Abstract
Despite the wealth of research investigating the
association between socioeconomic, demographic, and health indicators in the
developed countries, few and inconsistent studies investigated this association
at governorate level in developing countries, such as Jordan. There is
abundance in socioeconomic problems in developing countries that affect
long-term health conditions and could contribute to health inequalities between
socioeconomic classes. This study investigates multivariate spatial association
between the rates of mortality, unemployment, divorce, and crime across Jordan’s
governorates. The study seeks to determine the spatial patterns of these
indicators and to examine the magnitude of the differences across governorates
for 2011. The study design utilizes a multivariate cross sectional spatial
analysis. The data for 2011 were obtained from a survey conducted in Jordan in
2012. A visual inspection of the spatial pattern for each indicator was shown
by mapping. Lee’s global and local measures for each governorate were used. A p-value
was determined through Monte Carlo simulations to evaluate the statistical
significance of each association in each governorate. Global and local results
for each governorate were presented. No significant global spatial relationship
was found. However, multiple local spatial relationships between the indicators
under investigation were found significant in several western governorates.
These conclusions allow identifying the disadvantaged governorates and help
social and public health authorities set up plans. Efforts should, therefore,
be made in the disadvantaged governorates to create awareness about the
necessity of early discovery and treatment. The authors suggest that further
studies are needed in these spatial relationships.