scholarly journals Health inequalities are worsening in the North East of England

2020 ◽  
Vol 134 (1) ◽  
pp. 63-72
Author(s):  
Valerie Corris ◽  
Emily Dormer ◽  
Andrea Brown ◽  
Paula Whitty ◽  
Paul Collingwood ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Health Outcomes ◽  
Health Inequalities ◽  
Poor Health ◽  
Substantial Variation ◽  
Regional Health ◽  
North East ◽  
The North ◽  
The Impact ◽  
Over Time

Abstract Background The North of England, particularly the North East (NE), has worse health (e.g. 2 years lower life expectancy) and higher health inequalities compared to the rest of England. Sources of data We explore this over time drawing on publicly available data. Areas of agreement and controversy Whilst overall health is improving, within-regional health inequalities are getting worse and the gap between the NE and other regions (particularly the South of England) is worsening. The gap in life expectancy is widening with substantial variation between deprived and affluent areas within the NE. Those living in the NE are more likely to have a shorter lifespan and to spend a larger proportion of their shorter lives in poor health, as well as being more likely to die prematurely from preventable diseases. Growing points We highlight wide, and in some cases increasing, inequalities in health outcomes between the NE and the rest of England. This health disadvantage and the north-south health divide are recognized; despite this, the situation appears to be worsening over the time. Areas timely for developing research Research to understand and reduce health inequalities is needed particularly in the NE of England where reductions could have enhanced the impact.

scholarly journals Life Expectancy Heterogeneity and Pension Fairness: An Italian North-South Divide

Risks ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 57
Author(s):  
Fabrizio Culotta
Keyword(s):  
Life Expectancy ◽  
Transfer Mechanism ◽  
North West ◽  
Tax Subsidy ◽  
North East ◽  
The North ◽  
Geographical Perspective ◽  
Year 2000 ◽  
Italian Territory ◽  
Over Time

This work documents a persistent life expectancy heterogeneity by gender and geography in Italy during the period 1995–2019. Based on deviations of life expectancy at age 65, it quantifies the implicit tax/subsidy mechanism triggered when pensions annuities are computed by adopting the same value of longevity for the whole population. The intensity of this transfer mechanism is then measured and projected over the decade 2020–2030. Results show that females are subsidized while males are taxed by around 10%. Differences by geography persist along the Italian territory. Since 1995 the macroarea of Mezzogiorno has been taxed by 2%, Center and North-West macroareas are being subsidized by around 1%, whereas North-East by 2%. The intensity of the mechanism, despite decreases over time, is higher among females since the year 2000. From a geographical perspective, the macroarea of Mezzogiorno shows the lowest intensity, but also the lowest reduction as compared to other macroareas. Projections indicate that the North-South divide in this implicit transfer mechanism will persist over the next decade.

scholarly journals Health Inequalities in the Diverse World of Self-Employment: A Swedish National Cohort Study

2021 ◽  
Vol 18 (23) ◽  
pp. 12301
Author(s):  
Karl Gauffin ◽  
Andrea Dunlavy
Keyword(s):  
Health Outcomes ◽  
Health Inequalities ◽  
Low Income ◽  
Employment Status ◽  
The Self ◽  
Poor Health ◽  
Self Employment ◽  
Regular Employment ◽  
National Cohort ◽  
The Relationship

With labor being a central social determinant of health, there is an increasing need to investigate health inequalities within the heterogenous and growing population in self-employment. This study aimed to longitudinally investigate the relationship between income level, self-employment status and multiple work-related health indicators in a Swedish national cohort (n = 3,530,309). The study investigated the relationship between self-employment status and health outcomes later in life. All poor health outcomes, with the exception of alcohol-related disorders, were more common in the self-employed population, compared to the group in regular employment. The income gradient, however, was more pronounced in the group with regular employment than the groups in self-employment. The study found clear connections between low income and poor health in all employment groups, but the gradient was more pronounced in the group in regular employment. This suggests that income has a weaker connection to other types of health promoting resources in the self-employed population. Potentially, lacking social and public support could make it difficult for unhealthy individuals to maintain low-income self-employment over a longer time period.

scholarly journals EVALUATION OF THE IMPACT OF ENVIRONMENTAL CONDITIONS ON THE STATUS OF THE BODY OF YOUNG PEOPLE OF 17-19 YEARS OF DIFFERENT ETHNIC GROUPS OF THE NORTH-EAST RUSSIA

