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2 => "Vigilancia en Salud Pública"
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"resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir los patrones de mortalidad, general y por causas específicas seleccionadas, en Valencia y Alicante; establecer las diferencias internas por distritos, y evaluar los cambios en la magnitud de estas desigualdades en el tiempo.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Las defunciones ocurridas en residentes en las ciudades de Valencia y Alicante durante los períodos 1990-1992 y 1996-1998 se asignaron a los distritos municipales de residencia. La comparación entre los períodos de estudio o entre ciudades se ha realizado a través del riesgo relativo estimado mediante regresión de Poisson. Se calculó la razón comparativa de mortalidad (RCM) según los 17 grandes grupos de la Clasificación Internacional de Enfermedades (9.a revisión). Por distritos se han calculado en cada período de estudio las tasas ajustadas por el método directo, la razón de mortalidad estandarizada (RME), la razón de años potenciales de vida perdida (RAPVP) y la esperanza de vida al nacimiento.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los riesgos de muerte por todas las causas disminuyen del primer al segundo período tanto en varones, como en mujeres en ambas ciudades. La esperanza de vida aumenta significativamente en ambas ciudades en los varones, y en Valencia en las mujeres. La ciudad de Valencia presenta un mayor riesgo de muerte en ambos períodos. Algunos grupos de causas de muerte aumentan (grupos 5 y 6, que incluyen trastornos mentales y enfermedades del sistema nervioso y órganos de los sentidos). Por distritos, se observa una mayor variabilidad en Valencia —donde destacan los distritos 1 y 11 con un elevado riesgo de mortalidad— que en Alicante.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El proceso de vigilancia de la mortalidad interna, por distritos, es reproducible. En la ciudad de Valencia existen diferencias en la mortalidad que se mantienen en el tiempo. La ciudad de Alicante presenta una menor variabilidad interna en sus indicadores de mortalidad.</p>"
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"en" => array:2 [
"titulo" => "Abstract"
"resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe mortality patterns, in general and by selected specific causes in Valencia and Alicante, to establish internal inequalities by districts, and to evaluate changes in the magnitude of these inequalities over time.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Deaths among residents of Valencia and Alicante in the periods 1990-1992 and 1996-1998 were assigned to residential municipal districts. Comparisons between the periods studied and between cities were carried out using the relative risk derived from a Poisson regression model. A comparative mortality figure was calculated using the 17 largest groups of the 9th International Classification of Diseases. Rates adjusted by the direct method, standardized mortality ratio, potential years of life lost (PYLL) ratio and life expectancy at birth were calculated by districts in each study period.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The risks of death from all causes decreased between the first and second periods in both men and women in both cities. Life expectancy significantly increased in both cities for men and in Valencia for women. The city of Valencia had the greatest risk of death in both periods. Some causes of death increased (groups 5 and 6, mental and nervous system disorders and sensory organ diseases). By districts, there was greater variability in Valencia than in Alicante, especially in districts 1 and 11 in Valencia, which showed a high risk of death.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The process of internal mortality surveillance by districts is reproducible. In the city of Valencia there were inequalities in mortality that were maintained over time. The city of Alicante showed less internal variability in its mortality indicators.</p>"
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