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Regional differences in mortality in Greece (1984-2004): the case of Thrace.

Papastergiou P, Rachiotis G, Polyzou K, Zilidis C, Hadjichristodoulou C - BMC Public Health (2008)

Bottom Line: Thrace is the Greek region with the highest percentage of Muslim population (33%).Multivariate analysis revealed that GDP and doctors/100000 inhabitants were associated with increased mortality in Thrace.Thrace is the region with the highest mortality rate in Greece.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Hygiene and Epidemiology, School of Medicine, University of Thessaly, Larissa, Greece. panpapast@med.uth.gr

ABSTRACT

Background: Mortality differences at national level can generate hypothesis on possible causal association that could be further investigated. The aim of the present study was to identify regions with high mortality rates in Greece.

Methods: Age adjusted specific mortality rates by gender were calculated in each of the 10 regions of Greece during the period 1984-2004. Moreover standardized mortality rates (SMR) were also calculated by using population census data of years 1981, 1991, 2001. The mortality rates were examined in relation to GDP per capita, the ratio of hospital beds, and doctors per population for each region.

Results: During the study period, the region of Thrace recorded the highest mortality rate at almost all age groups in both sexes among the ten Greek regions. Thrace had one of the lowest GDP per capita (11,123 Euro) and recorded low ratios of Physicians (284) per 100,000 inhabitants in comparison to the national ratios. Moreover the ratio of hospital beds per population was in Thrace very low (268/100,000) in comparison to the national ratio (470/100,000). Thrace is the Greek region with the highest percentage of Muslim population (33%). Multivariate analysis revealed that GDP and doctors/100000 inhabitants were associated with increased mortality in Thrace.

Conclusion: Thrace is the region with the highest mortality rate in Greece. Further research is needed to assess the contribution of each possible risk factor to the increased mortality rate of Thrace which could have important public health implications.

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Regional distribution of mortality risk in males, Greece (1984–2004).
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Figure 1: Regional distribution of mortality risk in males, Greece (1984–2004).

Mentions: Among males and females at almost all age categories the region of Thrace recorded the highest age-specific crude mortality and standardised mortality rate (Figures 1, 2). The previously described trend of increased mortality of Thrace did not change during the twenty one years studied.


Regional differences in mortality in Greece (1984-2004): the case of Thrace.

Papastergiou P, Rachiotis G, Polyzou K, Zilidis C, Hadjichristodoulou C - BMC Public Health (2008)

Regional distribution of mortality risk in males, Greece (1984–2004).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2538537&req=5

Figure 1: Regional distribution of mortality risk in males, Greece (1984–2004).
Mentions: Among males and females at almost all age categories the region of Thrace recorded the highest age-specific crude mortality and standardised mortality rate (Figures 1, 2). The previously described trend of increased mortality of Thrace did not change during the twenty one years studied.

Bottom Line: Thrace is the Greek region with the highest percentage of Muslim population (33%).Multivariate analysis revealed that GDP and doctors/100000 inhabitants were associated with increased mortality in Thrace.Thrace is the region with the highest mortality rate in Greece.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Hygiene and Epidemiology, School of Medicine, University of Thessaly, Larissa, Greece. panpapast@med.uth.gr

ABSTRACT

Background: Mortality differences at national level can generate hypothesis on possible causal association that could be further investigated. The aim of the present study was to identify regions with high mortality rates in Greece.

Methods: Age adjusted specific mortality rates by gender were calculated in each of the 10 regions of Greece during the period 1984-2004. Moreover standardized mortality rates (SMR) were also calculated by using population census data of years 1981, 1991, 2001. The mortality rates were examined in relation to GDP per capita, the ratio of hospital beds, and doctors per population for each region.

Results: During the study period, the region of Thrace recorded the highest mortality rate at almost all age groups in both sexes among the ten Greek regions. Thrace had one of the lowest GDP per capita (11,123 Euro) and recorded low ratios of Physicians (284) per 100,000 inhabitants in comparison to the national ratios. Moreover the ratio of hospital beds per population was in Thrace very low (268/100,000) in comparison to the national ratio (470/100,000). Thrace is the Greek region with the highest percentage of Muslim population (33%). Multivariate analysis revealed that GDP and doctors/100000 inhabitants were associated with increased mortality in Thrace.

Conclusion: Thrace is the region with the highest mortality rate in Greece. Further research is needed to assess the contribution of each possible risk factor to the increased mortality rate of Thrace which could have important public health implications.

Show MeSH
Related in: MedlinePlus