Peter Roderick
Biographic Data
| ID | 1379496 |
|---|---|
| NAME | Peter Roderick |
| GIVEN NAMES | Peter |
| FAMILY NAME | Roderick |
| SIGNATURE | RODERICK P |
| AFFILIATIONS | University of Southampton |
| ORCID | 0000-0001-9475-6850 |
| VERIFIED | Yes |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 73 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
The Struggles That Led to the Unwise Demise of the Public Health Laboratory Service, 1979–2003, in the Context of Changing Economic Policy
The Public Health Laboratory Service (PHLS) was an integral part of England’s post-war communicable disease control. Its central reference and surveillance facilities and network of laboratories in NHS hospitals was an international exemplar. Under neoliberal economic policy from the 1980s it faced intense scrutiny and expenditure constraints. Attempts to transfer its peripheral laboratories to the NHS were successfully opposed by arguing that pu…
Private sector expansion and the widening NHS treatment gap between rich and poor in England
Parliament has imposed duties on the government and NHS in England aimed at reducing health inequalities. AIM: to understand the effect on inequalities of government policies, which require the NHS in England to outsource elective surgery to the private sector. We analysed the numbers of admissions for hip and knee replacement surgery from the least and most deprived population quintiles in three time periods: before the introduction of the polic…
Mixed methods feasibility and usability testing of a childhood obesity risk estimation tool
SLOPE CORE could potentially be useful in clinical practice. It may support targeting limited resources towards families most at risk of childhood obesity. Further research is needed to explore how the tool might be efficiently incorporated into practice, and to evaluate the impact of the tool, and any subsequent interventions, on preventing childhood obesity
Clustering by multiple long-term conditions and social care needs
BACKGROUND : People with multiple long-term conditions (MLTC) face health and social care challenges. This study aimed to classify people by MLTC and social care needs (SCN) into distinct clusters and quantify the association between derived clusters and care outcomes. METHODS : A cross-sectional study was conducted using the English Longitudinal Study of Ageing, including people with up to 10 MLTC. Self-reported SCN was assessed through 13 measu…
Childhood overweight and obesity at the start of primary school
Tackling the childhood obesity epidemic can potentially be facilitated by risk-stratifying families at an early-stage to receive prevention interventions and extra support. Using data from the Born in Bradford (BiB) cohort, this analysis aimed to externally validate prediction models for childhood overweight and obesity developed as part of the Studying Lifecourse Obesity PrEdictors (SLOPE) study in Hampshire. BiB is a longitudinal multi-ethnic b…
How do we engage people in testing for Covid-19? A rapid qualitative evaluation of a testing programme in schools, GP surgeries and a university
Participants' and stakeholders' motivations, challenges and concerns need to be understood and these insights used to modify the programme in a continuous, real-time process to ensure and sustain engagement with testing over the extended period necessary. Community leaders and stakeholder organisations should be involved throughout programme development and implementation to optimise engagement
All coffee types decrease the risk of adverse clinical outcomes in chronic liver disease
The finding that all types of coffee are protective against CLD is significant given the increasing incidence of CLD worldwide and the potential of coffee as an intervention to prevent CLD onset or progression
Women living with multi-morbidity in the Greater Accra Region of Ghana
Defined as the co-occurrence of more than two chronic conditions, multi-morbidity has been described as a significant health care problem: a trend linked to a rise in non-communicable disease and an ageing population. Evidence on the experiences of living with multi-morbidity in middle-income countries (MICs) is limited. In high-income countries (HICs), multi-morbidity has a complex impact on health outcomes, including functional status, disabili…
Integrating the impact of cigarette and waterpipe tobacco use among adolescents in the Eastern Mediterranean Region
More research is warranted to refine our model's parameters. Tobacco control researchers should consider a move towards a single unit of measure for cigarette and waterpipe tobacco exposure in order to better inform health policy
Multimorbidity and the inequalities of global ageing
Multimorbidity is a global phenomenon, not just affecting older adults in HICs. Policy makers worldwide need to address these health inequalities, and support the complex service needs of a growing multimorbid population
Towards an understanding of the relationship of functional literacy and numeracy to geographical health inequalities
Chronic diseases and multi-morbidity - a conceptual modification to the WHO ICCC model for countries in health transition
Our proposed modification to the ICCC Framework makes clear that healthcare systems must work to make sense of the complex collision between biological phenomena, clinical interpretation, beliefs and behaviours that follow from these. We emphasize the integration of these issues with the socio-economic environment to address issues of complexity, access and equity in the integrated management of chronic diseases previously considered in isolation
PP55 Socioeconomic Status and Chronic Kidney Disease
Background Renal replacement therapy rates are higher in more deprived populations in developed countries. The relationship between population-level prevalence of chronic kidney disease (CKD) and socio-economic status (SES) is less clear. Albuminuria is also recognised as an independent risk factor for poor CKD outcomes but again little is known about its relationship with SES. The nationally representative Health Surveys for England (HSE) 2009 a…
