Dataset Information

Sex, rurality and socioeconomical status in Spanish centennial population (2017).

ABSTRACT: World's population is exponentially aging as people reaching 100 years old has increased. The number of areas with the highest centennial population rates (Blue Zones), are significantly higher. Are there any determinant factors that favor this situation in Spain? The goal of this study was to determine the possible influence of sex, rurality and socioeconomic factors (Gross Domestic Product (GDP)) on the prevalence of the centennial population of the Spanish society. The Spanish register of inhabitants was published in 2017 by the National Statistics Institute. The analysis was carried out both by Autonomous Communities and by provinces in phases: a first descriptive analysis, followed by an inferential analysis, based on statistical tests (independent T- Student test, Pearson correlation and ANOVA). There were significant interactions between: i) sex and longevity (in favor of the female population); ii) female and rural housing and iii) female, GDP and urban areas. Feminization was proven in the longevity revolution, but, in general, GDP per Capita was not a significant survival factor on its own. This study was the first step of further analysis related to extreme longevity in Spain, which will include other dependent variables such as state of health and well-being as well as social factors.

SUBMITTER: Fuentes P

PROVIDER: S-EPMC8507300 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature

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Sex, rurality and socioeconomical status in Spanish centennial population (2017).

Fuentes Pedro P Amador Sandra S Lucas-Ochoa Ana Maria AM Cuenca-Bermejo Lorena L Fernández-Villalba Emiliano E Raparelli Valeria V Norris Colleen C Kautzky-Willer Alexandra A Kublickiene Karolina K Pilote Louise L Herrero María Trinidad MT

Aging 20210926 18

World's population is exponentially aging as people reaching 100 years old has increased. The number of areas with the highest centennial population rates (Blue Zones), are significantly higher. Are there any determinant factors that favor this situation in Spain? The goal of this study was to determine the possible influence of sex, rurality and socioeconomic factors (Gross Domestic Product (GDP)) on the prevalence of the centennial population of the Spanish society. The Spanish register of inh ...[more]

PMID: 34565717

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Project description:BackgroundMore than 50 million people reside in rural America. However, the impact of patient rurality on colon cancer care has been incompletely characterized, despite its known impact on screening.ObjectiveOur study sought to examine the impact of patient rurality on quality and comprehensive colon cancer care.DesignWe constructed a retrospective cohort of 123,129 patients with stage 0 to IV colon cancer. Rural residence was established based on the patient medical service study area designated by the registry.SettingsThe study was conducted using the 1996-2008 California Cancer Registry.PatientsAll of the patients diagnosed between 1996 and 2008 with tumors located in the colon were eligible for inclusion in this study.Main outcome measuresBaseline characteristics were compared by rurality status. Multivariate regression models then were used to examine the impact of rurality on stage in the entire cohort, adequate lymphadenectomy in stage I to III disease, and receipt of chemotherapy for stage III disease. Proportional-hazards regression was used to examine the impact of rurality on cancer-specific survival.ResultsOf all of the patients diagnosed with colon cancer, 18,735 (15%) resided in rural areas. Our multivariate models demonstrate that rurality was associated with later stage of diagnosis, inadequate lymphadenectomy in stage I to III disease, and lower likelihood of receiving chemotherapy for stage III disease. In addition, rurality was associated with worse cancer-specific survival.LimitationsWe could not account for socioeconomic status directly, although we used insurance status as a surrogate. Furthermore, we did not have access to treatment location or distance traveled. We also could not account for provider or hospital case volume, patient comorbidities, or complications.ConclusionsA significant portion of patients treated for colon cancer live in rural areas. Yet, rural residence is associated with modest differences in stage, adherence to quality measures, and survival. Future endeavors should help improve care to this vulnerable population (see video, Supplemental Digital Content 1, http://links.lww.com/DCR/A143).

Dataset Information

Sex, rurality and socioeconomical status in Spanish centennial population (2017).

Publications

Sex, rurality and socioeconomical status in Spanish centennial population (2017).

Similar Datasets

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