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Τίτλος: Geodemographic area classification and association with mortality: An ecological study of small areas of Cyprus
Συγγραφείς: Lamnisos, Demetris 
Middleton, Nicos 
Kyprianou, Nikoletta 
Talias, Michael A. 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Λέξεις-κλειδιά: Cyprus;Poisson spatial model;Area classification;Cluster analysis;Geodemographics;Health inequalities;Mortality
Ημερομηνία Έκδοσης: 2-Αυγ-2019
Πηγή: International Journal of Environmental Research and Public Health, 2019, vol. 19, no. 19, articl. no. 2927
Volume: 16
Issue: 16
Περιοδικό: International Journal of Environmental Research and Public Health 
Περίληψη: Geographical investigations are a core function of public health monitoring, providing the foundation for resource allocation and policies for reducing health inequalities. The aim of this study was to develop geodemographic area classification based on several area-level indicators and to explore the extent of geographical inequalities in mortality. A series of 19 area-level socioeconomic indicators were used from the 2011 national population census. After normalization and standardization of the geographically smoothed indicators, the k-means cluster algorithm was implemented to classify communities into groups based on similar characteristics. The association between geodemographic area classification and the spatial distribution of mortality was estimated in Poisson log-linear spatial models. The k-means algorithm resulted in four distinct clusters of areas. The most characteristic distinction was between the ageing, socially isolated, and resource-scarce rural communities versus metropolitan areas with younger population, higher educational attainment, and professional occupations. By comparison to metropolitan areas, premature mortality appeared to be 44% (95% Credible Intervals CrI of Rate Ratio (RR): 1.06–1.91) higher in traditional rural areas and 36% (95% CrI of RR: 1.13–1.62) higher in young semi-rural areas. These findings warrant future epidemiological studies investigating various causes of the urban-rural differences in premature mortality and implementation policies to reduce the mortality gap between urban and rural areas.
URI: https://hdl.handle.net/20.500.14279/18589
ISSN: 16617827
DOI: 10.3390/ijerph16162927
Rights: © by the authors.
Attribution-NonCommercial-NoDerivs 3.0 United States
Type: Article
Affiliation: European University Cyprus 
Cyprus University of Technology 
Open University Cyprus 
Publication Type: Peer Reviewed
Εμφανίζεται στις συλλογές:Άρθρα/Articles

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