Abstract:
STUDY OBJECTIVE:To investigate the characteristics of elderly populations associated with variations in their use of community health and personal social services and to test the hypotheses that the variations are related to: (a) the age structure of an elderly population; (b) the population's socioeconomic composition, including the level of deprivation; and (c) household or living arrangements. DESIGN:A common file of 1991 population census and 1994 NHS community trust operational variables was constructed for 67 postcode sectors, with the independent variables describing the age-sex groups to be studied. Clear criteria for the exclusion of "empty" sectors were developed. Relationships using bivariate and multivariate correlation and stepwise multiple regression were explored. SETTING:Eastern Health and Social Services Board area, Northern Ireland (Belfast and hinterland). PARTICIPANTS:Population of statutory pensionable age; in aggregate, younger and older age bands. MAIN RESULTS:The age structure or mean age of the elderly population had only a weak association with the community health and social service client rate, but there were strong associations with socio-economic variables, particularly the percentage of those living alone who were without a car and the percentage of pensioner households that included an adult of below pensionable age. Parsimonious multiple regression models accounted for between 46% and 80% of the variation in the NHS community trust client rate. Greater explanations were achieved for the young elderly population than for those aged 75+ years and, when the population was divided between young and old age bands, for men than for women. CONCLUSIONS:Community health and social services for elderly people in eastern Northern Ireland were focused on those with a low income and those who were not co-resident with adults of working age. When local elderly populations are compared, per capita morbidity and dependency are often higher where the mean age is low, and vice versa, because of the inverse relationship between socioeconomic status and survival in old age. Capitation scales for resource allocation with positive age weighting will be of little use if no account is taken of the relative prevalence of need in the youngest or base age group.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Warnes AM,Armstrong GK,Peters Ddoi
10.1136/jech.51.6.722subject
Has Abstractpub_date
1997-12-01 00:00:00pages
722-30issue
6eissn
0143-005Xissn
1470-2738journal_volume
51pub_type
杂志文章abstract:STUDY OBJECTIVE:To determine the incidence of cancer among homeless men in Glasgow. DESIGN:Descriptive study of cancer incidence in a defined, though individually unidentifiable, population cohort. SETTING:Glasgow and the West of Scotland Region. PARTICIPANTS:Male residents of 10 hostels for the single homeless in G...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.6.668
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:The Home Office has recently published estimates which, for the first time, provide a "robust national estimate" of the number of problematic drug users in England. The 2004/05 and 2005/06 estimates are the highest estimates ever produced for England and coincide with the highest ever government annual expen...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.076844
更新日期:2009-01-01 00:00:00
abstract:STUDY OBJECTIVE:To assess whether in an urban population stage at breast cancer diagnosis is related to area of living and to what extent intra-urban differences in breast cancer mortality are related to incidence respectively stage at diagnosis. DESIGN:National registries were used to identify cases. Mortality in 17 ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.4.279
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:Despite the worldwide trend towards more time being spent at work by employed people, few studies have examined the independent influences of work-based versus home-based social networks on employees' health. We examined the association between work-based social networks and health status by controlling for ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.082453
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:This study is the first to examine the relationship between gender and self-assessed health (SAH), and the extent to which this varies by socioeconomic position in different European welfare state regimes (Liberal, Corporatist, Social Democratic, Southern). METHODS:The EUROTHINE harmonised data set (based o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.070292
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To examine the extent to which the justice of decision-making procedures and interpersonal relationships is associated with smoking. SETTING:10 municipalities and 21 hospitals in Finland. DESIGN AND PARTICIPANTS:Cross-sectional data derived from the Finnish Public Sector Study were analysed with logistic re...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061739
更新日期:2007-05-01 00:00:00
abstract::A survey in a London borough showed that 15% of adults living at home were restricted in one or more areas of their lives because of illness. A sample of these adults aged 25 to 75 years was interviewed using a validated medical questionnaire, and the severity of their restrictions was also assessed using a separate i...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.1.59
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Cross-cohort comparison is an established method for improving causal inference. This study compared 2 cohorts, 1 from a high-income country and another from a middle-income country, to (1) establish whether birth exposures may play a causal role in the development of childhood attention problems; and (2) id...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-206222
更新日期:2016-07-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the relationship between sociodemographic, behavioural, and family characteristics and the body mass index (BMI) (weight (kg)/height (m2)) of extremely obese people. DESIGN:Self reported sociodemographic, behavioural, and familial characteristics and weight and height were obtained by po...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.1.22
更新日期:1995-02-01 00:00:00
abstract::The volume and velocity of data are growing rapidly and big data analytics are being applied to these data in many fields. Population and public health researchers may be unfamiliar with the terminology and statistical methods used in big data. This creates a barrier to the application of big data analytics. The purpo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209608
更新日期:2017-11-01 00:00:00
abstract:STUDY OBJECTIVES:To examine whether psychosocial factors at work are related to self rated health in post-communist countries. DESIGN AND SETTINGS:Random samples of men and women in five communities in four countries were sent a postal questionnaire (Poland, Czech Republic and Lithuania) or were invited to an intervie...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.9.624
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To examine variables related with publication bias assessment in a sample of systematic reviews with meta-analysis on cardiovascular diseases. DESIGN:Systematic review of meta-analyses. SETTING:Journals indexed in Medline and the Cochrane Library. STUDY POPULATION:225 reviews with meta-analysis published b...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2005.033027
