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Time Trends in Inequalities in Health

Published online by Cambridge University Press:  31 July 2008

Roy A. Carr-Hill
Affiliation:
Centre for Health Economics, University of York

Summary

The conventional belief since the publication of the Black Report is that social inequalities in health have been increasing since 1931–32 although it has been argued that the measure of inequality used is inappropriate. All analyses have been based on mortality rates which, in large part, reflect inequalities in health over the previous 50 years and not current trends. This paper argues that time trends should be assessed with a current health status measure and suggests using height at age 20 as a good measure of the achieved health status of a group. Analysis of a government survey shows that inequalities have stayed the same since 1940, both for men classified by their own occupation and for women classified by their father's occupation.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1988

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References

Bielicki, T., Szczotka, H. & Charzenksi, J. (1981) The influence of three socioeconomic factors on body height in Polish military conscripts. Hum. Biol. 53, 543.Google ScholarPubMed
Blaxter, M. (1986) Longitudinal studies in Britain with relevance to inequalities in health. In: Class and Health. Edited by Wilkinson, R.. Tavistock, London.Google Scholar
Borkan, G. A. & Norris, A. H. (1977) Fat redistribution and the changing body dimensions of the adult male. Hum. Biol. 49, 495.Google ScholarPubMed
Brundtland, G. H., Liestøl, K. & Walløe, L. (1980) Height, weight and menarcheal age of Oslo schoolchildren during the last 60 years. Ann. hum. Biol. 7, 307.CrossRefGoogle ScholarPubMed
Cameron, N. (1979) The growth of London schoolchildren 1904–1966: an analysis of secular trends and intra-county variation. Ann. hum. Biol. 6, 505.CrossRefGoogle ScholarPubMed
Cole-Hamilton, I. & Lang, T. (1986) Tightening Belts. London Food Commission.Google Scholar
Editorial (1981) Official statistics and women. Jl R. Coll. gen. Pract. 31, 451.Google Scholar
Eveleth, P. B. & Tanner, J. M. (1976) Worldwide Variation in Human Growth. Cambridge University Press, New York.Google Scholar
Floud, R. (1984) Measuring the Transformation of the European Economies: Income, Health and Welfare. Discussion Paper No. 33, Centre for Economic Policy Research, London.Google Scholar
Fogel, R. W., Usher, D. & Williamson, J. (1983) Secular change in American and British stature and nutrition. J. Interdiscip. Hist. 14, 154.Google ScholarPubMed
Fox, A. J., Goldblatt, P. O. & Jones, D. R. (1986) Social class mortality differentials: artefact, selection or life circumstances? In: Class & Health, pp. 3449. Edited by Wilkinson, R.. Tavistock, London.Google Scholar
Gray, A. (1982) On the Black Report. Inequalities in Health. A Summary and Comment. Northern Health Economic Publication, Aberdeen.CrossRefGoogle ScholarPubMed
Hart, N. (1986) Inequalities in health: the individual and the environment. Jl R. statist. Soc. Ser. A, 14, 228.Google Scholar
Illsley, R. (1955) Social class selection and class differences in relation to stillbirths and infant deaths. Br. med. J. 2, 1520.CrossRefGoogle ScholarPubMed
Illsley, R. (1986) Occupational class, selection and the production of inequalities in health. Q. J. Social Affairs, 2, 151.Google Scholar
Illsley, R. & Le Grand, J. (1987) The measurement of inequality in health. In: Health and Economics. Edited by Williams, A.. Macmillan, London.Google Scholar
Knight, I. (1984) The Heights and Weights of Adults in Great Britain. Office of Population Censuses and Surveys, London.Google Scholar
Le Grand, I. (1985) Inequalities in Health: the Human Capital Approach. Discussion Paper No. 1, Welfare State Programme. International Centre for Economics and Related Disciplines, London School of Economics and Political Science.Google Scholar
Lindgren, G. (1976) Height, weight and menarche in Swedish urban schoolchildren in relation to socioeconomic and regional factors. Ann. hum. Biol. 3, 501.CrossRefGoogle Scholar
Marmot, M. G. (1986) Social inequalities in mortality: the social environment. In: Class and Health, pp. 2133. Edited by Wilkinson, R.. Tavistock, London.Google Scholar
Marmot, M. G., Shipley, M. J. & Rose, G. (1984) Inequalities in death—specific explanations of a general pattern. Lancet, ii, 1003.CrossRefGoogle Scholar
McFarlane, A. (1981) Official statistics and women's health and illness. Equal Opp. Res. Bull. 4, 10.Google Scholar
McPherson, K. (1985) Discussion of public controversies and scientific evidence. Jl R. statist. Soc. (News and Notes) 12, 3.Google Scholar
National Center for Health Statistics (1981) Height and Weight of Adults Aged 18–74 by Socioeconomic and Geographic Variables. USDHHS, Hyattsville.Google Scholar
Palmore, E.B. (1986) Normal Ageing III: Report from the Duke Longitudinal Studies 1975–84. Duke University, Durham, NC.Google Scholar
Power, C, Fogelman, K. & Fox, J. (1986) Health and Social Mobility During the Early Years of Life. Working Paper No. 8, NCDS User Support Group. City University, London.Google Scholar
Pritchard, C. W. & Carr-Hill, R. A. (1989) The Empirical Problem of Female Social Class. Macmillan, London.Google Scholar
Rubington, E. & Weinberg, M. S. (Eds) (1975) Deviance: the Interactionist Perspective. Macmillan, London.Google Scholar
Scott-Samuel, A. (1986) Letter. New Society, 78, 35.Google Scholar
Shock, N. W. (1972) Energy metabolism, calorific intake and physical activity of the ageing. In: Nutrition in Old Age. Edited by Carson, C. A.. Almquist & Wiksell, Uppsala.Google Scholar
Shock, N. W. (1984) Normal Human Ageing. National Institutes of Health, Washington, DC.Google Scholar
Steckel, R. H. (1987) Growth depression and recovery: the remarkable case of American slaves. Ann. hum. Biol. 14, 111.CrossRefGoogle ScholarPubMed
Tanner, J. M. (1969) Growth at Adolescence. Blackwell, Oxford.Google Scholar
Tanner, J. M.(1978) Foetus into Man—Physical Growth from Conception to Maturity. Open Books, London.Google Scholar
Tanner, J. M. (1981) History in the Study of Human Growth. Cambridge University Press, Cambridge.Google Scholar
Tanner, J. M. (1985) Growth as a mirror of the condition of society: secular trends and class distinctions. In: Human Growth: A Multidisciplinary View. Edited by Demirjian, A. & Brault, D.. Taylor & Francis, London.Google Scholar
Thunhurst, C. (1986) Close encounters of an economic kind. Radical comm. Med. 24, 18.Google Scholar
Townsend, P. & Davidson, M. (1982) Inequalities in Health: The Black Report, p. 39. Penguin. Harmondsworth.Google Scholar
Waaler, H. (1984) Height, weight and mortality: the Norwegian experience. Acta med. scand. Suppl. 679, 1.Google ScholarPubMed
Wadsworth, M. E. J. (1986) Serious illness in childhood and its association with later life achievement. In: Class and Health, pp. 5074. Edited by Wilkinson, R.. Tavistock, London.Google Scholar
Wilkinson, R. (1986) Socioeconomic differences in mortality. In: Class and Health, pp. 119. Tavistock, London.Google Scholar