Show simple item record

dc.contributor.authorAsthana, Sheena
dc.contributor.authorGibson, A
dc.contributor.editorWhitty C
dc.contributor.editorLoveless B

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.

dc.publisherDepartment of Health and Social Care
dc.relation.ispartofChief Medical Officer Annual Report, 2021: Health in Coastal Communities
dc.titleAnalysis of Coastal health outcomes.
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.rights.embargoperiodNot known
rioxxterms.typeBook chapter

Files in this item


This item appears in the following Collection(s)

Show simple item record

All items in PEARL are protected by copyright law.
Author manuscripts deposited to comply with open access mandates are made available in accordance with publisher policies. Please cite only the published version using the details provided on the item record or document. In the absence of an open licence (e.g. Creative Commons), permissions for further reuse of content should be sought from the publisher or author.
Theme by 
Atmire NV