Rising premature mortality in the UK’s persistently deprived areas: Only a Scottish phenomenon?

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dc.contributor.author Norman, P en
dc.contributor.author Boyle, P en
dc.contributor.author Exeter, Daniel en
dc.contributor.author Feng, Z en
dc.contributor.author Popham, F en
dc.date.accessioned 2012-02-07T21:18:31Z en
dc.date.issued 2011 en
dc.identifier.citation Social Science and Medicine 73(11):1575-1584 2011 en
dc.identifier.issn 0277-9536 en
dc.identifier.uri http://hdl.handle.net/2292/10924 en
dc.description.abstract In the international literature, many studies find strong relationships between area-based measures of deprivation and mortality. In the UK, mortality rates have generally fallen in recent decades but the life expectancy gap between the most and least deprived areas has widened, with a number of Scottish studies highlighting increased mortality rates in deprived areas especially in Glasgow. However, these studies relate health outcomes at different time points against period-specific measures of deprivation which may not be comparable over time. Using longitudinal deprivation measures where levels of area deprivation are made comparable over time, a recent study demonstrated how levels of mortality change in relation to changing or persistent levels of (non-) deprivation over time. The results showed that areas which were persistently deprived in Scotland experienced a rise in premature mortality rates by 9.5% between 1981 and 2001. Here, focussing on persistently deprived areas we extended the coverage to the whole of the UK to assess whether, between 1991 and 2001, rising premature mortality rates in persistently deprived areas are a Scottish only phenomenon or whether similar patterns are evident elsewhere and for men and women separately. We found that male premature mortality rates rose by over 14% in Scotland over the 10-year period between the early 1990s and 2000s in persistently deprived areas. We found no significant rise in mortality elsewhere in the UK and that the rise among men in Scotland was driven by results for Glasgow where mortality rates rose by over 15% during the decade. Our analyses demonstrate the importance of identifying areas experiencing persistent poverty. These results justify even more of a public health focus on Glasgow and further work is needed to understand the demographic factors, such as health selective migration, immobility and population residualisation, which may contribute to these findings. Highlights en
dc.publisher Elsevier Ltd. en
dc.relation.ispartofseries Social Science & Medicine en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Persistent deprivation en
dc.subject deprivation (im)mobility en
dc.subject Population residualisation en
dc.subject Premature mortality en
dc.subject UK en
dc.subject Scotland en
dc.subject Glasgow en
dc.title Rising premature mortality in the UK’s persistently deprived areas: Only a Scottish phenomenon? en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.socscimed.2011.09.034 en
pubs.issue 11 en
pubs.begin-page 1575 en
pubs.volume 73 en
dc.rights.holder Copyright: Elsevier Ltd. en
dc.identifier.pmid 22030211 en
pubs.end-page 1584 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 257907 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
pubs.record-created-at-source-date 2011-12-09 en
pubs.dimensions-id 22030211 en


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