The impact of New Labour's English health inequalities strategy on geographical inequalities in infant mortality: a time-trend analysis.
TLDR
This research adds to the evidence base suggesting that the English health inequalities strategy was at least partially effective in reducing health inequalities, and that current austerity policies may undermine these gains.Abstract:
Background The English health inequalities strategy (1999–2010) aimed to reduce health inequalities between the most deprived local authorities and the rest of England. The multifaceted strategy included increased investment in healthcare, the early years, education and neighbourhood renewal. The objective of this study was to investigate whether the strategy was associated with a reduction in geographical inequalities in the infant mortality rate (IMR). Methods We used segmented regression analysis to measure inequalities in the IMR between the most deprived local authorities and the rest of England before, during and after the health inequalities strategy period. Results Before the strategy was implemented (1983–1998), absolute inequalities in the IMR increased between the most deprived local authorities and the rest of England at a rate of 0.034 annually (95% CI 0.001 to 0.067). Once the strategy had been implemented (1999–2010), absolute inequalities decreased at a rate of −0.116 annually (95% CI −0.178 to −0.053). After the strategy period ended (2011–2017), absolute inequalities increased at a rate of 0.042 annually (95% CI −0.042 to 0.125). Relative inequalities also marginally decreased during the strategy period. Conclusion The English health inequalities strategy period was associated with a decline in geographical inequalities in the IMR. This research adds to the evidence base suggesting that the English health inequalities strategy was at least partially effective in reducing health inequalities, and that current austerity policies may undermine these gains.read more
Citations
More filters
Journal ArticleDOI
The COVID-19 pandemic and health inequalities.
TL;DR: The potential consequences for health inequalities of the lockdown measures implemented internationally as a response to the COVID-19 pandemic are explored, focusing on the likely unequal impacts of the economic crisis.
Journal ArticleDOI
COVID-19 and the gender health paradox.
TL;DR: The article explores the longer term consequences for gender-based health inequalities of the aftermath of the COVID-19 pandemic, focusing on the impacts of government policy responses and the emerging economic crisis, suggesting that this might lead to increased mortality amongst men and increased morbidity amongst women.
Journal ArticleDOI
The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: a systematic review of reviews
Hugh Alderwick,Hugh Alderwick,Andrew Hutchings,Adam D M Briggs,Adam D M Briggs,Nicholas Mays +5 more
TL;DR: This article conducted a systematic review of reviews to synthesize evidence on the health impacts of collaboration between local health care and non-health care organizations, and to understand the factors affecting how these partnerships functioned.
Journal ArticleDOI
Austerity policy and child health in European countries: a systematic literature review
TL;DR: High austerity periods, compared to pre-austerity periods were associated with increased material deprivation, child poverty rates, and low birth weight, demonstrating the importance that economic policy may have for equity in child health and development.
Journal ArticleDOI
Socioeconomic inequalities and adverse pregnancy outcomes in the UK and Republic of Ireland: a systematic review and meta-analysis.
Katie Thomson,Malcolm Moffat,Oluwatomi Arisa,Amrita Jesurasa,Catherine Richmond,Adefisayo Odeniyi,Clare Bambra,Judith Rankin,Heather Brown,Julie Bishop,Susan Wing,Amy McNaughton,Nicola Heslehurst +12 more
TL;DR: In this paper, a systematic review was conducted to understand the association between individual-level and household-level measures of socioeconomic status and adverse pregnancy outcomes, including neonatal, perinatal and maternal mortality, preterm birth, birth weight and mode of delivery.
References
More filters
Book
Health and Deprivation: Inequality and the North
TL;DR: The authors present nuevas evidencias de las desigualdades en salud encontradas entre poblaciones o comunidades in diferentes areas del norte de Inglaterra and relata las tendencias a largo plazo that tienen lugar in los patrones de salud de InGLaterra.
Book
Fair society, healthy lives
Michael Marmot,Ruth Bell +1 more
TL;DR: The case for putting fairness at the heart of all policy making is reviewed, highlighting the need for action on the social determinants of health in order to address health inequalities and the social gradient in health outcomes.
Journal ArticleDOI
Health and Deprivation: Inequality and the North
TL;DR: In this paper, the authors highlight material deprivation as the crucial factor in explaining inequalities in health in the UK and highlight the importance of material deprivation in health inequalities in communities in the north of England.
Journal ArticleDOI
Infant mortality rate as an indicator of population health
TL;DR: There is little evidence that the use of IMR as a measure of population health has a negative impact on older groups in the population, and for countries with limited resources that require an easily calculated, pithy measure of Population health, IMR may remain a suitable choice.
Journal ArticleDOI
Rising up with shoe leather? A comment on Fair Society, Healthy Lives (the Marmot Review).
Amitabh Chandra,Tom Vogl +1 more
TL;DR: This commentary discusses the Marmot Review and its prescriptions from the perspective of economists who are interested in using research to inform the design of better public policy.