Socio-economic inequalities in health and service utilization in the London Borough of Newham
Abstract
Objectives To examine the extent of socio-economic inequalities in health in the London Borough of Newham and to compare them with those in the UK as a whole. Study design Cross-sectional, individual-level observational study with data on socio-economic and health measures from wave one of the Newham Household Panel Survey (n=1723) and wave 11 of the British Household Panel Survey (n=8444). Methods Age-standardized comparison of the social distribution, by household social class, education, housing conditions and neighbourhood problems, of six indicators of health and service utilization. Relative index of inequality is used to compare magnitude of inequality across the samples. Results Age-standardized prevalence ratios for most health and service use indicators indicated that Newham has poorer health and higher utilization compared with the UK as a whole. Significant health inequalities were associated with socio-economic measures in both Newham and Britain, but few significant differences in the relative effects between the two. Conclusions Although Newham has higher prevalence of poor health and high service use, the relative effects of socio-economic inequalities are similar to those in Britain as a whole.
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East London areas experience significantly higher rates of children living in poverty, along with increased mental and physical health issues, and higher service use compared to the rest of the UK.
“These areas experience significantly higher rates of children living in poverty, along with increased mental and physical health issues, and higher service use compared to the rest of the UK [16,17,18].”
The difficulties faced by caregivers of children with CP are further exacerbated in ethnically and linguistically diverse, economically deprived urban areas of East London, UK.
“The difficulties faced by caregivers of children with CP are further exacerbated in the ethnically and linguistically diverse, and economically deprived urban areas of East London in the UK, where this study is based.”
A gap remains in understanding and ability to deliver family-centred care, particularly in diverse urban settings with increased levels of child poverty, low rates of health literacy, and reduced wellbeing of the population.
“However, a gap remains in our understanding and ability to deliver family-centred care, particularly in diverse urban settings with increased levels of child poverty [18], low rates of health literacy [19], and reduced wellbeing of the population [16,17].”
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References 21 · Cited by 26
- Authors
- Pevalin, D. J.
- Affiliations
- University of Essex (GB)
- Corresponding author
- Pevalin, D.J.
- ORCID
- Pevalin, D.J.
- Venue
- Public Health
- Publisher
- Elsevier BV
- Published
- 2007-08
- Volume
- 121
- Issue
- 8
- Pages
- 596-602
- ISSN
- 0033-3506 (ISSN-L)
- OpenAlex
- W2004517755
- Cited by
- 26
- References
- 21
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2015: 3 · 2012: 2
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Economic and Social Research Council
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Keywords
- socioeconomic inequalities in health, health care utilization, Newham, educational attainment, housing conditions, neighbourhood problems, relative index of inequality, health disparities, British Household Panel Survey
- MeSH terms
- Cross-Sectional Studies, Female, Health Services, Health Status, Humans, London, Male, Residence Characteristics, Sex Factors, Socioeconomic Factors
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