Abstract
Background
Research and policy related to reducing health inequalities has progressed separately within Ireland and Northern Ireland. This paper describes the first exploration of the socio-economic influences on health on the island of Ireland since 1922.
Methods
Postal survey.
Results
The response rate was 52%; 11,870 respondents. Men reported more long-standing illness (LLTI) or poor general health (PGH); depression was more common amongst women. Socio-economic gradients in health were evident in both jurisdictions, with the effects of household income being particularly marked. Overall, morbidity levels were significantly better in Ireland than in Northern Ireland: adjusted odds ratio of 0.79 (95% Cl 0.71–0.88) for LLTI; 0.64 (0.57 – 0.72) for PGH; 0.90 (0.82 – 0.99) for depression.
Conclusions
There is evidence of strong and similar socio-economic gradients in health throughout the island of Ireland. This would suggest joint policy approaches or at least further comparative evaluation of the initiatives in each jurisdiction.
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References
Campbell R. Research into inequalities in health in NI: what research?Crit Publ Hlth 1993; 4, 2: 5–8.
Kelleher C, Friel S, Nic Gabhainn S, Tay J. Socio-economic predictors of self-rated health in the Republic of Ireland: findings from the National Survey on Lifestyle, Attitudes and Nutrition, SLAN.Soc Sci Med. 2003; 57; 477–486.
Townsend P, Philimore P, Beattie A. Health and inequalities in the North. London: Croom Helm 1988.
Carstairs V, Morris R. Deprivation and health in Scotland. Aberdeen: Aberdeen University Press 1991.
Kelly A. A national deprivation index for health and health services research Technical report No 2. Small Area Health Research Unit. Trinity College Dublin 1997.
Balanda K, Wilde J. Inequalities in mortality 1989–1998; A report on all-Ireland mortality data. Institute of Public Health 2001.
Walsh P, Comber H, Gavin A. All-Ireland cancer statistics 1994–1996: A joint report on incidence and mortality for the island of Ireland. National Cancer Registry (Ireland), Cork and NI Cancer Registry, Belfast 2001
Joffe M, Mindell J. A framework for the evidence base to support Health Impact Assessment.J Epidemiol Comm Hlth 2002; 56: 132–138.
McQuoid J. Feasibility study for a crossborder assessment of social deprivation need and service provision. Centre for policy research University of Ulster, Jordanstown and Economic and Social Research Institute, Dublin 1994.
Friel S, NicGabhainn S, Kelleher C. The National health and lifestyle surveys: SLAN and HBSC. Centre for Health Promotion Studies, NUI, Galway 1999.
O’Reilly D, Browne S. Health and Health Services Use in NI: Social Variations. Report to the Dept of Health, Social Services and Public Safety. Queen’s University Belfast 2001.
Breeze E, Maidment A, Bennett N, Flatley J, Carey S. Health Survey for England, 1992: A survey carried out by the Social Survey Division of OPCS on behalf of the Dept of Health. London: HMSO 1994.
Metcalfe O. Implications of European Public Health. Public Health in Europe the Irish Connection: A report. The Institute of Public Health 2001.
Jamison J, Butler M, Clarke P, McKee M, O’Neill C. Cross-border cooperation in Health Services in Ireland. A report for the Centre for Cross Border Studies. The Centre for Cross Border Studies 2001.
Barry M, Friel S, Dempsey C, Avalos G, Clarke P. Promoting mental health and social well-being: cross border opportunities and challenges. A report for the Centre for Cross-Border Studies & the Institute of Public Health in Ireland. Centre for Cross-Border Studies 2002.
Nic Gabhainn S, Murphy AW, Kelleher CC. A national general practice census: characteristics of rural general practices.Fam Pract 2001; 18:622–626.
Goldberg D, Williams PA. Users guide to the General Health Questionnaire, NFER-Nelson 1988
Whooley MA, Avins AL, Miranda J, Browner WS. Case-Finding Instruments for Depression: Two Questions Are as Good as Many.J Gen Int Med 1997; 12: 439–45.
Blane D, Harding S, Rosato M. Does social mobility affect the size of the socioeconomic mortality differential?: evidence from the Office for National Statistics Longitudinal Study. J R Stat Soc Series A. 1999; 162: 59–70.
Mackenbach J, Kunst A, Cavelaars A, Groenhof F, Geurts J, EU Working Group on Socio-economic Inequalities in Health Socio-economic inequalities in morbidity and mortality in Western Europe.Lancet 1997; 349; 1655–59.
Cook S, Poole M, Pringle D, Moore A. Comparative Spatial Deprivation in Ireland North and South: A cross-border analysis. Dublin: Oak Tree Press 2000.
Davies, H., Joshi, H., and Clarke, L. Is it cash the deprived are short of?J R Stat Soc. 1997; 160, 107–26.
Osier M, Prescott E, Grønbæk M, Christensen U, Due P, Engholm G. Income inequality, individual income, and mortality in Danish adults: analysis of pooled data from two cohort studiesBMJ 2002; 324: 13–16.
Shibuya K, Hashimoto H, Yano E. Individual income, income distribution, and self rated health in Japan: cross sectional analysis of nationally representative sample.BMJ 2002; 324: 16–20.
Sturm R, Gresenz C. Relations of income inequality and family income to chronic medical conditions and mental health disorders: national survey.BMJ 2002; 324: 20–24.
Deaton A. Commentary: The convoluted story of international studies of inequality and health.Int J Epidemiol 2002; 31: 546–549.
Lynch J, Davey Smith G. Commentary: Income inequality and health:The end of the story?Int J Epidemiol 2002; 31:549–551.
Mackenbach JP. Income inequality and population health.BMJ 2002; 324; 1–2.
Garvey D, Caven N. Ireland, North and South: A Statistical Profile 2003 Edition. NI Statistics and Research Agency and Central Statistics Office 2003.
O’Reilly D, Stevenson M. Mental health in NI: have ‘the Troubles’ made it worse?J Epidemiol Comm Hlth. 2003; 57: 488–492.
O’Hearn D. Inside the Celtic Tiger. The Irish economy and the Asian model. London: Pluto Press 1998.
Salomon J, Tandon A, Murray C, World Health Survey Pilot Collaborating Group. Comparability of self rated health: cross sectional multi-country survey using anchoring vignettes.BMJ 2004; 328; 258–261.
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O’Reilly, D., Thompson, K.J., Murphy, A.W. et al. Socio-economic gradients in self-reported health in Ireland and Northern Ireland. Ir J Med Sci 175, 43–51 (2006). https://doi.org/10.1007/BF03169172
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DOI: https://doi.org/10.1007/BF03169172