2019 ◽  
Vol 96 (8) ◽  
pp. 766-769 ◽  
Author(s):  
Inessa V. Averyanova ◽  
S. I. Vdovenko ◽  
A. L. Maksimov
Keyword(s):  
Gas Exchange ◽  
Climatic Conditions ◽  
The Body ◽  
External Respiration ◽  
Adaptive Responses ◽  
Northeast Russia ◽  
North East ◽  
The North ◽  
Magadan Region ◽  
The Impact

Natural and climatic conditions of the environment of Northeast Russia and particularly Magadan region are the very factor mostly influencing adaptive responses by individuals inhabiting the region. Compensatory and adaptive responses in indigenes and newcomers of the region can be assumed to have their specific features. In 2009 there was executed the examination of the cardiovascular and respiratory systems and gas exchange in 392 cases aged of 17-19 years, including Europeans (Caucasians) born in the North in the 1st-2nd generation and indigenes. The methodologically similar study was carried out in 2014 in 265 persons, referred to the same cohorts of North-born Caucasians and Indigenes from the Magadan region. The results of the study executed in 2009 testified to a small number of physiological parameters that were reliably different in Caucasians vs. Indigene subjects. In 2014 no difference was found between the two examined cohorts throughout the observed parameters. The revealed changes in gas exchange, external respiration and cardiovascular systems demonstrated by modern young Indigenes of Northeast Russia testified to the fall in the effectiveness of their breathing. All that makes them farther from the classic “polar metabolic type” and their morphofunctional status becomes closer to European male subjects of Northeast Russia. Thus, we can observe a clear tendency towards “convergence in programs” of the adaptive changes between populations of the North residents undergoing similar natural, environmental and social factors.

scholarly journals 'Greenfields' and 'Brownfields': automotive industrial development in the UK and in Portugal

Finisterra ◽  
2012 ◽  
Vol 31 (62) ◽  
Author(s):  
Andrew Pike ◽  
Mário Vale
Keyword(s):  
Industrial Policy ◽  
Automobile Industry ◽  
Industrial Development ◽  
Development Strategies ◽  
North West ◽  
Demonstration Effect ◽  
North East ◽  
The North ◽  
The Uk ◽  
The Impact

The industrial policy in the UK and in Portugal, as in most EU countries, seeks to attract new investment capacity, to create jobs and to promote the impact of the so-called "demonstration efect" of "greenfield" development strategies pursued in the new plants of inward investors on existing or "brownfield" plants. This industrial policy focus is particularly evident in the automobile industry.This paper compares the industrial policy oriented towards the automobile industry in the UK and in Portugal. Two recent "greenfield" investments are analised: Nissan in the North-East region (UK) and Ford/VW in the Setúbal Peninsula (Portugal), as well as three "brownfield" plants: Ford Halewood and GM Vauxhall Ellesmere Port in the North-West region (UK) and Renault in Setúbal (Portugal). The first part starts with a discussion of industrial policy in the automobile sector, the role of "greenfield" development strategies and the "demonstration effect" on "brownfield" plants. Then, the limits of new inward investment are pointed out, basically their problems and restrictions. Afterwards, the structural barriers to the "demonstration effect" within "brownfield" plants are outlined and some possabilities for alternative "brownfield" development strategies are presented.

Inequalities in awareness and availability of bereavement services in North-East England

2020 ◽  
pp. bmjspcare-2020-002422
Author(s):  
Donna Wakefield ◽  
Elizabeth Fleming ◽  
Kate Howorth ◽  
Kerry Waterfield ◽  
Emily Kavanagh ◽  
...  
Keyword(s):  
Phase 1 ◽  
Waiting Times ◽  
Financial Strain ◽  
Web Based ◽  
North East ◽  
The North ◽  
Referral Criteria ◽  
National Guidance ◽  
The Uk ◽  
The Impact

ObjectivesNational guidance recommends equality in access to bereavement services; despite this, awareness and availability appears inconsistent. The aim of this study was to explore availability and accessibility of bereavement services across the North-East of England and to highlight issues potentially applicable across the UK, at a time of unprecedented need due to the impact of COVID-19.MethodsPhase 1: an eight item, web-based survey was produced. A survey link was cascaded to all GP practices (General Practitioners) in the region. Phase 2: an email was sent to all services identified in phase 1, requesting details such as referral criteria and waiting times.ResultsAll 392 GP practices in the region were invited to participate. The response rate was 22% (85/392). Twenty-one per cent (18/85) of respondents reported that they do not refer patients, comments included ‘not aware of any services locally’. A total of 36 services were contacted with 72% responding with further information. Most bereavement specific support was reliant on charity-funded services including hospices, this sometimes required a pre-existing link with the hospice. Waiting times were up to 4 months.ConclusionsAlthough multiple different, usually charity-funded services were identified, awareness and accessibility were variable. This survey was conducted prior to the COVID-19 pandemic, where complex situations surrounding death is likely to impact on the usual grieving process and increase the need for bereavement support. Meanwhile, charities providing this support are under severe financial strain. There is an urgent need to bridge the gap between need and access to bereavement services.

