A Comparison of Health Inequalities in Urban and Rural Scotland  

Oleh:

Levin, Kate A. ; Leyland, Alastair H.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 6 (Mar. 2006), page 1457-1464.
Topik: health; health inequalities; urban / rural; multilevel modelling; scotland; UK; mortality

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Previous research suggests that there are significant difefrences in health between urban and rural areas. Health inequalities between the deprived and affluent in scotland have been rising over time. The aim of this study was to examine health inequalities between deprived and affluent areas of scotland for differing ruralities and look at how these have changed over time. Postocde sectors in scotland were ranked by deprivation and the 20 % most affluent and 20% most deprived areas were found using the carstairs indicator and male unemployment. Scotland was then split into rurality types. Ratios of health status between the most deprived and the most affluent areas were investigated using all cause mortality for the scottish population, 1979 - 2001. There were calculated over time for 1979 - 1983 , 1989 - 1993 , 1998 - 2001. Multilevel poisson modelling was carried out for all of scotland excluding grampian to assess inequalitites in the population. There was an increase in inequalities between 1981 and 2001, which was greatest in remote rural scotland for both males and females, however male health inequalities remained higher in urban areas throughout this period. In 2001 female health inequalities were higher in remote rural areas than urban areas. Health inequalitites amongst the elderly (aged 65 +) in 2001 were greater in more rural scotland than urban areas for both males and females.

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