Evidence map›Paper›PMID 21148178›Full record

ArticleEuropean journal of public health2012

International differences in self-reported health measures in 33 major metropolitan areas in Europe.

Linsay Gray, Juan Merlo, Jennifer Mindell, Johan Hallqvist, Jean Tafforeau, Dermot O'Reilly, Enrique Regidor, Øyvind Næss, Cecily Kelleher, Satu Helakorpi and 2 more

Abstract readComparative Study
In one paragraph

Article in European journal of public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  14. What does Self Rated Mental Health Represent.Journal of public health research · 2014
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Linsay GrayMRC/CSO Social and Public Health Sciences Unit, Glasgow, UK. l.gray@sphsu.mrc.ac.uk
Juan Merlo
Jennifer Mindell
Johan Hallqvist
Jean Tafforeau
Dermot O'Reilly
Enrique Regidor
Øyvind Næss
Cecily Kelleher
Satu Helakorpi
Cornelia Lange
Alastair H Leyland

Funding

Chief Scientist Office SPHSU2Chief Scientist Office WBSU.1300.00.001.00013.01Medical Research Council MC_U130059823
6 · The paper itself

Abstract

backgroundThe increasing concentration of populations into large conurbations in recent decades has not been matched by international health assessments, which remain largely focused at the country level. We aimed to demonstrate the use of routine survey data to compare the health of large metropolitan centres across Europe and determine the extent to which differences are due to socio-economic factors.

methodsMultilevel modelling of health survey data on 126,853 individuals from 33 metropolitan areas in the UK, Republic of Ireland, Sweden, Norway, Finland, Spain, Belgium and Germany compared general health, longstanding illness, acute sickness, psychological distress and obesity with the average for all areas, accounting for education and social class.

resultsWe found some areas (Greater Glasgow; Greater Manchester, Cheshire and Merseyside; Northumberland, Tyne and Wear and South Yorkshire) had significantly higher levels of poor health. Other areas (West Flanders and Antwerp) had better than average health. Differences in individual socio-economic circumstances did not explain findings. With a few exceptions, acute sickness levels did not vary.

conclusionHealth tended to be worse in metropolitan areas in the north and west of the UK and the central belt and south east of Germany, and more favourable in Sweden and north west Belgium, even accounting for socio-economic composition of local populations. This study demonstrated that combining national health survey data covering different areas is viable but not without technical difficulties. Future comparisons between European regions should be made using standardized sampling, recruitment and data collection protocols, allowing proper monitoring of health inequalities.

Indexed as

Health Status IndicatorsAdolescentAdultAgedAged, 80 and overCitiesEuropeFemaleHealth SurveysHumansMaleMiddle AgedYoung Adult

Identifiers

PMID21148178
PMCPMC3265749

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.