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Inequalities in health and health service use: Evidence from the general household survey


  • Haynes, Robin


The General Household Survey data file for 1982 was examined to identify variations in self-reported morbidity and health service use between socio-economic groups and geographical areas in Great Britain. Both acute and chronic morbidity varied with socio-economic status. Morbidity was more strongly related to housing tenure and car availability than to occupational class. A north-west to south-east gradient in sickness was observed, although morbidity was comparatively high in Wales and comparatively low in Scotland, taking mortality differences into account. The highest age-adjusted morbidity ratios were for females in multiple occupancy inner city areas. Service use rates in relation to reported sickness showed little systematic variation. There was an indication that lack of car transport was an inhibiting factor for the sick in rural areas.

Suggested Citation

  • Haynes, Robin, 1991. "Inequalities in health and health service use: Evidence from the general household survey," Social Science & Medicine, Elsevier, vol. 33(4), pages 361-368, January.
  • Handle: RePEc:eee:socmed:v:33:y:1991:i:4:p:361-368

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    References listed on IDEAS

    1. Temin, Peter, 1983. "Costs and benefits in switching drugs from Rx to OTC," Journal of Health Economics, Elsevier, vol. 2(3), pages 187-205, December.
    2. Foster, S. D., 1990. "Improving the supply and use of essential drugs in sub-Saharan Africa," Policy Research Working Paper Series 456, The World Bank.
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    Cited by:

    1. Kalediene, Ramune & Petrauskiene, Jadvyga, 2004. "Socio-economic transition, inequality, and mortality in Lithuania," Economics & Human Biology, Elsevier, vol. 2(1), pages 87-95, March.
    2. van Hooijdonk, Carolien & Droomers, Mariƫl & van Loon, Jeanne A.M. & van der Lucht, Fons & Kunst, Anton E., 2007. "Exceptions to the rule: Healthy deprived areas and unhealthy wealthy areas," Social Science & Medicine, Elsevier, vol. 64(6), pages 1326-1342, March.
    3. Peter Adams & Michael D. Hurd & Daniel L. McFadden & Angela Merrill & Tiago Ribeiro, 2004. "Healthy, Wealthy, and Wise? Tests for Direct Causal Paths between Health and Socioeconomic Status," NBER Chapters,in: Perspectives on the Economics of Aging, pages 415-526 National Bureau of Economic Research, Inc.
    4. Maria Goddard & Peter Smith, 1998. "Equity of access to health care," Working Papers 032cheop, Centre for Health Economics, University of York.
    5. Robin Thompson & Nigel Miller & Sophie Witter, 2003. "Health-seeking behaviour and rural|urban variation in Kazakhstan," Health Economics, John Wiley & Sons, Ltd., vol. 12(7), pages 553-564.
    6. Christian Salas, 2002. "On the empirical association between poor health and low socioeconomic status at old age," Health Economics, John Wiley & Sons, Ltd., vol. 11(3), pages 207-220.
    7. Asanin, Jennifer & Wilson, Kathi, 2008. ""I spent nine years looking for a doctor": Exploring access to health care among immigrants in Mississauga, Ontario, Canada," Social Science & Medicine, Elsevier, vol. 66(6), pages 1271-1283, March.
    8. Lori J. Curtis & William J. MacMinn, 2008. "Health Care Utilization in Canada: Twenty-five Years of Evidence," Canadian Public Policy, University of Toronto Press, vol. 34(1), pages 65-88, March.


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