| Author | Bilal, Usama | |
| Author | Hessel, Philipp | |
| Author | Perez-Ferrer, Carolina | |
| Author | Michael, Yvonne L. | |
| Author | Alfaro, Tania | |
| Author | Tenorio-Mucha, Janeth | |
| Author | Friche, Amelia A. L. | |
| Author | Pina, Maria Fatima | |
| Author | Vives, Alejandra | |
| Author | Quick, Harrison | |
| Author | Alazraqui, Marcio | |
| Author | Rodriguez, Daniel A. | |
| Author | Miranda, J. Jaime | |
| Author | Diez-Roux, Ana V. | |
| Access date | 2023-07-28T13:32:57Z | |
| Available date | 2023-07-28T13:32:57Z | |
| Document date | 2021 | |
| Citation | BILAL, Usama et al. Life expectancy and mortality in 363 cities of Latin America. Nature Medicine, v. 27, n. 3, p. 463-470, 2021. | en_US |
| ISSN | 1078-8956 | |
| URI | https://www.arca.fiocruz.br/handle/icict/59823 | |
| Language | eng | en_US |
| Publisher | Nature Research | en_US |
| Rights | open access | en_US |
| Title | Life expectancy and mortality in 363 cities of Latin America | en_US |
| Type | Article | en_US |
| DOI | 10.1038/s41591-020-01214-4 | |
| 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 |
| Affilliation | Drexel Dornsife School of Public Health. Urban Health Collaborative. Philadelphia, PA, USA / Drexel Dornsife School of Public Health. Department of Epidemiology and Biostatistics. Philadelphia, PA, USA. | en_US |
| Affilliation | Universidad of the Andes. Alberto Lleras Camargo School of Government. Bogotá, Colombia. | en_US |
| Affilliation | National Institute of Public Health. Cuernavaca, Mexico / National Council for Science and Technology. Ciudad de Mexico, Mexico. | en_US |
| Affilliation | Drexel Dornsife School of Public Health. Urban Health Collaborative. Philadelphia, PA, USA / Drexel Dornsife School of Public Health. Department of Epidemiology and Biostatistics. Philadelphia, PA, USA. | en_US |
| Affilliation | Universidad de Chile. Escuela de Salud Pública. Santiago de Chile, Chile. | en_US |
| Affilliation | Universidad Peruana Cayetano Heredia. Centre of Excellence in Chronic Diseases. Lima, Perú. | en_US |
| Affilliation | Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil / Instituto de Investigação e Inovação em Saúde. Porto, Portugal. | en_US |
| Affilliation | Pontificia Universidad Católica de Chile. Departamento de Salud Pública. Santiago de Chile, Chile / Centro de Desarrollo Urbano Sostenible. Santiago de Chile, Chile. | en_US |
| Affilliation | Drexel Dornsife School of Public Health. Urban Health Collaborative. Philadelphia, PA, USA / Drexel Dornsife School of Public Health. Department of Epidemiology and Biostatistics. Philadelphia, PA, USA. | en_US |
| Affilliation | Universidad Nacional de Lanús. Instituto de Salud Colectiva. Buenos Aires, Argentina. | en_US |
| Affilliation | University of California Berkeley. Berkeley. Department of City and Regional Planning. CA, USA. | en_US |
| Affilliation | Universidad Peruana Cayetano Heredia. Centre of Excellence in Chronic Diseases. Lima, Perú. | en_US |
| Affilliation | Drexel Dornsife School of Public Health. Urban Health Collaborative. Philadelphia, PA, USA / Drexel Dornsife School of Public Health. Department of Epidemiology and Biostatistics. Philadelphia, PA, USA. | en_US |
| Subject | Latin America | en_US |
| Subject | Life expectancy and mortality | en_US |
| Subject | México | en_US |
