Research Categories - Mortality

Health inequalities within the UK and between the UK and other countries in the twenty-first century.

Health is a major component of wellbeing. It is difficult to be fully participant in family and community life, to work to one’s potential and to enjoy life, without good health. According to the 2019 Annual Report on Health Inequalities (Department of Health, 2019), in Northern Ireland, there is a 7.1 year difference in life expectancy between men living in the most and least deprived areas. Healthy life expectancy declined for all individuals between 2011-13...

Examining the factors associated with self-harm, suicide ideation and subsequent mortality through data linkage

Self-Harm (SH) and suicide ideation (SI) (i.e. thoughts about dying by suicide) are two of the most important known risk factors for death by suicide. Increasing suicide rates are a major public health concern and Northern Ireland (NI) consistently has the highest rate of suicide in the UK and Ireland. Recent nationwide policies to reduce suicide are now including a focus on reducing SH and SI as these are precursors to suicide. However, little is...

Exploration of health risks associated with social isolation.

Modern society is changing the way we live, work and relate to each other. Digitalization is eliminating the need for everyday social interactions and consequently, issues such as social isolation and loneliness are becoming pressing public health problems. Older adults are particularly susceptible to social isolation due to a number of factors such as retirement, bereavement, loss of social contacts, declining health conditions, and other age-related major life transitions. Adverse health effects of social isolation...

Changes in cause-specific mortality over time (part 1): a longitudinal analysis using the 2001 and 2011 NIMS cohorts to explore changes in cause-specific mortality rates over time (between 2001-2006) and (2011-2016).

This project is the first part of an analysis which will examine changes in cause-specific mortality between the 2001 and 2011 Censuses. We propose using (1) the NIMS databases to compare directly standardised cause-specific mortality rates between 2001-2006 and 2011-2016 (or to the latest mortality download); then, in a related study (to follow), (2) the NILS databases to analyse this mortality in relation to between-census transitions in contextual factors.

Farmers Health Inequalities: Longitudinal Analysis of Morbidity, Mortality, and Migration Trends.

This study will examine morbidity, mortality, and migration between 1991, 2001, and 2011. Using individual and area level data from the NILS, I plan to compare census derived variables and health outcomes of agricultural workers against other distinct occupations. This study’s target audience will be farmers from different farming sectors and by extension their farming families. This study will analyse sub-groups of agricultural workers, their health circumstances, death rates, and migration trends against other detailed...

Multi-morbidity and Mortality in Northern Ireland: An investigation of the association between self-reported multiple health disorders and subsequently recorded mortality.

Multi-morbidity is becoming an increasingly pertinent public health issue and challenge, given advancement of research, policy and treatment and an ageing population. One of the consequences of increased life expectancy is increased risk of accumulation of multiple disorders, with the prevalence of multi-morbidity thought to be in excess of 65% of the elderly population (Banjaree, 2015). While multi-morbidity is more prevalent at older ages, in absolute terms over half of multi-morbid cases are aged under...

Of Doctors and Death: A data linkage study.

There is a long history in both epidemiology and public health of studying the health and mortality risk of doctors, and the proposed study aims to continue this trend. This history includes the famous ‘Doctors Study’ (with Doll, Bradford-Hill and Peto) which ran from 1951 until 2001 and provided some of the original and most conclusive evidence linking cigarette smoking and lung cancer (and later heart disease and stroke).

Mortality Rates by Occupation Within the UK.

The relationship between occupation and population health is complex, but understanding their interrelationships is a policy priority. It is widely accepted that being in employment is associated with health benefits. However, there is a lack of detailed understanding about the relative mortality risks of specific occupations and whether health-related benefits of employment occur across all occupations.

Mortality associated with care-giving and care-giving related stress: a data linkage study.

Many studies have suggested that caregiving has a detrimental impact on health, thus the terminology ‘caregiver burden’ and ‘caregiver stress’. However, these conclusions are challenged by research (including from NILS and ONS-LS) that finds evidence of a comparative survivorship advantage. It is possible that while the overall effect on mortality may be beneficial, there may be sub-groups of carers who are at a higher mortality risk. The differentiating factor may be the amount of stress...

Who you are or where you live? Examining the impact of individual and area level effects on reproductive decision-making, health and risky causes of deaths in Northern Ireland. Part two: mortality

There is a growing understanding that there are social gradients in health, teenage birth rates and causes of morbidity and mortality. However, the more ultimate causes and the more precise patterns that underlie this variation is yet largely unknown (Nettle 2010). The overall project aims to better understand individual and area level effects on reproductive decision-making, health and a range of “risky” behaviours related to mortality in Northern Ireland.

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