Evidence map›Paper›PMID 28733304›Full record

ArticleBMJ open2017

How do trends in mortality inequalities by deprivation and education in Scotland and England & Wales compare? A repeat cross-sectional study.

Gerry McCartney, Frank Popham, Srinivasa Vittal Katikireddi, David Walsh, Lauren Schofield

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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  11. Disparities in Cancer-Related Avoidable Mortality by the Level of Area Deprivation in South Korea.International journal of environmental research and public health · 2021
    Article
  12. Article
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  15. The Social Determinants of Health: Time to Re-Think?International journal of environmental research and public health · 2020
    Review
  16. Article
  17. Educational Inequalities in Self-Rated Health in Europe and South Korea.International journal of environmental research and public health · 2020
    Article
  18. Article
  19. Article
  20. Article
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

5 authors.

Gerry McCartneyPublic Health Science Directorate, NHS Health Scotland, Glasgow, Scotland.
Frank PophamCSO/MRC Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland.
Srinivasa Vittal KatikireddiCSO/MRC Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland.
David WalshGlasgow Centre for Population Health, Glasgow, Scotland.
Lauren SchofieldPublic Health Intelligence, NHS National Services Scotland, Edinburgh, Scotland.

Funding

Chief Scientist Office SCAF/15/02Chief Scientist Office SPHSU13Medical Research Council MC_UU_12017/13
6 · The paper itself

Abstract

objectiveTo compare the trends in mortality inequalities by educational attainment with trends using area deprivation.

settingScotland and England & Wales (E&W).

participantsAll people resident in Scotland and E&W between 1981 and 2011 aged 35-79 years. PRIMARY OUTCOME MEASURES: Absolute inequalities (measured using the Slope Index of Inequality (SII)) and relative inequalities (measured using the Relative Index of Inequality (RII)) in all-cause mortality.

resultsRelative inequalities in mortality by area deprivation have consistently increased for men and women in Scotland and E&W between 1981-1983 and 2010-2012. Absolute inequalities increased for men and women in Scotland, and for women in E&W, between 1981-1983 and 2000-2002 before subsequently falling. For men in E&W, absolute inequalities were more stable until 2000-2002 before a subsequent decline. Both absolute and relative inequalities were consistently higher in men and in Scotland. These trends contrast markedly with the reported declines in mortality inequalities by educational attainment and apparent improvement of Scotland's inequalities with those in E&W.

conclusionsTrends in health inequalities differ when assessed using different measures of socioeconomic status, reflecting either genuinely variable trends in relation to different aspects of social stratification or varying error or bias. There are particular issues with the educational attainment data in Great Britain prior to 2001 that make these education-based estimates less certain.

Indexed as

Educational StatusHealth Status DisparitiesPovertySocial ClassAdultAgedCross-Sectional StudiesEnglandFemaleHumansMaleMiddle AgedMortalityScotlandSocioeconomic FactorsWalesdeprivationeducationEngland & Waleshealth inequalitiesscotland

Identifiers

PMID28733304
PMCPMC5642664

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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.