Socio‐economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010

McMinn, M. , Seaman, R. , Dundas, R. , Pell, J. P. and Leyland, A. H. (2020) Socio‐economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010. Population, Space and Place, (doi: 10.1002/psp.2385) (Early Online Publication)

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Abstract

Socio‐economic inequalities in amenable mortality rates are increasing across Europe, which is an affront to universal healthcare systems where the numbers of, and inequalities in, amenable deaths should be minimal and declining over time. However, the fundamental causes theory proposes that inequalities in health will be largest across preventable causes, where unequally distributed resources can be used to gain an advantage. Information on individual‐level inequalities that may better reflect the fundamental causes remains limited. We used the Scottish Longitudinal Study, with follow‐up to 2010 to examine trends in amenable mortality by a range of socio‐economic position measures. Large inequalities were found for all measures of socio‐economic position and were lowest for educational attainment, higher for social class and highest for social connection. To reduce inequalities, amenable mortality needs to be interpreted both as an indicator of healthcare quality and as a reflection of the unequal distribution of socio‐economic resources.

Item Type:Articles
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:McMinn, Dr Megan and Pell, Professor Jill and Leyland, Professor Alastair and Seaman, Dr Rosie and Dundas, Professor Ruth
Authors: McMinn, M., Seaman, R., Dundas, R., Pell, J. P., and Leyland, A. H.
College/School:College of Medical Veterinary and Life Sciences
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Public Health
Journal Name:Population, Space and Place
Publisher:Wiley
ISSN:1544-8444
ISSN (Online):1544-8452
Published Online:22 September 2020
Copyright Holders:Copyright © 2020 The Authors
First Published:First published in Population, Space and Place 2020
Publisher Policy:Reproduced under a Creative Commons licence

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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
Chief Scientist Office (CSO)SPHSU13