Imperial College London
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DrEszterVamos

Faculty of Medicine, School of Public Health

Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 7594 7457e.vamos

 
 
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Location

 

321Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Laverty:2022:10.1136/bmjopen-2021-059739,
author = {Laverty, A and Jenkins, R and Millett, C and Vamos, E and Kate, M},
doi = {10.1136/bmjopen-2021-059739},
journal = {BMJ Open},
pages = {1--14},
title = {Local area public sector spending and nutritional anaemia hospital admissions in England: a longitudinal ecological study},
url = {http://dx.doi.org/10.1136/bmjopen-2021-059739},
volume = {12},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction: Reductions in local government spending may have impacts on diets and health which increase the risk of hospital admissions for nutritional anaemias. Mechanisms include potential impacts of changes to local authority (LA) services (e.g. housing services) on personal resources and food access, availability, and provision. We therefore investigated the association between changes in LA spending and nutritional anaemia related hospital admissions. Specifically we address whether greater cuts to LA spending were linked to increased hospital admissions for nutritional anaemia.Design: Longitudinal analysis of LA panel data using Poisson fixed effects regression models.Setting: 312 LAs in England (2005-2018). Main exposure: Total LA service expenditure per capita per year.Main outcome: Principal and total nutritional anaemia hospital admissions, for all ages and stratified by age (0-14, 15-64, 65+). Results: LA service expenditure increased by 9% between 2005 and 2009 then decreased by 20% between 2010 and 2018. Total nutritional anaemia hospital admissions increased between 2005 and 2018 from 173 to 633 admissions per 100,000 population. A £100 higher LA service spending was associated with a 1.9% decrease in total nutritional anaemia hospital admissions (adjusted Incidence Rate Ratio: 0.98, 95% CI 0.96 to 0.99). When stratified by age, this was seen only in adults. A £100 higher LA service spending was associated with a 2.6% decrease in total nutritional anaemia hospital admissions in the most deprived LAs (aIRR: 0.97, 95% CI: 0.95 to 1.0). Conclusion: Increased LA spending was associated with reduced hospital admissions for nutritional anaemia. Austerity related reductions had the opposite effect, increasing admissions, with greater impacts in more deprived areas. This adds further evidence to the potential negative impacts of austerity policies on health and health inequalities. Re-investing in LA services may prevent hospital admissions assoc
AU  - Laverty,A
AU  - Jenkins,R
AU  - Millett,C
AU  - Vamos,E
AU  - Kate,M
DO  - 10.1136/bmjopen-2021-059739
EP  - 14
PY  - 2022///
SN  - 2044-6055
SP  - 1
TI  - Local area public sector spending and nutritional anaemia hospital admissions in England: a longitudinal ecological study
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2021-059739
UR  - https://bmjopen.bmj.com/content/12/9/e059739
UR  - http://hdl.handle.net/10044/1/99481
VL  - 12
ER  -
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