Assessing the impact of rising child poverty on the unprecedented rise in infant mortality in England, 2000–2017: time trend analysis

Taylor-Robinson, David; Lai, Eric; Wickham, Sophie; Rose, Tanith C.; Norman, Paul; Bambra, Clare; Whitehead, Margaret; Barr, Ben

doi:10.1136/bmjopen-2019-029424

Cited by 85 publications

(90 citation statements)

References 27 publications

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“…46 Similarly, in England, inequalities in infant mortality rates reduced as child poverty decreased in a period of public sector and welfare state expansion (from 2000 to 2010), 47 but increased again when austerity was implemented and child poverty rates increased (from 2010 to 2017). 48…”

Section: Part 3 the Great Lockdown: The Covid-19 Economic Crisis Andmentioning

confidence: 99%

The COVID-19 pandemic and health inequalities

Bambra

Riordan

Ford

et al. 2020

J Epidemiol Community Health

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This essay examines the implications of the COVID-19 pandemic for health inequalities. It outlines historical and contemporary evidence of inequalities in pandemics—drawing on international research into the Spanish influenza pandemic of 1918, the H1N1 outbreak of 2009 and the emerging international estimates of socio-economic, ethnic and geographical inequalities in COVID-19 infection and mortality rates. It then examines how these inequalities in COVID-19 are related to existing inequalities in chronic diseases and the social determinants of health, arguing that we are experiencing a syndemicpandemic. It then explores the potential consequences for health inequalities of the lockdown measures implemented internationally as a response to the COVID-19 pandemic, focusing on the likely unequal impacts of the economic crisis. The essay concludes by reflecting on the longer-term public health policy responses needed to ensure that the COVID-19 pandemic does not increase health inequalities for future generations.

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Section: Part 3 the Great Lockdown: The Covid-19 Economic Crisis Andmentioning

confidence: 99%

The COVID-19 pandemic and health inequalities

Bambra

Riordan

Ford

et al. 2020

J Epidemiol Community Health

Self Cite

1,526

1,320

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“…included in the present review, the recent increase in infant mortality in the poorest areas of England associated with rising child poverty would also be associated to the impact of austerity policies, 32 and the need to urgently address these policies for the real protection of families and children.…”

Section: Discussionmentioning

confidence: 99%

Austerity policy and child health in European countries: a systematic literature review

Rajmil

Hjern²,

Spencer

et al. 2020

Preprint

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Objectives : To analyse the impact of austerity measures taken by European governments as a response to the 2008 economic and financial crisis on social determinants and child health (SDCH), and child health outcomes (CHO). Methods : A systematic literature review was carried out in Medline (Ovid), Embase, Web of Science, PsycInfo, and Sociological abstracts in the last 5 years from European countries. Studies aimed at analysing the Great Recession, governments’ responses to the crisis, and its impact on SDCH were included. A narrative synthesis of the results was carried out. The risk of bias was assessed using the STROBE and EPICURE tools. Results : Fourteen studies were included, most of them with a low to intermediate risk of bias (average score 72.1%). Government responses to the crisis varied, although there was general agreement that Greece, Spain, Ireland and the United Kingdom applied higher levels of austerity. High austerity periods, compared to pre-austerity periods were associated with increased material deprivation, child poverty rates, and low birth weight. Increasing child poverty subsequent to austerity measures was associated with deterioration of child health. High austerity was also related to poorer access and quality of services provided to disabled children. An annual reduction of 1% on public health expenditure was associated to 0.5% reduction on Measles-Mumps-Rubella vaccination coverage in Italy.Conclusions : Countries that applied high level of austerity showed worse trends on SDCH and CHO. European governments must act urgently and reverse these austerity policy measures that are detrimental to family benefits and child protection.

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“…Cuts in social care are a factor in the drop in life expectancy among older people 15. More damning is the rise of infant mortality since 2013 6…”

Section: Austerity Killsmentioning

confidence: 99%