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Vulnerability to winter mortality in elderly people in Britain
 — population based study
Author(s)Paul Wilkinson, Sam Pattenden, Ben Armstrong
Journal titleBritish Medical Journal, vol 329, no 7467, 18 September 2004
Pagespp 647-651
Sourcehttp://www.bmj.com
KeywordsDeath rate [statistics] ; Weather conditions ; Winter care ; Longitudinal surveys.
AnnotationBritain has a large burden of excess winter deaths, much of which is attributable to the effects of cold. Some 1.4 to 2 million households in England are in fuel poverty - that is, they would have to spend more than 10% of their income to heat the home to an adequate temperature. In this population-based cohort study (119,389 person years of follow up) of people aged 75+ registered with 106 general practices, 10,129 deaths were determined by follow-up through the Office for National Statistics (ONS). Month to month variation accounted for 17% of annual all-cause mortality, but only 7.8% after adjustment for temperature. There was no evidence that socio-economic deprivation or self-reported financial worries were predictive of winter death, although female sex and a history of respiratory illness may confer vulnerability. Public health policies to reduce the burden of winter deaths in Britain will need to be broad-based and to consider measures additional to those aimed at tackling fuel poverty. (RH).
Accession NumberCPA-041004205 A
ClassmarkS5: R4: IB: 3J *

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