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Death and deprivation: an exploratory analysis of deaths in the Health and Lifestyle survey

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  • Jones, Kelvyn
  • Gould, Myles I.
  • Duncan, Craig

Abstract

An analysis is undertaken of deaths of respondents in the UK- representative Health and Lifestyle Survey. The sample was originally interviewed in 1984/5 and followed initially until May 1997. Using multilevel logistic and Cox-proportional hazards models, the relationships between death and a wide range of social circumstances and behaviours is explored. It is found that place deprivation interacts with individual social class in accounting for variations in mortality. This is the case even when account is taken of personal health-related behaviour. There appears to be some evidence of a threshold relationship such that the differential effects of social class are only found at high-levels of deprivation. No statistically significant interactions are found for social and behavioural variables, for behavioural and place deprivation variables, and for social and place deprivation variables with the exception of social class. The study is deliberately exploratory and a wide range of models have been fitted which will be subject to more rigorous evaluation as the HALS death study proceeds.

Suggested Citation

  • Jones, Kelvyn & Gould, Myles I. & Duncan, Craig, 2000. "Death and deprivation: an exploratory analysis of deaths in the Health and Lifestyle survey," Social Science & Medicine, Elsevier, vol. 50(7-8), pages 1059-1079, April.
    • Handle: RePEc:eee:socmed:v:50:y:2000:i:7-8:p:1059-1079
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    Cited by:

    1. Meijer, Mathias & Röhl, Jeannette & Bloomfield, Kim & Grittner, Ulrike, 2012. "Do neighborhoods affect individual mortality? A systematic review and meta-analysis of multilevel studies," Social Science & Medicine, Elsevier, vol. 74(8), pages 1204-1212.
    2. Daniel J. Graham & Emma J. McCoy & David A. Stephens, 2013. "Quantifying the effect of area deprivation on child pedestrian casualties by using longitudinal mixed models to adjust for confounding, interference and spatial dependence," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 176(4), pages 931-950, October.
    3. Jenni Blomgren & Tapani Valkonen, 2007. "Characteristics of urban regions and all-cause mortality in working-age population," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 17(5), pages 109-134.
    4. Boylan, Jennifer Morozink & Robert, Stephanie A., 2017. "Neighborhood SES is particularly important to the cardiovascular health of low SES individuals," Social Science & Medicine, Elsevier, vol. 188(C), pages 60-68.
    5. Ron Johnston & Les Hepple & Tony Hoare & Kelvyn Jones & Paul Plummer, 2003. "The Mistreated Model: Some Technical Comments on Porojan's Paper on 'Trade Flows and Spatial Effects'," Open Economies Review, Springer, vol. 14(1), pages 11-14, January.

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