Longitudinal deprivation trajectories and risk of cardiovascular disease in New Zealand

We used longitudinal information on area deprivation status to explore the relationship between residential-deprivation mobility and Cardiovascular Disease (CVD). Data from 2,418,397 individuals who were: enrolled in any Primary Health Organisation within New Zealand (NZ) during at least 1 of 34 calendar quarters between 1st January 2006 and 30th June 2014; aged between 30 and 84 years (inclusive) at the start of the study period; had no prior history of CVD; and had recorded address information were analysed. Including a novel trajectory analysis, our findings suggest that movers are healthier than stayers. The deprivation characteristics of the move have a larger impact on the relative risk of CVD for younger movers than for older movers. For older movers any kind of move is associated with a decreased risk of CVD

Ageing in Place Classification: Creating a geodemographic classification for the ageing population in England

Abstract Population ageing is one of the most significant demographic changes underway in many countries. Far from being a homogenous group, older people and their experiences of ageing are diverse. A better understanding of the characteristics and geography of the older population, including the older workforce, is important. It allows policymakers and stakeholders to better adapt to the opportunities and challenges that the ageing population brings. This paper describes the implementation of the Ageing in Place Classification (AiPC) in England. AiPC is a multidimensional geodemographic classification, and it employs a wide range of spatially representative attributes of older people’s sociodemographic characteristics and their living environment at the small area level. The openly available product provides valuable insights that can be implemented in both local and national contexts, in particular to improve service delivery and inform targeted policy interventions. AiPC is readily updateable with the arrival of new Census data; the concept and framework are also transferable to other countries.</jats:p

Possibilities of population thinking : histories and futures of Population Geography through reflections on 50 years of the Royal Geographical Society (with Institute of British Geographers) Population Geography Research Group

Royal Geographical SocietyReflecting critically on 50 years of the Royal Geographical Society (with Institute of British Geographers) (RGS-IBG) Population Geography Research Group (PopGRG), and drawing on interviews with leading population geographers of the British Isles, this paper identifies defining features of Population Geography that attest to its longevity: personal connections and material production; fluidity and adaptability over time and through interdisciplinary contexts; and utility, vitality and relevance of the subdiscipline. We argue that continuation of care, material production and nimbleness can sustain the subdiscipline in the context of ongoing neoliberalisation across Higher Education. To remain vital, Population Geography must also decolonise and promote ‘population thinking’ to more boldly and critically attend to contemporary global challenges.Peer reviewe

Regional trajectories in life expectancy and lifespan variation: Persistent inequality in two Nordic welfare states

An important dimension of inequality in mortality is regional variation. However, studies that investigate regional mortality patterns within and between national and regional borders are rare. We carry out a comparative study of Finland and Sweden: two welfare states that share many attributes, with one exception being their mortality trajectories. Although Finland has risen rapidly in the global life expectancy rankings, Sweden has lost its historical place among the top 10. Using individual‐level register data, we study regional trends in life expectancy and lifespan variation by sex. Although all regions, in both countries, have experienced substantial improvements in life expectancy and lifespan inequality from 1990–2014, considerable differences between regions have remained unchanged, suggesting the existence of persistent inequality. In particular, Swedish‐speaking regions in Finland have maintained their mortality advantage over Finnish‐speaking regions. Nevertheless, there is some evidence of convergence between the regions of Finland and Sweden

Differences in the risk of cardiovascular disease for movers and stayers in New Zealand: a survival analysis

Objectives: To explore if risk of cardiovascular disease (CVD) for participants who moved before their first CVD event is higher than for stayers, and examine whether the relationship is moderated by ethnicity. Methods: The sample comprised of 2,068,360 New Zealand (NZ) residents enrolled in any Primary Health Organisation, aged between 30-84 years, had complete demographic information, and no prior history of CVD. Cox proportional regression was used to compare CVD risk between movers and stayers. The analysis was conducted for the whole sample and stratified by ethnicity. Results: The combined analysis suggested movers have a lower risk of CVD than stayers. This is consistent for all ethnic groups with some variation according to experience of deprivation change following residential mobility. Conclusions: Although mobile groups may have a higher risk of CVD than immobile groups overall, risk of CVD in the period following a residential mobility event is lower than for stayers. Results are indicative of a short-term healthy migrant effect comparable to that observed for international migrants