Does Context Matter for the Relationship between Deprivation and All-Cause Mortality? The West vs. the Rest of Scotland
AbstractOne of the assumptions that is often made in modeling the relationship between deprivation and mortality is that this relationship will remain the same across space. There is little justification presented in the literature as to why the deprivation-mortality relationship will be homogenous across space. The homogeneity of this relationship over space is an empirical question and most of the published literature does not formally test this relationship. Using postcode data for Scotland (UK), this study addresses this research gap and tests the hypothesis of spatial heterogeneity in the relationship between area-level deprivation and mortality. Research into health inequalities frequently fails to recognise spatial heterogeneity in the deprivation-health relationship, assuming that global relationships apply uniformly across geographical areas. In this study, exploratory spatial data analysis methods are used to assess local patterns in deprivation and mortality. A variety of spatial regression models are then implemented to examine the relationship between deprivation and mortality. The hypothesis of spatial heterogeneity in the relationship between deprivation and mortality is rejected. Implications of the homogeneity of the deprivation-mortality relationships for addressing health inequities are discussed in light of the inverse care law.
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Bibliographic InfoPaper provided by GeoDa Center for Geospatial Analysis and Computation in its series GeoDa Center Working Papers with number 1020.
Date of creation: 2010
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