PP56 Prevalence of Chronic Kidney Disease in Ethnic Minority Groupings
Background In the UK, people from South Asian and Black communities have higher rates of Renal Replacement Therapy (RRT) compared to the White population. It is not clear why ethnic minorities have such high rates: possibilities include a higher prevalence of Chronic Kidney Disease (CKD) or a faster rate of progression to End Stage Renal Failure (ESRF). This study aimed to examine ethnic variation in the prevalence of CKD by a range of socio-econ…
PS36 Probation and NHS Working Together to Reduce Health Inequalities
Background Offenders within the community are considered a socially excluded population experiencing poorer health than the general population and difficulties in accessing health care. There is little research focused on Community based offenders supervised by Probation. This study explored probation staff’s knowledge, perceptions and attitudes to offender health needs and access to health services. Methods Using information derived from qualita…
Prevalence of chronic kidney disease in England
Background Chronic kidney disease (CKD) is a global public health problem because it is common, independently associated with cardiovascular risk and may progress to endstage renal failure. There have been no population based survey estimates in the UK. Objective To determine nationally-representative population prevalence of CKD in adults in England, overall and by age, gender, and socio–economic status. To compare estimates using the current ro…
The ‘Day of Wrath’ as Musico-Political Statement in Dallapiccola's Canti di Prigionia
One of the most interesting modern ‘borrowings’ of the famous ‘Dies irae’ chant comes within the Italian composer Luigi Dallapiccola's Canti di Prigionia of 1938–1941. Written at a time of extreme political tension, the Canti were—from the composer's own testimony—a protest against Mussolini's introduction of the infamous racial laws in 1938. But while the composer's own hermeneutic proposes the ‘Dies irae’ as a symbolic representation of oppress…
Socio-economic status, ethnicity and geographical variations in acceptance rates for renal replacement therapy in England and Wales
BACKGROUND: It is not known to what extent the reported regional variations in renal replacement therapy (RRT) acceptance rates in England and Wales are due to differences in the socio-demographic characteristics of the population. METHODS: The authors calculated age-gender indirectly standardised RRT rates in 2007 for Primary Care Trusts (PCT)/Local Health Boards (LHB) in England and Wales and Government Office Regions (GOR) in England. Multivar…
Socioeconomic Disadvantage and Kidney Disease in the United States, Australia, and Thailand
Objectives. We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. Methods. We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United States, Thailand, and Australia. We used logistic regression to analyze the association of income, education, and employment with…
Taking the Bus
This paper is concerned with geographical access to hospital services by public transport. By taking advantage of newly available public transport timetable data, a software tool is developed for the analysis of bus travel times under specified journey scenarios. The example of population access to Derriford Hospital in Devon, England, is used to illustrate the application of these methods, and the social and spatial pattern of accessibility by b…
Variation in Hepatitis C services may lead to inequity of heath-care provision
There was significant variation in all aspects of the patient pathway which may contribute to inequity of health care provision. Services need to be expanded to form geographical clinical networks, and properly resourced to ensure greater uptake and more equitable delivery of services if the future burden of chronic liver disease is to be reduced
Peter Roderick responds
Inequalities in survival from colorectal cancer
Objective: To investigate whether socioeconomic deprivation is associated with cause specific and all cause survival for colorectal cancer and to what extent this is independent of significant prognostic factors. Design: Prospective cohort. Setting: The former Wessex Health Region, South West England. Participants: All patients resident in Wessex registered with a diagnosis of colorectal cancer over three years (n=5176). Survival analysis was car…
The role of performance indicators in changing the autonomy of the general practice profession in the UK
Increasing the sophistication of access measurement in a rural healthcare study
The (mis)Representation of Rural Deprivation
The authors consider the definition and measurement of deprivation and of rurality in the context of health-care research. Parallels are drawn between the methodological issues involved in the measurement of deprivation and of rurality. An empirical study of the South West of England reveals the extent of disagreement between standard rurality measures; in particular, the authors suggest that rural deprivation will be poorly represented by the co…
The role of performance indicators in changing the autonomy of the general practice profession in the UK
Increasing the sophistication of access measurement in a rural healthcare study
Inequalities in survival from colorectal cancer
Objective: To investigate whether socioeconomic deprivation is associated with cause specific and all cause survival for colorectal cancer and to what extent this is independent of significant prognostic factors. Design: Prospective cohort. Setting: The former Wessex Health Region, South West England. Participants: All patients resident in Wessex registered with a diagnosis of colorectal cancer over three years (n=5176). Survival analysis was car…
Taking the Bus
