Spatial inequalities in life expectancy within postindustrial regions of Europe: a cross-sectional observational study

Taulbut, M., Walsh, D. , McCartney, G., Parcell, S., Hartmann, A., Poirier, G., Strniskova, D. and Hanlon, P. (2014) Spatial inequalities in life expectancy within postindustrial regions of Europe: a cross-sectional observational study. BMJ Open, 4(6), e004711. (doi: 10.1136/bmjopen-2013-004711) (PMID:24889851) (PMCID:PMC4054650)

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Abstract

Objectives To compare spatial inequalities in life expectancy (LE) in West Central Scotland (WCS) with nine other postindustrial European regions.<p></p> Design A cross-sectional observational study.<p></p> Setting WCS and nine other postindustrial regions across Europe.<p></p> Participants Data for WCS and nine other comparably deindustrialised European regions were analysed. Male and female LEs at birth were obtained or calculated for the mid-2000s for 160 districts within selected regions. Districts were stratified into two groups: small (populations of between 141 000 and 185 000 people) and large (populations between 224 000 and 352 000). The range and IQR in LE were used to describe within-region disparities.<p></p> Results In small districts, the male LE range was widest in WCS and Merseyside, while the IQR was widest in WCS and Northern Ireland. For women, the LE range was widest in WCS, though the IQR was widest in Northern Ireland and Merseyside. In large districts, the range and IQR in LE was widest in WCS and Wallonia for both sexes.<p></p> Conclusions Subregional spatial inequalities in LE in WCS are wide compared with other postindustrial mainland European regions, especially for men. Future research could explore the contribution of economic, social and political factors in reducing these inequalities.<p></p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Parcell, Miss Sophie and Hanlon, Professor Philip and Walsh, Dr David
Authors: Taulbut, M., Walsh, D., McCartney, G., Parcell, S., Hartmann, A., Poirier, G., Strniskova, D., and Hanlon, P.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Public Health
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN:2044-6055
ISSN (Online):2044-6055
Copyright Holders:Copyright © 2014 The Authors
First Published:First published in BMJ Open 4(6):e004711
Publisher Policy:Reproduced under a Creative Commons License

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