Austerity and old-age mortality in England: a longitudinal cross-local area analysis, 2007-2013.


Loopstra, R; McKee, M; Katikireddi, SV; Taylor-Robinson, D; Barr, B; Stuckler, D; (2016) Austerity and old-age mortality in England: a longitudinal cross-local area analysis, 2007-2013. Journal of the Royal Society of Medicine, 109 (3). pp. 109-16. ISSN 0141-0768 DOI: https://doi.org/10.1177/0141076816632215

[img]
Preview
Text - Published Version
License:

Download (554kB) | Preview

Abstract

There has been significant concern that austerity measures have negatively impacted health in the UK. We examined whether budgetary reductions in Pension Credit and social care have been associated with recent rises in mortality rates among pensioners aged 85 years and over. Cross-local authority longitudinal study. Three hundred and twenty-four lower tier local authorities in England. Annual percentage changes in mortality rates among pensioners aged 85 years or over. Between 2007 and 2013, each 1% decline in Pension Credit spending (support for low income pensioners) per beneficiary was associated with an increase in 0.68% in old-age mortality (95% CI: 0.41 to 0.95). Each reduction in the number of beneficiaries per 1000 pensioners was associated with an increase in 0.20% (95% CI: 0.15 to 0.24). Each 1% decline in social care spending was associated with a significant rise in old-age mortality (0.08%, 95% CI: 0.0006-0.12) but not after adjusting for Pension Credit spending. Similar patterns were seen in both men and women. Weaker associations observed for those aged 75 to 84 years, and none among those 65 to 74 years. Categories of service expenditure not expected to affect old-age mortality, such as transportation, showed no association. Rising mortality rates among pensioners aged 85 years and over were linked to reductions in spending on income support for poor pensioners and social care. Findings suggest austerity measures in England have affected vulnerable old-age adults.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
Research Centre: ECOHOST - The Centre for Health and Social Change
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 26980412
Web of Science ID: 372332800008
URI: http://researchonline.lshtm.ac.uk/id/eprint/2537629

Statistics


Download activity - last 12 months
Downloads since deposit
35Downloads
64Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item