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Spatial risk for gender-specific adult mortality in an area of southern China

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Author(s): Ali Mohammad | Jin Yang | Kim Deok | De Zhou | Park Jin | Ochiai Rion | Dong Baiqing | Clemens John | Acosta Camilo

Journal: International Journal of Health Geographics
ISSN 1476-072X

Volume: 6;
Issue: 1;
Start page: 31;
Date: 2007;
Original page

ABSTRACT
Abstract Background Although economic reforms have brought significant benefits, including improved health care to many Chinese people, accessibility to improved care has not been distributed evenly throughout Chinese society. Also, the effects of the uneven distribution of improved healthcare are not clearly understood. Evidence suggests that mortality is an indicator for evaluating accessibility to improved health care services. We constructed spatially smoothed risk maps for gender-specific adult mortality in an area of southern China comprising both urban and rural areas and identified ecological factors of gender-specific mortality across societies. Results The study analyzed the data of the Hechi Prefecture in southern in China. An average of 124,204 people lived in the area during the study period (2002–2004). Individual level data for 2002–2004 were grouped using identical rectangular cells (regular lattice) of 0.25 km2. Poisson regression was fitted to the group level data to identify gender-specific ecological factors of adult (ages 15–

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