Supporting People Who Experience Co-Existing Mental Health and Addiction Problems

2016 ◽  
pp. 251-270
Author(s):  
Ashley Koning ◽  
Suzette Janet Poole
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Workforce Development ◽  
Support Services ◽  
International Research ◽  
Poor Health ◽  
Addiction Services ◽  
Barriers To Implementation ◽  
The Impact ◽  
National Approach

Meeting the needs of people with co-existing mental health and addiction problems is a challenge faced by many mental health and addiction services and providers. A compounding factor has been the separation of mental health and addiction services which has meant that many people with co-existing mental health and addiction problems have fallen through the cracks between services or had issues not recognized or responded to, leading to poor health outcomes. This chapter describes the approach taken by New Zealand's workforce development centers to support services to improve responsiveness and workforce capability to work with people with co-existing mental health and addiction problems. International research on implementation is briefly summarized before discussion about the impact of the national approach and the barriers to implementation that have emerged. Recommendations for next steps conclude this chapter.

scholarly journals Reducing pressure ulcers across multiple care settings using a collaborative approach

2019 ◽  
Vol 8 (3) ◽  
pp. e000409 ◽  
Author(s):  
Julia Wood ◽  
Bob Brown ◽  
Annette Bartley ◽  
Andreia Margarida Batista Custódio Cavaco ◽  
Anthony Paul Roberts ◽  
...  
Keyword(s):  
Pressure Ulcers ◽  
Length Of Hospital Stay ◽  
Community Services ◽  
Care Community ◽  
North East ◽  
The North ◽  
Healthcare Improvement ◽  
The Uk ◽  
Breakthrough Series Collaborative ◽  
The Impact

In the UK, over 700 000 patients are affected by pressure ulcers each year, and 180 000 of those are newly acquired each year. The occurrence of pressure ulcers costs the National Health Service (NHS) more than 3.8 million every day. In 2004, pressure ulcers were estimated to cost the NHS £1.4–£2.4 billion per year, which was 4% of the total NHS expenditure.The impact on patients can be considerable, due to increased pain, length of hospital stay and decreased quality of life. However, it is acknowledged that a significant number of these are avoidable.In early 2015, it was identified that for the North East and North Cumbria region the incidence of pressure ulcers was higher than the national average. Because of this, a 2-year Pressure Ulcer Collaborative was implemented, involving secondary care, community services, care homes and the ambulance service, with the aim of reducing the percentage of pressure ulcers developed by patients within their care.The Breakthrough Series Collaborative Model from the Institute for Healthcare Improvement provided the framework for this Collaborative.In year 1, pressure ulcers were reduced by 36%, and in year 2 by 33%, demonstrating an estimated cost saving during the lifespan of the Collaborative of £513 000, and a reduction in the number of bed days between 220 and 352.

scholarly journals Using Agent-Based Modeling to Understand the Emergence and Reproduction of Social Inequalities in Health

Proceedings ◽  
2019 ◽  
Vol 44 (1) ◽  
pp. 2
Author(s):  
Javier Alvarez-Galvez ◽  
Victor Suarez-Lledo
Keyword(s):  
Health Outcomes ◽  
Health Inequalities ◽  
Social Inequalities ◽  
Agent Based Modeling ◽  
Poor Health ◽  
Social Inequalities In Health ◽  
Inequalities In Health ◽  
Agent Based ◽  
Individual Determinants ◽  
Combine Evidence

Studies on social inequalities in health present contradictory findings when they attempt to describe and identify the complex societal mechanisms that give rise to poor health outcomes and health inequalities. This work aims to study the mechanism of reproduction of health inequalities among different population groups using agent-based modeling. We combine evidence-based knowledge and survey data to set the simulation model. Our initial findings show that the combination of the most adverse contextual conditions (i.e., negative environmental exposure and the absence of health-care provision) combined with extreme social inequalities in health might increase mortality drastically. The model suggests that, although poor health outcomes may emerge through the action of individual determinants, social inequalities generally emerge and reproduce through non-linear associations and complex multivariate data structures.

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