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dc.contributor.authorAsthana, Sen
dc.contributor.authorGibson, Aen
dc.contributor.editorWhitty, Cen
dc.contributor.editorLoveless, Ben
dc.date.accessioned2021-08-10T10:36:07Z
dc.date.available2021-08-10T10:36:07Z
dc.date.issued2021-07-21en
dc.identifier.other3en
dc.identifier.urihttp://hdl.handle.net/10026.1/17546
dc.description.abstract

There has been relatively little research focusing on health and health care in coastal communities. The following chapter is an exploratory analysis comparing coastal and non-coastal areas using Quality Outcome Framework (QOF) data. The key findings of this chapter suggest that: • There is a higher burden of disease and health risk factors in coastal areas, including heart disease, diabetes, cancer, mental health and Chronic Obstructive Pulmonary Disease (COPD). • This difference is partly explained by age and deprivation. However, even after adjusting for these factors (and others including ethnicity), there remains a ‘coastal excess’ in the prevalence of disease and risk factors. • There is some evidence of a health service deficit in terms of recorded service standards, cancers indicators and emergency admissions. The cause of this is unclear. • Standardised Mortality Ratios (SMR) for a range of conditions, including preventable mortality, are significantly higher in coastal areas compared with non-coastal. • Life expectancy (LE), healthy life expectancy (HLE) and disability free life expectancy (DFLE) are all, on average, significantly lower in coastal areas for both males and females. • Lower participation in higher education and higher rates of hospital admissions due to health-risking behaviour by children and young people may point to a degree of socio-psychological as well as economic dislocation in coastal communities. • There is a lack of available small area data for detailed analysis of the health of local communities, both on and beyond the coastal fringe.

en
dc.format.extent189 - 208 (19)en
dc.language.isoenen
dc.publisherDepartment of Health and Social Careen
dc.relation.ispartofChief Medical Officer Annual Report, 2021: Health in Coastal Communitiesen
dc.titleAnalysis of Coastal health outcomes.en
dc.typeBook Chapter
plymouth.publisher-urlhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1004527/cmo-annual_report-2021-health-in-coastal-communities.pdfen
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeLondonen
dc.rights.embargoperiodNot knownen
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.typeBook chapteren


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