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Socio-Geographic Variations in Mortality in a Large Retired UK Population

Abstract

It is well known that individual mortality risk within the United Kingdom, as with most other rich countries, varies with geography as well as socioeconomic resources. However, the interaction between socioeconomic resources and geography among the older retired population is under-researched. This study reports the results of an analysis which used routine administrative data pooled by more than 100 public and private occupational pension schemes. The results show that regional effects on mortality are dependent on socioeconomic disadvantage, and are therefore apparent for the most disadvantaged pensioners, but not for the least disadvantaged.

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Notes

  1. 1.

    Source: 1991 World Health Annual of Statistics–based on Waterhouse et al. (1976).

  2. 2.

    Individuals tend to cluster together in neighbourhoods where the costs of housing reflect their incomes, and an area with high rates of unemployment or dependency on state benefits or social housing occupancy is an area with a high proportion of individuals at the bottom of the income distribution

References

  1. ASHE (2008). Annual survey of hours and earnings, 2008. Official of National Statistics. www.statistics.gov.uk/pdfdir/ashe1108.pdf

  2. Breakwell, C., Baker, A., Griffiths, C., et al. (2007). Trends and geographical variations in alcohol-related deaths in the United Kingdom between 1991 and 2004. Health Statistics Quarterly, 33, 6–24.

    Google Scholar 

  3. Breeze, E., Sloggett, A., & Fletcher, A. (1999). Socio-economic and demographic predictors of mortality and institutional residence in middle-aged and older people: Results from the Longitudinal Study. Journal of Epidemiology and Community Health, 53, 756–774.

    Article  Google Scholar 

  4. CASE. (2010). An anatomy of Inequality in the UK. Report of the National Equality Panel. London: Centre for the Analysis of Social Exclusion.

    Google Scholar 

  5. DCLG (2007). English indices of deprivation. Department of Communities and Local Government.

  6. Griffiths, C., & Fitzpatrick, J. (2001). Geographical variations in health. Decennial supplement DS16. London TSO.

  7. Hacking, J., Muller, S., & Buchan, I. (2011). Trends in mortality from 1965 to 2008 across the English north–south divide: A comparative observational study. British Medical Journal, 342, d508.

    Article  Google Scholar 

  8. HDA. (2004). The smoking epidemic in England. London: Health Development Agency.

    Google Scholar 

  9. Johnson, B., & Langford, A. (2009). Demographic, behavioural and socio-economic influences on the survival of retired people–evidence from a ten-year follow-up study of the General Household Survey, 1994. Health Statistics Quarterly, 44, 27–34.

    Article  Google Scholar 

  10. Kuhnert, P., & Venables, B. (2005). An introduction to R: Software for statistical modelling & computing. Cleveland: CSIRO Mathematical and Information Sciences.

    Google Scholar 

  11. Lawlor, D. A., Davey Smith, G., Patel, R., et al. (2005). Life-course socioeconomic position, area deprivation, and coronary heart disease: Findings from the British Women’s Heart and Health Study. American Journal of Public Health, 95, 91–97.

    Article  Google Scholar 

  12. Leyland, A. H. (2004). Increasing inequalities in premature mortality in Great Britain. Journal of Epidemiology and Community Health, 58, 296–302.

    Article  Google Scholar 

  13. Madrigal, A. M., Matthews, F. E., Patel, D. D., et al. (2011). What longevity predictors should be allowed for when valuing pension scheme liabilities? British Actuarial Journal. doi:10.1017/S1357321711000018.

  14. Marmot, M. (2010). Fair society, healthy lives. Strategic review of health inequalities in England post-2010. London: Department of Health.

    Google Scholar 

  15. Marmot, M., & Shipley, M. J. (1996). Do socioeconomic differences in mortality persist after retirement? 25 year follow up of civil servants from the first Whitehall study. British Medical Journal, 313, 1177–1180.

    Article  Google Scholar 

  16. Matthews, C., Jagger, C., & Hancock, R. (2006). Does socioeconomic advantage lead to a longer, healthier old age? Social Science & Medicine, 62(10), 2489–2499.

