COVID-19 and deprivation amplification: An ecological study of geographical inequalities in mortality in England

Munford, Luke; Khavandi, Sam; Bambra, Clare

doi:10.1016/j.healthplace.2022.102933

Cited by 13 publications

(9 citation statements)

References 33 publications

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“…Finally, it is important to bear in mind that the COVID-19 pandemic hit areas of England unevenly, increasing regional health and economic divides. This is well documented by Munford et al (2021) . It is very likely that some socio-economic factors at the regional level have become more important in determining such inequalities.…”

Section: Discussionmentioning

confidence: 71%

Informal care, older people, and COVID-19: Evidence from the UK

Madia

Moscone

Nicodemo

2023

Journal of Economic Behavior & Organization

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Section: Discussionmentioning

confidence: 71%

Informal care, older people, and COVID-19: Evidence from the UK

Madia

Moscone

Nicodemo

2023

Journal of Economic Behavior & Organization

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“…The study is based in the North East and North Cumbria (NENC) integrated care system (ICS) region in England. This region has the highest levels of alcohol-related morbidity and mortality in England [51] and higher than average levels of deprivation compared to other regions [52], a situation which worsened during the COVID-19 pandemic [53]. The fieldwork was undertaken between June 2021 and May 2022.…”

Section: Methods and Methodologymentioning

confidence: 99%

Understanding people's experiences of the formal health and social care system for co‐occurring heavy alcohol use and depression through the lens of relational autonomy: A qualitative study

Jackson,

Kaner,

Hanratty

et al. 2023

Addiction

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Background and AimsHeavy alcohol use and depression commonly co‐occur. However, health and social care services rarely provide coordinated support for these conditions. Using relational autonomy, which recognizes how social and economic contexts and relational support alter people's capacity for agency, this study aimed to (1) explore how people experience formal care provision for co‐occurring alcohol use and depression, (2) consider how this context could lead to adverse outcomes for individuals and (3) understand the implications of these experiences for future policy and practice.DesignSemi‐structured qualitative interviews underpinned by the methodology of interpretive description.SettingNorth East and North Cumbria, UK.ParticipantsThirty‐nine people (21 men and 18 women) with current or recent experience of co‐occurring heavy alcohol use ([Alcohol Use Disorders Identification Test [AUDIT] score ≥ 8]) and depression ([Patient Health Questionnaire test ≥ 5] screening tools to give an indication of their current levels of alcohol use and mental score).MeasurementsSemi‐structured interview guide supported in‐depth exploration of the treatment and care people had sought and received for heavy alcohol use and depression.FindingsMost participants perceived depression as a key factor contributing to their heavy alcohol use. Three key themes were identified: (1) ‘lack of recognition’ of a relationship between alcohol use and depression and/or contexts that limit people's capacity to access help, (2) having ‘nowhere to go’ to access relevant treatment and care and (3) ‘supporting relational autonomy’ as opposed to assuming that individuals can organize their own care and recovery. Lack of access to appropriate treatment and provision that disregards individuals’ differential capacity for agency may contribute to delays in help‐seeking, increased distress and suicidal ideation.ConclusionsAmong people with co‐occurring heavy alcohol use and depression, lack of recognition of a relationship between alcohol use and depression and formal care provision that does not acknowledge people's social and economic context, including their intrinsic need for relational support, may contribute to distress and limit their capacity to get well.

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“…Peer review rates in care homes that were attributable to COVID-19 were higher in the North than the rest of England over a 1-year period, and there were 10% more occupied hospital beds by COVID patients in the North compared with the rest of England. 17 The UK economy also lost up to £5 billion in reduced productivity due to reductions in mental wellbeing across the North. 15 This disparity in productivity is expected to worsen for successive generations unless an adequate COVID-19 recovery strategy is implemented, 15 leading to a consensus among practice professionals and academics that research concerning the structural determinants of poverty should be prioritised to reduce health inequalities.…”

Section: Mortalitymentioning

confidence: 99%

The impact of COVID-19 on the hot food takeaway planning regulatory environment: perspectives of local authority professionals in the North East of England

Moore

Lake

O’Malley

et al. 2022

Perspect Public Health

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Background & Aims: Planning regulations have been used to prevent the over-proliferation of hot food takeaways, minimising the impact of local obesogenic environments. To help mitigate the effects of lockdown, the UK government introduced temporary changes in March 2020 to Planning Regulations for England, allowing food retailers to open for takeaway services beyond ‘ancillary’ level without needing to apply for planning permission through permitted development rights (PDR). Businesses are required to notify their local authority (LA) when they implement PDRs. To better understand the impact of regulations on the policy and practice of key professional groups, Public Health England commissioned Teesside University to undertake scoping research in the North East of England. Methods: A focus group and interviews were conducted with 15 professionals from 7 of 12 North East LAs. Professions included Planners, Public Health Leads, Environmental Health Officers and Town Centre Managers. Data were analysed using a codebook thematic analysis approach. An interpretation meeting with some participants was conducted. Results: LAs were not aware of most businesses notifying them of new regulation adherence despite taking up PDRs, but were considered low-priority with many lacking formal recording procedures. There were concerns about health consequences of the changes, and consensus relating to ongoing issues with capacity across all professional groups, largely due to the continuing pandemic and absence of a strategy out of temporary measures. Concerns existed around ensuring cessation of restaurants trading as takeaways, and hygiene inspections backlog. Many (personally) saw new takeaways as a lifeline, offering broader menus and preserving local economies. Conclusion: Lack of information around the number of restaurants/pubs using PDR to trade as takeaway services, ongoing capacity issues of LAs and, at the time, the absence of a strategy post regulation changes, meant there were high levels of uncertainty regarding the impacts of these temporary measures.

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COVID-19 and deprivation amplification: An ecological study of geographical inequalities in mortality in England

Cited by 13 publications

References 33 publications

Informal care, older people, and COVID-19: Evidence from the UK

Informal care, older people, and COVID-19: Evidence from the UK

Understanding people's experiences of the formal health and social care system for co‐occurring heavy alcohol use and depression through the lens of relational autonomy: A qualitative study

The impact of COVID-19 on the hot food takeaway planning regulatory environment: perspectives of local authority professionals in the North East of England

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