Long-Term Limiting Illness in the United Kingdom: Before and After the Covid Lockdown

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2025-03-05 DOI:10.1002/hpm.3920
Vani K. Borooah, Colin G. Knox
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Abstract

The purpose of this paper is to study the evolution of LTLI in the UK between the pre- and post-Covid years of, respectively, 2019 and 2022 paying attention to differences in the propensity to LTLI between different subgroups of the population in each of the two years and then examining whether the propensity to LTLI changed between the years, both in respect of overall change and in respect of the separate population subgroups. This was achieved using UK Labour Force Survey data for 2019 and 2022. In terms of the social gradient to health, persons in the Managerial/Professional classes had a significantly higher PP (predicted probability) of N-LTI (i.e., of not having a long-term illness) than persons either in the Routine non-Manual or Routine Manual classes and also had a significantly lower PP of LTLI-lot (i.e., of having a long-term illness which limited activity by a lot) than persons either in the Intermediate or in the Routine Manual or Routine non-Manual classes. This was true in both 2019 and 2022. In other words, there was significant inequality in the PP of LTLI associated with the occupational classes. In terms of changes in the propensity to LTLI, the PP of having a long-term illness—regardless of whether it was limiting or not - was significantly higher in 2022 than it was in 2019 both for the overall population and for its subgroups.

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英国的长期限制性疾病:新冠肺炎封锁前后
本文的目的是研究英国LTLI在2019年和2022年前后的演变,分别关注这两年人口中不同亚组之间LTLI倾向的差异,然后检查LTLI倾向在两年间是否发生了变化,无论是总体变化还是单独的人口亚组。这是利用2019年和2022年英国劳动力调查数据实现的。在健康的社会梯度方面,管理/专业类人员的N-LTI(即没有长期疾病)的PP(预测概率)显著高于常规非手工类或常规手工类人员,并且LTLI-lot(即有长期疾病限制活动的很多)的PP(预测概率)也显著低于中级或常规手工类或常规非手工类人员。2019年和2022年都是如此。换句话说,LTLI的PP与职业类别相关,存在显著的不平等。就LTLI倾向的变化而言,无论是否有限制,2022年罹患长期疾病的概率都明显高于2019年,无论是总体人群还是亚群体。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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