Life expectancy and mortality in 363 cities of Latin America

Autores
Bilal, Usama; Hessel, Philipp; Perez-Ferrer, Carolina; Michael, Yvonne L.; Alfaro, Tania; Tenorio-Mucha, Janeth; Friche, Amelia A. L.; Pina, Maria Fatima; Vives, Alejandra; Quick, Harrison; Alazraqui, Marcio; Rodriguez, Daniel A.; Miranda, J. Jaime; Diez-Roux, Ana V.; Tisnés, Adela; The SALURBAL Group
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
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.
Fil: Bilal, Usama. Drexel University; Estados Unidos
Fil: Hessel, Philipp. A. Lleras Camargo School Of Government, Universidad; Colombia. Universidad de los Andes; Colombia
Fil: Perez-Ferrer, Carolina. Instituto Nacional de Salud Pública; México
Fil: Michael, Yvonne L.. Drexel University; Estados Unidos
Fil: Alfaro, Tania. Universidad de Chile; Chile
Fil: Tenorio-Mucha, Janeth. Universidad Peruana Cayetano Heredia; Perú
Fil: Friche, Amelia A. L.. Universidade Federal de Minas Gerais; Brasil
Fil: Pina, Maria Fatima. Fundación Oswaldo Cruz; Brasil
Fil: Vives, Alejandra. Pontificia Universidad Católica de Chile; Chile
Fil: Quick, Harrison. Drexel University; Estados Unidos
Fil: Alazraqui, Marcio. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
Fil: Rodriguez, Daniel A.. University of California at Berkeley; Estados Unidos
Fil: Miranda, J. Jaime. Universidad Peruana Cayetano Heredia; Perú
Fil: Diez-Roux, Ana V.. Drexel University; Estados Unidos
Fil: Tisnés, Adela. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil. Instituto de Geografía, Historia y Ciencias Sociales. Universidad Nacional del Centro de la Provincia de Buenos Aires. Instituto de Geografía, Historia y Ciencias Sociales; Argentina
Fil: The SALURBAL Group. Drexel University; Estados Unidos. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
Materia
LIFE EXPECTANCY
MORTALITY
LATIN AMERICA CITIES
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/157690
Acceder
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repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Life expectancy and mortality in 363 cities of Latin AmericaBilal, UsamaHessel, PhilippPerez-Ferrer, CarolinaMichael, Yvonne L.Alfaro, TaniaTenorio-Mucha, JanethFriche, Amelia A. L.Pina, Maria FatimaVives, AlejandraQuick, HarrisonAlazraqui, MarcioRodriguez, Daniel A.Miranda, J. JaimeDiez-Roux, Ana V.Tisnés, AdelaThe SALURBAL GroupLIFE EXPECTANCYMORTALITYLATIN AMERICA CITIEShttps://purl.org/becyt/ford/5.9https://purl.org/becyt/ford/5The 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.Fil: Bilal, Usama. Drexel University; Estados UnidosFil: Hessel, Philipp. A. Lleras Camargo School Of Government, Universidad; Colombia. Universidad de los Andes; ColombiaFil: Perez-Ferrer, Carolina. Instituto Nacional de Salud Pública; MéxicoFil: Michael, Yvonne L.. Drexel University; Estados UnidosFil: Alfaro, Tania. Universidad de Chile; ChileFil: Tenorio-Mucha, Janeth. Universidad Peruana Cayetano Heredia; PerúFil: Friche, Amelia A. L.. Universidade Federal de Minas Gerais; BrasilFil: Pina, Maria Fatima. Fundación Oswaldo Cruz; BrasilFil: Vives, Alejandra. Pontificia Universidad Católica de Chile; ChileFil: Quick, Harrison. Drexel University; Estados UnidosFil: Alazraqui, Marcio. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; ArgentinaFil: Rodriguez, Daniel A.. University of California at Berkeley; Estados UnidosFil: Miranda, J. Jaime. Universidad Peruana Cayetano Heredia; PerúFil: Diez-Roux, Ana V.. Drexel University; Estados UnidosFil: Tisnés, Adela. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil. Instituto de Geografía, Historia y Ciencias Sociales. Universidad Nacional del Centro de la Provincia de Buenos Aires. Instituto de Geografía, Historia y Ciencias Sociales; ArgentinaFil: The SALURBAL Group. Drexel University; Estados Unidos. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; ArgentinaNature2021-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/157690Bilal, Usama; Hessel, Philipp; Perez-Ferrer, Carolina; Michael, Yvonne L.; Alfaro, Tania; et al.; Life expectancy and mortality in 363 cities of Latin America; Nature; Nature Medicine; 27; 1-2021; 463-4701078-89561546-170XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://www.nature.com/articles/s41591-020-01214-4info:eu-repo/semantics/altIdentifier/doi/10.1038/s41591-020-01214-4info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:15:56Zoai:ri.conicet.gov.ar:11336/157690instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-10 13:15:56.756CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Life expectancy and mortality in 363 cities of Latin America
title Life expectancy and mortality in 363 cities of Latin America
spellingShingle Life expectancy and mortality in 363 cities of Latin America
Bilal, Usama
LIFE EXPECTANCY
MORTALITY
LATIN AMERICA CITIES
title_short Life expectancy and mortality in 363 cities of Latin America
title_full Life expectancy and mortality in 363 cities of Latin America
title_fullStr Life expectancy and mortality in 363 cities of Latin America
title_full_unstemmed Life expectancy and mortality in 363 cities of Latin America
title_sort Life expectancy and mortality in 363 cities of Latin America
dc.creator.none.fl_str_mv Bilal, Usama
Hessel, Philipp
Perez-Ferrer, Carolina
Michael, Yvonne L.
