Department of Geography and Planning, University of Liverpool, L69 7ZT Liverpool, UK.
Cathie Marsh Institute for Social Research, University of Manchester, M13 9BL, Manchester, UK.
J Public Health (Oxf). 2022 Jun 27;44(2):310-318. doi: 10.1093/pubmed/fdab023.
Policy responses to the Global Financial Crisis emphasized wide-ranging fiscal austerity measures, many of which have been found to negatively impact health outcomes. This paper investigates change in patterns of mortality at local authority level in England (2010-11 to 2017-18) and the relation with fiscal austerity measures.
Data from official local authority administrative records are used to quantify the gap between observed deaths and what was anticipated in the 2010-based subnational population projections. Regression analyses are used to explore the relation between excess deaths, austerity and wider process of population change at local authority level.
We estimate 231 707 total excess deaths, the majority of which occurred since 2014-15 (89%) across the majority of local authorities (91%). Austerity is positively associated with excess deaths. For working age adults, there is a clear gradient to the impact of austerity, whereas for older adults, the impact is more uniform.
Fiscal austerity policies contributed to an excess of deaths for older people and widened social inequalities for younger populations. These results call for an end to all austerity measures and require further research into areas with the highest total excess deaths as a priority following the COVID-19 pandemic.
应对全球金融危机的政策强调了广泛的财政紧缩措施，其中许多措施已被发现对健康结果产生负面影响。本文调查了英格兰地方当局一级死亡率模式的变化（2010-11 年至 2017-18 年）以及与财政紧缩措施的关系。
使用官方地方当局行政记录中的数据来量化观察到的死亡人数与基于 2010 年的国家以下人口预测中预期的死亡人数之间的差距。回归分析用于探讨地方当局一级超额死亡、紧缩和更广泛的人口变化过程之间的关系。
我们估计共有 231707 例总超额死亡，其中大多数发生在 2014-15 年以来（89%），大多数地方当局（91%）都有发生。紧缩与超额死亡呈正相关。对于劳动年龄成年人，紧缩的影响有明显的梯度，而对于老年人，影响则更为均匀。
财政紧缩政策导致老年人超额死亡，并扩大了年轻人口的社会不平等。这些结果呼吁停止所有紧缩措施，并在 COVID-19 大流行后优先对总超额死亡人数最多的地区进行进一步研究。
