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Lookup NU author(s): Tim Price, Dr Vic McGowanORCiD, Dr Shelina VisramORCiD, Professor John WildmanORCiD, Professor Clare BambraORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
The rise in mortality in high-income countries from drug, suicide, and alcohol specific causes, referred to collectively as ‘deaths of despair’, has received growing interest from researchers. In both the US and UK, mortality rates from deaths of despair are higher in deprived, deindustrialised communities. In this qualitative study, we sought to learn how stakeholders working with vulnerable populations in Middlesbrough, a deindustrialised town in North East England with above average mortality from deaths of despair, understand and explain the prevalence of deaths from these causes in their area. Participants identified a number of structural and socio-cultural determinants that they believe drive deaths of despair in their community, including the effects of austerity, deindustrialisation, communal identity, and collective trauma; we argue that these determinants are themselves a product of structural violence.
Author(s): Price T, McGowan V, Visram S, Wildman J, Bambra C
Publication type: Article
Publication status: Published
Journal: Health and Place
Year: 2024
Volume: 90
Print publication date: 01/11/2024
Online publication date: 08/09/2024
Acceptance date: 05/09/2024
Date deposited: 12/09/2024
ISSN (print): 1353-8292
ISSN (electronic): 1873-2054
Publisher: Elsevier Ltd
URL: https://doi.org/10.1016/j.healthplace.2024.103346
DOI: 10.1016/j.healthplace.2024.103346
Data Access Statement: The data that has been used is confidential. Supplementary data to this article can be found online at https://doi. org/10.1016/j.healthplace.2024.103346.
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