A Geography of Health Inequalities in Ireland - Jan Rigby IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health

1. A GEOGRAPHY OF HEALTH INEQUALITIES
www.chg.ie
Jan Rigby
and...Mark Boyle, Martin Charlton, Ronan Foley,
Dennis Pringle, Danny Dorling
Funded by the Health Research Board

2. Acknowledgements:
Researchers: Damien Butler, Walter French,
Simon Noone, Sandra Walsh
Also: CSO, Trutz Haase

4. Child mortality vs Income 2010
www.gapminder.org

5. 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]

6. 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

13. Geographical extent of Inequality: Under 75s
Intermediate Area County 2011 ASR Change from 2006
Clondalkin N South Dublin 594.2 New Entry
Ballybough Croke Park Dublin City 554.2 New Entry
Merchants Quay N Dublin City 535.6 2
Cork Urban NW Cork City 525.2 14
Cherry Orchard Dublin City 499.2 13
Crumlin E Dublin City 491.7 15
Ballymun 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 Entry
Westport Mayo County <120 New Entry
Castleknock SE Fingal <120 New Entry
Wicklow E Wicklow County 121.7 New Entry
Botanic S Dublin City 129.0 New Entry

14. Correlation plot All Age Mortality rates 2006_2011

15. Correlation plots Under 75 Mortality rates 2006_2011

16. 0
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All Age Mortality 2006
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All Age Mortality 2011
Frequency:All Age Mortality rates 2006 and 2011

17. 60
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Frequency: Under 75 Mortality rates 2006 and 2011
Under 75 Mortality 2006
80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 600 620 640 660
Frequency
ASR
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Under 75 Mortality 2006
80 100 120 140 160 180 200 220 240 260 280 300 320 340 360 380 400 420 440 460 480 500 520 540 560 580 600 620 640 660
Frequency
ASR