www.chg.ie

A GEOGRAPHY OF HEALTH INEQUALITIESJan Rigby

and...Mark Boyle, Martin Charlton, Ronan Foley, Dennis Pringle, Danny Dorling

Funded by the Health Research Board

Acknowledgements:

Researchers: Damien Butler, Walter French, Simon Noone, Sandra WalshAlso: CSO, Trutz Haase

Child mortality vs Income 2010

www.gapminder.org

Context: Poor/non-existent evidence base for health inequalities in Ireland

‘…findings that are rather similar, at first sight, of what we have been finding in our international overview studies (in which Ireland was sadly missing)’[via John Mackenbach, pers com, 2014]

Countries from whom we do not have data:‘EUR: Andorra, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Channel Islands, Faroe Islands, Georgia, Ireland, Kazakhstan, Kyrgyzstan, Liechtenstein, Macedonia, Moldova, Monaco, Montenegro, San Marino, Serbia, Tajikistan, Turkmenistan, Ukraine’[International Diabetes Federation, 2014]

Methods: Develop a new ‘Intermediate Area’ geography for Ireland

Obtain mortality data for 2006-2011 Clean the data Geocode it Derive population data

Derive mortality rates

Explain the results

Intermediate Area County 2011 ASR Change from 2006

Clondalkin N South Dublin 594.2 New Entry

Ballybough Croke Park Dublin City 554.2 New EntryMerchants Quay N Dublin City 535.6 2

Cork Urban NW Cork City 525.2 14Cherry Orchard Dublin City 499.2 13Crumlin E Dublin City 491.7 15Ballymun E Dublin City 486.7 6

Priorswood W Dublin City 485.4 New Entry

Kilmainham E Ushers N Dublin City 468.8 New Entry

Limerick Urban NE Limerick City 462.8 New Entry

Lucan E South Dublin <120 New EntryWestport Mayo County <120 New EntryCastleknock SE Fingal <120 New EntryWicklow E Wicklow County 121.7 New Entry

Botanic S Dublin City 129.0 New Entry

Geographical extent of Inequality: Under 75s

Correlation plot All Age Mortality rates 2006_2011

Correlation plots Under 75 Mortality rates 2006_2011

80120

160200

240280

320360

400440

480520

560600

640680

720760

800840

880920

9601000

10401080

11201160

12001240

12801320

13601400

14401480

15201560

0

5

10

15

20

25

30

35

40All Age Mortality 2006

ASR

Freq

uenc

y

80120

160200

240280

320360

400440

480520

560600

640680

720760

800840

880920

9601000

10401080

11201160

12001240

12801320

13601400

14401480

15201560

0

5

10

15

20

25

30

35

40

All Age Mortality 2011

ASR

Freq

uenc

y

Frequency:All Age Mortality rates 2006 and 2011

80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 600 620 640 6600

10

20

30

40

50

60

Under 75 Mortality 2006

ASR

Freq

uenc

y

80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 600 620 640 6600

10

20

30

40

50

60Under 75 Mortality 2006

ASR

Freq

uenc

yFrequency: Under 75 Mortality rates 2006 and 2011