Hugo Spinelli

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Urbanization is high and growing in low- and middle-income countries, but intraurban variations in adult health have been infrequently examined. We used spatial analysis methods to investigate spatial variation in total, cardiovascular disease, respiratory disease, and neoplasm adult mortality in Buenos Aires, Argentina, a large city within a middle-income(More)
OBJECTIVES We investigated associations of socioeconomic position (SEP) with chronic disease risk factors, and heterogeneity in this patterning by provincial-level urbanicity in Argentina. METHODS We used generalized estimating equations to determine the relationship between SEP and body mass index, high blood pressure, diabetes, low physical activity,(More)
Most studies of socioeconomic status (SES) and chronic disease risk factors have been conducted in high-income countries, and most show inverse social gradients. Few studies examine these patterns in lower- or middle-income countries. Using cross-sectional data from a 2005 national risk factor survey in Argentina (a middle-income country), we investigated(More)
OBJECTIVE To develop new and improved reference birthweights for the Argentine population as a whole with a breakdown by gestational age (GA), sex and multiplicity of birth. METHODS The population studied included all live births resulting from single (n = 3,478,286) and double (n = 57,654) births in Argentina during the period 2003- 2007. The probable(More)
INTRODUCTION Globally, tobacco is the number one preventable cause of death, killing 1 in 10 adults. By 2030, 80% of all tobacco deaths will occur in developing countries. Social factors drive the adoption and cessation of smoking in high-income countries, but few studies have examined the socioeconomic patterning of smoking in developing countries. (More)
Self-rated health is a quality-of-life indicator. This study investigates the impact of individual-level and neighborhood-level socioeconomic characteristics, considered simultaneously, on the state of self-rated health at the individual level in Buenos Aires, Argentina. The study employs a two-level (individual and neighborhood) multilevel analysis, and(More)
To examine the socioeconomic gradients in birth outcomes among singleton infants in Argentina, 2003–2007. We analyzed data of 3,230,031 singleton infants born in 2003–2007, obtained from vital statistics. Associations between birth outcomes [small for gestational age (SGA), low birth weight (LBW), and preterm birth (PTB)] and socioeconomic indicators(More)
Cad. Saúde Pública, Rio de Janeiro, 21(6):1629-1664, nov-dez, 2005 of the widest range of relations 1 in both the private and public spheres, stems from the article’s approach (unless we have misread it) to violence as a kind of disorder that parasitizes a society, that acts as foreign body in it and is therefore something to be extirpated. This point of(More)
OBJECTIVES To understand how certain socioeconomic factors interact with health indicators at the local level, so that health inequalities may be better addressed. METHODS Several epidemiological methods were applied to study the 431 census block groups of the Lanús municipality in the province of Buenos Aires, Argentina, from January 1995 to December(More)
OBJECTIVE We investigated temporal trends in BMI, and assessed hypothesized predictors of trends including socio-economic position (SEP) and province-level economic development, in Argentina. DESIGN Using multivariable linear regression, we evaluated cross-sectional patterning and temporal trends in BMI and examined heterogeneity in these associations by(More)