Using clustering techniques to identify localities with multiple health and social needs
Research output: Contribution to journal › Article › peer-review
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In: Health and Place, Vol. 18, No. 2, 03.2012, p. 138-43.
Research output: Contribution to journal › Article › peer-review
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T1 - Using clustering techniques to identify localities with multiple health and social needs
AU - Bellis, Mark A
AU - Jarman, Ian
AU - Downing, Jenny
AU - Perkins, Clare
AU - Beynon, Caryl
AU - Hughes, Karen
AU - Lisboa, Paulo
N1 - Copyright © 2011 Elsevier Ltd. All rights reserved.
PY - 2012/3
Y1 - 2012/3
N2 - Development of health promoting policies requires an understanding not just of the interplay between different measures of health but also their relationship with broader education, criminal justice and other social issues. Methods to better utilise multi-sectoral data to inform policy are needed. Applying clustering techniques to 30 health and social metrics we identify 5 distinct local authority types, with poor outcomes for the majority of metrics concentrated in the same cluster. Clusters were distinguished especially by levels of: child poverty; breastfeeding initiation; children's tooth decay; teenage pregnancy; healthy eating; mental illness; tuberculosis and smoking deaths. Membership of the worst cluster (C5) was focused in Northern England which contains 15.7% of authorities analysed (n=324), but 63.0% of those in C5. The concentration of challenges in certain areas creates disproportionate pressures that may exceed the cumulative effects of individual challenges. Such distinct health clusters also raise issues of transferability of effective policies between areas with different cluster membership.
AB - Development of health promoting policies requires an understanding not just of the interplay between different measures of health but also their relationship with broader education, criminal justice and other social issues. Methods to better utilise multi-sectoral data to inform policy are needed. Applying clustering techniques to 30 health and social metrics we identify 5 distinct local authority types, with poor outcomes for the majority of metrics concentrated in the same cluster. Clusters were distinguished especially by levels of: child poverty; breastfeeding initiation; children's tooth decay; teenage pregnancy; healthy eating; mental illness; tuberculosis and smoking deaths. Membership of the worst cluster (C5) was focused in Northern England which contains 15.7% of authorities analysed (n=324), but 63.0% of those in C5. The concentration of challenges in certain areas creates disproportionate pressures that may exceed the cumulative effects of individual challenges. Such distinct health clusters also raise issues of transferability of effective policies between areas with different cluster membership.
KW - Adolescent
KW - Adult
KW - Aged
KW - Child
KW - Child, Preschool
KW - Cluster Analysis
KW - England
KW - Female
KW - Health Services Needs and Demand
KW - Health Status Indicators
KW - Humans
KW - Infant
KW - Local Government
KW - Male
KW - Middle Aged
KW - Pregnancy
KW - Public Health
KW - Social Class
KW - Young Adult
KW - Journal Article
U2 - 10.1016/j.healthplace.2011.08.003
DO - 10.1016/j.healthplace.2011.08.003
M3 - Article
C2 - 21925923
VL - 18
SP - 138
EP - 143
JO - Health and Place
JF - Health and Place
SN - 1353-8292
IS - 2
ER -