[Study protocol on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain].

Glòria Pérez; Mercè Gotsens; Laia Palència; Marc Marí-Dell'Olmo; M Felicitas Domínguez-Berjón; Maica Rodríguez-Sanz; Vanessa Puig; Xavier Bartoll; Ana Gandarillas; Unai Martín; +8 more... Amaia Bacigalupe; Elia Díez; Miguel Ruiz; Santiago Esnaola; Montserrat Calvo; Pablo Sánchez; Miguel Ángel Luque Fernández ORCID logo; Carme Borrell; (2016) [Study protocol on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain]. Gaceta sanitaria / SESPAS, 30 (6). pp. 472-476. ISSN 0213-9111 DOI: 10.1016/j.gaceta.2016.05.018
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The aim is to present the protocol of the two sub-studies on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain. Substudy 1: describe the evolution of mortality and reproductive health between 1990 and 2013 through a longitudinal ecological study in the Autonomous Communities. This study will identify changes caused by the economic crisis in trends or reproductive health and mortality indicators using panel data (17 Autonomous Communities per study year) and adjusting Poisson models with random effects variance. Substudy 2: analyse inequalities by socioeconomic deprivation in mortality and reproductive health in several areas of Spain. An ecological study analysing trends in the pre-crisis (1999-2003 and 2004-2008) and crisis (2009-2013) periods will be performed. Random effects models Besag York and Mollié will be adjusted to estimate mortality indicators softened in reproductive health and census tracts.


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