BMJ  2004;329:887-888 (16 October), doi:10.1136/bmj.38238.508021.F7 (published 24 September 2004)

Paper

Mortality rates and self reported health: database analysis by English local authority area

Robert G E Kyffin, public health intelligence officer1, Michael J Goldacre, professor of public health2, Mike Gill, regional director of public health1

1 South East Regional Public Health Group, Government Office for the South East, Bridge House, Guildford, Surrey GU1 4GA, 2 Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF

Correspondence to: R G E Kyffin robert.kyffin@dh.gsi.gov.uk

The first 150 words of the full text of this article appear below.

Introduction

Mortality rates are commonly used as summary measures of current health status when comparing different populations. Their use in this way is often criticised, however, because mortality rates, though readily available and objective, are such an extreme measure of ill health. Surveys of self reported health, as an alternative approach to quantifying the health of a population, tend to be regarded as flawed because of their subjectivity. The UK census in 2001 included two measures of self reported health. We compared their values for each local authority area with the mortality rates for each area to find out whether mortality and self reported health are correlated.

Methods and results

For each local authority area in England, we took the age standardised mortality rates for the major causes of death pooled for 1999 and 2001 from the Compendium of Clinical and Health Indicators.1

For the same areas, we calculated age standardised rates of . . . [Full text of this article]

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