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Urban-rural comparison of access to care and health outcomes for five major health conditions related to cardio-metabolic diseases, mental health and infectious diseases in England

Safe People

Organisation name

University of Heidelberg

Organisation sector

Academic Institute

Applicant name(s)

Till Bärnighausen - Chief Investigator - University of HeidelbergMaxime Inghels - Corresponding Applicant - University Of LincolnDavid Nelson - Collaborator - University Of LincolnEngelbert Bain Luchuo - Collaborator - University Of LincolnFrank Tanser - Collaborator - University Of LincolnJulia Lemp - Collaborator - University of HeidelbergPascal Geldsetzer - Collaborator - University of HeidelbergZahid Asghar - Collaborator - University Of Lincoln

Safe Projects

Project ID

CPRD871

Lay summary

One out of seven UK citizens live in an area defined as rural. In UK, rurality is commonly viewed as places with healthy lifestyle and stressless environment. Results show that life expectancy is higher in those areas. Yet health inequalities persist across rural areas which presents a high heterogeneity in term of sociodemographic population but also imbalance medical service access. Studies suggest that rurality may exacerbate the effects of socio‐economic disadvantage, ethnicity, poorer service availability, higher levels of personal risk and more hazardous environmental, occupational and transportation conditions. Moreover, rural areas are challenged by an increasing ageing population which requires bespoke health services related to chronic care, mental health, as well as, preventable communicable disease.

Technical summary

Technical summary

Latest approval date

26/01/2021

Safe Data

Dataset(s) name

2011 Rural-Urban Classification at LSOA level

HES Accident and Emergency

HES Admitted Patient Care

HES Diagnostic Imaging Dataset

Mental Health Services Dataset (MHSDS)

ONS Death Registration Data

Patient Level Index of Multiple Deprivation

Pregnancy Register

Safe Setting

Access type

Release