71-033b723d60cd/download8a4605be74aa9ea9d79846c1fba20a33MD53THUMBNAILEducational inequality trends in mortality due to pneumonia in Colombia.pdf.jpgEducational inequality trends in mortality due to pneumonia in Colombia.pdf.jpgimage/jpeg61291https://repositorio.cuc.edu.co/bitstreams/31861d40-f349-48a3-a110-3a87a1e7d3c9/download62befd3f6a8d8f9ea7661da51f1e8135MD55TEXTEducational inequality trends in mortality due to pneumonia in Colombia.pdf.txtEducational inequality trends in mortality due to pneumonia in Colombia.pdf.txttext/plain2325https://repositorio.cuc.edu.co/bitstreams/9bc6f200-088f-4c9e-a0d6-606eef809e1c/download3dc0f8a2bdd5a07b9ba29795b2a9bb99MD5611323/5192oai:repositorio.cuc.edu.co:11323/51922024-09-17 10:55:41.109http://creativecommons.org/publicdomain/zero/1.0/CC0 1.0 Universalopen.accesshttps://repositorio.cuc.edu.coRepositorio de la Universidad de la Costa CUCrepdigital@cuc.edu.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 |