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...

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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
id RCUC2_121656d4e16b65960c5d493436ea5781
oai_identifier_str oai:repositorio.cuc.edu.co:11323/5192
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
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
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dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
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dc.publisher.spa.fl_str_mv Universidad de la Costa
institution Corporación Universidad de la Costa
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spelling 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. 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