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Giebel, C, McIntyre, JC, Alfirevic, A, Corcoran, R, Daras, K, Downing, J, Gabbay, M, Pirmohamed, M, Popay, J, Wheeler, P, Holt, K, Wilson, T, Bentall, R and Barr, B (2020) The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities. BMC Public Health, 20 (1). ISSN 1471-2458
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Abstract
BACKGROUND: The Household Health Survey (HHS) was developed to understand the socioeconomic determinants of mental and physical health, and health inequalities in health and social care. This paper aims to provide a detailed rationale of the development and implementation of the survey and explore socio-economic variations in physical and mental health and health care. METHODS: This comprehensive longitudinal public health survey was designed and piloted in a disadvantaged area of England, comprising questions on housing, physical health, mental health, lifestyle, social issues, environment, work, and finances. After piloting, the HHS was implemented across 28 neighbourhoods - 10 disadvantaged neighbourhoods for learning (NfLs), 10 disadvantaged comparator sites, and eight relatively advantaged areas, in 2015 and 2018. Participants were recruited via random sampling of households in pre-selected neighbourhoods based on their areas of deprivation. RESULTS: 7731 residents participated in Wave 1 (N = 4319) and 2 (n = 3412) of the survey, with 871 residents having participated in both. Mental health, physical health, employment, and housing quality were poorer in disadvantaged neighbourhoods than in relatively advantaged areas. CONCLUSIONS: This survey provides important insights into socio-economic variations in physical and mental health, with findings having implications for improved care provision to enable residents from any geographical or socio-economic background to access suitable care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 1117 Public Health and Health Services |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Psychology (from Sep 2019) |
| Publisher: | BioMed Central |
| Related URLs: | |
| Date Deposited: | 25 Aug 2020 08:27 |
| Last Modified: | 04 Sep 2021 06:47 |
| DOI or ID number: | 10.1186/s12889-020-09346-5 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/13538 |
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