Dying younger in Scotland: trends in mortality and deprivation relative to England and Wales, 1981-2011

Schofield, L., Walsh, D., Munoz-Arroyo, R., McCartney, G., Buchanan, D., Lawder, R., Armstrong, M., Dundas, R. and Leyland, A. H. (2016) Dying younger in Scotland: trends in mortality and deprivation relative to England and Wales, 1981-2011. Health and Place, 40, pp. 106-115. (doi:10.1016/j.healthplace.2016.05.007) (PMID:27235691)

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Abstract

Given previous evidence that not all Scotland’s higher mortality compared to England & Wales (E&W) can be explained by deprivation, the aim was to enhance understanding of this excess by analysing changes in deprivation and mortality in Scotland and E&W between 1981 and 2011. Mortality was compared by means of direct standardisation and log-linear Poisson regression models, adjusting for age, sex and deprivation. Different measures of deprivation were employed, calculated at different spatial scales. Results show that Scotland became less deprived compared to E&W between 1981 and 2011. However, the Scottish excess (the difference in mortality rates relative to E&W after adjustment for deprivation) increased from 4% higher (c.1981) to 10% higher in 2010-12. The latter figure equates to c. 5,000 extra deaths per year. The increase was driven by higher mortality from cancer, suicide, alcohol related causes and drugs-related poisonings. The size and increase in Scottish excess mortality are major concerns. Investigations into its underlying causes continue, the findings of which will be relevant to other populations, given that similar excesses have been observed elsewhere in Britain.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Leyland, Professor Alastair and Walsh, Mr David and Dundas, Ms Ruth
Authors: Schofield, L., Walsh, D., Munoz-Arroyo, R., McCartney, G., Buchanan, D., Lawder, R., Armstrong, M., Dundas, R., and Leyland, A. H.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Public Health
Journal Name:Health and Place
Publisher:Elsevier
ISSN:1353-8292
ISSN (Online):1873-2054
Copyright Holders:Copyright © 2016 The Authors
First Published:First published in Health and Place 40:106-115
Publisher Policy:Reproduced under a Creative Commons License
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727651SPHSU Core Renewal: Measuring and Analysing Socioeconomic Inequalities in Health Research ProgrammeAlastair LeylandMedical Research Council (MRC)MC_UU_12017/13IHW - MRC/CSO SPHU