Social epidemiology at ONS
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An overview of social epidemiology at the UK Office for National Statistics - presentation at Bristol university, March 2006
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Social epidemiology at ONS
- 1. Social epidemiology at the Office for National Statistics Myer Glickman 23 March 2006
- 3. 1. Who/what/why is ONS?
- 7. 2. What do we do?
- 13. Mortality of Males 15-64 by Economic Position (Standardised Mortality Ratios)
- 18. Trends in social class differences in mortality by cause, 1986 to 2000 Chris White Folkert van Galen Yuan Huang Chow Office for National Statistics
- 21. Social class differences in deaths from coronary heart disease Source: ONS Longitudinal Study
- 22. Social class differences in deaths from lung cancer Source: ONS Longitudinal Study
- 23. Social class differences in deaths from respiratory diseases Source: ONS Longitudinal Study
- 24. Social class differences in deaths from breast cancer Source: ONS Longitudinal Study
- 30. Effect of (a) Ward deprivation and (b) South East residence
- 31. Effect of (c) Social Class in 1971
- 32. Effect of (d) Housing tenure 1991 and (e) Unemployment
- 33. Effect of (f) Social mobility and (g) Housing tenure mobility
- 34. Interaction of Social class mobility 1971-91 and Ward deprivation score 1991
- 35. Effect of illustrative profiles on risk Risk of death in males 1995-2001 by illustrative group and age: probability and 95% CI
Notes de l'éditeur
- Figures published by ONS last year (Health Statistics Quarterly 15) showed that while overall death rates for all social classes fell over the 1990s, inequality in male death rates increased because deaths in the professional and managerial classes (social classes I&II) fell more than deaths in the manual classes (social classes IV&V). Inequality in female death rates also persisted, though to a lesser extent than in men.
- Data sources: ONS Longitudinal Study Death registrations for England, Wales and Scotland Social classification: Registrar General’s Social Class Subjects: LS members present in 1971 and traced, aged 35-64 in the period 1986-99 Death registrations of persons aged 35-64 between 1993-2000 (EW) and 1991-99 (S) Outcome measures: DSRs with person time denominators for periods 1986-92, 1993-96 and 1997-99 PMRs for the periods 1993-96 and 1997-2000 for England and Wales and 1991-95 and 1996-99 for Scotland
- Social class differences in IHD & stroke increased between 1986-1999 in males Reductions in IHD and stroke deaths were sharper in the higher social classes in males, causing relative mortality to worsen in social classes IIIM and IV&V Social class gradient in male respiratory disease deaths more than doubled between 1993-96 and 1997-99, with a five and a half fold variation found for the period 97-99 Conversely, female respiratory disease mortality decreased from a ratio of 4.20 to 2.64 between Social Classes IV & V and I & II in the same period In women, the inverse social class gradient in breast cancer increased, contributing to a reduction in overall class gradients. Inverse gradients were identified in several less common causes of deaths Patterns for men in Scotland were similar to those in England and Wales