IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v46y1998i6p673-681.html
   My bibliography  Save this article

Tuberculosis mortality in England and Wales during 1982-1992: its association with poverty, ethnicity and AIDS

Author

Listed:
  • Elender, Frances
  • Bentham, Graham
  • Langford, Ian

Abstract

This paper seeks to establish the strength of association between contemporary tuberculosis (TB) in England and Wales and several potential aetiological factors. It presents an ecological analysis of standardised annual TB mortality rates for the 403 local authority districts between 1982 and 1992, disaggregated by age and sex. Social, demographic and ethnicity measures from the 1981 and 1991 censuses and standardised annual AIDS-related mortality rates for young men are used to calculate Poisson regression models. A strong association was found between all TB mortality groups and overcrowding at the household level. For women, no other measures improved the explanatory power of the models. In multiple regressions, both poverty and AIDS-related mortality explained additional variation in the model for younger men. The link between ethnicity and tuberculosis notifications was not reflected in this analysis of mortality. For all groups no evidence of a positive relationship with ethnicity was found, once overcrowding had been accounted for. The significance of household as opposed to district level crowding suggests that prolonged contact is required for disease transmission. Regression analysis indicates that it is the overcrowding and poverty among ethnic populations that is significant for their tuberculosis mortality. The fact that the relationship between AIDS and TB is confined to the group most typical of AIDS patients provides evidence that AIDS has little influence on the level of tuberculosis mortality in the wider population. Explanations for the observed relationship include preferential certification, migration for treatment and shortcomings in health care provision.

Suggested Citation

  • Elender, Frances & Bentham, Graham & Langford, Ian, 1998. "Tuberculosis mortality in England and Wales during 1982-1992: its association with poverty, ethnicity and AIDS," Social Science & Medicine, Elsevier, vol. 46(6), pages 673-681, March.
    • Handle: RePEc:eee:socmed:v:46:y:1998:i:6:p:673-681
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(97)00178-0
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Espinoza-Delgado, José & Silber, Jacques, 2018. "Multi-dimensional poverty among adults in Central America and gender differences in the three I’s of poverty: Applying inequality sensitive poverty measures with ordinal variables," MPRA Paper 88750, University Library of Munich, Germany.
    2. Espinoza-Delgado, José & López-Laborda, Julio, 2017. "Nicaragua: evolución de la pobreza multidimensional, 2001-2009," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), April.
    3. Espinoza-Delgado, José & Klasen, Stephan, 2018. "Gender and multidimensional poverty in Nicaragua: An individual based approach," World Development, Elsevier, vol. 110(C), pages 466-491.
    4. Wanyeki, Ian & Olson, Sherry & Brassard, Paul & Menzies, Dick & Ross, Nancy & Behr, Marcel & Schwartzman, Kevin, 2006. "Dwellings, crowding, and tuberculosis in Montreal," Social Science & Medicine, Elsevier, vol. 63(2), pages 501-511, July.
    5. repec:eur:ejserj:568 is not listed on IDEAS
    6. Karen Clay & Werner Troesken, 2006. "Deprivation and Disease in Early Twentieth-Century America," NBER Working Papers 12111, National Bureau of Economic Research, Inc.
    7. Vellore Arthi & James Fenske, 2018. "Polygamy and child mortality: Historical and modern evidence from Nigeria’s Igbo," Review of Economics of the Household, Springer, vol. 16(1), pages 97-141, March.
    8. Espinoza-Delgado, José & López-Laborda, Julio, 2017. "Nicaragua: trend of multidimensional poverty, 2001-2009," Revista CEPAL, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), April.
    9. Espinoza-Delgado, José & López-Laborda, Julio, 2016. "Las tres Is de la pobreza multidimensional en Nicaragua y el diferencial de género en los primeros quince años del siglo XXI, a partir de un enfoque centrado en la persona [The three I’s of multidi," MPRA Paper 74997, University Library of Munich, Germany.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:46:y:1998:i:6:p:673-681. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.