Social Determinants of Life Expectancy at Birth in the City of Madrid: A Pre-pandemic Analysis

IF 2.8 2区社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Social Indicators Research Pub Date : 2024-08-21 DOI:10.1007/s11205-024-03419-3

David González Casas, Ana Dorado Barbé, José Luis Gálvez Nieto

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Abstract

The purpose of this article was to analyze the relationship of socioeconomic and educational determinants on life expectancy at birth in the 21 districts of the city of Madrid in 2019. An ecological and cross-sectional study was conducted. The independent variables studied were economic situation, educational level and being a user of public social resources for family care in the city of Madrid. Mean comparison, correlation and multivariate linear regression analysis were performed with the aim of estimating the relationship between these variables and life expectancy at birth in the districts of Madrid. The results show evidence of how the social determinants analyzed by district obtained high levels of association and predictive capacity with respect to life expectancy at birth in Madrid. In this sense, the regression model was able to explain 80.2% of the variance of life expectancy at birth. The study shows that socioeconomic determinants are associated and linearly related to life expectancy in periods prior to the COVID-19 pandemic in the city of Madrid. These results indicate that health policy planning should address social determinants as a starting point to reduce health inequalities and, therefore, to achieve actions aimed at improving the health of all citizens.

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马德里市出生时预期寿命的社会决定因素：大流行前分析

本文旨在分析 2019 年马德里市 21 个区的社会经济和教育决定因素与出生时预期寿命的关系。该研究是一项生态学横断面研究。研究的自变量包括马德里市的经济状况、教育水平和家庭护理公共社会资源的使用者。对这些变量进行了均值比较、相关性分析和多元线性回归分析，以估计这些变量与马德里各区出生时预期寿命之间的关系。结果表明，按区分析的社会决定因素与马德里出生时预期寿命之间具有高度关联性和预测能力。从这个意义上说，回归模型能够解释 80.2%的出生时预期寿命变异。研究结果表明，在马德里市 COVID-19 大流行之前，社会经济决定因素与预期寿命相关且呈线性关系。这些结果表明，卫生政策规划应将社会决定因素作为起点，以减少卫生不平等，从而实现旨在改善所有公民健康的行动。

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来源期刊

Social Indicators Research Multiple-

CiteScore

6.30

自引率

6.50%

发文量

174

期刊介绍： Since its foundation in 1974, Social Indicators Research has become the leading journal on problems related to the measurement of all aspects of the quality of life. The journal continues to publish results of research on all aspects of the quality of life and includes studies that reflect developments in the field. It devotes special attention to studies on such topics as sustainability of quality of life, sustainable development, and the relationship between quality of life and sustainability. The topics represented in the journal cover and involve a variety of segmentations, such as social groups, spatial and temporal coordinates, population composition, and life domains. The journal presents empirical, philosophical and methodological studies that cover the entire spectrum of society and are devoted to giving evidences through indicators. It considers indicators in their different typologies, and gives special attention to indicators that are able to meet the need of understanding social realities and phenomena that are increasingly more complex, interrelated, interacted and dynamical. In addition, it presents studies aimed at defining new approaches in constructing indicators.