Urban/Rural Inequalities in Health
Previous research has suggested that there are significant differences in health between urban and rural areas. Health inequalities between the deprived and affluent in Scotland have been rising over time. We have examined health inequalities between deprived and affluent areas of Scotland for differing levels of rurality and how these have changed over time. We found that standardised all cause death rates were greater in urban areas than remote rural areas of Scotland for all levels of deprivation in 2001. The rise in inequalities between 1981 and 2001 was greatest in remote rural Scotland. In 2001 inequalities among those aged over 64 in remote rural Scotland were greater than those of the equivalent urban population at this time. This was primarily due to relatively large ratios for Ischaemic Heart Disease (IHD) and cancer amongst the remote rural elderly population. Socio-economic inequalities amongst the elderly rose over the 20 years studied and were highest in remote rural Scotland in 1998-2001. There is clearly a need to monitor the health of elderly populations.
Levin K A, Leyland AH. A comparison of health inequalities in urban and rural Scotland. Social Science & Medicine 2006;62:1457-1464pubmed
Levin K A, Leyland AH. Urban-rural inequalities in ischemic heart disease in Scotland, 1981-1999. American Journal of Public Health 2006;96:145-151pubmed
Levin K A, Leyland AH. Urban/rural inequalities in suicide in Scotland, 1981-1999. Social Science & Medicine 2005;60:2877-2890pubmed
Levin K A. Urban-rural differences in self reported limiting long term illness in Scotland. Journal of Public Health Medicine 2003;25:288-294pubmed
- IHD Ischaemic Heart Disease
- Ischaemic heart disease (IHD) Inadequate flow of blood through the coronary arteries to the heart.
- Standardised A process by which rates are adjusted to make them comparable. For example, age-standardised rates adjust for differing age structures in populations.