Document Detail


Deprivation and excess winter mortality.
MedLine Citation:
PMID:  10562869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effect of material deprivation on the winter rise in mortality and temperature dependent variations in mortality. DESIGN: Ecological comparison of seasonal mortality at electoral ward level. Main outcome measures were ratios of winter to rest of the year mortality rates (seasonality ratios) and monthly deaths as the outcome variable in a model with monthly average temperature and Townsend score as main predictors. SETTING: Croydon, London, United Kingdom. SUBJECTS: All deaths of Croydon residents for the period 1990-1995. MAIN RESULTS: There was a clear relation between overall mortality and deprivation. There was no evidence of a relation between age and sex standardised seasonality ratios and Townsend scores for all deaths (Kendall's tau = -0.066, p = 0.63) or cardiovascular deaths or respiratory deaths. There was no evidence of an interaction between Townsend score and temperature in the model of ward mortality rates (p = 0.73). These findings were not affected by exclusion of deaths of nursing and residential home residents. CONCLUSION: This study provides no evidence of an effect of deprivation on excess winter mortality or temperature dependent variations in mortality. The findings question simple assumptions about the relation between deprivation and excess winter mortality and highlight the need for further study to guide interventions.
Authors:
S Shah; J Peacock
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  53     ISSN:  0143-005X     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-11-23     Completed Date:  1999-11-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  499-502     Citation Subset:  IM    
Affiliation:
Department of Public Health, Croydon Health Authority.
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MeSH Terms
Descriptor/Qualifier:
Cold Temperature
Humans
London / epidemiology
Mortality*
Poverty Areas*
Regression Analysis
Residence Characteristics
Seasons*
Comments/Corrections
Comment In:
J Epidemiol Community Health. 1999 Dec;53(12):807   [PMID:  10656091 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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