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: | Walsh, Dr David and Leyland, Professor Alastair and Dundas, Professor 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 > School of Health & Wellbeing > MRC/CSO SPHSU College of Medical Veterinary and Life Sciences > School of Health & 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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