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Inequality trends in health and future health risk among English children and young people, 1999–2009

Objective To investigate trends in health inequality among children and young people between 1999 and 2009, using outcomes consistent with the current NHS reforms. Design/data Secondary analysis of participants aged 0–24 in the Health Surveys for England (HSE) undertaken in 1999, 2004, 2006 and 2009... Full description

Journal Title: Archives of disease in childhood 2013, Vol.98 (11), p.850-855
Main Author: Hargreaves, Dougal S
Other Authors: Djafari Marbini, Aghileh , Viner, Russell M
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
ID: ISSN: 0003-9888
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title: Inequality trends in health and future health risk among English children and young people, 1999–2009
format: Article
creator:
  • Hargreaves, Dougal S
  • Djafari Marbini, Aghileh
  • Viner, Russell M
subjects:
  • Abridged Index Medicus
  • Adolescent
  • Age
  • Age Factors
  • Analysis
  • Archives & records
  • Biological and medical sciences
  • Body mass index
  • Child
  • Child Welfare - trends
  • Child, Preschool
  • Children & youth
  • Childrens health
  • Chronic Disease - epidemiology
  • Comm Child Health
  • Control
  • England - epidemiology
  • Epidemiology
  • Equality
  • Families & family life
  • Forecasts and trends
  • General aspects
  • Health care disparities
  • Health disparities
  • Health risk assessment
  • Health Status Disparities
  • Health Status Indicators
  • Health Surveys
  • Humans
  • Inequality
  • Infant
  • Infant mortality
  • Infant, Newborn
  • Low income groups
  • Market trend/market analysis
  • Medical sciences
  • Miscellaneous
  • Obesity
  • Obesity - epidemiology
  • Occupations
  • Poverty
  • Prevention and actions
  • Public health
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Risk Factors
  • Smoking - epidemiology
  • Smoking - trends
  • Social Class
  • Socioeconomic Factors
  • Studies
  • Trends
  • Young Adult
  • Young adults
ispartof: Archives of disease in childhood, 2013, Vol.98 (11), p.850-855
description: Objective To investigate trends in health inequality among children and young people between 1999 and 2009, using outcomes consistent with the current NHS reforms. Design/data Secondary analysis of participants aged 0–24 in the Health Surveys for England (HSE) undertaken in 1999, 2004, 2006 and 2009. Main outcome measures Changes in the absolute and relative risks of four health outcomes by deprivation tertiles, based on occupation of the head of household ▸ self/parent-reported general health, ▸ presence of a long-standing illness (LSI), ▸ obesity ▸ smoking. Results No indicator showed a reduction in relative or absolute inequality between 1999 and 2009. For children (0–12 years), the relative risk comparing the most and least deprived tertiles increased significantly for poor general health (1999:1.6 (95% CI 1.2 to 2.2); 2009:3.9 (2.4 to 6.2), while the absolute difference in LSI prevalence(%) increased from 1.3 (−2.9 to 5.5) to 7.4 (3.6 to 11.4). Among young people (13–24 years), the absolute difference in LSI prevalence increased from −5.9 (−10.9 to −1.1) to 3.1 (−4.1 to 10.7). Absolute inequality in having tried smoking among children aged 8–15(%) increased significantly in the first half of the decade before decreasing in the second half (1999:3.3 (−1.1 to 7.7); 2004:14.1 (9.6 to 18.8); 2009:4.1 (0.1 to 8.8)). However, the increase in absolute inequality for smoking prevalence among young adults (16–24 years) was maintained throughout the decade (1999:−7.0 (−15.6 to 1.3); 2004:11.6 (3.7 to 20.0); 2009:8.2 (−0.3 to 16.9)). Conclusions The national programme between 1999 and 2009 was not successful in reducing inequality in four key indicators of health status and future health risk among children and young people. Some inequality measures for general health, LSI prevalence and smoking increased over this time.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0003-9888
fulltext: fulltext
issn:
  • 0003-9888
  • 1468-2044
url: Link


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creatorcontribHargreaves, Dougal S ; Djafari Marbini, Aghileh ; Viner, Russell M
