Defying deprivation: a cross-sectional analysis of area level health resilience in England

Journal article


Cairns, J., Curtis, S. and Bambra, C. 2012. Defying deprivation: a cross-sectional analysis of area level health resilience in England. Health & Place. 18 (4), pp. 928-933. https://doi.org/10.1016/j.healthplace.2012.02.011
AuthorsCairns, J., Curtis, S. and Bambra, C.
Abstract

Previous research has found evidence that some economically deprived areas in England exhibit 'health resilience' in terms of lower than expected mortality rates. Consistent with earlier research we analysed area 'resilience' for parliamentary constituencies and our work extends previous research by including measures of morbidity. Standardised Morbidity Ratios (SMRs) of self-reported general health, limiting long-term illness, emergency hospital admissions, and CHD hospital admissions were derived from the 2001 UK Census and 2001 Hospital Episodes Statistics, and combined into a Composite Morbidity Index (CMI). Area variation in the CMI was compared with previous findings about mortality rates. Multiple Correspondence Analysis (MCA) was used to test the associations between area level 'health resilience' and ethnic composition, residential mobility, employment type, housing tenure, and an indicator of social cohesion. Nine areas were 'resilient' in terms of morbidity. Only four areas of England exhibited 'health resilience' in terms of both mortality and morbidity. MCA revealed that there may be several factors associated with greater 'health resilience'. "

KeywordsHealth resilience; morbidity; mortality; deprivation; factor analysis; multiple correspondence analysis
Year2012
JournalHealth & Place
Journal citation18 (4), pp. 928-933
PublisherElsevier
ISSN1353-8292
Digital Object Identifier (DOI)https://doi.org/10.1016/j.healthplace.2012.02.011
Publication dates
PrintJul 2012
Publication process dates
Deposited25 Jul 2018
Output statusPublished
Additional information

ID: 271845

ISBN1353-8292
Permalink -

https://repository.canterbury.ac.uk/item/88832/defying-deprivation-a-cross-sectional-analysis-of-area-level-health-resilience-in-england

