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Qualitative comparative analysis and health inequalities: investigating reasons for differential progress with narrowing local gaps in mortality

Blackman, Tim and Dunstan, Katie (2010). Qualitative comparative analysis and health inequalities: investigating reasons for differential progress with narrowing local gaps in mortality. Journal of Social Policy, 39(03) pp. 359–373.

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DOI (Digital Object Identifier) Link: http://dx.doi.org/10.1017/S0047279409990675
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Abstract

Although health inequalities in England reflect underlying deprivation, there is considerable variation among deprived areas in the extent to which these inequalities are narrowing. Using survey data from 15 local authority areas in North West England, and Ragin's technique of Qualitative Comparative Analysis, contextual features and ways of working in these areas are shown to combine in systematic ways with recent trends in inequalities as measured by premature mortality. For circulatory diseases, a narrowing mortality gap showed a clear association with smoking cessation services that accorded with a best practice description, combined with a local population with relatively more people aged 65 or older. For cancers, a narrowing mortality gap was associated with areas that combined relatively low population mobility with a professional working culture described as one of individual commitment and championing. These findings reveal the complexity of meeting health inequality targets and applying evidence to this endeavour, since both ways of working and context appear to be important to making progress. Both need to be understood case by case if targets are to be locally realistic and evidence applied where local practice is known to matter to the outcome.

Item Type: Journal Article
Copyright Holders: 2010 Cambridge University Press.
ISSN: 0047-2794
Project Funding Details:
Funded Project NameProject IDFunding Body
Not SetNot SetDepartment for Communities and Local Government
Keywords: health inequalities; cancer; cardiovascular disease; England; qualitative comparative analysis
Academic Unit/Department: Other Departments > Other Departments
Item ID: 30968
Depositing User: Tim Blackman
Date Deposited: 05 Jan 2012 16:29
Last Modified: 25 Oct 2012 17:46
URI: http://oro.open.ac.uk/id/eprint/30968
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