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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00023752:_____/22:43920856

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

10103 - Statistics and probability

Projekt

<a href="/cs/project/GA18-17564S" target="_blank" >GA18-17564S: Sociálně ekonomické determinanty předčasné úmrtnosti spojené s užíváním alkoholu a tabáku - prostorově integrovaný přístup</a><br>

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

SPATIAL AND SPATIO-TEMPORAL EPIDEMIOLOGY

ISSN

1877-5845

e-ISSN

—

Svazek periodika

41

Číslo periodika v rámci svazku

June 2022

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

10

Strana od-do

100501

Kód UT WoS článku

000781038000002

EID výsledku v databázi Scopus

2-s2.0-85126676034