Self reported health and mortality: ecological analysis based on electoral wards across the United Kingdom

doi:10.1136/bmj.38594.490532.AE

BMJ 2005;331:938-939 (22 October), doi:10.1136/bmj.38594.490532.AE (published 29 September 2005)

Paper

Self reported health and mortality: ecological analysis based on electoral wards across the United Kingdom

Dermot O'Reilly, senior lecturer¹, Michael Rosato, research associate¹, Chris Patterson, reader in medical statistics¹

¹ Department of Epidemiology and Public Health, Queen's University Belfast, Belfast BT12 6BJ

Correspondence to: D O'Reilly d.oreilly@qub.ac.uk

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

Introduction

The question in the UK 1991 census that asked respondents whetherthey had a limiting long term illness proved useful for allocatinghealth service funding.¹ In the 2001 census a question on generalhealth in the previous year was added to improve further theunderstanding of health needs and refine resource allocation.However, these indicators differ from objective measures ofhealth in that they are also dependent on the perception of,and propensity to report, health problems. We explore the relationbetween the self reported responses to the two census questionscited above and mortality across the UK regions.

Methods and results

We derived three indicators of health for each of 10 604 UKelectoral wards. Pooled all cause mortality rates for 2000-2were generated for the English, Scottish, and Welsh wards. ForNorthern Ireland, where wards are smaller, we pooled data for1998-2002. We derived two morbidity indicators from the selfreport . . . [Full text of this article]

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