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The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities

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  • C. Giebel
  • J.C. McIntyre
  • A. Alfirevic
  • R. Corcoran
  • K. Daras
  • J. Downing
  • M. Gabbay
  • M. Pirmohamed
  • J. Popay
  • P. Wheeler
  • K. Holt
  • T. Wilson
  • R. Bentall
  • B. Barr
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Article number1257
<mark>Journal publication date</mark>18/08/2020
<mark>Journal</mark>BMC Public Health
Issue number1
Volume20
Number of pages11
Publication StatusPublished
<mark>Original language</mark>English

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.