Updating Edwin Chadwick's seminal work on geographical inequalities by occupation

To honour the 175th anniversary of Edwin Chadwick's seminal 'Report on the Sanitary Conditions of the Labouring Poor', we update Chadwick's famous analysis of geographical differences in occupational based inequalities. Much of the field of Health Geography owes both its direction of development and its initial impetus to his 1842 report. The report presented evidence for the importance of local context to health, with individuals of the lowest occupations in Rutland living longer than individuals of the highest occupations in Liverpool. Here we update the 1842 analysis using data from the Office of National Statistics on individual mortality records by occupation (2010-12) and population data from the 2011 Census. Sex-specific directly standardised premature (16-74) mortality rates were calculated for hierarchical occupational categories similar to Chadwick's categories, for the nearest equivalent areas to those used in Chadwick's report. Although there is no longer consistent evidence on individuals in the lowest occupational group having lower mortality rates than those in the highest group, there were clear social gradients in mortality within each area and the extent of these inequalities varied between areas. Individuals who live in Rutland had lower premature mortality rates across each occupational group compared to the other areas. Our results demonstrate that while life expectancy has nearly doubled since Chadwick's report, social and spatial inequalities in health have persisted. We suggest that Chadwick's legacy on the importance of locality continues

Census · Context (archaeology · Demographic economics · Geography · Honour · Inequality · Life expectancy · Mortality rate · Population · Population health · Public health · Social inequality · Sociology · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Medicine · Gerontology

• Building Equality

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  Incluir item

• A vision of social justice as the foundation of public health

  Nancy Krieger, Anne-Emanuelle Birn et al.•American Journal of Public Health•1998

  Incluir item

• A century of inequality in England and Wales using standardized geographical units

  Open Access•Ian Gregory, Daniel Dorling et al.•Area•2001

  Incluir item

• Economic Growth, Disruption, Deprivation, Disease, and Death

  Simon Szreter•Population and Development Review•1997

  Incluir item

• Urban-Rural Mortality Differentials

  Open Access•Robert Woods, Bob Woods•Population and Development Review•2003

  Incluir item

• Report on the Sanitary Conditions of the Labouring Population of Great Britain

  David I Gaines, Edwin Chadwick et al.•Technology and Culture•1967

  Incluir item

• Urbanization, Mortality, and the Standard of Living Debate

  Open Access•Simon Szreter, Gerry Mooney et al.•The Economic History Review•1998

  Incluir item

• The Geography of Inequality

  Open Access•J R Logan, Elisabeta Minca et al.•Sociology of Education•2012

  Incluir item