1. Analysis of mortality in the Czech Republic using the newly constructed socio-economic deprivation index Šplíchalová Anna Šlachtová Hana Tomášková Hana Polaufová Pavla Institute of Public Health Ostrava This study was realized within the Project NR 8480-3 funded by the Czech Ministry of Health

2. Progressive increase of mortality by the level of deprivation is a serious social health problem in many countries Objective: Aim: The aim of the study was the analysis of total and specific mortality in the Czech Republic using by authors newly constructed socio-economic deprivation indices

3. Material and methods: Index 1Index 2 Two census (2001) based indices (Index1, Index2) and two sub-indices (Index2soc, Index2mat) for social and material deprivation were constructed to indicate the level of deprivation in all 77 Czech districts The correlation of the both indices r = 0.96

4. Material and methods:  Newly constructed indices were used for the correlation analysis between districts' deprivation level and level of total and specific mortality from the routinely collected health statistics sources (DPS UZIS 2001)  Relationship between SMR (total and selected specific SMR) and indices (INDEX1, INDEX2, INDEX2mat and INDEX2soc) was evaluated by correlation analysis  SMR differences according to degree of district deprivation were evaluated by comparison with average SMR in the Czech Republic

5. Results: Correlation between indices (INDEX 1, INDEX 2) and mortality  Both in men and women positive association was confirmed between the level of deprivation (INDEX1 and INDEX2) and total mortality, cancer mortality, mortality for gastrointestinal diseases and mortality for lung cancer in men  These associations were stronger in men than in women

6. Results: Relationship between degree of deprivation and SMR for gastrointestinal diseases women men  Increased SMR was associated with the highest degrees of deprivation (7 – 10th degree)  The highest increase was found for gastrointestinal diseases mortality in women (up to 53 %), in men (up to 37 %)

7. Correlation between sub-indices (INDEX2soc and INDEX2mat) and mortality Results: Further results of detail analysis using INDEX2soc and INDEX2mat also showed that the investigated total and specific mortality in men and women was more strongly correlated with factors of social deprivation than material deprivation

8. Relationship between degree of deprivation and total mortality in men Results:  Total SMR more strongly correlated with factors of social deprivation than material deprivation

9. The highest degree of deprivation (7-10) was found in 15.6 % of districts with the total population of 1,681 thousands inhabitants Results: Counts of districts/population by degrees of deprivation (INDEX1) in CR

10. Conclusions:  Both in men and women positive association was confirmed between the level of deprivation (INDEX1 and INDEX2) and total mortality, cancer mortality, mortality for gastrointestinal diseases and mortality for lung cancer in men  These associations were stronger in men than in women  Further results of detail analysis using INDEX2soc and INDEX2mat also showed that the investigated total and specific mortality in men and women was more strongly correlated with factors of social deprivation than material deprivation

11. This study was realized within the Project NR 8480-3 funded by the Czech Ministry of Health - Construction of Socio- economic Deprivation Index for Analysis of Routinely Collected data on Health Status of Population with the Use the GIS Acknowledgement: