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- Title
The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities.
- Authors
Giebel, Clarissa; McIntyre, Jason C.; Alfirevic, Ana; Corcoran, Rhiannon; Daras, Konstantinos; Downing, Jennifer; Gabbay, Mark; Pirmohamed, Munir; Popay, Jennie; Wheeler, Paula; Holt, Keith; Wilson, Timothy; Bentall, Richard; Barr, Ben
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Subjects
HEALTH equity; MENTAL health; DEPRIVATION (Psychology); HOUSING; HEALTH
- Publication
BMC Public Health, 2020, Vol 20, Issue 1, pN.PAG
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/s12889-020-09346-5