1. Municipality Data as a Rapid and Effective Tool to Analyse Spatial and Temporal Variations of All-Cause Mortality by Town District: The Experience in Genoa (Italy)
- Author
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Giulio Barigelletti, Marco D'Orazi, Martina Bertoldi, Viviana Perotti, Giovanna Tagliabue, Vittoria Balbo, Andrea Tittarelli, Paolo Contiero, Claudio Tresoldi, Valerio Gennaro, and Stefania Rizzieri
- Subjects
Male ,medicine.medical_specialty ,mortality analysis ,Health, Toxicology and Mutagenesis ,Population ,010501 environmental sciences ,01 natural sciences ,Article ,environmental health justice ,urban health ,03 medical and health sciences ,0302 clinical medicine ,Cause of Death ,Epidemiology ,medicine ,Humans ,030212 general & internal medicine ,Cities ,Mortality ,education ,environmental health inequalities ,0105 earth and related environmental sciences ,education.field_of_study ,Age differences ,Mortality rate ,Public Health, Environmental and Occupational Health ,European population ,Total mortality ,Standardized mortality ratio ,Geography ,Italy ,Medicine ,Female ,All cause mortality ,Demography - Abstract
The main objective of this study was to analyse the space–time epidemiological differences by sex during the 2009–2020 period in the total mortality recorded among residents in each of the 25 districts of the Genoa municipality, net of the age effect. The analysis was based on official statistical data relating to total mortality and on the resident population. An estimate of the expected deaths was made to calculate the sex-specific age-standardised mortality ratio (SMR). The temporal trends and age-standardized death rates (SDRs) with respect to those of the European population specific to sex and calendar year were identified for each district. Over the entire observation period, the SMR for males ranged from 124.4 (Cornigliano) to 82.0 (Albaro), for females, the values ranged between 133.4 (Cornigliano) and 85.6 (Nervi-Quinto-S. Ilario). Between 2019 and 2020, Genoa recorded an increase in SDR of 24.5%, more pronounced in males (+26.7%) than in females (+22.4%). This epidemiological methodology is replicable and allows to quickly identify spatial, temporal, sex, and age differences in the general mortality within a municipality.
- Published
- 2021