Evidence map›Paper›PMID 7804047›Full record

ArticleBMJ (Clinical research ed.)1994

Higher mortality in deprived areas: community or personal disadvantage?

A Sloggett, H Joshi

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers.

0numbers the graph read from it
0cells of the map it votes in
96citing 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

96 citing papers in PubMed.

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  18. Trajectories of informal care and health.SSM - population health · 2016
    Article
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36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

A SloggettDepartment of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine.
H Joshi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between level of social deprivation in electoral wards and premature mortality among residents, before and after allowing for levels of personal deprivation.

designLongitudinal study of the Office of Population Censuses and Surveys.

settingEngland. SUBJECTS: Random sample of nearly 300,000 people aged between 16 and 65 at the 1981 census and followed up for nearly nine years.

main outcome measureDeath from all causes between ages of 16 and 70.

resultsWithout allowance for personal disadvantage, both sexes showed a clear, significant, and roughly linear positive relation between degree of deprivation of the ward of residence in 1981 and premature death before 1990. For men, this association was effectively explained away once allowance was made for individual socioeconomic circumstances. For women living in wards of above average deprivation, the association was also effectively removed, but the situation for other women was less clear.

conclusionThe excess mortality associated with residence in areas designated as deprived by census based indicators is wholly explained by the concentration in those areas of people with adverse personal or household socioeconomic factors. Health policy needs to target people as well as places.

Indexed as

MortalityPoverty AreasAdolescentAdultAgedAge FactorsCause of DeathEnglandFemaleHumansLogistic ModelsLongitudinal StudiesMaleMiddle AgedOdds RatioRisk Assessment

Identifiers

PMID7804047
PMCPMC2541648

What OpenQuestion holds

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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.