ArticleBMJ (Clinical research ed.)1996
Deprivation and cause specific morbidity: evidence from the Somerset and Avon survey of health.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.
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Who cites it
56 citing papers in PubMed.
- Exploring differential item functioning in the SF-36 by demographic, clinical, psychological and social factors in an osteoarthritis population.BMC musculoskeletal disorders · 2013Trial
- Does requesting sensitive information on postal questionnaires have an impact on response rates? A randomised controlled trial in the south west of England.Journal of epidemiology and community health · 1998Trial
- Social deprivation and diabetic kidney disease: A European view.Journal of diabetes investigation · 2024Review
- The impact of social deprivation on development and progression of diabetic kidney disease.HRB open research · 2024Article
- Social mobility across the lifecourse and DNA methylation age acceleration in adults in the UK.Scientific reports · 2022Article
- Multimorbidity in Finnish and Swedish speaking Finns; association with daily habits and socioeconomic status - Nordic EpiLung cross-sectional study.Preventive medicine reports · 2021Article
- The relationship between individual-level deprivation and health-related quality of life.Health and quality of life outcomes · 2019Article
- The epidemiology of multimorbidity in primary care: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Chronic Obstructive Pulmonary Disease in Sweden: An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy.SSM - population health · 2018Article
- Lung Cancer Mortality in Tuscany from 1971 to 2010 and Its Connections with Silicosis: A Space-Cohort Analysis Based on Shared Models.Computational and mathematical methods in medicine · 2018Article
- Temporal trends in educational inequalities in non-communicable diseases in Korea, 2007-2015.PloS one · 2017Article
- Defining and targeting health disparities in chronic obstructive pulmonary disease.International journal of chronic obstructive pulmonary disease · 2016Review
- Beyond HbAJournal of clinical & experimental ophthalmology · 2015Article
- Prescribing of nicotine replacement therapy in and around pregnancy: a population-based study using primary care data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- Psychological distress, gender and dietary factors in South Asians: a cross-sectional survey.Public health nutrition · 2014Article
- Does the impact of osteoarthritis vary by age, gender and social deprivation? A community study using the International Classification of Functioning, Disability and Health.Disability and rehabilitation · 2014Article
- Article
- Socio-economic inequalities in the prevalence of multi-morbidity among the rural elderly in Bargarh District of Odisha (India).PloS one · 2014Article
- Article
- Completeness of maternal smoking status recording during pregnancy in United Kingdom primary care data.PloS one · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the association between cause specific morbidity and deprivation in order to inform the debates on inequalities in health and health services resource allocation.
designCross sectional postal questionnaire survey ascertaining self reported health status, with validation of a 20% sample through general practitioner and hospital records.
settingInner city, urban, and rural areas of Avon and Somerset. SUBJECTS: Stratified random sample of 28,080 people aged 35 and over from 40 general practices.
main outcome measuresAge and sex standardised prevalence of various diseases; Townsend deprivation scores were assigned by linking postcodes to enumeration districts. Relative indices of inequality were calculated to estimate the magnitude of the association between socioeconomic position and morbidity.
resultsThe response rate was 85.3%. The prevalence of most of the conditions rose with increasing material deprivation. The relative index of inequalilty, for both sexes combined, was greater than 1 for all conditions except diabetes. The conditions most strongly associated with deprivation were diabetic eye disease (relative index of inequality 3.21; 95% confidence interval 1.84 to 5.59), emphysema (2.72; 1.67 to 4.43) and bronchitis (2.27; 1.92 to 2.68). The relative index of inequality was significantly higher in women for asthma (P < 0.05) and in men for depression (P < 0.01). The mean reporting of prevalent conditions was 1.07 for the most deprived fifth of respondents and 0.77 in the most affluent fifth (P < 0.001).
conclusionsMaterial deprivation is strongly linked with many common diseases. NHS resource allocation should be modified to reflect such morbidity differentials.
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