更新日期:2005-10-01 00:00:00
abstract::The use of mortality data in the form of standardised mortality ratios (SMRs) to measure the need for health care resources in the Resource Allocation Working Party (RAWP) formula in England has been criticised for underestimating the wider effects of adverse socioeconomic conditions on need, particularly in inner cit...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.2.191
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:Identification of features of the neighbourhood physical environment that have a causal association with positive child development is important for promoting long-term developmental health. Previous research on these associations have been conducted at the neighbourhood level, and do not account for individ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-212686
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:To determine the risk factors associated with fracture of the distal forearm, and to evaluate the influence of falls on these risks. DESIGN:This was a case-control study. SETTING:Manchester, UK. PARTICIPANTS:The cases were 62 white women aged 45-82 years who had sustained a fracture of the distal forearm a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.3.288
更新日期:1996-06-01 00:00:00
abstract:STUDY OBJECTIVE:Knowledge about changes in wellbeing during the passage from professional studies to working life is scarce and controversial. This study examined these changes among university graduates with good and poor employment prospects. DESIGN:A longitudinal study with four postal questionnaire surveys of a cl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.11.831
更新日期:2001-11-01 00:00:00
abstract:STUDY OBJECTIVE:To analyse simultaneously the effect of several risk factors for peptic ulcer. DESIGN:Cohort study where all patients with new or incident peptic ulcers in a well defined population were registered for a seven year period. The follow up started with a comprehensive health survey including a questionnai...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.2.156
更新日期:1994-04-01 00:00:00
abstract:BACKGROUND:Over the last decades of the 20th century, a widening of the gap in death rates between upper and lower socioeconomic groups has been reported for many European countries. For most countries, it is unknown whether this widening has continued into the first decade of the 21st century. METHODS:We collected an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204319
更新日期:2015-03-01 00:00:00
abstract:STUDY OBJECTIVE:This study aimed to estimate the health and social costs of tobacco use in Ontario, Canada. DESIGN:This was a cost-benefit analysis based on cross sectional data in 1988, stratified by age and sex, using an attributable risk model. The total cost of the consequences of tobacco use in the society includ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.1.81
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:Sleep plays an important role in health and varies by social determinants. Little is known, however, about geographic variations in sleep and the role of individual-level and neighbourhood-level factors. METHODS:We used a multilevel modelling approach to quantify neighbourhood variation in self-reported sle...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-203256
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:To establish the prevalence and distribution of witnesses, victims, and perpetrators of different types of violence in the general population and the proportion of victims consulting health services or reporting the incident to authorities. METHODS:Cross sectional survey of a random sample of 3007 inhabitan...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.5.355
更新日期:2003-05-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of the study was to examine a cohort of cases of childhood cancer occurring in a defined geographical area to try to identify clustering and possible causative factors. DESIGN:Data were analysed using the close pair method developed by Knox for signs of clustering in relation to date and place ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.1.55
更新日期:1990-03-01 00:00:00
abstract::Socioeconomic differentials in the uptake of medical care in men were investigated using data from the General Household Survey (1974-76 and 1979-80). Hospitalisation, attendance at out patient clinics, and consultation with doctors were higher in local authority tenants than in owner occupiers. Men belonging to the m...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.41.3.196
更新日期:1987-09-01 00:00:00
abstract:BACKGROUND:Both adverse childhood experiences (ACEs) and adverse childhood socioeconomic conditions (SECs) in early life are associated with poor outcomes across the life course. However, the complex interrelationships between childhood SECs and ACEs are unclear, as are the consequences for health outcomes beyond child...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-213817
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Evidence of racial/ethnic inequalities in tobacco outlet density is limited by: (1) reliance on studies from single counties or states, (2) limited attention to spatial dependence, and (3) an unclear theory-based relationship between neighbourhood composition and tobacco outlet density. METHODS:In 97 counti...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-208475
更新日期:2017-05-01 00:00:00
abstract:STUDY OBJECTIVE:To estimate the relative health effects of the income and health insurance provisions of the Los Angeles City living wage ordinance. SETTING AND PARTICIPANTS:About 10 000 employees of city contractors are subject to the Los Angeles City living wage ordinance, which establishes an annually adjusted mini...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2004.028142
更新日期:2005-08-01 00:00:00
abstract:STUDY OBJECTIVE:To develop a self administered Chinese (mainland) version of the Short-Form Health Survey (SF-36) for use in health related quality of life measurements in China. DESIGN:A three stage protocol was followed including translation, tests of scaling construction and scoring assumptions, validation, and nor...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.4.259
更新日期:2003-04-01 00:00:00
abstract::Systematic screening of death certificates referable to residents of two health districts covered by a psychiatric case register allows the study of excess mortality in unselected psychiatric patients from a defined area of known population. Deaths among the case register patients exceeded those expected by 80%; the r...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.3.286
更新日期:1988-09-01 00:00:00
abstract:BACKGROUND:Depression is an important contributor to the global burden of disease. Besides several known individual-level factors that contribute to depression, there is a growing recognition that neighbourhood environment can also profoundly affect mental health. This study assessed associations between three neighbou...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209453
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:It is generally acknowledged that conventional estimates of the potential number of life years to be gained by elimination of causes of death are too generous. This is because these estimates fail to take into account the fact that those who are saved from the cause are likely to have one or more other condi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.1.32
更新日期:1999-01-01 00:00:00