This paper is concerned with geographical access to hospital services by public transport. By taking advantage of newly available public transport timetable data, a software tool is developed for the analysis of bus travel times under specified journey scenarios. The example of population access to Derriford Hospital in Devon, England, is used to illustrate the application of these methods, and the social and spatial pattern of accessibility by b…
The need and demand for renal replacement therapy in ethnic minorities in England
STUDY OBJECTIVE: The study aimed to determine the relative risk of being accepted for renal replacement treatment of black and Asian populations compared with whites in relation to age, sex, and underlying cause. The implications for population need for renal replacement therapy in these populations and for the development of renal services were also considered. DESIGN/SETTING: This was a cross sectional retrospective survey of all patients accep…
Towards an understanding of the relationship of functional literacy and numeracy to geographical health inequalities
Socioeconomic Disadvantage and Kidney Disease in the United States, Australia, and Thailand
Objectives. We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. Methods. We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United States, Thailand, and Australia. We used logistic regression to analyze the association of income, education, and employment with…
Prevalence of chronic kidney disease in England
Background Chronic kidney disease (CKD) is a global public health problem because it is common, independently associated with cardiovascular risk and may progress to endstage renal failure. There have been no population based survey estimates in the UK. Objective To determine nationally-representative population prevalence of CKD in adults in England, overall and by age, gender, and socio–economic status. To compare estimates using the current ro…
Developing care in the community
Services for HIV infection and AIDS in Parkside DHA have been largely hospital based with little active involvement of local GPs. In response to the wishes of those with HIV/AIDS and predicted increases in the number of patients the DHA is now developing an AIDS strategy which identifies the development of primary and community care as a major objective. A postal survey of all 263 GPs within the DHA was undertaken in order to ascertain their view…
The need and demand for renal replacement therapy in ethnic minorities in England
STUDY OBJECTIVE: The study aimed to determine the relative risk of being accepted for renal replacement treatment of black and Asian populations compared with whites in relation to age, sex, and underlying cause. The implications for population need for renal replacement therapy in these populations and for the development of renal services were also considered. DESIGN/SETTING: This was a cross sectional retrospective survey of all patients accep…
Geographical aspects of the uptake of renal replacement therapy in England
The National Renal Review provides a complete picture of new patients treated by renal replacement therapy (RRT) in England in 1991–92. RRT is a lifesaving treatment for patients with endstage renal failure. This paper describes an analysis of the review data using multilevel modelling to assess the effects of age, sex, ethnicity, deprivation, access and supply factors on acceptance onto RRT. In particular, we focus on the additional effect of de…
The impact of stroke on informal carers
The (mis)Representation of Rural Deprivation
The authors consider the definition and measurement of deprivation and of rurality in the context of health-care research. Parallels are drawn between the methodological issues involved in the measurement of deprivation and of rurality. An empirical study of the South West of England reveals the extent of disagreement between standard rurality measures; in particular, the authors suggest that rural deprivation will be poorly represented by the co…
Increasing the sophistication of access measurement in a rural healthcare study
Inequalities in survival from colorectal cancer
Objective: To investigate whether socioeconomic deprivation is associated with cause specific and all cause survival for colorectal cancer and to what extent this is independent of significant prognostic factors. Design: Prospective cohort. Setting: The former Wessex Health Region, South West England. Participants: All patients resident in Wessex registered with a diagnosis of colorectal cancer over three years (n=5176). Survival analysis was car…
The role of performance indicators in changing the autonomy of the general practice profession in the UK
Peter Roderick responds
Variation in Hepatitis C services may lead to inequity of heath-care provision
There was significant variation in all aspects of the patient pathway which may contribute to inequity of health care provision. Services need to be expanded to form geographical clinical networks, and properly resourced to ensure greater uptake and more equitable delivery of services if the future burden of chronic liver disease is to be reduced
Socioeconomic Disadvantage and Kidney Disease in the United States, Australia, and Thailand
Objectives. We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. Methods. We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United States, Thailand, and Australia. We used logistic regression to analyze the association of income, education, and employment with…
Taking the Bus
This paper is concerned with geographical access to hospital services by public transport. By taking advantage of newly available public transport timetable data, a software tool is developed for the analysis of bus travel times under specified journey scenarios. The example of population access to Derriford Hospital in Devon, England, is used to illustrate the application of these methods, and the social and spatial pattern of accessibility by b…
The ‘Day of Wrath’ as Musico-Political Statement in Dallapiccola's Canti di Prigionia