  • 49
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

The effects of social protection policies on health inequalities:evidence from systematic reviews
Hillier-Brown, F., Thomson, K., McGowan, V., Cairns, J., Eikemo, T., Gonzalez, D. and Bambra, C. 2019. The effects of social protection policies on health inequalities:evidence from systematic reviews. Scandinavian Journal of Public Health. https://doi.org/10.1177/1403494819848276
The pain divide: a cross-sectional analysis of chronic pain prevalence, pain intensity and opioid utilisation in England
Todd, A., Akhter, N., Cairns, J., Kasim, A., Walton, N., Ellison, A., Chazot, P., Eldabe, S. and Bambra, C. 2018. The pain divide: a cross-sectional analysis of chronic pain prevalence, pain intensity and opioid utilisation in England. BMJ Open. 8 (7). https://doi.org/10.1136/bmjopen-2018-023391
Defying the odds? Identifying and understanding the relationship between health and resilience
Cairns, J. 2013. Defying the odds? Identifying and understanding the relationship between health and resilience. PhD Thesis Durham University Geography department
Health Inequalities
Cairns, J. and Curtis, S. 2017. Health Inequalities. in: Richardson, D., Castree, N., Goodchild, M., Kobayashi, A., Liu, W. and Marston, R. (ed.) International Encyclopedia of Geography Wiley.
The impact of place on suicidal behaviour
Bambra, C. and Cairns, J. 2017. The impact of place on suicidal behaviour. Samaritans.
Interim evaluation of an integrated approach to improving health and wellbeing in County Durham, UK
Visram, S., Thirlway, F., Cairns, J., Akhter, N. and Lewis, S. 2016. Interim evaluation of an integrated approach to improving health and wellbeing in County Durham, UK. Oxford University Press. https://doi.org/10.1093/eurpub/ckw169.002
Public involvement in alcohol research
Cairns, J. and Nicholls, J. 2017. Public involvement in alcohol research. UK Alcohol Research UK.
How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? two systematic reviews
Bambra, C., Hillier-Brown, F., Cairns, J., Kasim, A., Moore, H. and Summerbell, C. 2015. How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? two systematic reviews. Public Health Research. 3 (1). https://doi.org/10.3310/phr03010
A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults
Hillier-Brown, F., Bambra, C., Cairns, J., Kasim, A., Moore, H. and Summerbell, C. 2014. A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults. International Journal of Obesity. 38 (12), pp. 1483-1490. https://doi.org/10.1038/ijo.2014.75
Defying the odds: a mixed-methods study of health resilience in deprived areas of England
Cairns, J. and Bambra, C. 2013. Defying the odds: a mixed-methods study of health resilience in deprived areas of England. Social Science and Medicine. 91, pp. 229-237. https://doi.org/10.1016/j.socscimed.2013.03.014
Healthy land? an examination of the area-level association between brownfield land and morbidity and mortality in England
Bambra, C., Robertson, S., Kasim, A., Smith, J., Cairns, J., Copeland, A., Finlay, N. and Johnson, K. 2014. Healthy land? an examination of the area-level association between brownfield land and morbidity and mortality in England. Environment and Planning A: Economy and Space. 46 (2), pp. 433-454. https://doi.org/10.1068/a46105
A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children
Hillier-Brown, F., Bambra, C., Cairns, J., Kasim, A., Moore, H. and Summerbell, C. 2014. A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children. BMC Public Health. 14 (1,). https://doi.org/10.1186/1471-2458-14-834
This divided land: an examination of regional inequalities in exposure to brownfield land and the association with morbidity and mortality in England
Bambra, C., Cairns, J., Kasim, A., Smith, J., Robertson, S., Copeland, A. and Johnson, K. 2015. This divided land: an examination of regional inequalities in exposure to brownfield land and the association with morbidity and mortality in England. Health & Place. 34, pp. 257-269. https://doi.org/10.1016/j.healthplace.2015.05.010
Inside and out: a critical analysis of social capital
Cairns, J. 2017. Inside and out: a critical analysis of social capital. Journal of Poverty and Social Justice. 25 (3), pp. 233-248. https://doi.org/10.1332/175982717X14903615014478
Area-level socioeconomic disadvantage and suicidal behaviour in Europe: a systematic review
Cairns, J., Graham, E. and Bambra, C. 2017. Area-level socioeconomic disadvantage and suicidal behaviour in Europe: a systematic review. Social Science and Medicine. 192, pp. 102-111. https://doi.org/10.1016/j.socscimed.2017.09.034
Making the case for qualitative comparative analysis in geographical research: a case study of health resilience
Cairns, J., Wistow, J. and Bambra, C. 2017. Making the case for qualitative comparative analysis in geographical research: a case study of health resilience. Area. 49 (3,), pp. 369-376. https://doi.org/10.1111/area.12327
How can primary care help to reduce weight stigma?
Henderson, E., Norrenberg, A., Cairns, J. and Gadsby, E. 2018. How can primary care help to reduce weight stigma? British Journal of General Practice (BJGP). 68 (1). https://doi.org/10.3399/bjgp18X696665
Co-production in substance use research
Cairns, J. and Nicholls, J. 2018. Co-production in substance use research. Drugs and Alcohol Today. 18 (1), pp. 6-16. https://doi.org/10.1108/DAT-02-2018-0002
Weighing up the evidence: a systematic review of the effectiveness of workplace interventions to tackle socio-economic inequalities in obesity
Cairns, J., Bambra, C., Hillier-Brown, F., Moore, H. and Summerbell, C. 2014. Weighing up the evidence: a systematic review of the effectiveness of workplace interventions to tackle socio-economic inequalities in obesity. Journal of Public Health. 37 (4,), pp. 659-670. https://doi.org/10.1093/pubmed/fdu077
Go slow: an umbrella review of the effects of 20 mph zones and limits on health and health inequalities
Cairns, J., Warren, J., Garthwaite, K., Greig, G. and Bambra, C. 2014. Go slow: an umbrella review of the effects of 20 mph zones and limits on health and health inequalities. Journal of Public Health. 37 (3), pp. 515-520. https://doi.org/10.1093/pubmed/fdu067
Tackling inequalities in obesity: a protocol for a systematic review of the effectiveness of public health interventions at reducing socioeconomic inequalities in obesity among adults
Bambra, C., Hillier-Brown, F., Moore, H., Cairns, J. and Summerbell, C. 2013. Tackling inequalities in obesity: a protocol for a systematic review of the effectiveness of public health interventions at reducing socioeconomic inequalities in obesity among adults. Systematic Reviews. 2 (1,). https://doi.org/10.1186/2046-4053-2-27