Citation

Chellini E, Carreras G, Baroncini O. Epidemiol. Prev. 2014; 38(3-4): 200-207.

Vernacular Title

Studio sull'ospedalizzazione di una coorte di richiedenti casa popolare a Firenze.

Affiliation

SC epidemiologia ambientale occupazionale, Istituto per lo studio e la prevenzione oncologica (ISPO), Firenze. e.chellini@ispo.toscana.it.

Copyright

(Copyright © 2014, Cooperativa Epidemiologia E Prevenzione)

DOI

unavailable

PMID

25115472

Abstract

OBJECTIVES AND DESIGN: to evaluate the morbidity of a materially deprived population of family members applying for public tenement houses in Florence, Central Italy, in the period 1977-2001. SETTING AND PARTICIPANTS: all yearly first hospital admissions concerning 4,773 persons resident in Florence who applied for tenement houses to local public bodies during 1997-2001 were collected. MAIN OUTCOME MEASURES: gender specific age-standardized hospitalization ratios (SHR) for all causes and cause-specific hospital admissions during 2001- 2005. The expected cases were calculated using as reference gender, age and cause specific hospitalization rates of Tuscany population for the 2001-2005 period.

RESULTS: 2,777 hospital admissions were registered. Statistically significant excesses of standardized hospitalization ratio were observed in both genders for all causes (males: SHR 1.14, 95%CI 1.07-1.20; females: SHR 1.22, 95%CI 1.16-1.28), mental disorders (males: SHR 2.19, 95%CI 1.71- 2.76; females: SHR 1.77, 95%CI 1.35-2.27) and respiratory diseases (males: SHR 1.25, 95%CI 1.05-1.47; females: SHR 1.33, 95%CI 1.09-1.60). Other excesses were observed for endocrine, metabolic and immunity disorders only in males (SHR 1.38, 95%CI 1.04-1.79), and for injuries and poisoning only in females (SHR 1.24, 95%CI 1.03-1.48). Statistical significant deficits were observed for neoplasm and for diseases of circulatory system in both genders, and for diseases of the musculoskeletal system and connective tissue in males.

CONCLUSION: the results, consistent with the available evidences on causes of illness in disadvantaged groups, point to the importance of built environment and adequate housing in reducing health inequalities.

Language: it