Universidad Peruana Cayetano Heredia

Life expectancy and mortality in 363 cities of Latin America

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dc.contributor.author Bilal, Usama
dc.contributor.author Hessel, Philipp
dc.contributor.author Perez-Ferrer, Carolina
dc.contributor.author Michael, Yvonne L.
dc.contributor.author Alfaro, Tania
dc.contributor.author Tenorio Mucha, Janeth Marilyn
dc.contributor.author Friche, Amelia A. L.
dc.contributor.author Pina, Maria Fatima
dc.contributor.author Vives, Alejandra
dc.contributor.author Quick, Harrison
dc.contributor.author Alazraqui, Marcio
dc.contributor.author Rodriguez, Daniel A.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Diez-Roux, Ana V.
dc.date.accessioned 2021-04-13T20:51:01Z
dc.date.available 2021-04-13T20:51:01Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9168
dc.description.abstract The concept of a so-called urban advantage in health ignores the possibility of heterogeneity in health outcomes across cities. Using a harmonized dataset from the SALURBAL project, we describe variability and predictors of life expectancy and proportionate mortality in 363 cities across nine Latin American countries. Life expectancy differed substantially across cities within the same country. Cause-specific mortality also varied across cities, with some causes of death (unintentional and violent injuries and deaths) showing large variation within countries, whereas other causes of death (communicable, maternal, neonatal and nutritional, cancer, cardiovascular disease and other noncommunicable diseases) varied substantially between countries. In multivariable mixed models, higher levels of education, water access and sanitation and less overcrowding were associated with longer life expectancy, a relatively lower proportion of communicable, maternal, neonatal and nutritional deaths and a higher proportion of deaths from cancer, cardiovascular disease and other noncommunicable diseases. These results highlight considerable heterogeneity in life expectancy and causes of death across cities of Latin America, revealing modifiable factors that could be amenable to urban policies aimed toward improving urban health in Latin America and more generally in other urban environments. en_US
dc.language.iso eng
dc.publisher Springer Nature
dc.relation.ispartofseries Nature Medicine
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Epidemiology en_US
dc.subject Public health en_US
dc.title Life expectancy and mortality in 363 cities of Latin America en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1038/s41591-020-01214-4
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#1.06.03
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.00.00
dc.relation.issn 1546-170X


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