Document Detail


Deprivation and mortality in Scotland, 1981 and 1991.
MedLine Citation:
PMID:  7804046     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the mortality experience of Scottish postcode sectors characterised by socioeconomic census variables (Carstairs scores) in 1980-2 and 1990-2. METHODS: Variables derived from the 1981 and 1991 censuses were combined according to the method devised by Carstairs and Morris to obtain Carstairs scores for 1010 postcode sectors in Scotland in 1981 and 1001 sectors in 1991. For most analyses, these scores were grouped into seven deprivation categories ranging from affluent (category 1) to deprived (category 7) localities. MAIN OUTCOME MEASURES: Death rates and standardised mortality ratios for localities according to deprivation category. RESULTS: Postcode sectors in Scotland that were categorised as deprived in 1981 were relatively more deprived at the time of the 1991 census; the mortality experience of deprived localities relative to either Scotland or affluent neighbourhoods worsened over this period, with a 162% difference between the most affluent and most deprived categories in 1991-2. Although the age and sex standardised mortality for ages 0-64 in Scotland declined by 22% during the 1980s, the reduction in the deprived categories was only about half that of the affluent groups. Increases in the death rate for men (29%) and women (11%) aged 20-29 in the deprived groups were largely attributable to an increase in the rates of suicide. Death rates from ischaemic heart disease and carcinoma of the lung and bronchus at ages 40-69 were lower in all deprivation categories in 1990-2, but the reduction was greater in more affluent areas; the difference in rates for these conditions between affluent and deprived groups therefore increased over the decade. The observed worsening of the standardised mortality ratio for Glasgow relative to Scotland could be explained on the basis of these mortality differentials and the concentration of deprived postcode sectors in Glasgow. CONCLUSIONS: Differences in mortality experience linked to relative poverty increased in the 10 years between 1981 and 1991 censuses. Although mortality for Scotland as a whole is improving, the picture is one of an increasing distinction between the experience of the majority and that of a substantial minority of the population.
Authors:
P McLoone; F A Boddy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  309     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-01-30     Completed Date:  1995-01-30     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1465-70     Citation Subset:  AIM; IM    
Affiliation:
Public Health Research Unit, University of Glasgow.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Bronchial Neoplasms / mortality
Cause of Death
Female
Humans
Lung Neoplasms / mortality
Male
Middle Aged
Mortality* / trends
Myocardial Ischemia / mortality
Poverty*
Scotland / epidemiology
Sex Distribution
Suicide
Comments/Corrections
Comment In:
BMJ. 1995 Feb 11;310(6976):398-9   [PMID:  7866227 ]
BMJ. 1994 Dec 3;309(6967):1478-9   [PMID:  7804049 ]

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


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