Large-scale societal factors and noncommunicable diseases: Urbanization, poverty and mortality spatial patterns in Argentina

ORTIZ, PABLO

Applied Geography

Elsevier Ltd

Año: 2017 vol. 86 p. 32 - 32

0143-6228

ntroduction In developing countries, the rapid increase in noncommunicable diseases burden has been accompanied by socio-demographic changes, such as rapid urbanization, with persistence of considerable socio-economic gaps between populations. In Argentina, cardiovascular diseases (CVD) and cancer are leading causes of death. The aim of this study was to identify geographic clustering of mortality rates related to both diseases in Argentina and to assess their association with two large-scale societal factors, urbanization and poverty contexts. Materials and methods We performed an ecological study in Argentina (n = 525 counties), 2009?2011 period. Using spatial analysis techniques we identified and mapped spatial clusters of high and low values for age-standardized mortality rates (ASMR) of cancer or CVD and for selected urbanization and poverty indicators. We estimated incidence-rate ratios using two-level Poisson regression models, which accounted for rates distribution spatial var