Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team

Background SBOD2015 was the first endeavour to produce burden of disease estimates in Scotland using linkage of routine health records. In 2017, the study highlighted disparities in burden due to morbidity and mortality with respect to age and gender for 132 conditions, diseases and injuries. Obj...

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Main Authors: Ian Grant, Grant Wyper, Oscar Mesalles-Naranjo, Jade Kavanagh, Elaine Tod, Diane Stockton
Format: Article
Language:English
Published: Swansea University 2018-06-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/560
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author Ian Grant
Grant Wyper
Oscar Mesalles-Naranjo
Jade Kavanagh
Elaine Tod
Diane Stockton
author_facet Ian Grant
Grant Wyper
Oscar Mesalles-Naranjo
Jade Kavanagh
Elaine Tod
Diane Stockton
author_sort Ian Grant
collection DOAJ
description Background SBOD2015 was the first endeavour to produce burden of disease estimates in Scotland using linkage of routine health records. In 2017, the study highlighted disparities in burden due to morbidity and mortality with respect to age and gender for 132 conditions, diseases and injuries. Objectives The aim of SBOD2016 is to report on socioeconomic inequalities to provide further evidence to support preventable public health. Methods Morbidity estimates were estimated using an extensive range of administrative datasets to provide a transparent and systematic approach to describe non-fatal population health loss. Combining these estimates with the Global Burden of Disease 2016 study’s relative assessment of severity and disability for each condition, we were able to calculate the Years Lived with Disability (YLD). Death registrations were used alongside life expectancy data to calculate the Years of Life Lost to premature mortality (YLL) as a measure of fatal burden. Findings Preliminary findings show a three-fold increase in the burden of disease between individuals living in the most deprived areas compared to the least deprived areas. The profile of diseases contributing the largest burden also varies between the most and least deprived areas. Conclusions By combining information on fatal burden with the burden of living in less than ideal health (non-fatal burden), planners and policymakers have a better idea of the contribution that different diseases, conditions and injuries make to the total burden of disease and how this varies by levels of deprivation. This in turn provides information to support decisions about where prevention and service activity should be focused. It also provides a way of looking at the proportion of the burden that can be explained by a range of exposures in the population such as poverty or smoking.
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spelling doaj.art-53e26235f5cd428ca3d252ff3e6dbc812023-12-02T13:59:36ZengSwansea UniversityInternational Journal of Population Data Science2399-49082018-06-013210.23889/ijpds.v3i2.560560Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project TeamIan Grant0Grant Wyper1Oscar Mesalles-Naranjo2Jade Kavanagh3Elaine Tod4Diane Stockton5ScotPHO collaboration, Information and Services Division, National Services ScotlandScotPHO collaboration, Information and Services Division, National Services ScotlandScotPHO collaboration, Information and Services Division, National Services ScotlandScotPHO collaboration, Information and Services Division, National Services ScotlandScotPHO collaboration, NHS Health ScotlandScotPHO collaboration, NHS Health ScotlandBackground SBOD2015 was the first endeavour to produce burden of disease estimates in Scotland using linkage of routine health records. In 2017, the study highlighted disparities in burden due to morbidity and mortality with respect to age and gender for 132 conditions, diseases and injuries. Objectives The aim of SBOD2016 is to report on socioeconomic inequalities to provide further evidence to support preventable public health. Methods Morbidity estimates were estimated using an extensive range of administrative datasets to provide a transparent and systematic approach to describe non-fatal population health loss. Combining these estimates with the Global Burden of Disease 2016 study’s relative assessment of severity and disability for each condition, we were able to calculate the Years Lived with Disability (YLD). Death registrations were used alongside life expectancy data to calculate the Years of Life Lost to premature mortality (YLL) as a measure of fatal burden. Findings Preliminary findings show a three-fold increase in the burden of disease between individuals living in the most deprived areas compared to the least deprived areas. The profile of diseases contributing the largest burden also varies between the most and least deprived areas. Conclusions By combining information on fatal burden with the burden of living in less than ideal health (non-fatal burden), planners and policymakers have a better idea of the contribution that different diseases, conditions and injuries make to the total burden of disease and how this varies by levels of deprivation. This in turn provides information to support decisions about where prevention and service activity should be focused. It also provides a way of looking at the proportion of the burden that can be explained by a range of exposures in the population such as poverty or smoking.https://ijpds.org/article/view/560
spellingShingle Ian Grant
Grant Wyper
Oscar Mesalles-Naranjo
Jade Kavanagh
Elaine Tod
Diane Stockton
Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team
International Journal of Population Data Science
title Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team
title_full Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team
title_fullStr Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team
title_full_unstemmed Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team
title_short Socioeconomic inequalities in the non-fatal and fatal burden of disease: findings from Scottish Burden of Disease (SBoD) 2016 Scottish Burden of Disease Project Team
title_sort socioeconomic inequalities in the non fatal and fatal burden of disease findings from scottish burden of disease sbod 2016 scottish burden of disease project team
url https://ijpds.org/article/view/560
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