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ONS Analysis Finds Wide Local Disparities in Premature Mortality

Adjustments for deprivation plus demographic traits leave regional differences intact, suggesting that healthcare access drives lingering inequalities

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Overview

  • The study by the Office for National Statistics for The Health Foundation examined adult deaths before age 75 across England and Wales from March 2021 to December 2023
  • Socioeconomic deprivation was identified as the largest contributor to variation in early death rates, with education, occupation and nativity also playing significant roles
  • Blackpool’s basic premature mortality rate was 2.5 times that of Richmond upon Thames, narrowing to 2.3 times after adjusting for ethnicity and nativity and to 1.1 times with socioeconomic controls
  • Cause-specific analyses showed that geographic disparities in cancer, cardiovascular, respiratory and diabetes deaths persisted even after accounting for demographic and socioeconomic factors
  • Remaining unexplained differences are likely driven by local health service provision, environmental exposures and community health behaviours