The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged commu
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RESEARCH ARTICLE
Open Access
The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities Clarissa Giebel1,2*† , Jason C. McIntyre3†, Ana Alfirevic2,4, Rhiannon Corcoran1,2, Konstantinos Daras2,5, Jennifer Downing2,4, Mark Gabbay1,2, Munir Pirmohamed2,4, Jennie Popay2,6, Paula Wheeler2,6, Keith Holt2, Timothy Wilson2, Richard Bentall7 and Ben Barr1,2
Abstract Background: The Household Health Survey (HHS) was developed to understand the socioeconomic determinants of mental and physical health, and health inequalities in health and social care. This paper aims to provide a detailed rationale of the development and implementation of the survey and explore socio-economic variations in physical and mental health and health care. Methods: This comprehensive longitudinal public health survey was designed and piloted in a disadvantaged area of England, comprising questions on housing, physical health, mental health, lifestyle, social issues, environment, work, and finances. After piloting, the HHS was implemented across 28 neighbourhoods – 10 disadvantaged neighbourhoods for learning (NfLs), 10 disadvantaged comparator sites, and eight relatively advantaged areas, in 2015 and 2018. Participants were recruited via random sampling of households in pre-selected neighbourhoods based on their areas of deprivation. Results: 7731 residents participated in Wave 1 (N = 4319) and 2 (n = 3412) of the survey, with 871 residents having participated in both. Mental health, physical health, employment, and housing quality were poorer in disadvantaged neighbourhoods than in relatively advantaged areas. Conclusions: This survey provides important insights into socio-economic variations in physical and mental health, with findings having implications for improved care provision to enable residents from any geographical or socioeconomic background to access suitable care. Keywords: Health inequalities, Deprivation, Mental health, Housing, Health care utilisation, Co-production
* Correspondence: [email protected] † Clarissa Giebel and Jason C. McIntyre are joint first authors 1 Department of Primary Care & Mental Health, University of Liverpool, Waterhouse Building B Block, Brownlow Street, Liverpool L69 3GL, UK 2 NIHR ARC NWC, Liverpool, UK Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permit
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