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Socio-economic deprivation is associated with increased proximity to general practices in England: An ecological analysis

Lookup NU author(s): Dr Jean Adams, Professor Martin White


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Background: As health status is consistently negatively correlated with socio-economic deprivation, the need for health services is generally assumed to be greater in more deprived communities. The Inverse Care Law predicts that access to good quality primary care services in more deprived wards will be less than that in affluent wards. However, the relationship between deprivation and geographical proximity to health services has received little attention. Methods: We investigated the relationship between geographical proximity to general practices and a number of markers of socio-economic deprivation at the electoral ward level in the North East of England using various domains of the Index of Multiple Deprivation 2000 (IMD2000). Results: More deprived wards, as measured by the employment, education and income domains of the IMD2000, had greater proximity to general practices, as measured by the access domain of the IMD2000, than affluent wards. This results held in both urban and rural wards. Conclusions: Contrary to our expectations and the predictions of the Inverse Care Law, geographical proximity to general practices was greater in more deprived, compared to more affluent wards. However, geographical proximity to services does not necessarily ensure that services will be accessed or that they are of good quality. © The Author 2005, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.

Publication metadata

Author(s): Adams JM, White M

Publication type: Article

Publication status: Published

Journal: Journal of Public Health

Year: 2005

Volume: 27

Issue: 1

Pages: 80-81

ISSN (print): 1741-3842

ISSN (electronic): 1741-3850

Publisher: Oxford University Press


DOI: 10.1093/pubmed/fdh210

PubMed id: 15637106


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