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Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010
Socio-economic inequalities in amenable mortality rates are increasing across Europe, which is an affront to universal healthcare systems where the numbers of, and inequalities in, amenable deaths should be minimal and declining over time. However, the fundamental causes theory proposes that inequal...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7612592/ https://www.ncbi.nlm.nih.gov/pubmed/35411206 http://dx.doi.org/10.1002/psp.2385 |
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author | McMinn, Megan A. Seaman, Rosie Dundas, Ruth Pell, Jill P. Leyland, Alastair H. |
author_facet | McMinn, Megan A. Seaman, Rosie Dundas, Ruth Pell, Jill P. Leyland, Alastair H. |
author_sort | McMinn, Megan A. |
collection | PubMed |
description | Socio-economic inequalities in amenable mortality rates are increasing across Europe, which is an affront to universal healthcare systems where the numbers of, and inequalities in, amenable deaths should be minimal and declining over time. However, the fundamental causes theory proposes that inequalities in health will be largest across preventable causes, where unequally distributed resources can be used to gain an advantage. Information on individual-level inequalities that may better reflect the fundamental causes remains limited. We used the Scottish Longitudinal Study, with follow-up to 2010 to examine trends in amenable mortality by a range of socioeconomic position measures. Large inequalities were found for all measures of socioeconomic position and were lowest for educational attainment, higher for social class and highest for social connection. To reduce inequalities, amenable mortality needs to be interpreted both as an indicator of healthcare quality and as a reflection of the unequal distribution of socio-economic resources. |
format | Online Article Text |
id | pubmed-7612592 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
record_format | MEDLINE/PubMed |
spelling | pubmed-76125922022-04-10 Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 McMinn, Megan A. Seaman, Rosie Dundas, Ruth Pell, Jill P. Leyland, Alastair H. Popul Space Place Article Socio-economic inequalities in amenable mortality rates are increasing across Europe, which is an affront to universal healthcare systems where the numbers of, and inequalities in, amenable deaths should be minimal and declining over time. However, the fundamental causes theory proposes that inequalities in health will be largest across preventable causes, where unequally distributed resources can be used to gain an advantage. Information on individual-level inequalities that may better reflect the fundamental causes remains limited. We used the Scottish Longitudinal Study, with follow-up to 2010 to examine trends in amenable mortality by a range of socioeconomic position measures. Large inequalities were found for all measures of socioeconomic position and were lowest for educational attainment, higher for social class and highest for social connection. To reduce inequalities, amenable mortality needs to be interpreted both as an indicator of healthcare quality and as a reflection of the unequal distribution of socio-economic resources. 2020-09-22 /pmc/articles/PMC7612592/ /pubmed/35411206 http://dx.doi.org/10.1002/psp.2385 Text en https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits use, distribution and reproduction in any medium, provided the original work is properly cited.. |
spellingShingle | Article McMinn, Megan A. Seaman, Rosie Dundas, Ruth Pell, Jill P. Leyland, Alastair H. Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 |
title | Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 |
title_full | Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 |
title_fullStr | Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 |
title_full_unstemmed | Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 |
title_short | Socio-economic inequalities in rates of amenable mortality in Scotland: Analyses of the fundamental causes using the Scottish Longitudinal Study, 1991–2010 |
title_sort | socio-economic inequalities in rates of amenable mortality in scotland: analyses of the fundamental causes using the scottish longitudinal study, 1991–2010 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7612592/ https://www.ncbi.nlm.nih.gov/pubmed/35411206 http://dx.doi.org/10.1002/psp.2385 |
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