A Geography of Health Inequalities in Ireland - Jan Rigby
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www.chg.ie
A GEOGRAPHY OF HEALTH INEQUALITIESJan Rigby
and...Mark Boyle, Martin Charlton, Ronan Foley, Dennis Pringle, Danny Dorling
Funded by the Health Research Board
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Acknowledgements:
Researchers: Damien Butler, Walter French, Simon Noone, Sandra WalshAlso: CSO, Trutz Haase
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Child mortality vs Income 2010
www.gapminder.org
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Context: Poor/non-existent evidence base for health inequalities in Ireland
‘…findings that are rather similar, at first sight, of what we have been finding in our international overview studies (in which Ireland was sadly missing)’[via John Mackenbach, pers com, 2014]
Countries from whom we do not have data:‘EUR: Andorra, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Channel Islands, Faroe Islands, Georgia, Ireland, Kazakhstan, Kyrgyzstan, Liechtenstein, Macedonia, Moldova, Monaco, Montenegro, San Marino, Serbia, Tajikistan, Turkmenistan, Ukraine’[International Diabetes Federation, 2014]
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Methods: Develop a new ‘Intermediate Area’ geography for Ireland
Obtain mortality data for 2006-2011 Clean the data Geocode it Derive population data
Derive mortality rates
Explain the results
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Intermediate Area County 2011 ASR Change from 2006
Clondalkin N South Dublin 594.2 New Entry
Ballybough Croke Park Dublin City 554.2 New EntryMerchants Quay N Dublin City 535.6 2
Cork Urban NW Cork City 525.2 14Cherry Orchard Dublin City 499.2 13Crumlin E Dublin City 491.7 15Ballymun E Dublin City 486.7 6
Priorswood W Dublin City 485.4 New Entry
Kilmainham E Ushers N Dublin City 468.8 New Entry
Limerick Urban NE Limerick City 462.8 New Entry
Lucan E South Dublin <120 New EntryWestport Mayo County <120 New EntryCastleknock SE Fingal <120 New EntryWicklow E Wicklow County 121.7 New Entry
Botanic S Dublin City 129.0 New Entry
Geographical extent of Inequality: Under 75s
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Correlation plot All Age Mortality rates 2006_2011
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Correlation plots Under 75 Mortality rates 2006_2011
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80120
160200
240280
320360
400440
480520
560600
640680
720760
800840
880920
9601000
10401080
11201160
12001240
12801320
13601400
14401480
15201560
0
5
10
15
20
25
30
35
40All Age Mortality 2006
ASR
Freq
uenc
y
80120
160200
240280
320360
400440
480520
560600
640680
720760
800840
880920
9601000
10401080
11201160
12001240
12801320
13601400
14401480
15201560
0
5
10
15
20
25
30
35
40
All Age Mortality 2011
ASR
Freq
uenc
y
Frequency:All Age Mortality rates 2006 and 2011
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80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 600 620 640 6600
10
20
30
40
50
60
Under 75 Mortality 2006
ASR
Freq
uenc
y
80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 600 620 640 6600
10
20
30
40
50
60Under 75 Mortality 2006
ASR
Freq
uenc
yFrequency: Under 75 Mortality rates 2006 and 2011