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array:24 [ "pii" => "S0213911106715096" "issn" => "02139111" "doi" => "10.1157/13091146" "estado" => "S300" "fechaPublicacion" => "2006-07-01" "aid" => "71509" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "copyrightAnyo" => "2006" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2006;20:303-10" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2506 "formatos" => array:3 [ "EPUB" => 121 "HTML" => 1979 "PDF" => 406 ] ] "itemSiguiente" => array:19 [ "pii" => "S0213911106715102" "issn" => "02139111" "doi" => "10.1157/13091147" "estado" => "S300" "fechaPublicacion" => "2006-07-01" "aid" => "71510" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Gac Sanit. 2006;20:311-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2571 "formatos" => array:3 [ "EPUB" => 113 "HTML" => 1970 "PDF" => 488 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original breve</span>" "titulo" => "¿Por qué los pacientes utilizan los servicios de urgencias hospitalarios por iniciativa propia?" 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"apellidos" => "Teresa Gea Velázquez de Castro" ] 3 => array:2 [ "nombre" => "Vicenta" "apellidos" => "Rodrigo Bartual" ] 4 => array:2 [ "nombre" => "Pedro" "apellidos" => "Antón García" ] 5 => array:2 [ "nombre" => "Fernando" "apellidos" => "Gómez Pajares" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715102?idApp=WGSE" "url" => "/02139111/0000002000000004/v1_201301241550/S0213911106715102/v1_201301241550/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0213911106715084" "issn" => "02139111" "doi" => "10.1157/13091145" "estado" => "S300" "fechaPublicacion" => "2006-07-01" "aid" => "71508" "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Gac Sanit. 2006;20:295-302" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2440 "formatos" => array:3 [ "EPUB" => 110 "HTML" => 1947 "PDF" => 383 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Análisis de la formulación de las políticas sobre envejecimiento en los planes autonómicos sociosanitarios y de atención a las personas mayores en España" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "295" "paginaFinal" => "302" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis of the formulation of policies on aging in plans for social and health care and care of the elderly in autonomous communities in Spain" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Eduardo Zafra, Rosana Peiró, Nieves Ramón, Carlos Álvarez-Dardet, Carme Borrell" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Zafra" ] 1 => array:2 [ "nombre" => "Rosana" "apellidos" => "Peiró" ] 2 => array:2 [ "nombre" => "Nieves" "apellidos" => "Ramón" ] 3 => array:2 [ "nombre" => "Carlos" "apellidos" => "Álvarez-Dardet" ] 4 => array:2 [ "nombre" => "Carme" "apellidos" => "Borrell" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911106715084?idApp=WGSE" "url" => "/02139111/0000002000000004/v1_201301241550/S0213911106715084/v1_201301241550/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Originales</span>" "titulo" => "Evolución de las desigualdades sociales en la mortalidad general de la ciudad de Sevilla (1994-2002)" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "303" "paginaFinal" => "310" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Ruiz-Ramos, Antonio Escolar Pujolar, José Sánchez Perea, Gloria Garrucho Rivero" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Miguel" "apellidos" => "Ruiz-Ramos" "email" => array:1 [ 0 => "miguel.ruiz.ext@juntadeandalucia.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Antonio" "apellidos" => "Escolar Pujolar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "José" "apellidos" => "Sánchez Perea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 3 => array:3 [ "nombre" => "Gloria" "apellidos" => "Garrucho Rivero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Consejería de Salud de la Junta de Andalucía, Sevilla, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Hospital Puerta del Mar, Cádiz, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Delegación de Salud Pública y Estadística, Ayuntamiento de Sevilla, España" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dr. Miguel Ruiz Ramos. Instituto de Estadística de Andalucía. Pabellón de Nueva Zelanda. Leonardo Da Vinci, s/n. Isla de la Cartuja. 41071 Sevilla. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Trends in social inequalities in mortality in the city of Seville [Spain] [1994-2002]" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-07-20" "fechaAceptado" => "2005-11-07" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec13876" "palabras" => array:3 [ 0 => "Desigualdades sociales" 1 => "Mortalidad" 2 => "Evolución" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec13875" "palabras" => array:3 [ 0 => "Social inequalities" 1 => "Mortality" 2 => "Trend" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Conocer la evolución de las desigualdades sociales en la mortalidad general de la ciudad de Sevilla en el período 1994-2002.</p> <span class="elsevierStyleSectionTitle">Material y método</span><p class="elsevierStyleSimplePara elsevierViewall">Se asignó a cada fallecido en 1994-1997 y 1999-2002 el nivel socioeconómico de la sección censal de residencia, obtenido a partir de un Índice Sintético de Nivel Socioeconómico elaborado por análisis factorial de componentes principales a partir de variables del Censo de 2001. Mediante indicadores de mortalidad se describe su magnitud y evolución según el nivel socioeconómico.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Las tasas ajustadas de mortalidad general en las secciones de peor nivel socioeconómico fueron en hombres 1,32 y 1,25 veces superiores a las de mejor nivel, y en las mujeres 1,19 y 1,08, respectivamente en cada período. Las razones de tasas truncadas y años potenciales vida perdidos pasaron en hombres de 1,66 a 2,28 y de 1,74 a 2,10, en mujeres, respectivamente. Se mantuvo una diferencia de 4 años en la esperanza de vida al nacer en hombres entre las secciones de mejor y peor nivel, disminuyendo de 1,90 a 0,82 años en mujeres. El riesgo atribuible poblacional (todas las edades) pasó del 13,18 al 10,46% en hombres, y del 10,02 al 2,58% en mujeres.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las desigualdades sociales en la mortalidad para el conjunto de la población disminuyen, sobre todo en las mujeres. Las desigualdades aumentan en la mortalidad prematura y entre los 35 y los 64 años de los hombres, fundamentalmente por una reducción de la mortalidad en las secciones censales de nivel socioeconómico más alto</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To know trends of social inequalities in general mortality in Seville (Spain) between 1997 and 2002.</p> <span class="elsevierStyleSectionTitle">Material and method</span><p class="elsevierStyleSimplePara elsevierViewall">Socioeconomic level of its the residential census tracts was assigned for each death, taken from the Socio-economic Synthetic Index built up after applying a principal components analysis from 2001 census variables. Using mortality indicators its magnitude and trend was described according socio-economic level.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">General mortality standardized rates by age in the census tracts of lowest socio-economic level were 1.32 and 1.25 times greater than in the highest census tracts in men and 1.19 and 1.08 in women respectively in each periods. The truncated rates ratio and potential years of lost life in men went from 1.66 to 2.28 in men and 1.74 to 2.10 in women, respectively. The four years difference in life expectancy at birth between the census tracts of highest and lower level remained unchanged in men, and fell from 1.90 to 0.82 in women. The population attributable risk (all ages) went from 13.18% to 10.46% in men and 10.02% to 2.58% in women.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Social inequalities in mortality for the general population decreased mainly in women. The inequalities increased in the early death and between 35-64 years old in men, basically due to a reduced mortality in higher socio-economic level census tracts.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Socioeconomic inequalities in morbidity and mortality in western Europe. The EU Working Group on Socioeconomic Inequalities in Health" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.P. 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