Dying younger in Scotland

Trends in mortality and deprivation relative to England and Wales, 1981–2011

Dados Bibliográficos

ID12544476
AutoresLauren Schofield (National Health Service Scotland), D Walsh (0000-0002-3390-5039, Glasgow Centre for Population Health, autor correspondente), Rosalia Munoz-Arroyo (National Health Service Scotland), Gerry Mccartney (0000-0001-6341-3521, Public Health Scotland), Duncan Buchanan (0000-0002-6784-0034, National Health Service Scotland), Richard Lawder (National Health Service Scotland), Matthew Armstrong (0000-0001-6556-7452), Matthew C Armstrong (0000-0003-4814-8138, National Health Service Scotland), Ruth Dundas (0000-0002-3836-4286, University of Glasgow), Alastair H Leyland (0000-0003-3741-7099, University of Glasgow)
Ano2016
Volume40
Páginas106-115
Data de publicação2016-05-25
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth & Place (JOURNAL)
Identificadores do periódicoISSN: 1353-8292 • E-ISSN: 1873-2054
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.healthplace.2016.05.007
PMID27235691
OpenAlexW2400097490
IdiomaEN
Citações recebidas17
Referências citadas37

Given previous evidence that not all Scotland's higher mortality compared to England & Wales (E&W) can be explained by deprivation, the aim was to enhance understanding of this excess by analysing changes in deprivation and mortality in Scotland and E&W between 1981 and 2011. Mortality was compared by means of direct standardisation and log-linear Poisson regression models, adjusting for age, sex and deprivation. Different measures of deprivation were employed, calculated at different spatial scales. Results show that Scotland became less deprived compared to E&W between 1981 and 2011. However, the Scottish excess (the difference in mortality rates relative to E&W after adjustment for deprivation) increased from 4% higher (c.1981) to 10% higher in 2010-12. The latter figure equates to c. 5000 extra deaths per year. The increase was driven by higher mortality from cancer, suicide, alcohol related causes and drugs-related poisonings. The size and increase in Scottish excess mortality are major concerns. Investigations into its underlying causes continue, the findings of which will be relevant to other populations, given that similar excesses have been observed elsewhere in Britain

Confidence interval · Ecological study · Excess mortality · Geography · Mortality rate · Northern ireland · Poisson regression · Political science · Population · Relative deprivation · Relative risk · Social deprivation · Sociology · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · History · Medicine · Psychology