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Mortality Inequality in England over the Past 20 Years

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  • James Banks
  • Sarah Cattan
  • Lucy Kraftman
  • Sonya Krutikova

Abstract

In this paper, we study the evolution of age‐group‐ and gender‐specific mortality and mortality inequality in England between 2003 and 2016, by comparing small geographic areas ranked by deprivation and grouped into bins of similar population size. We show that across all age groups, but especially in the older age groups (65+), there has been a clear and significant reduction in rates of mortality since 2003. In spite of these improvements, we continue to see significant inequalities in mortality across most age groups in 2016 and evidence of rising inequalities among women in the 65+ and men in the 80+ age groups. Furthermore, we see a striking stalling of the downwards trend in mortality and mortality inequality observed between 2003 and 2010 during the years of economic austerity in the aftermath of the 2008 financial crisis in England between 2010 and 2016. Analysis of specific causes of death among adults aged 20–79 allows us to examine the drivers and dynamics of these trends in more depth, as well as to consider scope for, and types of, interventions that would be appropriate at different ages.

Suggested Citation

  • James Banks & Sarah Cattan & Lucy Kraftman & Sonya Krutikova, 2021. "Mortality Inequality in England over the Past 20 Years," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 47-77, March.
    • Handle: RePEc:wly:fistud:v:42:y:2021:i:1:p:47-77
    DOI: 10.1111/1475-5890.12266
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    References listed on IDEAS

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    1. Janet Currie & Hannes Schwandt, 2016. "Mortality Inequality: The Good News from a County-Level Approach," Journal of Economic Perspectives, American Economic Association, vol. 30(2), pages 29-52, Spring.
    2. Aline Bütikofer & René Karadakic & Kjell G. Salvanes, 2021. "Income Inequality and Mortality: A Norwegian Perspective," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 193-221, March.
    3. Janet Currie & Hannes Schwandt & Josselin Thuilliez, 2020. "Pauvreté, Egalité, Mortalité: mortality (in)equality in France and the United States," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(1), pages 197-231, January.
    4. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
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    1. James Banks & Janet Currie & Sonya Krutikova & Kjell G. Salvanes & Hannes Schwandt, 2021. "The Evolution of Mortality Inequality in 11 OECD Countries: Introduction," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 9-23, March.
    2. Kadir Atalay & Rebecca Edwards & Fiona Georgiakakis, 2023. "Mortality inequality, spatial differences and health care access," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2632-2654, November.

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