This study investigates the relationship between mortality and a number of factors drawn from existing administrative databases including gender, housing tenure, council tax bands (a proxy of wealth) and three popular causes of hospital admission (falls, strokes and ischemic-heart disease) for Camden residents aged 50 years and older. The study also includes an assessment of information on social service contact in order to identify the potential and/or the effectiveness ofservice delivery. .\ . i;' Existing data sources are merged using a relational database management systems approach. Risks of mortality are examin~d fOf different combinations of factors (Risk Ladders). The relative importance of risk factors are assessed by logistic regression and the model's ability to discriminate between' 'those subjects who experience the outcome of interest versus those who do not', are also evaluated by use of Receiver Operating Characteristic (ROC) Curves. The risk of mortality is more likely to occur for people living in social housing and lower council tax bands (A-C) t~an private housing and higher tax bands (D-H) and for men rather than women. However, the effect of tenure varies for different age groups, gender and tax band. The risk of mortality significantly increases for those groups of individuals who had at least one hospital admission for any of the three causes during 2002-04. Our results show the extent to which contact with social services is aligned with mortality risk among this age group with consequent implications for how social services are organised and delivered.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:492347 |
| Date | January 2008 |
| Creators | Tavakoly, Behrooz |
| Publisher | City University London |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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