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Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study

Author

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  • Nasima Akhter

    (Department of Anthropology, Durham University, Dawson Building, Stockton Road, Durham DH1 3LE, UK
    Fuse–UKCRC Centre for Translational Research in Public Health, A virtual centre, operating across five universities in north-east England: Durham, Newcastle, Northumbria, Sunderland and Teesside, UK.)

  • Ross Stewart Fairbairn

    (Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK)

  • Mark Pearce

    (Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK)

  • Jon Warren

    (St. Cuthberts Society, Durham University, Durham DH1 3LE, UK
    Department of Sociology, Durham University, 32 Old Elvet, Durham DH1 3HN, UK)

  • Adetayo Kasim

    (Department of Anthropology, Durham University, Dawson Building, Stockton Road, Durham DH1 3LE, UK
    Durham Research Methods Center, Durham University, Durham DH1 3LE, UK)

  • Clare Bambra

    (Faculty of Medical Sciences, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne NE1 7RU, UK
    Fuse–UKCRC Centre for Translational Research in Public Health, A virtual centre, operating across five universities in north-east England: Durham, Newcastle, Northumbria, Sunderland and Teesside, UK.)

Abstract

This paper provides a longitudinal examination of local inequalities in health behaviours during a period of austerity, exploring the role of ‘place’ in explaining these inequalities. Data from the Stockton-on-Tees prospective cohort study of 836 individuals were analysed and followed over 18 months (37% follow-up). Generalised estimating equation models estimated the deprivation gap in health behaviours (smoking status, alcohol use, fruit and vegetable consumption and physical activity practices) between the 20% most- and least-deprived neighborhoods (LSOAs), explored any temporal changes during austerity, and examined the underpinning role of compositional and contextual determinants. All health behaviours, except for frequent physical activity, varied significantly by deprivation ( p ≤ 0.001). Smoking was lower in the least-deprived areas (OR 0.21, CI 0.14 to 0.30), while alcohol use (OR 2.75, CI 1.98 to 3.82) and fruit and vegetable consumption (OR 2.55, CI 1.80 to 3.62) were higher in the least-deprived areas. The inequalities were relatively stable throughout the study period. Material factors (such as employment, education and housing tenure) were the most-important and environmental factors the least-important explanatory factors. This study suggests that material factors are the most important ‘place’ determinants of health behaviours. Health promotion activities should better reflect these drivers.

Suggested Citation

  • Nasima Akhter & Ross Stewart Fairbairn & Mark Pearce & Jon Warren & Adetayo Kasim & Clare Bambra, 2021. "Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study," IJERPH, MDPI, vol. 18(21), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11018-:d:660573
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    References listed on IDEAS

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    1. Barr, Ben & Kinderman, Peter & Whitehead, Margaret, 2015. "Trends in mental health inequalities in England during a period of recession, austerity and welfare reform 2004 to 2013," Social Science & Medicine, Elsevier, vol. 147(C), pages 324-331.
    2. Jaana I Halonen & Mika Kivimäki & Jaana Pentti & Ichiro Kawachi & Marianna Virtanen & Pekka Martikainen & S V Subramanian & Jussi Vahtera, 2012. "Quantifying Neighbourhood Socioeconomic Effects in Clustering of Behaviour-Related Risk Factors: A Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.
    3. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1999. "Smoking and deprivation: are there neighbourhood effects?," Social Science & Medicine, Elsevier, vol. 48(4), pages 497-505, February.
    4. Elaine Hoffimann & Henrique Barros & Ana Isabel Ribeiro, 2017. "Socioeconomic Inequalities in Green Space Quality and Accessibility—Evidence from a Southern European City," IJERPH, MDPI, vol. 14(8), pages 1-16, August.
    5. Niamh K. Shortt & Esther Rind & Jamie Pearce & Richard Mitchell & Sarah Curtis, 2018. "Alcohol Risk Environments, Vulnerability, and Social Inequalities in Alcohol Consumption," Annals of the American Association of Geographers, Taylor & Francis Journals, vol. 108(5), pages 1210-1227, September.
    6. Ross, Catherine E., 2000. "Walking, exercising, and smoking: does neighborhood matter?," Social Science & Medicine, Elsevier, vol. 51(2), pages 265-274, July.
    7. Schrijvers, C.T.M. & Stronks, K. & Van De Mheen, H.D. & Mackenbach, J.P., 1999. "Explaining educational differences in mortality: The role of behavioral and material factors," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 535-540.
    8. Bambra, Clare & Smith, Katherine E. & Pearce, Jamie, 2019. "Scaling up: The politics of health and place," Social Science & Medicine, Elsevier, vol. 232(C), pages 36-42.
    9. Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
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