Urban and rural variations in morbidity and mortality in Northern Ireland

O'Reilly, Gareth; Dermot O' Reilly; Rosato, Michael; Connolly, Sheelah
January 2007
BMC Public Health;2007, Vol. 7 Issue 1, p123
Academic Journal
Background: From a public health perspective and for the appropriate allocation of resources it is important to understand the differences in health between areas. This paper examines the variations in morbidity and mortality between urban and rural areas. Methods: This is a cohort study looking at morbidity levels of the population of Northern Ireland at the time of the 2001 census, and subsequent mortality over the following four years. Individual characteristics including demographic and socio-economic factors were as recorded on census forms. The urban-rural nature of residence was based on census areas (average population c1900) classified into eight settlement bands, ranging from cities to rural settlements with populations of less than 1000. Results: The study shows that neither tenure nor car availability are unbiased measures of deprivation in the urban-rural context. There is no indication that social class is biased. There was an increasing gradient of poorer health from rural to urban areas, where mortality rates were about 22% (95% Confidence Intervals 19%-25%) higher than the most rural areas. Differences in death rates between rural and city areas were evident for most of the major causes of death but were greatest for respiratory disease and lung cancer. Conversely, death rates in the most rural areas were higher in children and adults aged less than 20. Conclusion: Urban areas appear less healthy than the more rural areas and the association with respiratory disease and lung cancer suggests that pollution may be a factor. Rural areas however, have higher death rates amongst younger people, something which requires further research. There is also a need for additional indicators of deprivation that have equal meaning in urban and rural areas.


Related Articles

  • Public health impact of establishing the cause of bacterial infections in rural Asia Peacock, Sharon J.; Newton, Paul N. // Transactions of the Royal Society of Tropical Medicine & Hygiene;Jan2008, Vol. 102 Issue 1, p5 

    Summary: Recent studies delineating bacterial causes of fever in rural Asia indicate a major role for several previously under-recognized pathogens, including Rickettsia and Leptospira. The use of blood culture for the first time to investigate patients with febrile illness in rural Asia has...

  • Race, rural residence, and control of diabetes and hypertension. Mainous III, Arch G.; King, Dana E.; Garr, David R.; Pearson, William S.; Mainous, Arch G 3rd // Annals of Family Medicine;Nov/Dec2004, Vol. 2 Issue 6, p563 

    Purpose: African Americans are at increased risk for diabetes mellitus and hypertension, and rural residents have historically had decreased access to care. It is unclear whether living in a rural area and being African American confers added risks for diagnosis and control of...

  • Skin Diseases and Impact on Quality of Life in the Central Development Region Of Nepal: A Major Public Health Problem. Shrestha, D. P.; Gurung, D.; Shrestha, R.; Rosdahl, I. // Journal of Institute of Medicine;Aug2014, Vol. 36 Issue 2, p15 

    Introduction: Skin diseases are one of the most common health problems in Nepal. The objectives of this study are to determine the prevalence of skin diseases and impact on quality of life in the rural areas of central development region of Nepal. Methods: The study was conducted in the 10 VDCs...

  • Strategic model of national rabies control in Korea. Yeotaek Cheong; Bongjun Kim; Ki Joong Lee; Donghwa Park; Sooyeon Kim; Hyeoncheol Kim; Eunyeon Park; Hyeongchan Lee; Chaewun Bae; Changin Oh; Seung-Yong Park; Chang-Seon Song; Sang-Won Lee; In-Soo Choi; Joong-Bok Lee // Clinical & Experimental Vaccine Research;Jan2014, Vol. 3 Issue 1, p78 

    Rabies is an important zoonosis in the public and veterinary healthy arenas. This article provides information on the situation of current rabies outbreak, analyzes the current national rabies control system, reviews the weaknesses of the national rabies control strategy, and identifies an...

  • Isaac Williams Brewer (1867--1928): An Unsung Hero. Fee, Elizabeth; Bu, Liping // American Journal of Public Health;Mar2010, Vol. 100 Issue 3, p423 

    The article profiles Isaac William Brewer, public health physician. He was born in Fort Leavenworth, Kansas and received his medical degree from Columbia University in 1897. Most of his medical career was spent working with infectious disease epidemics in rural American towns. Brewer served in...

  • Ethnic Variations in Central Corneal Thickness in a Rural Population in China: The Yunnan Minority Eye Studies. Pan, Chen-Wei; Li, Jun; Zhong, Hua; Shen, Wei; Niu, Zhiqiang; Yuan, Yuansheng; Chen, Qin // PLoS ONE;8/14/2015, Vol. 10 Issue 8, p1 

    Purpose: To describe the ethnic differences in central corneal thickness (CCT) in population-based samples of ethnic Bai, Yi and Han people living in rural China. Methods: 6504 adults (2119 ethnic Bai, 2202 ethnic Yi and 2183 ethnic Han) aged 50 years or older participated in the study. Each...

  • Heavy burden of intestinal parasite infections in Kalena Rongo village, a rural area in South West Sumba, eastern part of Indonesia: a cross sectional study. Sungkar, Saleha; Pohan, Anggi P. N.; Ramadani, Antari; Albar, Nafisah; Azizah, Fitri; Nugraha, Antonius R. A.; Wiria, Aprilianto E. // BMC Public Health;12/24/2015, Vol. 15 Issue 1, p1 

    Background: Intestinal parasitic infections (IPIs) are one of the major public health problems, especially in the rural area of developing countries with low socio-economic status and poor sanitation. The study was aimed to determine the prevalence of IPIs among the inhabitants of a...

  • Protective Effect of Pregnancy in Rural South Africa: Questioning the Concept of “Indirect Cause” of Maternal Death Garenne, Michel; Kahn, Kathleen; Collinson, Mark; Gómez-Olivé, Xavier; Tollman, Stephen // PLoS ONE;May2013, Vol. 8 Issue 5, p1 

    Background: Measurement of the level and composition of maternal mortality depends on the definition used, with inconsistencies leading to inflated rates and invalid comparisons across settings. This study investigates the differences in risk of death for women in their reproductive years during...

  • Evaluation of the Healthy Village Program in Kapit District, Sarawak, Malaysia. Kiyu, Andrew; Steinkuehler, Ashley A.; Hashim, Jamilah; Hall, John; Lee, Peter F.S.; Taylor, Richard // Health Promotion International;Mar2006, Vol. 21 Issue 1, p13 

    Sarawak, Malaysia has a large population of ethnic minorities who live in longhouses in remote rural areas where poverty, non-communicable diseases, accidents and injuries, environmental hazards and communicable diseases all contribute to a lower quality of life than is possible to achieve in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics