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Spatial and Temporal Variation of Mortality and Deprivation 1: Widening Health Inequalities

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  • G Higgs
  • M L Senior
  • H C W L Williams

Abstract

In this paper we examine the relationship between premature mortality and material deprivation both over time (the intercensal period, 1981–91) and over space (for the population in wards and ward groups in Wales). Our focus is on the methods of analysis for small area (ward-based) multiple cross-section mortality data and their application to the substantive issue of the persistent and widening inequalities in Wales. In this paper we examine all-cause deaths and mortality by specific disease classes for groups (quintiles) of wards ranked according to standard measures of material deprivation. Although there have been reductions in premature mortality across all deprivation groups in Wales, over the decade, the gap has widened between the most and least deprived areas. Mortality decline in the largest disease category (circulatory) was found to be significantly lower in the most deprived quintile of wards than in the rest of Wales. Compared with results from the North of England, mortality decline in Wales has been rather greater.

Suggested Citation

  • G Higgs & M L Senior & H C W L Williams, 1998. "Spatial and Temporal Variation of Mortality and Deprivation 1: Widening Health Inequalities," Environment and Planning A, , vol. 30(9), pages 1661-1682, September.
    • Handle: RePEc:sae:envira:v:30:y:1998:i:9:p:1661-1682
    DOI: 10.1068/a301661
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    References listed on IDEAS

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    1. Macintyre, Sally, 1997. "The black report and beyond what are the issues?," Social Science & Medicine, Elsevier, vol. 44(6), pages 723-745, March.
    2. Martyn Senior, 1998. "Area Variations in Self-perceived Limiting Long Term Illness in Britain, 1991: Is the Welsh Experience Exceptional?," Regional Studies, Taylor & Francis Journals, vol. 32(3), pages 265-280.
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    2. Norman, Paul & Boyle, Paul & Exeter, Daniel & Feng, Zhiqiang & Popham, Frank, 2011. "Rising premature mortality in the UK’s persistently deprived areas: Only a Scottish phenomenon?," Social Science & Medicine, Elsevier, vol. 73(11), pages 1575-1584.
    3. Angela Testi & Enrico Ivaldi, 2011. "Measuring Progress in Health through Deprivation Indexes," Review of Economics & Finance, Better Advances Press, Canada, vol. 1, pages 49-57, April.
    4. Barnett, Ross & Pearce, Jamie & Moon, Graham, 2005. "Does social inequality matter? Changing ethnic socio-economic disparities and Maori smoking in New Zealand, 1981-1996," Social Science & Medicine, Elsevier, vol. 60(7), pages 1515-1526, April.
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    8. Exeter, Daniel J. & Boyle, Paul J. & Norman, Paul, 2011. "Deprivation (im)mobility and cause-specific premature mortality in Scotland," Social Science & Medicine, Elsevier, vol. 72(3), pages 389-397, February.

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