Evidence map›Paper›PMID 38715242›Full record

ArticleEuropean journal of public health2024

The impact of the English national health inequalities strategy on inequalities in mortality at age 65: a time-trend analysis.

Natalie C Bennett, Paul Norman, Viviana Albani, Andrew Kingston, Clare Bambra

Abstract read
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Article in European journal of public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
  2. Revista panamericana de salud publica = Pan American journal of public health · 2026
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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Natalie C BennettPopulation Health Science Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Paul NormanSchool of Geography, Faculty of Environment, University of Leeds, Leeds, UK.ORCID 0000-0002-6211-1625
Viviana AlbaniPopulation Health Science Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Andrew KingstonPopulation Health Science Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Clare BambraPopulation Health Science Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.

Funding

Applied Research CollaborationInnovate UK 99355National Institute of Health ResearchNIHRNIHR NIHR204670North East North Cumbria NIHR200173Nuffield Foundation OBF/FR-000023817Nuffield Foundation WEL/FR-000023253School of Public Health Research NIHR204000Wellcome TrustWellcome Trust 221266/Z/20/Z
6 · The paper itself

Abstract

backgroundDuring the 1997-2010 Labour government, several policies were implemented to narrow health inequalities as part of a national health inequalities strategy. Many of these policies are likely to have had a disproportionately large impact on people aged 65 and over. We aimed to understand the association between the health inequalities strategy period and inequalities in mortality at age 65-69.

methodsWe use population at risk and mortality data covering 1991-2019 to calculate mortality rate at age 65-69 at the Local Authority level. We use the 2019 Index of Multiple Deprivation to examine geographical inequalities. We employ segmented linear regression models with marginal spline terms for the strategy period and interact these with an indicator of deprivation to understand how inequalities changed before, during and after the strategy. The reporting of this study adheres to STROBE guidelines.

resultsMortality rates in each deprivation quintile improved continuously throughout the period of study. Prior to the programme (1991-9) there was no significant change in absolute inequalities. However, during the strategy (2000-10) there was a significant decrease in absolute inequalities of -9.66 (-17.48 to -1.84). The period following the strategy (2011-19) was associated with a significant increase in absolute inequalities of 12.84 (6.60 to 19.08). Our results were robust to a range of sensitivity tests.

conclusionThe English health inequalities strategy was associated with a significant reduction in absolute inequality in mortality age 65-69. Future strategies to address inequalities in ageing populations may benefit from adopting a similar approach.

Indexed as

Health Status DisparitiesMortalityAgedEnglandFemaleHealth PolicyHumansMaleSocioeconomic Factors

Identifiers

PMID38715242
PMCPMC11299195

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