A spatiotemporal analysis of inequalities in life expectancy and 20 causes of mortality in sub-neighbourhoods of Metro Vancouver, British Columbia, Canada, 1990-2016

Health Place. 2021 Nov:72:102692. doi: 10.1016/j.healthplace.2021.102692. Epub 2021 Oct 30.

Abstract

Spatially varying baseline data can help identify and prioritise actions directed to determinants of intra-urban health inequalities. Twenty-seven years (1990-2016) of cause-specific mortality data in British Columbia, Canada were linked to three demographic data sources. Bayesian small area estimation models were used to estimate life expectancy (LE) at birth and 20 cause-specific mortality rates by sex and year. The gaps in LE for males and females ranged from 6.9 years to 9.5 years with widening inequality in more recent years. Inequality ratios increased for almost all causes, especially for HIV/AIDS and sexually transmitted infections, maternal and neonatal disorders, and neoplasms.

Keywords: Cause-specific mortality; Geospatial analysis; Health equity; Life expectancy; Small area models; Urban health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Bayes Theorem
  • British Columbia / epidemiology
  • Female
  • Humans
  • Infant, Newborn
  • Life Expectancy*
  • Male
  • Mortality
  • Spatio-Temporal Analysis