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Regional mortality differences in Britain, 1931-87: a two dimensional analysis

J Anson1

  • 1Department of Social Work, Ben Gurion University of the Negev, Beer Sheba, Israel.

Journal of Biosocial Science
|July 1, 1993
PubMed
Summary
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Regional mortality inequalities in Britain have decreased in survivorship levels but not in mortality curve shapes. Premature adult mortality differences now drive regional variations.

Area of Science:

  • Demography
  • Public Health
  • Epidemiology

Background:

  • Previous research suggested a disappearance of regional mortality inequalities in Britain between 1931-1987.
  • Regional life tables are key tools for analyzing population health disparities.

Purpose of the Study:

  • To reanalyze existing data on regional mortality in Britain.
  • To investigate the components of regional life tables: survivorship level and mortality curve shape.
  • To determine the primary drivers of current regional mortality variations.

Main Methods:

  • Decomposition of regional life tables into survivorship level and mortality curve shape.
  • Comparative analysis of trends in regional inequalities for both components.
  • Reanalysis of data from Illsley, Le Grand & Mullings (1931-1987).

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Main Results:

  • Consistent decline in regional inequalities in the level of survivorship observed.
  • No comparable convergence in the shape of regional mortality curves.
  • Differences in mortality curve shapes, indicating premature adult mortality, are the main source of regional variation.

Conclusions:

  • While overall mortality levels have converged regionally, disparities in mortality patterns persist.
  • Premature adult mortality is now the dominant factor explaining regional differences in Britain.
  • Further research should focus on the causes of these persistent shape differences in mortality.