McMinn, M. , Seaman, R. , Dundas, R. , Pell, J. P. and Leyland, A. H. (2022) 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, 28(3), e2835. (doi: 10.1002/psp.2385) (PMID:35411206) (PMCID:PMC7612592)
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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: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | McMinn, Dr Megan and Seaman, Dr Rosie and Pell, Professor Jill and Leyland, Professor Alastair 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 > School of Health & Wellbeing > MRC/CSO SPHSU College of Medical Veterinary and Life Sciences > School of Health & 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 28(3): e2385 |
| Publisher Policy: | Reproduced under a Creative Commons licence |
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