Evidence map›Paper›PMID 29555873›Full record

ArticleJournal of epidemiology and community health2018

Increasing socioeconomic gap between the young and old: temporal trends in health and overall deprivation in England by age, sex, urbanity and ethnicity, 2004-2015.

Evangelos Kontopantelis, Mamas A Mamas, Harm van Marwijk, Iain Buchan, Andrew M Ryan, Tim Doran

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

6 authors.

Evangelos KontopantelisFaculty of Biology Medicine and Health, University of Manchester, Greater Manchester, UK.ORCID 0000-0001-6450-5815
Mamas A MamasCentre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University, Stoke-on-Trent, UK.
Harm van MarwijkFaculty of Biology Medicine and Health, University of Manchester, Greater Manchester, UK.ORCID 0000-0001-6206-485X
Iain BuchanFaculty of Biology Medicine and Health, University of Manchester, Greater Manchester, UK.ORCID 0000-0003-3392-1650
Andrew M RyanSchool of Public Health, University of Michigan, Ann Arbor, Michigan, USA.
Tim DoranDepartment of Health Sciences, University of York, York, UK.

Funding

Medical Research Council MC_PC_13042Medical Research Council MR/K006665/1
6 · The paper itself

Abstract

backgroundAt a low geographical level, little is known about the associations between population characteristics and deprivation, and their trends, which would be directly affected by the house market, labour pressures and government policies. We describe temporal trends in health and overall deprivation in England by age, sex, urbanity and ethnicity.

methodsRepeated cross-sectional whole population study for England, 2004-2015, at a low geographical level (average 1500 residents). We calculated weighted medians of the Index of Multiple Deprivation (IMD) for each subgroup of interest.

resultsOver time, we observed increases in relative deprivation for people aged under 30, and aged 30-59, while median deprivation decreased for those aged 60 or over. Subgroup analyses indicated that relative overall deprivation was consistently higher for young adults (aged 20-29) and infants (aged 0-4), with increases in deprivation for the latter. Levels of overall deprivation in 2004 greatly varied by ethnicity, with the lowest levels observed for White British and the highest for Blacks. Over time, small reductions were observed in the deprivation gap between White British and all other ethnic groups. Findings were consistent across overall IMD and its health and disability subdomain, but large regional variability was also observed.

conclusionsGovernment policies, the financial crisis of 2008, education funding and the increasing cost of houses relative to real wages are important parameters in interpreting our findings. Socioeconomic deprivation is an important determinant of health and the inequalities this work highlights may have significant implications for future fiscal and healthcare policy.

Indexed as

Health Status DisparitiesSocial ClassAdultAgedAge FactorsCross-Sectional StudiesEnglandEthnicityFemaleHumansMaleMiddle AgedSex FactorsUrban PopulationagedeprivationEnglandethnicityhealthIMDIndex of Multiple Deprivationruralitysex

Identifiers

PMID29555873
PMCPMC6031281

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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.