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Centre for Policy on Ageing | |
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North-South disparities in English mortality 1965-2015
— longitudinal population study | | Author(s) | Iain E Buchan, Evangelos Kontopantelis, Matthew Sperrin, Tarani Chandola, Tim Doran |
| Journal title | Journal of Epidemiology & Community Health, vol 71, 7 August 2017 |
| Pages | pp 928-936 |
| Source | http://jech.bmj.com/content/71/9/928 |
| Keywords | Death rate [statistics] ; Longitudinal surveys ; Regional ; England. |
| Annotation | Social, economic and health disparities between northern and southern England have persisted, despite Government policies to reduce them. The authors examine long-term trends in premature mortality in northern and southern England across age groups, and whether mortality patterns changed after the 2008-2009 Great Recession. The source used is a population-wide longitudinal (1965-2015) study of mortality in England's five northernmost versus four southernmost Government Office Regions - halves of overall population. The study found that from 1965 to 2010, premature mortality (deaths per 10,000 aged 75+) declined from 64 to 28 in southern England versus 72 to 35 in northern England. From 2010 to 2015, the rate of decline in premature mortality plateaued in northern and southern England. For most age groups, northern excess mortality remained consistent from 1965 to 2015. For the 25-34 and 35-44 age groups, however, northern excess mortality increased sharply between 1995 and 2015: from 2.2% (95% CI -3.2% to 7.6%) to 29.3% (95% CI 21.0% to 37.6%); and 3.3% (95% CI -1.0% to 7.6%) to 49.4% (95% CI 42.8% to 55.9%), respectively. This was due to northern mortality increasing (ages 25-34) or plateauing (ages 35-44) from the mid-1990s, while southern mortality mainly declined. The study concludes that England's northern excess mortality has been consistent among those aged under 25 and 45+ for the past five decades, but risen alarmingly among those aged 25-44 since the mid-90s, long before the Great Recession. This profound and worsening structural inequality requires more equitable economic, social and health policies, including potential reactions to the England-wide loss of improvement in premature mortality. (RH). |
| Accession Number | CPA-170901002 A |
| Classmark | S5: 3J: 5CP: 82 * |
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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