Trends in local and small area mortality and morbidity in Yorkshire and the Humber: Monitoring health inequalities
2006; Routledge; Volume: 40; Issue: 5 Linguagem: Inglês
10.1080/00343400600757395
ISSN1360-0591
Autores Tópico(s)Global Health Care Issues
ResumoAbstract Rees P. and Brown D. (2006) Trends in local and small area mortality and morbidity in Yorkshire and the Humber: monitoring health inequalities, Regional Studies 40, 437–458. The paper investigates mortality and morbidity in the 1990s in Yorkshire and the Humber. Mortality for districts and wards is computed and the inequality between areas estimated. The results show that although mortality decreased between 1990–92 and 1996–98, only a few districts and wards improved relative to England and Wales. Inequalities between wards sorted by deprivation quintiles increased over the period. By contrast, self-reported morbidity increased between 1991 and 2001, but inequalities decreased. The paper discusses interpretations of these trends and the spatial patterns for men and women and for children, adults and the retired. Rees P. et Brown D. (2006) Les tendances de mortalité et de morbidité sur le plan local dans le Yorkshire et dans le Humberside: faire le suivi des inégalités de santé, Regional Studies 40, 1534–1535. Cet article cherche à examiner la mortalité et la morbidité dans les années 1990 dans le Yorkshire et dans le Humberside. On calcule la mortalité pour les districts et les circonscriptions électorales, et on évalue l'écart interrégional. Les résultats laissent voir que rares sont les districts et les circonscriptions électorales qui ont fait des progrès par rapport à l'Angleterre et au Pays de Galles, bien que la mortalité soit à la baisse entre 1990 et 1992, et de 1996 à 1998. Sur toute la période, les inégalités au niveau des circonscriptions électorales classées en fonction des quintiles de privation ont augmenté. Par contraste, la morbidité est à la hausse entre 1991 et 2001, tandis que les inégalités sont à la baisse. Cet article cherche à discuter des interprétations de ces tendances-là et des distributions géographiques pour les hommes et pour les femmes, et pour les enfants, adultes et retraités. Morbidité, Mortalité, Inégalité, Localités, Yorkshire et Humberside Rees P. und Brown D. (2006) Verlauf von Sterblichkeit und Morbidität in Gemeinden und kleinen Gebieten in Yorkshire und der Humbergegend: Überwachung ber Gesundsheitsungleichheiten, Regional Studies 40, 437–458. Dieser Aufsatz untersucht Sterblichkeit und Morbidität in Yorkshire und der Humbergegend in den neunziger Jahren des vorigen Jahrhunderts. Sterblichkeit in Distrikten und Bezirken wird errechnet und Ungleichheit zwischen den Gebieten geschätzt. Die Ergebnisse zeigen, dass im Verhältnis zu England und Wales nur wenige Distrikte Verbesserungen aufweisen, obschon die Sterblichkeit zwischen 1990–1992 und 1996–1998 abnahm. Nach Quintalen sortierte Mangelunterschiede zwischen Stadtteilen nahmen in dem Zeitraum zu. Im Gegensatz dazu nahmen eigene Krankmeldungen im Zeitraum zwischen 1991 und 2001 zu, doch die Unterschiede wurden geringer. Der Aufsatz diskutiert Interpretationen dieser Tendenzen, sowie die räumlichen Muster bei Männern und Frauen, und bei Kindern, Erwachsenen und Rentnern. Morbidität, Sterblichkeit, Ungleichheit, Kleine Gebiete, Yorkshire und das Humbergebiet Rees P. y Brown D. (2006) Tendencias de mortalidad y morbilidad en pequeñas zonas de Yorkshire y Humber: Control de las desigualdades en la salud, Regional Studies 40, 437–458. En este artículo analizamos la mortalidad y la morbilidad de la década de los noventa en las regiones de Yorkshire y Humber. Mediante un cómputo de la mortalidad para los distritos y municipios valoramos la desigualdad entre las diferentes áreas. Los resultados indican que, si bien la mortalidad disminuyó entre 1990–92 y 1996–98, sólo unos cuantos municipios y regiones mostraron una mejora en comparación con Inglaterra y Gales. Las desigualdades entre municipios y distritos clasificados en función de las carencias aumentaron durante este periodo. Al mismo tiempo, los casos de morbilidad informados por los mismos enfermos aumentaron entre 1991 y 2001, pero las desigualdades disminuyeron. En este ensayo analizamos las interpretaciones de estas tendencias y los modelos espaciales para hombres y mujeres y para niños, adultos y jubilados. Morbilidad, Mortalidad, Desigualdad, Zonas pequeñas, Yorkshire y Humber Keywords: MorbidityMortalityInequalitySmall areasYorkshire and the Humber Acknowledgements Research was supported by a White Rose Studentship, funded by the universities of Leeds and Sheffield. Professor Robert Haining (University of Cambridge) provided valuable advice as co-supervisor. Digital maps of Yorkshire and the Humber are based on data provided by the UK Boundary Outline and Reference Database for Education and Research Study via Edinburgh University Data Library (EDINA UKBORDERS) with the support of the ESRC and the Joint Information Systems Committee of Higher Education Funding Councils (JISC) and boundary material, which is Copyright of the Crown, the Post Office and the ED-LINE consortium. Boundary-Line 1998 digital ward boundaries for Yorkshire and the Humber were made available by special permission of Ordnance Survey (OS) with assistance from Sallie Payne (then) of OS, and Linda See and Paul Norman, School of Geography, University of Leeds. Ordnance Survey is a registered trademark and Boundary-Line is a trademark of Ordnance Survey, the national mapping agency of Great Britain. OS Boundary-Line data are Crown Copyright. The 1991 and 2001 Census statistics used, the Local Base Statistics and the Standard tables are Crown Copyright and are reproduced with the permission of the Controller of HMSO and the Queen's Printer for Scotland. The EWCPOP mid-1991 small area estimates are copyright of the Estimating with Confidence project. These and other derived data are made available by the Census Dissemination Unit through the Manchester Information and Associated Services (MIMAS) of Manchester Computing, University of Manchester. The 1991 Census data have been purchased for academic research purposes by the ESRC and the JISC. Vital Statistics data, VS4 for wards in Yorkshire and the Humber, VS3 for England and Wales and 1971 mining data, were extracted from national files made available by the Office for Population Censuses and Surveys (OPCS) and the Office for National Statistics (ONS). VS4 for 1989–92 were obtained via MIMAS with permission from the UK Data Archive. VS4 for Yorkshire and the Humber 1993–94 were obtained from paper files purchased directly from ONS with the assistance of Jane Oakley. VS4 for 1995–98 were obtained on computer files directly from the Data Archive. The UK Data Archive is jointly funded by the University of Essex, Colchester (where it is located), the ESRC and the JISC. Vital Statistics data are Crown Copyright made available through ONS and the Data Archive by permission of the Controller of HMSO. Revised mid-year estimates of the resident population for counties and local authority districts (1998 boundary definitions) in England and Wales were obtained from the ONS Population Estimates Unit with assistance from Roma Chappell and Dave Lambert. The data are Crown Copyright.
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