Final published version
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities
AU - Giebel, C.
AU - McIntyre, J.C.
AU - Alfirevic, A.
AU - Corcoran, R.
AU - Daras, K.
AU - Downing, J.
AU - Gabbay, M.
AU - Pirmohamed, M.
AU - Popay, J.
AU - Wheeler, P.
AU - Holt, K.
AU - Wilson, T.
AU - Bentall, R.
AU - Barr, B.
PY - 2020/8/18
Y1 - 2020/8/18
N2 - 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.
AB - 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.
KW - Co-production
KW - Deprivation
KW - Health care utilisation
KW - Health inequalities
KW - Housing
KW - Mental health
KW - adult
KW - article
KW - controlled study
KW - employment
KW - England
KW - female
KW - finance
KW - health care utilization
KW - health survey
KW - household
KW - housing
KW - human
KW - human experiment
KW - human tissue
KW - learning
KW - lifestyle
KW - major clinical study
KW - male
KW - mental health
KW - neighborhood
KW - resident
KW - seashore
U2 - 10.1186/s12889-020-09346-5
DO - 10.1186/s12889-020-09346-5
M3 - Journal article
VL - 20
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - 1
M1 - 1257
ER -