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Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study

This paper provides a longitudinal examination of local inequalities in health behaviours during a period of austerity, exploring the role of ‘place’ in explaining these inequalities. Data from the Stockton-on-Tees prospective cohort study of 836 individuals were analysed and followed over 18 months...

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Autores principales: Akhter, Nasima, Fairbairn, Ross Stewart, Pearce, Mark, Warren, Jon, Kasim, Adetayo, Bambra, Clare
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582866/
https://www.ncbi.nlm.nih.gov/pubmed/34769536
http://dx.doi.org/10.3390/ijerph182111018
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author Akhter, Nasima
Fairbairn, Ross Stewart
Pearce, Mark
Warren, Jon
Kasim, Adetayo
Bambra, Clare
author_facet Akhter, Nasima
Fairbairn, Ross Stewart
Pearce, Mark
Warren, Jon
Kasim, Adetayo
Bambra, Clare
author_sort Akhter, Nasima
collection PubMed
description This paper provides a longitudinal examination of local inequalities in health behaviours during a period of austerity, exploring the role of ‘place’ in explaining these inequalities. Data from the Stockton-on-Tees prospective cohort study of 836 individuals were analysed and followed over 18 months (37% follow-up). Generalised estimating equation models estimated the deprivation gap in health behaviours (smoking status, alcohol use, fruit and vegetable consumption and physical activity practices) between the 20% most- and least-deprived neighborhoods (LSOAs), explored any temporal changes during austerity, and examined the underpinning role of compositional and contextual determinants. All health behaviours, except for frequent physical activity, varied significantly by deprivation (p ≤ 0.001). Smoking was lower in the least-deprived areas (OR 0.21, CI 0.14 to 0.30), while alcohol use (OR 2.75, CI 1.98 to 3.82) and fruit and vegetable consumption (OR 2.55, CI 1.80 to 3.62) were higher in the least-deprived areas. The inequalities were relatively stable throughout the study period. Material factors (such as employment, education and housing tenure) were the most-important and environmental factors the least-important explanatory factors. This study suggests that material factors are the most important ‘place’ determinants of health behaviours. Health promotion activities should better reflect these drivers.
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spelling pubmed-85828662021-11-12 Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study Akhter, Nasima Fairbairn, Ross Stewart Pearce, Mark Warren, Jon Kasim, Adetayo Bambra, Clare Int J Environ Res Public Health Article This paper provides a longitudinal examination of local inequalities in health behaviours during a period of austerity, exploring the role of ‘place’ in explaining these inequalities. Data from the Stockton-on-Tees prospective cohort study of 836 individuals were analysed and followed over 18 months (37% follow-up). Generalised estimating equation models estimated the deprivation gap in health behaviours (smoking status, alcohol use, fruit and vegetable consumption and physical activity practices) between the 20% most- and least-deprived neighborhoods (LSOAs), explored any temporal changes during austerity, and examined the underpinning role of compositional and contextual determinants. All health behaviours, except for frequent physical activity, varied significantly by deprivation (p ≤ 0.001). Smoking was lower in the least-deprived areas (OR 0.21, CI 0.14 to 0.30), while alcohol use (OR 2.75, CI 1.98 to 3.82) and fruit and vegetable consumption (OR 2.55, CI 1.80 to 3.62) were higher in the least-deprived areas. The inequalities were relatively stable throughout the study period. Material factors (such as employment, education and housing tenure) were the most-important and environmental factors the least-important explanatory factors. This study suggests that material factors are the most important ‘place’ determinants of health behaviours. Health promotion activities should better reflect these drivers. MDPI 2021-10-20 /pmc/articles/PMC8582866/ /pubmed/34769536 http://dx.doi.org/10.3390/ijerph182111018 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Akhter, Nasima
Fairbairn, Ross Stewart
Pearce, Mark
Warren, Jon
Kasim, Adetayo
Bambra, Clare
Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
title Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
title_full Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
title_fullStr Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
title_full_unstemmed Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
title_short Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
title_sort local inequalities in health behaviours: longitudinal findings from the stockton-on-tees cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582866/
https://www.ncbi.nlm.nih.gov/pubmed/34769536
http://dx.doi.org/10.3390/ijerph182111018
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