Glasgow effect

Buchanan Street, one of the main shopping areas in Glasgow city centre

The Glasgow effect is a contested term[1] which refers to the lower life expectancy of residents of Glasgow compared to the rest of the United Kingdom and Europe.[2][3] The phenomenon is defined as an "[e]xcess mortality in the West of Scotland (Glasgow) after controlling for deprivation."[4] Although lower income levels are generally associated with poor health and a shorter lifespan, epidemiologists have argued that poverty alone does not appear to account for the disparity found in Glasgow.[3][5][6][7][8][9] Equally deprived areas of the UK such as Liverpool and Manchester have higher life expectancies, and the wealthiest ten percent of the Glasgow population have a lower life expectancy than the same group in other cities.[10] One in four men in Glasgow will die before his sixty-fifth birthday.[11]

Several hypotheses have been proposed to account for the ill health, including the practice in the 1960s and 1970s of offering young, skilled workers in Glasgow social housing in new towns, leaving behind a demographically "unbalanced population".[12][13] Other suggested factors have included a high prevalence of premature and low birthweight births, land contaminated by toxins, a high level of derelict land, more deindustrialisation than in comparable cities, poor social housing, religious sectarianism, lack of social mobility,[14] vitamin D deficiency, cold winters, higher levels of poverty than the figures suggest, adverse childhood experiences and childhood stress, high levels of stress in general, and social alienation.[15]

  1. ^ Walsh, David (2016). "The 'Glasgow Effect' and the 'Scottish Effect': unhelpful terms which have now lost their meaning". Glasgow Centre for Population Health.
  2. ^ Lewis, Daniel; et al. (2017). "Capturing complexity". In Brown, Tim (ed.). Health Geographies: A Critical Introduction. Oxford: John Wiley & Sons. p. 158.
  3. ^ a b Reid, Michael (2011). "Behind the 'Glasgow effect'". Bulletin of the World Health Organization. 89 (10): 706–707. doi:10.2471/BLT.11.021011. PMC 3209974. PMID 22084504. Archived from the original on 29 November 2013.
  4. ^ Friis, Robert H.; Sellers, Thomas (2013). Epidemiology for Public Health Practice. London: Jones & Bartlett Publishers. p. 745.
  5. ^ Donnelly, P. D. (2010). "Explaining the Glasgow effect: Could adverse childhood experiences play a role?". Public Health. 124 (9): 498–499. doi:10.1016/j.puhe.2010.05.013. PMID 20728908.
  6. ^ Gavine, A. J.; Williams, D. J.; Shearer, M. C.; Donnelly, P. D. (2011). "The Glasgow effect: Useful construct or epidemiological dead end?". Public Health. 125 (8): 561–562. doi:10.1016/j.puhe.2011.04.006. PMID 21794886.
  7. ^ Fraser, Simon; George, Steve (2015). "Perspectives on differing health outcomes by city: Accounting for Glasgow's excess mortality". Risk Management and Healthcare Policy. 8: 99–110. doi:10.2147/RMHP.S68925. PMC 4476473. PMID 26124684.
  8. ^ Hanlon, Phil (2015). "Unhealthy Glasgow: A case for ecological public health?" (PDF). Public Health. 129 (10): 1353–60. doi:10.1016/j.puhe.2015.08.006. PMID 26376607.
  9. ^ Cowley, Joe; Kiely, John; Collins, Dave (December 2016). "Unravelling the Glasgow effect: The relationship between accumulative bio-psychosocial stress, stress reactivity and Scotland's health problems". Preventive Medicine Reports. 4: 370–375. doi:10.1016/j.pmedr.2016.08.004. PMC 4979043. PMID 27512652.
  10. ^ Walsh, David; Bendel, Neil; Jones, Richard; Hanlon, Phil (September 2010). "It's not 'just deprivation': Why do equally deprived UK cities experience different health outcomes?" (PDF). Glasgow Centre for Population Health: 1–12. Archived from the original (PDF) on 28 April 2018. Retrieved 27 April 2018. {{cite journal}}: Cite journal requires |journal= (help)

    Walsh, D.; Bendel, N; Jones, R.; Hanlon, P. (2010). "It's not 'just deprivation': Why do equally deprived UK cities experience different health outcomes?". Public Health. 124 (9): 487–495. doi:10.1016/j.puhe.2010.02.006. PMID 20223487.

  11. ^ Ash, Lucy (5 June 2014). "Why is Glasgow the UK's sickest city?". BBC News.
  12. ^ Walsh, David; McCartney, Gerry; Collins, Chik; Taulbut, Martin; Batty, G. David (May 2016). "History, politics and vulnerability: explaining excess mortality in Scotland and Glasgow" (PDF). Public Health. 151. Glasgow Centre for Population Health: 209–210. doi:10.1016/j.puhe.2017.05.016. PMID 28697372.
  13. ^ Mackay, Kirsty (26 February 2021). The Glasgow Effect: examining the city's life expectancy gap –a photo essay. The Guardian.
  14. ^ Walsh et al. 2016, pp. 218–276.
  15. ^ Cite error: The named reference Muriel2012 was invoked but never defined (see the help page).

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