ArticleBMJ open2019
What are the social predictors of accident and emergency attendance in disadvantaged neighbourhoods? Results from a cross-sectional household health survey in the north west of England.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Exploring the Nexus Between Wider Housing Inequalities and Health: Evidence Mapping and Bibliometric Network Analysis.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Review
- Impact of public hospital restructuring on the admission of elderly residents in Japan: a regional population-based study.BMC health services research · 2026Article
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- Clinical risk factors for unscheduled health care attendance for chronic pain management, and associated treatment costs.Pain reports · 2025Article
- Frequent Users of Emergency Departments: Analysis of the Characteristics and Geographical Distribution in a Local Health Authority in Rome, Italy.Healthcare (Basel, Switzerland) · 2025Article
- Did a national extended access scheme translate to improvements in patient experience to GP services in England? A retrospective observational study using patient-level data from the English GP patient survey.BMC health services research · 2025Observational
- Comparing natural language processing representations of coded disease sequences for prediction in electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Article
- Mortality risk following self-harm in young people: a population cohort study using the Northern Ireland Registry of Self-Harm.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- Socioeconomic differences in older adults' unplanned hospital admissions: the role of health status and social network.Age and ageing · 2023Article
- A multi-granular stacked regression for forecasting long-term demand in Emergency Departments.BMC medical informatics and decision making · 2023Article
- Burden and patient characteristics associated with repeat consultation for unscheduled care within 30 days in primary care: a retrospective case control study with implications for aging and public health.Frontiers in public health · 2023Article
- The analysis of the geographical distribution of emergency departments' frequent users: a tool to prioritize public health policies?BMC public health · 2021Article
- Investigation of SARS-CoV-2 faecal shedding in the community: a prospective household cohort study (COVID-LIV) in the UK.BMC infectious diseases · 2021Observational
- The value of involving patients and public in health services research and evaluation: a qualitative study.Research involvement and engagement · 2021Article
- Socio-economic predictors of time to care home admission in people living with dementia in Wales: A routine data linkage study.International journal of geriatric psychiatry · 2021Article
- Article
- The influence of personal communities in understanding avoidable emergency department attendance: qualitative study.BMC health services research · 2020Article
- The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities.BMC public health · 2020Article
- Do people living in disadvantaged circumstances receive different mental health treatments than those from less disadvantaged backgrounds?BMC public health · 2020Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to identify the most important determinants of accident and emergency (A&E) attendance in disadvantaged areas. DESIGN, SETTING AND
participantsA total of 3510 residents from 20 disadvantaged neighbourhoods in the North West Coast area in England completed a comprehensive public health survey.
main outcome measuresParticipants were asked to complete general background information, as well as information about their physical health, mental health, lifestyle, social issues, housing and environment, work and finances, and healthcare service usage. Only one resident per household could take part in the survey. Poisson regression analysis was employed to assess the predictors of A&E attendance frequency in the previous 12 months.
results31.6% of the sample reported having attended A&E in the previous 12 months, ranging from 1 to 95 visits. Controlling for demographic and health factors, not being in employment and living in poor quality housing increased the likelihood of attending an A&E service. Service access was also found to be predictive of A&E attendance insofar as there were an additional 18 fewer A&E attendances per 100 population for each kilometre closer a person lived to a general practitioner (GP) practice, and 3 fewer attendances per 100 population for each kilometre further a person lived from an A&E department.
conclusionsThis is one of the first surveys to explore a comprehensive set of socio-economic factors as well as proximity to both GP and A&E services as predictors of A&E attendance in disadvantaged areas. Findings from this study suggest the need to address both socioeconomic issues, such as employment and housing quality, as well as structural issues, such as public transport and access to primary care, to reduce the current burden on A&E departments.
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