The geographical epidemiology of smoking-related premature mortality: A registry-based small-area analysis of the Czech death statistics

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F67985807%3A_____%2F22%3A00556959" target="_blank" >RIV/67985807:_____/22:00556959 - isvavai.cz</a>

Alternative codes found

RIV/00023752:_____/22:43920856

Result on the web

<a href="http://dx.doi.org/10.1016/j.sste.2022.100501" target="_blank" >http://dx.doi.org/10.1016/j.sste.2022.100501</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.sste.2022.100501" target="_blank" >10.1016/j.sste.2022.100501</a>

Result language

angličtina

Original language name

The geographical epidemiology of smoking-related premature mortality: A registry-based small-area analysis of the Czech death statistics

Original language description

OBJECTIVES:Smoking-related mortality varies over different social, environmental, and policy contexts. However, spatial patterns, examined at a small area level, have been seldom considered. Therefore, the study provides a detailed analysis of socio-spatial inequalities in premature mortality related to smoking in the contemporary Czech adult population. DESIGN, SETTINGS, METHODS: We conducted a population-based, cross-sectional study to investigate the spatial pattern of the age-adjusted smoking-related mortality across Czechia. The spatial inequalities, as measured at the municipality level, were investigated using geostatistical modeling techniques. The ecological regression of the local mortality risk on socioeconomic composition of municipalities was also conducted. The target population was defined as permanent adult residents of Czechia aged 25–64 years in the period of 2011–2015. RESULTS: Among both sexes, a significant spatial gradient in the South-East (lower relative risk) – North-West (higher relative risk) axis was detected. The local mortality risk was significantly related to the level of relative deprivation of the municipalities (a composite index comprised from unemployment rate and level of education): adjusted RR among males (for an increase by 1 SD): 1.21 [95% CI: 1.158–1.256], p < 0.001, adjusted RR among females (for an increase by 1 SD): 1.14 [95% CI: 1.090–1.186], p < 0.001. Mortality among males was approximately twice as high as opposed to females. Regarding the spatial inequalities of the phenomena, however, only rather minor sex-specific patterns were identified. Contrasted to males, mortality among females was unrelated to unemployment rates. CONCLUSIONS: Consistent spatial patterns of the premature mortality were identified. The mortality risk was significantly related to socioeconomic composition of the Czech municipalities. The higher the level of local deprivation, the higher the local mortality risk. The results of the study can be found beneficial for planning of both socially and spatially integrated public health policy.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

10103 - Statistics and probability

Project

<a href="/en/project/GA18-17564S" target="_blank" >GA18-17564S: Socio-economic determinants of premature mortality related to alcohol and tobacco use – spatially integrated approach</a><br>

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

SPATIAL AND SPATIO-TEMPORAL EPIDEMIOLOGY

ISSN

1877-5845

e-ISSN

—

Volume of the periodical

41

Issue of the periodical within the volume

June 2022

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

10

Pages from-to

100501

UT code for WoS article

000781038000002

EID of the result in the Scopus database

2-s2.0-85126676034