    Article  Google Scholar 

  17. McCulloch, C. E., Searle, S. R., & Casella, G. (2006). Variance components (Wiley series in probability and statistics). New York: Wiley-Interscience.

    Google Scholar 

  18. McFadden, E., et al. (2008). Occupational social class, risk factors and cardiovascular disease incidence in men and women: A prospective study in the European Prospective Investigation of Cancer and Nutrition in Norfolk (EPIC-Norfolk) cohort. European Journal of Epidemiology, 23, 449–458.

    Article  Google Scholar 

  19. Morgan, O., & Baker, A. (2006). Measuring deprivation in England and Wales using Carstairs scores. Health Statistics Quarterly, 31, 28–33.

    Google Scholar 

  20. Nazroo, J., Zaninotto, P., & Gjonca, E. (2008). Mortality and healthy life expectancy. In J. Banks, E. Breeze, C. Lessof, & J. Nazroo (Eds.), Living in the 21st century: Older people in England. The 2006 English Longitudinal Study of Ageing. London: Institute for Fiscal Studies.

    Google Scholar 

  21. NHS Health Scotland. (2007). Tobacco smoking in Scotland: A report presenting estimated smoking prevalence and smoking-attributable deaths within Scotland. NHS Scotland, ISD Scotland, ASH Scotland. Glasgow: Health Scotland.

    Google Scholar 

  22. ONS (2009). Life expectancy at birth and at 65 by local areas in the United Kingdom, 2006–8. ONS Statistical bulletin (21/10/09). Official of National Statistics.

  23. ONS (2010). Life expectancy at birth and at 65 by local areas in the United Kingdom, 2007–9. ONS Statistical bulletin (19/10/10). Official of National Statistics.

  24. Romeri, E., Baker, A., & Griffiths, C. (2006). Mortality by deprivation and cause of death in England and Wales, 1999–2003. Health Statistics Quarterly, 32, 19–34.

    Google Scholar 

  25. Siegler, V., Langford, A., & Johnson, B. (2008). Regional differences in male mortality inequalities using the national Statistics Socio-economic Classification, England and Wales, 2001–03. Health Statistics Quarterly, 40, 6–17.

    Google Scholar 

  26. Sloggett, A., & Joshi, H. (1994). Higher mortality in deprived areas: Personal or community disadvantage? British Medical Journal, 309, 1470–1474.

    Article  Google Scholar 

  27. Stafford, M., & Marmot, M. (2003). Neighbourhood deprivation and health: Does it affect us all equally? International Journal of Epidemiology, 32, 357–366.

    Article  Google Scholar 

  28. Thomas, B., Dorling, B., Smith, G. D. (2010). British Medical Journal; 313: 1177–1180. Inequalities in premature mortality in Britain: Observational study from 1921 to 2007. British Medical Journal; 341: c3639.

    Google Scholar 

  29. Toson, B., & Baker, P. (2003). Life expectancy at birth: Methodological options for small populations. National Statistics Methodological Series no. 33. Office of National Statistics.

  30. Uren, Z., et al. (2001). Geographic variations in mortality by social class and alternative social classifications. In C. Griffiths, J. Fitzpatrick (2001).

  31. Walsh, D., Bendel, N., Jones, R., & Hanlon, P. (2010). It’s not “just deprivation”: Why do equally deprived UK cities experience different health outcomes? Public Health, 124(9), 487–495.

    Article  Google Scholar 

  32. Waterhouse, J., et al. (1976). Cancer incidence in five continents. Vol 3. Lyon: IARC.

    Google Scholar 

  33. Watt, G. (2002). The inverse care law today. Lancet, 360, 252–254.

    Article  Google Scholar 

  34. Woods, L., et al. (2005). Geographical variation in mortality in life expectancy at birth is largely explained by deprivation. Journal of Epidemiology and Community Health, 59, 115–120.

    Article  Google Scholar 

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Correspondence to Kenneth Howse.

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Howse, K., Madrigal, A. & Lim, M. Socio-Geographic Variations in Mortality in a Large Retired UK Population. Population Ageing 4, 231–249 (2011). https://doi.org/10.1007/s12062-011-9054-4

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Keywords

  • Mortality
  • Socioeconomic status
  • Inequalities
  • Pensions
  • Retirement