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:	Nasima Akhter, Ross Stewart Fairbairn, Mark Pearce, Jon Warren, Adetayo Kasim, Clare Bambra
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	social determinants health behaviours health inequalities austerity welfare social inequality Medicine R
Acceso en línea:	https://doaj.org/article/347a52522b3f44d490b0e9104010f557
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spelling	oai:doaj.org-article:347a52522b3f44d490b0e9104010f5572021-11-11T16:10:27ZLocal Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study10.3390/ijerph1821110181660-46011661-7827https://doaj.org/article/347a52522b3f44d490b0e9104010f5572021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11018https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This 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 (<i>p</i> ≤ 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.Nasima AkhterRoss Stewart FairbairnMark PearceJon WarrenAdetayo KasimClare BambraMDPI AGarticlesocial determinantshealth behaviourshealth inequalitiesausteritywelfaresocial inequalityMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11018, p 11018 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	social determinants health behaviours health inequalities austerity welfare social inequality Medicine R
spellingShingle	social determinants health behaviours health inequalities austerity welfare social inequality Medicine R Nasima Akhter Ross Stewart Fairbairn Mark Pearce Jon Warren Adetayo Kasim Clare Bambra Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study
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 (<i>p</i> ≤ 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.
format	article
author	Nasima Akhter Ross Stewart Fairbairn Mark Pearce Jon Warren Adetayo Kasim Clare Bambra
author_facet	Nasima Akhter Ross Stewart Fairbairn Mark Pearce Jon Warren Adetayo Kasim Clare Bambra
author_sort	Nasima Akhter
title	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_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_sort	local inequalities in health behaviours: longitudinal findings from the stockton-on-tees cohort study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/347a52522b3f44d490b0e9104010f557
work_keys_str_mv	AT nasimaakhter localinequalitiesinhealthbehaviourslongitudinalfindingsfromthestocktononteescohortstudy AT rossstewartfairbairn localinequalitiesinhealthbehaviourslongitudinalfindingsfromthestocktononteescohortstudy AT markpearce localinequalitiesinhealthbehaviourslongitudinalfindingsfromthestocktononteescohortstudy AT jonwarren localinequalitiesinhealthbehaviourslongitudinalfindingsfromthestocktononteescohortstudy AT adetayokasim localinequalitiesinhealthbehaviourslongitudinalfindingsfromthestocktononteescohortstudy AT clarebambra localinequalitiesinhealthbehaviourslongitudinalfindingsfromthestocktononteescohortstudy
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Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study

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