The influence of socioeconomic deprivation, access to healthcare and physical environment on old-age survival in Portugal

• Tipo: Artigo em Revista Científica Internacional
• Data: 2017

Autores

Ribeiro, AI (Autor) FMUP; Krainski, ET (Autor) Outra; Carvalho, MS (Autor) Outra; de Pina, MD (Autor) Outra

Revista

Título: Geospatial health

Vol. 12

Páginas: 252-263

ISSN: 1827-1987

Editora: University of Naples Federico II

Indexação

ISI Web of Knowledge - 15 Citações

Scopus - 20 Citações

Outras Informações

ID Authenticus: P-00N-7KY

DOI: 10.4081/gh.2017.581

Abstract (EN): Spatial inequalities in old-age survival exist in Portugal and might be associated with factors pertaining to three distinct domains: socioeconomic, physical environmental and healthcare. We evaluated the contribution of these factors on the old-age survival across Portuguese municipalities deriving a surrogate measure of life expectancy, a 10-year survival rate that expresses the proportion of the population aged 75-84 years old who reached 85-94. As covariates we used two internationally comparable multivariate indexes: the European deprivation index and the multiple physical environmental deprivation index. A national index was developed to evaluate the access to healthcare. Smoothed rates and oddS ratios (OR) were estimated using Bayesian spatial models. Socioeconomic deprivation was found to be the most relevant factor influencing old-age survival in Portugal [women: least deprived areas 012=1.132(1.064-1.207); men OR=1.044(1.001-1.094)] and explained a sizable amount of the spatial variance in survival, especially among women. Access to healthcare was associated with old-age survival in the univariable model only; results lost significance after adjustment for socioeconomic circumstances [women: higher access to healthcare OR=1.020(0.973-1.072); men OR=1.021(0.989-1.060)]. Physical enviromnental deprivation was unrelated with old-age survival. In conclusion, socioeconomic deprivation was the most important determinant in explaining spatial disparities in old-age survival in Portugal, which indicates that policy makers should direct their efforts to tackle socioeconomic differentials between regions.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 12