PMID: 9425459Jan 13, 1998Paper

Has regional variation in mortality rates declined since 1931, and in all age groups, in Britain? A re-analysis using formal statistical modelling

Journal of Epidemiology and Community Health
R EcobG Watt

Abstract

To examine changes in regional variance in all cause mortality rates in Great Britain from 1931-91 using formal statistical modelling procedures, and to follow up the suggestion by Illsley and Le Grand that there has been a reduction over time in the regional variance in younger but not older age groups. Data were the age and sex specific death rates around each census from 1931-91 for the British regions, reconstructed to make them comparable with the 1981 regional definitions. Regional variance was modelled using bootstrap simulation tests and by age-period and age-cohort models. While there was some evidence of a decline and levelling off of the regional variance over time in older age groups (over 35), the decline in younger age groups was more marked. This broadly confirms previous findings. Parametrising the period effect into linear and quadratic components, with allowance for an increase in regional variance in the war years, gave broadly comparable fit to the data as a model with period as a factor. Models for the changes in regional variance which were based on period effects seemed to provide a better description of the observed variances than those based on birth cohort effects. In the younger (but not older) groups...Continue Reading

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Citations

Oct 18, 2002·Social Science & Medicine·Manfred WildnerAnne Brunner
Mar 14, 2003·Healthcare Management Forum·Lisa M LixShelley Derksen
Sep 14, 2001·Journal of Evaluation in Clinical Practice·C Robertson, R Ecob
Mar 18, 2004·Journal of Epidemiology and Community Health·A H Leyland
Apr 15, 2004·Journal of Epidemiology and Community Health·L M LixL L Roos
Jul 15, 2006·Journal of Epidemiology and Community Health·Tim DoranMargaret Whitehead
Dec 1, 2008·Expert Review of Pharmacoeconomics & Outcomes Research·Rob CarterCathrine Mihalopoulos

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