Alfaro, Tania
Tenorio-Mucha, Janeth
Friche, Amelia A. L.
Pina, Maria Fatima
Vives, Alejandra
Quick, Harrison
Alazraqui, Marcio
Rodriguez, Daniel A.
Miranda, J. Jaime
Diez-Roux, Ana V.
Tisnés, Adela
The SALURBAL Group
author Bilal, Usama
author_facet Bilal, Usama
Hessel, Philipp
Perez-Ferrer, Carolina
Michael, Yvonne L.
Alfaro, Tania
Tenorio-Mucha, Janeth
Friche, Amelia A. L.
Pina, Maria Fatima
Vives, Alejandra
Quick, Harrison
Alazraqui, Marcio
Rodriguez, Daniel A.
Miranda, J. Jaime
Diez-Roux, Ana V.
Tisnés, Adela
The SALURBAL Group
author_role author
author2 Hessel, Philipp
Perez-Ferrer, Carolina
Michael, Yvonne L.
Alfaro, Tania
Tenorio-Mucha, Janeth
Friche, Amelia A. L.
Pina, Maria Fatima
Vives, Alejandra
Quick, Harrison
Alazraqui, Marcio
Rodriguez, Daniel A.
Miranda, J. Jaime
Diez-Roux, Ana V.
Tisnés, Adela
The SALURBAL Group
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv LIFE EXPECTANCY
MORTALITY
LATIN AMERICA CITIES
topic LIFE EXPECTANCY
MORTALITY
LATIN AMERICA CITIES
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.9
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv 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.
Fil: Bilal, Usama. Drexel University; Estados Unidos
Fil: Hessel, Philipp. A. Lleras Camargo School Of Government, Universidad; Colombia. Universidad de los Andes; Colombia
Fil: Perez-Ferrer, Carolina. Instituto Nacional de Salud Pública; México
Fil: Michael, Yvonne L.. Drexel University; Estados Unidos
Fil: Alfaro, Tania. Universidad de Chile; Chile
Fil: Tenorio-Mucha, Janeth. Universidad Peruana Cayetano Heredia; Perú
Fil: Friche, Amelia A. L.. Universidade Federal de Minas Gerais; Brasil
Fil: Pina, Maria Fatima. Fundación Oswaldo Cruz; Brasil
Fil: Vives, Alejandra. Pontificia Universidad Católica de Chile; Chile
Fil: Quick, Harrison. Drexel University; Estados Unidos
Fil: Alazraqui, Marcio. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
Fil: Rodriguez, Daniel A.. University of California at Berkeley; Estados Unidos
Fil: Miranda, J. Jaime. Universidad Peruana Cayetano Heredia; Perú
Fil: Diez-Roux, Ana V.. Drexel University; Estados Unidos
Fil: Tisnés, Adela. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Tandil. Instituto de Geografía, Historia y Ciencias Sociales. Universidad Nacional del Centro de la Provincia de Buenos Aires. Instituto de Geografía, Historia y Ciencias Sociales; Argentina
Fil: The SALURBAL Group. Drexel University; Estados Unidos. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/157690
Bilal, Usama; Hessel, Philipp; Perez-Ferrer, Carolina; Michael, Yvonne L.; Alfaro, Tania; et al.; Life expectancy and mortality in 363 cities of Latin America; Nature; Nature Medicine; 27; 1-2021; 463-470
1078-8956
1546-170X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/157690
identifier_str_mv Bilal, Usama; Hessel, Philipp; Perez-Ferrer, Carolina; Michael, Yvonne L.; Alfaro, Tania; et al.; Life expectancy and mortality in 363 cities of Latin America; Nature; Nature Medicine; 27; 1-2021; 463-470
1078-8956
1546-170X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://www.nature.com/articles/s41591-020-01214-4
info:eu-repo/semantics/altIdentifier/doi/10.1038/s41591-020-01214-4
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Nature
publisher.none.fl_str_mv Nature
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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