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Centre for Policy on Ageing | |
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Are socioeconomic inequalities in mortality decreasing or increasing within some British regions?
— an observational study, 1990-1998 | | Author(s) | Philip Rees, Dominic Brown, Paul Norman |
| Journal title | Journal of Public Health Medicine, vol 25, no 3, September 2003 |
| Pages | pp 208-214 |
| Keywords | Death rate [statistics] ; Age group distribution statistics ; Poverty ; Longitudinal surveys ; Eastern England ; Northern England. |
| Annotation | Claims in a recent study that inequalities in small area mortality have lessened, are evaluated. The authors examine the effects of four differently estimated ward populations on time trends in age-specific mortality rates in Yorkshire and the Humber and Eastern England. Each method introduces an increasing amount of information. Age-specific mortality rates for age groups 45-54, 55-64, 65-74, and 75-84 in both areas were calculated for population-weighted deprivation quintiles; inequality was tracked using ratios of rates in the most deprived quintiles divided by those in the least. When constant 1991 populations are used, rate ratios decrease for all age-sex groups, including shrinking inequality. When a method adjusting small area populations to official district estimates is used, both decreases and increases are observed in the mortality rate ratios. When small area populations are cohort-survived and adjusted to district populations, most differences in rate ratios indicate increasing inequality. When a method is used that includes information on migration and special populations, then seven out of eight age-sex groups exhibit increasing inequality. A judgement about trends in mortality inequality is highly dependent on the denominator population used. Simpler estimation methods result in convergence of rate ratios, whereas more sophisticated methods result in increasing inequalities in most age-sex groups. (RH). |
| Accession Number | CPA-031022209 A |
| Classmark | S5: S6: W6: 3J: 82EA: 82N |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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