Articles: mortality.
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The objective of this paper is to investigate and to improve understanding of the causes and circumstances of flood disaster deaths. A standardised method of classifying flood deaths is proposed and the difficulties associated with comparing and assessing existing information on flood deaths are discussed. Thirteen flood cases from Europe and the United States, resulting in 247 flood disaster fatalities, were analysed and taken as indicative of flood disaster deaths. ⋯ Furthermore, males are highly vulnerable to dying in floods and unnecessary risk-taking behaviour contributes significantly to flood disaster deaths. Based on these results, recommendations are made to prevent loss of life in floods. To provide a more solid basis for the formulation of prevention strategies, better systematic recording of flood fatalities is suggested, especially those caused by different types of floods in all countries.
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Comparative Study
Metropolitan income inequality and working-age mortality: a cross-sectional analysis using comparable data from five countries.
The relationship between income inequality and mortality has come into question as of late from many within-country studies. This article examines the relationship between income inequality and working-age mortality for metropolitan areas (MAs) in Australia, Canada, Great Britain, Sweden, and the United States to provide a fuller understanding of national contexts that produce associations between inequality and mortality. An ecological cross-sectional analysis of income inequality (as measured by median share of income) and working-age (25-64) mortality by using census and vital statistics data for 528 MAs (population >50,000) from five countries in 1990-1991 was used. ⋯ These two countries had the highest average levels of income inequality and the largest populations of the five countries studied. Although a strong ecological association was found between income inequality and mortality across the 528 MAs, an association between income inequality and mortality was evident only in within-country analyses for the two most unequal countries: the United States and Great Britain. The absence of an effect of metropolitan-scale income inequality on mortality in the more egalitarian countries of Canada, Australia, and Sweden is suggestive of national-scale policies in these countries that buffer hypothetical effects of income inequality as a determinant of population health in industrialized economies.