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In Association with
Emerging methods for understanding deprivation contribution to health disparities
3rd International Conference on Epidemiology & Public Health
Luce Yemadje-Menudier1, M Robert1, E Morvan1, C Leclerc2 and D Jeannel1
ScientificTracks Abstracts: Epidemiology (Sunnyvale)
Abstract
Reducing health disparities is a major public health issue. This paper proposes methods on the deprivation index research
and spatial analyses, to address health inequalities. The purpose of this study was to analyze mortality data from 2002 to
2010 by major causes of death in Centre-Val de Loire (CVL) region, France, there spatial variations at district level and the
links between mortality and deprivation indexes. Deprivation indexes were built from socio-demographic factors and from
medical and social care provision factors. Association between the observed mortality and social deprivation indexes were then
analyzed. Comparative mortality rate were used for regional and departmental analyses. Standardized mortality ratios were
used for district analyses. Regional comparative mortality rate in CVL region is higher than nationwide rate in France. Men’s
comparative mortalities rates are higher than women’s (p-value <0.0001). Mortality excess was mainly identified in south-east
of region Centre (SMR> 1.30). Major causes of deaths show marked spatial differences. For example, cancer mortality is high
among men in the south-eastern. Mortality excess is found for tumors associated with alcohol/tobacco consumption or more
generally for diseases related to alcohol/tobacco in the south-eastern part of the CVL region. The mortality excess for tumors
observed in the south-east region does not affect hormone-dependent cancers. The link between socio-demographic index
and mortality was significant (p-value <0.0001) for both overall mortality and mortality by tumor. This study highlights the
link between territorial and social inequalities in health and mortality. Furthermore it raises questions regarding the role of
environment and individual behavior.
Biography
Luce Yemadje-Menudier has completed her PhD from Limoges University in France. Her first research area was epidemiology of neurologic diseases in West Africa.
She decided to move on epidemiology of intervention at the French Institute of Public health and Surveillance in regional office in Orleans. Her responsibilities
include surveillance of Legionella disease. She is also interested in the health inequalities and their links on morbidity/mortality.
