1. Our work improves lives and local areas through
the use of local research, intelligence and policy.
We promote continuous improvements in the
quality and impact of local research and
intelligence.
By promoting high standards and excellence in
research, analysis and insight we ensure
maximum impact in the delivery of high quality
public service.
About LARIA
2. How stressed are we in the
North East?
Image source: http://www.successfulworkplace.org/wp-content/uploads/2013/04/mind-the-gap.jpg
@laria
#FuseKES
#inequalities
3. Stress-related outcomes
• Working days lost due to stress (Labour
Force Survey, 2011-2015)
• Anxiety (Annual Population Survey
2013/14)
• Hospital admissions due to stress or
anxiety (HSCIC, 2012)
• Psychosocial health (Understanding
Society Survey, 2015)
4. How happy are we first?
Source: April 2013 to March 2014, Annual Population Survey Personal Well-being dataset, ONS
7. General Health Questionnaire (GHQ)
Source: April 2013 to March 2014, Annual Population Survey Personal Well-being dataset, ONS
8. Mechanisms through which stress
affect health
• Mental symptoms of stress range from sleeplessness and listlessness
through to clinical depression and suicide
• Physical effects range from appetite loss and nausea through to heart
damage and stroke
• Mental health problems like stress, anxiety and depression caused or
made worse by work results in:
- Sickness absence (£13B)
- Lost productivity
Societal consequences
10. Summary
• Stress and related conditions (e.g. anxiety) are
unequally distributed in England, both between
and within regions
• Disproportionately higher levels of stress in the
North East
• Important to consider the psycho-social
perspective in relation to health inequalities
11. Do you want to join us? Join now (you can do it online
via www.laria.org.uk) j.m.cairns@durham.ac.uk
Could you help us organise more
free local networking events? Could you write
something for our
website?Could you join the
LARIA Council and
help set the agenda
for the work we do?
Do you represent an
organisation that
could work more with
LARIA?
Thanks for listening! Questions?
Editor's Notes
We welcome local researchers from the following sectors to join as members:
Education and universities
Fire and rescue authorities and services
Freelance researchers
Government departments and other national representative bodies
Health and NHS
Housing
Local government
Police and Crime Commissioners and police forces
Private companies
Voluntary and community sector organisations
Any other bodies engaged in local research
Corporate: For just £80 a year everyone in your organisation gets our full range of membership benefits (more information in your conference packs)
Full: You can join LARIA as an individual Full member for just £10 a year and sign up to the LARIA Charter and have voting rights for the LARIA council
Associate: We depend on the subscriptions that our Full and Corporate members pay but if you just wish to stay in touch and receive invites to some LARIA networking events and subscribe to our newsletter you can register for free as an Associate member. We want to create a supportive network of researchers and show you what LARIA can offer.
Before I begin, I would just like to premise this presentation by outlining the two key dimensions of stress that I am interested in from a geographical perspective:
how stress manifests and is perpetuated by living in economic disadvantage;
(2) how the social environment and how, for example, social support and networks can mediate the ill-health effects of stress (or conversely contribute to stress if there is a lack of social support in place).
Hans Selye (1940s/50s): stress was defined as ‘a state of arousal resulting either from the presence of socioenvironmental demands that tax the ordinary adaptive capacity . . . or from the absence of the means to attain sought-after ends’ (Aneshensel 1992: 16). Thus, socioenvironmental demands – stressors – engender psychological stress, i.e. a troubled state of the mind which can surface in many ways, as anxiety, fear, hopelessness, or anger.
When putting this presentation together I thought to myself that starting with the question ‘how stressed are we?’ was a little pessimistic so I thought let’s start by asking ‘how happy are we?’
The % of people in the North East who responded to the Annual Population Survey scored their happiness as ‘low’ was just over 11.5%; the highest proportion of people compared to other regions of England. This might have something to do with the recent EU referendum results!
County Durham has some of the lowest scores in all four domains measured : happiness, worthwhile, anxiety and satisfaction
The North East Strategic Health Authority (SHA) had the highest admission rate of any of England's 10 SHAs (just under 24 per 100,000 of the population, or 620), while South Central SHA had the lowest (at nearly 11 per 100,000; or 440).
County Durham has some of the lowest overall scores on all four indicators in England, with more than a quarter of people in the area rating their anxiety yesterday as 9 or 10. The area, traditionally reliant on the public sector, has seen joblessness rise and services cut.
DefinitionsThis uses the General Health Questionnaire (GHQ) which asks respondents 12 questions about their recent feelings (for more detail on the questions asked see link below). Once all 12 questions are scored, these scores are added so that each individual has a score which ranges from 0 to 12. A score of four or more has been shown to indicate that the individual has symptoms of mild to moderate illness such as anxiety or depression. A high score on the GHQ indicates that the respondent may have a mild to moderate mental illness.
% of scores 4 and more
Wilkinson (1997) believed that income inequality produces psychosocial stress, which leads to deteriorating health and higher mortality over time.
(1) the distribution of psychological stress is an important determinant of health inequalities in present-day affluent societies, (2) psychological stress is strongly influenced by the quality of social and interpersonal relations, and (3) the latter are determined to a large extent by the magnitude of society’s inequalities.
I read somewhere that every two minutes a worker in the UK is made ill through stress at work. Here is the estimated prevalence of working days lost due to stress and the third to last column shows the average days lost per worker. The NE performs the second worst out of the English regions, which is more than double the number of days lost per worker in London
Estimated days (full-day equivalent) off work and average days lost per (full-time equivalent) worker due to self-reported stress, depression or anxiety caused or made worse by work, by usual country and region of residence, for people working in the last 12 months, averaged 2011/12, 2013/14, 2014/15
Interacts with, and perpetuated by, material conditions
It is no coincidence that our region has higher levels of deprivation and stress
Just as it is true that people in lower socio-economic classes by virtue of their life circumstances are exposed to more stressors, and with fewer resources to manage them and greater vulnerability to stressors, places too are vulnerable.