title: The relationship of individual and neighbourhood deprivation with morbidity in older adults: an observational study.
abstract: The objective was to determine the relative association of social class and neighbourhood deprivation with primary care consultation for eight morbidities. In 18,047 survey responders aged ≥50 years, living in more deprived neighbourhoods was independently associated with new consultation for chronic obstructive pulmonary disease, ischaemic heart disease, diabetes, asthma and depression. Lower social class was associated with diabetes and chronic obstructive pulmonary disease. No such associations were found with otitis media, osteoarthritis or upper respiratory tract infection. These findings suggest a role of social environment in certain morbidities and indicate the importance of identifying and acting on neighbourhood deprivation to reduce health inequalities.
authors.affiliation: 1 Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire ST5 5BG, UK k.p.jordan@keele.ac.uk.
authors.forename: Kelvin P
authors.initials: KP
authors.lastname: Jordan
authors.affiliation: 1 Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire ST5 5BG, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Hayward
authors.affiliation: 1 Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire ST5 5BG, UK.
authors.forename: Eyitope
authors.initials: E
authors.lastname: Roberts
authors.affiliation: 1 Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire ST5 5BG, UK.
authors.forename: John J
authors.initials: JJ
authors.lastname: Edwards
authors.affiliation: 1 Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire ST5 5BG, UK2 The Health Services Research Unit, Keele University, Keele, Staffordshire ST5 5NB, UK.
authors.forename: Umesh T
authors.initials: UT
authors.lastname: Kadam
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004739:England; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D016017:Odds Ratio; D011204:Poverty Areas; D012923:Social Class; D055815:Young Adult