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International differences in self-reported health measures in 33 major metropolitan areas in Europe

Gray, Linsay; Merlo, Juan LU ; Mindell, Jennifer; Hallqvist, Johan; Tafforeau, Jean; O'Reilly, Dermot; Regidor, Enrique; Naess, Oyvind; Kelleher, Cecily and Helakorpi, Satu, et al. (2012) In European Journal of Public Health 22(1). p.40-47
Abstract
Background: The increasing concentration of populations into large conurbations in recent decades has not been matched by international health assessments, which remain largely focused at the country level. We aimed to demonstrate the use of routine survey data to compare the health of large metropolitan centres across Europe and determine the extent to which differences are due to socio-economic factors. Methods: Multilevel modelling of health survey data on 126 853 individuals from 33 metropolitan areas in the UK, Republic of Ireland, Sweden, Norway, Finland, Spain, Belgium and Germany compared general health, longstanding illness, acute sickness, psychological distress and obesity with the average for all areas, accounting for education... (More)
Background: The increasing concentration of populations into large conurbations in recent decades has not been matched by international health assessments, which remain largely focused at the country level. We aimed to demonstrate the use of routine survey data to compare the health of large metropolitan centres across Europe and determine the extent to which differences are due to socio-economic factors. Methods: Multilevel modelling of health survey data on 126 853 individuals from 33 metropolitan areas in the UK, Republic of Ireland, Sweden, Norway, Finland, Spain, Belgium and Germany compared general health, longstanding illness, acute sickness, psychological distress and obesity with the average for all areas, accounting for education and social class. Results: We found some areas (Greater Glasgow; Greater Manchester, Cheshire and Merseyside; Northumberland, Tyne and Wear and South Yorkshire) had significantly higher levels of poor health. Other areas (West Flanders and Antwerp) had better than average health. Differences in individual socio-economic circumstances did not explain findings. With a few exceptions, acute sickness levels did not vary. Conclusion: Health tended to be worse in metropolitan areas in the north and west of the UK and the central belt and south east of Germany, and more favourable in Sweden and north west Belgium, even accounting for socio-economic composition of local populations. This study demonstrated that combining national health survey data covering different areas is viable but not without technical difficulties. Future comparisons between European regions should be made using standardized sampling, recruitment and data collection protocols, allowing proper monitoring of health inequalities. (Less)
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publication status
published
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European Journal of Public Health
volume
22
issue
1
pages
40 - 47
publisher
Oxford University Press
external identifiers
  • wos:000299746500012
  • scopus:84856487258
ISSN
1101-1262
DOI
10.1093/eurpub/ckq170
language
English
LU publication?
yes
id
b9ea2e85-df1a-4fcb-a59c-ebbbeae4717c (old id 2416318)
date added to LUP
2012-04-02 09:49:06
date last changed
2017-10-01 03:02:45
@article{b9ea2e85-df1a-4fcb-a59c-ebbbeae4717c,
  abstract     = {Background: The increasing concentration of populations into large conurbations in recent decades has not been matched by international health assessments, which remain largely focused at the country level. We aimed to demonstrate the use of routine survey data to compare the health of large metropolitan centres across Europe and determine the extent to which differences are due to socio-economic factors. Methods: Multilevel modelling of health survey data on 126 853 individuals from 33 metropolitan areas in the UK, Republic of Ireland, Sweden, Norway, Finland, Spain, Belgium and Germany compared general health, longstanding illness, acute sickness, psychological distress and obesity with the average for all areas, accounting for education and social class. Results: We found some areas (Greater Glasgow; Greater Manchester, Cheshire and Merseyside; Northumberland, Tyne and Wear and South Yorkshire) had significantly higher levels of poor health. Other areas (West Flanders and Antwerp) had better than average health. Differences in individual socio-economic circumstances did not explain findings. With a few exceptions, acute sickness levels did not vary. Conclusion: Health tended to be worse in metropolitan areas in the north and west of the UK and the central belt and south east of Germany, and more favourable in Sweden and north west Belgium, even accounting for socio-economic composition of local populations. This study demonstrated that combining national health survey data covering different areas is viable but not without technical difficulties. Future comparisons between European regions should be made using standardized sampling, recruitment and data collection protocols, allowing proper monitoring of health inequalities.},
  author       = {Gray, Linsay and Merlo, Juan and Mindell, Jennifer and Hallqvist, Johan and Tafforeau, Jean and O'Reilly, Dermot and Regidor, Enrique and Naess, Oyvind and Kelleher, Cecily and Helakorpi, Satu and Lange, Cornelia and Leyland, Alastair H.},
  issn         = {1101-1262},
  language     = {eng},
  number       = {1},
  pages        = {40--47},
  publisher    = {Oxford University Press},
  series       = {European Journal of Public Health},
  title        = {International differences in self-reported health measures in 33 major metropolitan areas in Europe},
  url          = {http://dx.doi.org/10.1093/eurpub/ckq170},
  volume       = {22},
  year         = {2012},
}