Stable socioeconomic inequalities in ischaemic heart disease mortality during the economic crisis: a time trend analysis in 2 Spanish settings

Abstract

BackgroundPrior studies have identified a decrease in ischaemic heart disease mortality during the recent economic recession. The Spanish population was severely affected by the Great Recession, however, there is little evidence on its effects on socioeconomic inequalities in ischaemic heart disease mortality. This study examines trends in socioeconomic inequalities in mortality due to ischaemic heart disease (IHD).MethodsWe used linked census records with mortality registers available from the Basque Country and Barcelona city for population above 25 years, between 2001 and 04, the accelerated economic growth period of 2005–08, and 2009–12, with the last period coinciding with the Great Recession. Applying Poisson models, we calculated relative and absolute indexes of inequalities by education level for each period, age group, gender, and site.ResultsWe found moderate age-adjusted inequalities in IHD with a gradient of increasing rates through less educational level, but no significant evidence of increasing trends in socioeconomic inequalities in IHD mortality, rather an inverted U-shape time trend in some groups below 75 years in relative inequalities. Absolute inequalities decrease in the last period except for women from 50 to 64 years.ConclusionsThis study shows that the economic crisis has not increased socioeconomic inequalities in IHD mortality in two geographical settings in Spain.

Economic fluctuations and educational inequalities in premature ischemic heart disease mortality in Argentina

“…Despite the decline in premature ischemic heart disease mortality during recession years, educational disparities in mortality remained stable between years of recession and years of economic growth. This finding is in line with what was found in Finland 17 and Spain 51 . This may indicate that more general factors, such as the decrease in air pollution during recession years 52 , due to less traffic and decreased industrial activity, could reduce the risk of premature ischemic heart disease mortality in both educational groups by similar proportions.…”

Psychological Predictors of Bullying in Adolescents From Pluricultural Schools: A Transnational Study in Spain and Ecuador

“…Additionally, it would be interesting to take measures not only about self-perception but also about hetero-perception among peers. It would be convenient to start a line of studies on bullying and discrimination among adolescents taking into account socioeconomical indicators, as it is being done regarding other violent and/or psychological phenomena in adults (e.g., Mucci et al, 2016; Bartoll et al, 2019). These guidelines would allow us to advance in the study of bullying and ethnic-cultural discrimination as both are ecological and dynamic in the peer network.…”

“…Several transnational studies on ways of violence in minors have shown consistency in some predictors and inconsistency in others, allowing us to propose strategies adapted to every country (e.g., Rodríguez-Hidalgo et al, 2018). Comparing transnational knowledge may help to fit prevention and intervention to every single context (e.g., Arenas et al, 2015; Mucci et al, 2016; Bartoll et al, 2019). In order to foresee the emergence and consolidation of the dynamics of bullying, it is necessary to know more about the characteristics of personality and the types of interpersonal behaviors that allow us to predict this phenomenon.…”