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A multi‐level perspective on small‐area health and mortality: a case study of England and Wales

A multi‐level perspective on small‐area health and mortality: a case study of England and Wales This paper considers morbidity and mortality variations at the small‐area level in England and Wales and their relation to socio‐economic factors. Separate affluence and deprivation effects on illness and mortality are identified from a single‐level analysis, both exceeding the influence of social class, urbanity or ethnicity. A multi‐level perspective is then adopted to explore ecological associations operating both at micro‐area and higher level spatial scales. Contextual effects (higher level variability in the impacts of ward level variables) are identified in the effects of small area deprivation on mortality and illness, as well as cross‐level interactions; thus the impact of small area social structure on health is partly defined by the wider regional and district setting. © 1997 John Wiley & Sons, Ltd. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Population Geography Wiley

A multi‐level perspective on small‐area health and mortality: a case study of England and Wales

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Publisher
Wiley
Copyright
Copyright © 1997 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1077-3495
eISSN
1099-1220
DOI
10.1002/(SICI)1099-1220(199709)3:3<243::AID-IJPG70>3.0.CO;2-V
pmid
12348291
Publisher site
See Article on Publisher Site

Abstract

This paper considers morbidity and mortality variations at the small‐area level in England and Wales and their relation to socio‐economic factors. Separate affluence and deprivation effects on illness and mortality are identified from a single‐level analysis, both exceeding the influence of social class, urbanity or ethnicity. A multi‐level perspective is then adopted to explore ecological associations operating both at micro‐area and higher level spatial scales. Contextual effects (higher level variability in the impacts of ward level variables) are identified in the effects of small area deprivation on mortality and illness, as well as cross‐level interactions; thus the impact of small area social structure on health is partly defined by the wider regional and district setting. © 1997 John Wiley & Sons, Ltd.

Journal

International Journal of Population GeographyWiley

Published: Sep 1, 1997

Keywords: ; ; ; ; ;

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