The purpose of this paper is to analyse how socio‐economic inequalities in mortality (total and avoidable) evolved in Portugal from the 1990s onwards by looking at differences by gender, age group, poverty and cause of death. Results show that mortality in younger age groups is decreasing faster in the most deprived municipalities. Yet, avoidable deaths do not follow this pattern, particularly with respect to treatable mortality amenable to the health care services. Although total and avoidable mortality are decreasing across all age groups and both genders, decreases in treatable deaths during and after the 2011–14 economic crisis slowed down among the young, with a sharpening of socio‐economic inequalities in avoidable mortality among adults and the elderly. This provides evidence that, in some respects, focusing programmes on those living in poor circumstances has been successful over time. However, the impact of the Great Recession on health care services might have contributed to a significant increase in some treatable causes of death associated with these services.

中文翻译：

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葡萄牙总和可避免死亡率中社会经济不平等的性别和年龄差异：趋势分析*

本文的目的是研究按性别，年龄组，贫困和死亡原因所造成的差异，从而分析1990年代以来葡萄牙的社会经济不平等（总的和可避免的）不平等现象如何演变。结果表明，在最贫困的城市，年轻人的死亡率下降得更快。但是，可避免的死亡并没有遵循这种模式，特别是在适合卫生保健服务的可治疗死亡率方面。尽管所有年龄段和性别的总死亡率和可避免的死亡率都在下降，但在2011-14年经济危机期间和之后，可治疗的死亡人数的下降速度在年轻人中有所放缓，成年人和老年人中可避免的死亡率在社会经济方面的不平等加剧。这提供了在某些方面的证据，随着时间的推移，针对贫困人口的重点计划已获得成功。但是，大萧条对卫生保健服务的影响可能导致与这些服务相关的一些可治愈的死亡原因大大增加。