Abstract Introduction We developed a tool to model the estimated impact of a range of interventions on population health and health inequalities in Scotland. Methods Forty potential interventions were identified in consultation with an advisory group and topic experts. We conducted rapid reviews to obtain evidence of the effect of the interventions on all-cause mortality, or on an exposure associated with all-cause mortality. We extracted data to allow estimation of intervention costs, the prevalence of exposure, the prevalence of the eligible population, and the extent of intervention effect decay. We estimated the impacts of interventions on premature mortality across the Scottish population after five years of follow up, compared to the baseline no-policy scenario, and assessed inequalities between area deprivation quintiles. Results Income-based interventions that disproportionately redistribute income to those with the lowest incomes were estimated to have the largest potential impact on both population health and health inequalities. The best policies for achieving both policy objectives were increases to means-tested benefits (-4.1% premature mortality, -21.7% Relative Index of Inequality (RII)), increases to benefits devolved to the Scottish Government (-1.6% and -6.1%), and the introduction of a mandatory Living Wage (-2.2% and -5.2%). The estimated impact of interventions that aim to influence individual behaviour change was much more limited in scale. Conclusion Interventions affecting incomes have the potential for substantial effects on health and health inequalities in Scotland. Our modelling tool should be used to inform discussion and debate about the potential scale of different types of interventions across policy areas. External funding details
Abstract Introduction We developed a tool to model the estimated impact of a range of interventions on population health and health inequalities in Scotland. Methods Forty potential interventions were identified in consultation with an advisory group and topic experts. We conducted rapid reviews to obtain evidence of the effect of the interventions on all-cause mortality, or on an exposure associated with all-cause mortality. We extracted data to allow estimation of intervention costs, the prevalence of exposure, the prevalence of the eligible population, and the extent of intervention effect decay. We estimated the impacts of interventions on premature mortality across the Scottish population after five years of follow up, compared to the baseline no-policy scenario, and assessed inequalities between area deprivation quintiles. Results Income-based interventions that disproportionately redistribute income to those with the lowest incomes were estimated to have the largest potential impact on both population health and health inequalities. The best policies for achieving both policy objectives were increases to means-tested benefits (-4.1% premature mortality, -21.7% Relative Index of Inequality (RII)), increases to benefits devolved to the Scottish Government (-1.6% and -6.1%), and the introduction of a mandatory Living Wage (-2.2% and -5.2%). The estimated impact of interventions that aim to influence individual behaviour change was much more limited in scale. Conclusion Interventions affecting incomes have the potential for substantial effects on health and health inequalities in Scotland. Our modelling tool should be used to inform discussion and debate about the potential scale of different types of interventions across policy areas. External funding details
By clicking “Accept Terms & all Cookies” or by continuing to browse, you agree to the storing of third-party cookies on your device to enhance your user experience and agree to the user terms and conditions of this learning management system (LMS). USER TERMS AND CONDITIONS | PRIVACY POLICY
Cookie Settings
Accept Terms & all Cookies
Anonymous User Privacy Preferences
Strictly Necessary Cookies (Always Active)
MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.
Performance Cookies
Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.