descriptionObjective To investigate trends in health inequality among children and young people between 1999 and 2009, using outcomes consistent with the current NHS reforms. Design/data Secondary analysis of participants aged 0–24 in the Health Surveys for England (HSE) undertaken in 1999, 2004, 2006 and 2009. Main outcome measures Changes in the absolute and relative risks of four health outcomes by deprivation tertiles, based on occupation of the head of household ▸ self/parent-reported general health, ▸ presence of a long-standing illness (LSI), ▸ obesity ▸ smoking. Results No indicator showed a reduction in relative or absolute inequality between 1999 and 2009. For children (0–12 years), the relative risk comparing the most and least deprived tertiles increased significantly for poor general health (1999:1.6 (95% CI 1.2 to 2.2); 2009:3.9 (2.4 to 6.2), while the absolute difference in LSI prevalence(%) increased from 1.3 (−2.9 to 5.5) to 7.4 (3.6 to 11.4). Among young people (13–24 years), the absolute difference in LSI prevalence increased from −5.9 (−10.9 to −1.1) to 3.1 (−4.1 to 10.7). Absolute inequality in having tried smoking among children aged 8–15(%) increased significantly in the first half of the decade before decreasing in the second half (1999:3.3 (−1.1 to 7.7); 2004:14.1 (9.6 to 18.8); 2009:4.1 (0.1 to 8.8)). However, the increase in absolute inequality for smoking prevalence among young adults (16–24 years) was maintained throughout the decade (1999:−7.0 (−15.6 to 1.3); 2004:11.6 (3.7 to 20.0); 2009:8.2 (−0.3 to 16.9)). Conclusions The national programme between 1999 and 2009 was not successful in reducing inequality in four key indicators of health status and future health risk among children and young people. Some inequality measures for general health, LSI prevalence and smoking increased over this time.
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subjectAbridged Index Medicus ; Adolescent ; Age ; Age Factors ; Analysis ; Archives & records ; Biological and medical sciences ; Body mass index ; Child ; Child Welfare - trends ; Child, Preschool ; Children & youth ; Childrens health ; Chronic Disease - epidemiology ; Comm Child Health ; Control ; England - epidemiology ; Epidemiology ; Equality ; Families & family life ; Forecasts and trends ; General aspects ; Health care disparities ; Health disparities ; Health risk assessment ; Health Status Disparities ; Health Status Indicators ; Health Surveys ; Humans ; Inequality ; Infant ; Infant mortality ; Infant, Newborn ; Low income groups ; Market trend/market analysis ; Medical sciences ; Miscellaneous ; Obesity ; Obesity - epidemiology ; Occupations ; Poverty ; Prevention and actions ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; Smoking - epidemiology ; Smoking - trends ; Social Class ; Socioeconomic Factors ; Studies ; Trends ; Young Adult ; Young adults
ispartofArchives of disease in childhood, 2013, Vol.98 (11), p.850-855
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descriptionObjective To investigate trends in health inequality among children and young people between 1999 and 2009, using outcomes consistent with the current NHS reforms. Design/data Secondary analysis of participants aged 0–24 in the Health Surveys for England (HSE) undertaken in 1999, 2004, 2006 and 2009. Main outcome measures Changes in the absolute and relative risks of four health outcomes by deprivation tertiles, based on occupation of the head of household ▸ self/parent-reported general health, ▸ presence of a long-standing illness (LSI), ▸ obesity ▸ smoking. Results No indicator showed a reduction in relative or absolute inequality between 1999 and 2009. For children (0–12 years), the relative risk comparing the most and least deprived tertiles increased significantly for poor general health (1999:1.6 (95% CI 1.2 to 2.2); 2009:3.9 (2.4 to 6.2), while the absolute difference in LSI prevalence(%) increased from 1.3 (−2.9 to 5.5) to 7.4 (3.6 to 11.4). Among young people (13–24 years), the absolute difference in LSI prevalence increased from −5.9 (−10.9 to −1.1) to 3.1 (−4.1 to 10.7). Absolute inequality in having tried smoking among children aged 8–15(%) increased significantly in the first half of the decade before decreasing in the second half (1999:3.3 (−1.1 to 7.7); 2004:14.1 (9.6 to 18.8); 2009:4.1 (0.1 to 8.8)). However, the increase in absolute inequality for smoking prevalence among young adults (16–24 years) was maintained throughout the decade (1999:−7.0 (−15.6 to 1.3); 2004:11.6 (3.7 to 20.0); 2009:8.2 (−0.3 to 16.9)). Conclusions The national programme between 1999 and 2009 was not successful in reducing inequality in four key indicators of health status and future health risk among children and young people. Some inequality measures for general health, LSI prevalence and smoking increased over this time.