One of the most interesting modern ‘borrowings’ of the famous ‘Dies irae’ chant comes within the Italian composer Luigi Dallapiccola's Canti di Prigionia of 1938–1941. Written at a time of extreme political tension, the Canti were—from the composer's own testimony—a protest against Mussolini's introduction of the infamous racial laws in 1938. But while the composer's own hermeneutic proposes the ‘Dies irae’ as a symbolic representation of oppress…
Socio-economic status, ethnicity and geographical variations in acceptance rates for renal replacement therapy in England and Wales
BACKGROUND: It is not known to what extent the reported regional variations in renal replacement therapy (RRT) acceptance rates in England and Wales are due to differences in the socio-demographic characteristics of the population. METHODS: The authors calculated age-gender indirectly standardised RRT rates in 2007 for Primary Care Trusts (PCT)/Local Health Boards (LHB) in England and Wales and Government Office Regions (GOR) in England. Multivar…
Prevalence of chronic kidney disease in England
Background Chronic kidney disease (CKD) is a global public health problem because it is common, independently associated with cardiovascular risk and may progress to endstage renal failure. There have been no population based survey estimates in the UK. Objective To determine nationally-representative population prevalence of CKD in adults in England, overall and by age, gender, and socio–economic status. To compare estimates using the current ro…
PS36 Probation and NHS Working Together to Reduce Health Inequalities
Background Offenders within the community are considered a socially excluded population experiencing poorer health than the general population and difficulties in accessing health care. There is little research focused on Community based offenders supervised by Probation. This study explored probation staff’s knowledge, perceptions and attitudes to offender health needs and access to health services. Methods Using information derived from qualita…
PP55 Socioeconomic Status and Chronic Kidney Disease
Background Renal replacement therapy rates are higher in more deprived populations in developed countries. The relationship between population-level prevalence of chronic kidney disease (CKD) and socio-economic status (SES) is less clear. Albuminuria is also recognised as an independent risk factor for poor CKD outcomes but again little is known about its relationship with SES. The nationally representative Health Surveys for England (HSE) 2009 a…
PP56 Prevalence of Chronic Kidney Disease in Ethnic Minority Groupings
Background In the UK, people from South Asian and Black communities have higher rates of Renal Replacement Therapy (RRT) compared to the White population. It is not clear why ethnic minorities have such high rates: possibilities include a higher prevalence of Chronic Kidney Disease (CKD) or a faster rate of progression to End Stage Renal Failure (ESRF). This study aimed to examine ethnic variation in the prevalence of CKD by a range of socio-econ…
Chronic diseases and multi-morbidity - a conceptual modification to the WHO ICCC model for countries in health transition
Our proposed modification to the ICCC Framework makes clear that healthcare systems must work to make sense of the complex collision between biological phenomena, clinical interpretation, beliefs and behaviours that follow from these. We emphasize the integration of these issues with the socio-economic environment to address issues of complexity, access and equity in the integrated management of chronic diseases previously considered in isolation
Multimorbidity and the inequalities of global ageing
Multimorbidity is a global phenomenon, not just affecting older adults in HICs. Policy makers worldwide need to address these health inequalities, and support the complex service needs of a growing multimorbid population
Towards an understanding of the relationship of functional literacy and numeracy to geographical health inequalities
Integrating the impact of cigarette and waterpipe tobacco use among adolescents in the Eastern Mediterranean Region
More research is warranted to refine our model's parameters. Tobacco control researchers should consider a move towards a single unit of measure for cigarette and waterpipe tobacco exposure in order to better inform health policy
Women living with multi-morbidity in the Greater Accra Region of Ghana
Defined as the co-occurrence of more than two chronic conditions, multi-morbidity has been described as a significant health care problem: a trend linked to a rise in non-communicable disease and an ageing population. Evidence on the experiences of living with multi-morbidity in middle-income countries (MICs) is limited. In high-income countries (HICs), multi-morbidity has a complex impact on health outcomes, including functional status, disabili…
All coffee types decrease the risk of adverse clinical outcomes in chronic liver disease
The finding that all types of coffee are protective against CLD is significant given the increasing incidence of CLD worldwide and the potential of coffee as an intervention to prevent CLD onset or progression
Childhood overweight and obesity at the start of primary school
Tackling the childhood obesity epidemic can potentially be facilitated by risk-stratifying families at an early-stage to receive prevention interventions and extra support. Using data from the Born in Bradford (BiB) cohort, this analysis aimed to externally validate prediction models for childhood overweight and obesity developed as part of the Studying Lifecourse Obesity PrEdictors (SLOPE) study in Hampshire. BiB is a longitudinal multi-ethnic b…
Medicine (27 works) · Environmental health (17 works) · Population (14 works) · Internal Medicine (11 works) · Demography (10 works) · Public health (10 works) · Chronic Disease Management Strategies (9 works) · Gerontology (9 works) · Gerontology (9 works) · Nursing (8 works)