ArticleBMJ open2019
Recent adverse mortality trends in Scotland: comparison with other high-income countries.
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 31 papers, 3 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Is Austerity Responsible for the Stalled Mortality Trends Across Many High-Income Countries? A Systematic Review.International journal of social determinants of health and health services · 2024Pooled it
- Assessing the effects of population-level political, economic and social exposures, interventions and policies on inclusive economy outcomes for health equity in high-income countries: a systematic review of reviews.Systematic reviews · 2024Pooled it
- Temperature-related mortality and associated vulnerabilities: evidence from Scotland using extended time-series datasets.Environmental health : a global access science source · 2022Pooled it
- Faltering mortality improvements at young-middle ages in high-income English-speaking countries.International journal of epidemiology · 2024Article
- Health Economics in a World of Uneconomic Growth.Applied health economics and health policy · 2024Article
- Socioeconomic and cultural factors associated with pap smear screening among French women living in Réunion Island.BMC public health · 2024Article
- Age- and cause-specific contributions to increase in life expectancy at birth in Korea, 2000-2019: a descriptive study.BMC public health · 2024Article
- Life expectancy, healthy life expectancy, and inequalities in Hong Kong, 2007-2020.The Lancet regional health. Western Pacific · 2023Article
- Social security cuts and life expectancy: a longitudinal analysis of local authorities in England, Scotland and Wales.Journal of epidemiology and community health · 2023Article
- Prepandemic inequalities in the burden of disease in Scotland due to multiple deprivation: a retrospective study.BMJ public health · 2023Article
- Trends in psychological distress in Great Britain, 1991-2019: evidence from three representative surveys.Journal of epidemiology and community health · 2023Article
- When experts disagree: interviews with public health experts on health outcomes in the UK 2010-2020.Public health · 2023Article
- Life expectancy changes since COVID-19.Nature human behaviour · 2022Article
- Bearing the burden of austerity: how do changing mortality rates in the UK compare between men and women?Journal of epidemiology and community health · 2022Article
- Socioeconomic inequality, waiting time initiatives and austerity in Scotland: an interrupted time series analysis of elective hip and knee replacements and arthroscopies.Journal of the Royal Society of Medicine · 2022Article
- Trends in the diversity of mortality causes and age-standardised mortality rates among subpopulations within Scotland, 2001-2019.SSM - population health · 2022Article
- Measuring disability-adjusted life years (DALYs) due to COVID-19 in Scotland, 2020.Archives of public health = Archives belges de sante publique · 2022Article
- Quantifying impacts of the COVID-19 pandemic through life-expectancy losses: a population-level study of 29 countries.International journal of epidemiology · 2022Article
- Article
- Tackling population health challenges as we build back from the pandemic.BMJ (Clinical research ed.) · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGains in life expectancy have faltered in several high-income countries in recent years. Scotland has consistently had a lower life expectancy than many other high-income countries over the past 70 years. We aim to compare life expectancy trends in Scotland to those seen internationally and to assess the timing and importance of any recent changes in mortality trends for Scotland.
settingAustria, Croatia, Czech Republic, Denmark, England and Wales, Estonia, France, Germany, Hungary, Iceland, Israel, Japan, Korea, Latvia, Lithuania, Netherlands, Northern Ireland, Poland, Scotland, Slovakia, Spain, Sweden, Switzerland and USA.
methodsWe used life expectancy data from the Human Mortality Database (HMD) to calculate the mean annual life expectancy change for 24 high-income countries over 5-year periods from 1992 to 2016. Linear regression was used to assess the association between life expectancy in 2011 and mean life expectancy change over the subsequent 5 years. One-break and two-break segmented regression models were used to test the timing of mortality rate changes in Scotland between 1990 and 2018.
resultsMean improvements in life expectancy in 2012-2016 were smallest among women (<2 weeks/year) in Northern Ireland, Iceland, England and Wales, and the USA and among men (<5 weeks/year) in Iceland, USA, England and Wales, and Scotland. Japan, Korea and countries of Eastern Europe had substantial gains in life expectancy over the same period. The best estimate of when mortality rates changed to a slower rate of improvement in Scotland was the year to 2012 quarter 4 for men and the year to 2014 quarter 2 for women.
conclusionsLife expectancy improvement has stalled across many, but not all, high-income countries. The recent change in the mortality trend in Scotland occurred within the period 2012-2014. Further research is required to understand these trends, but governments must also take timely action on plausible contributors.
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