Deprivation Index and Mortality in France
Author Information
Author(s): Rey Grégoire, Jougla Eric, Fouillet Anne, Hémon Denis
Primary Institution: INSERM
Hypothesis
The study aims to evaluate the association between a newly created ecological deprivation index and mortality across various demographics in France.
Conclusion
The deprivation index reflects significant spatial socioeconomic disparities and is associated with higher mortality rates, particularly among younger individuals and men.
Supporting Evidence
- The standardized mortality ratio was 24% higher in the most deprived quintile compared to the least deprived.
- The association between deprivation and mortality was positive and quasi-log-linear across all geographic scales.
- Mortality differentials were significantly greater for individuals under 65 years of age.
Takeaway
This study shows that poorer areas in France have higher death rates, especially for younger people and men, which helps understand health inequalities.
Methodology
The study developed a deprivation index at the commune level and analyzed its association with mortality using various spatial scales and demographic factors.
Potential Biases
Potential biases may arise from the ecological nature of the study, which cannot distinguish individual from contextual effects.
Limitations
The index does not account for individual-level socioeconomic factors and may not fully explain geographic mortality variations.
Participant Demographics
The study included nearly 60 million residents of mainland France, with a focus on various age groups and urbanicity levels.
Statistical Information
P-Value
0.0001
Confidence Interval
[1.15; 1.17]
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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