The longitudinal NIHR ARC North West Coast Household Health Survey: exploring health inequalities in disadvantaged communities

• Main Authors: Clarissa Giebel, Jason C. McIntyre, Ana Alfirevic, Rhiannon Corcoran, Konstantinos Daras, Jennifer Downing, Mark Gabbay, Munir Pirmohamed, Jennie Popay, Paula Wheeler, Keith Holt, Timothy Wilson, Richard Bentall, Ben Barr
• Format: Article
• Language: English
• Published: BMC 2020-08-01
• Series: BMC Public Health
• Subjects: Health inequalities; Deprivation; Mental health; Housing; Health care utilisation; Co-production
• Online Access: http://link.springer.com/article/10.1186/s12889-020-09346-5

Abstract Background The Household Health Survey (HHS) was developed to understand the socioeconomic determinants of mental and physical health, and health inequalities in health and social care. This paper aims to provide a detailed rationale of the development and implementation of the survey and explore socio-economic variations in physical and mental health and health care. Methods This comprehensive longitudinal public health survey was designed and piloted in a disadvantaged area of England, comprising questions on housing, physical health, mental health, lifestyle, social issues, environment, work, and finances. After piloting, the HHS was implemented across 28 neighbourhoods – 10 disadvantaged neighbourhoods for learning (NfLs), 10 disadvantaged comparator sites, and eight relatively advantaged areas, in 2015 and 2018. Participants were recruited via random sampling of households in pre-selected neighbourhoods based on their areas of deprivation. Results 7731 residents participated in Wave 1 (N = 4319) and 2 (n = 3412) of the survey, with 871 residents having participated in both. Mental health, physical health, employment, and housing quality were poorer in disadvantaged neighbourhoods than in relatively advantaged areas. Conclusions This survey provides important insights into socio-economic variations in physical and mental health, with findings having implications for improved care provision to enable residents from any geographical or socio-economic background to access suitable care.