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0Abridged Index Medicus
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2Age
3Age Factors
4Analysis
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6Biological and medical sciences
7Body mass index
8Child
9Child Welfare - trends
10Child, Preschool
11Children & youth
12Childrens health
13Chronic Disease - epidemiology
14Comm Child Health
15Control
16England - epidemiology
17Epidemiology
18Equality
19Families & family life
20Forecasts and trends
21General aspects
22Health care disparities
23Health disparities
24Health risk assessment
25Health Status Disparities
26Health Status Indicators
27Health Surveys
28Humans
29Inequality
30Infant
31Infant mortality
32Infant, Newborn
33Low income groups
34Market trend/market analysis
35Medical sciences
36Miscellaneous
37Obesity
38Obesity - epidemiology
39Occupations
40Poverty
41Prevention and actions
42Public health
43Public health. Hygiene
44Public health. Hygiene-occupational medicine
45Risk Factors
46Smoking - epidemiology
47Smoking - trends
48Social Class
49Socioeconomic Factors
50Studies
51Trends
52Young Adult
53Young adults
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titleInequality trends in health and future health risk among English children and young people, 1999–2009
authorHargreaves, Dougal S ; Djafari Marbini, Aghileh ; Viner, Russell M
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19Families & family life
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21General aspects
22Health care disparities
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25Health Status Disparities
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abstractObjective To investigate trends in health inequality among children and young people between 1999 and 2009, using outcomes consistent with the current NHS reforms. Design/data Secondary analysis of participants aged 0–24 in the Health Surveys for England (HSE) undertaken in 1999, 2004, 2006 and 2009. Main outcome measures Changes in the absolute and relative risks of four health outcomes by deprivation tertiles, based on occupation of the head of household ▸ self/parent-reported general health, ▸ presence of a long-standing illness (LSI), ▸ obesity ▸ smoking. Results No indicator showed a reduction in relative or absolute inequality between 1999 and 2009. For children (0–12 years), the relative risk comparing the most and least deprived tertiles increased significantly for poor general health (1999:1.6 (95% CI 1.2 to 2.2); 2009:3.9 (2.4 to 6.2), while the absolute difference in LSI prevalence(%) increased from 1.3 (−2.9 to 5.5) to 7.4 (3.6 to 11.4). Among young people (13–24 years), the absolute difference in LSI prevalence increased from −5.9 (−10.9 to −1.1) to 3.1 (−4.1 to 10.7). Absolute inequality in having tried smoking among children aged 8–15(%) increased significantly in the first half of the decade before decreasing in the second half (1999:3.3 (−1.1 to 7.7); 2004:14.1 (9.6 to 18.8); 2009:4.1 (0.1 to 8.8)). However, the increase in absolute inequality for smoking prevalence among young adults (16–24 years) was maintained throughout the decade (1999:−7.0 (−15.6 to 1.3); 2004:11.6 (3.7 to 20.0); 2009:8.2 (−0.3 to 16.9)). Conclusions The national programme between 1999 and 2009 was not successful in reducing inequality in four key indicators of health status and future health risk among children and young people. Some inequality measures for general health, LSI prevalence and smoking increased over this time.
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