This divided land: An examination of regional inequalities in exposure to brownfield land and the association with morbidity and mortality in England. (July 2015)

• Record Type: Journal Article
• Authors: Bambra, Clare; Cairns, Joanne Marie; Kasim, Adetayo; Smith, Joe; Robertson, Steve; Copeland, Alison; Johnson, Karen
• Is Part Of: Health & place. Volume 34(2015:Jul.)
• Page Start: 257
• Page End: 269
• Publication Date: 2015-07
• Subjects: Regeneration -- Environment -- Deprivation -- Neighbourhood -- Inequality; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2015.05.010
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: This paper is the first empirical examination of the association between brownfield land and spatial inequalities in health. Linear mixed modelling of ward-level data suggests that there is higher exposure and susceptibility to brownfield land in the Northern compared to the Southern regions (with the exception of London); that brownfield exposure has an association with regional inequalities in mortality and morbidity within regions (particularly in the North West); that brownfield has an association with inequalities between regions (particularly between the North West and the South East); but that brownfield land only makes a small independent contribution to the North–South health divide in England. However, brownfield land could be a potentially important and previously overlooked independent environmental determinant of spatial inequalities in health in England.