Research Type: Mortality

jobs - mental health covid

Jobs, mental health and family responsibilities: an extended administrative data study of occupations, mental health and mortality among the NI population and examination of the role of the COVID-19 pandemic

The proposed study is aligned with the ongoing ADR ‘OCCUMEN Study’ which examines the prevalence and correlates of mental disorders (MDs) across occupational categories. This related study will examine sex-specific temporal trends in mental disorders and causes of death across occupation types before and following the onset of the Covid-19 (C-19) pandemic and examine associations with family responsibilities.

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Socio-economic and neighbourhood effects on Covid-19 and all-cause mortality

Socio-economic and neighbourhood effects on Covid-19 and all-cause mortality

The unique circumstances of the Covid-19 pandemic poses formidable health, economic and social challenges for governments around the world. The impact of the coronavirus varies both between and within countries due to unique coronavirus risk factor profiles, transmission patterns within populations and different approaches used by governments to combat the spread of the virus.

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Analysis of multimorbidity, prescribed medication use and mortality over the Covid-19 pandemic period, with a specific focus on those with dementia – a longitudinal study of persons aged forty or more in 2011 in Northern Ireland

Older people are at high risk for Covid-19 and may have been impacted (and psychologically distressed) by the quarantine – entailing disconnection from family, community and usual health, social support and planned treatments. These may be amplified for people in rural areas where services are limited and both transport and digital-based communication services relatively poor. These issues may be more challenging for people living with dementia, generally associated with ageing, functional decline (Melis et al., 2013) and increased prescribing (Browne et al., 2017; Clague et al., 2017).

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Assessing inequalities in health, wellbeing, and social participation outcomes for young carers in the UK

Carers are increasingly important in providing help and support to people with a health condition or who have trouble with everyday activities. Children and young people who provide care (“young carers”) are an often overlooked but important group of carers. Young carers are a particularly difficult group to recruit and retain in large scale longitudinal population studies. There have been very few longitudinal studies of young carers thus far and most of the previous research has been cross-sectional. There has also been very little exploration of inequalities in the effects of being a young carer to look at whether associations differ by gender, ethnicity or socioeconomic circumstances.

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self-harm-suicide-ideation-data-linkage-1024x680

Examining the factors associated with self-harm, suicide ideation and subsequent mortality through data linkage

Self-Harm (SH) and suicide ideation (SI) (i.e. thoughts about dying by suicide) are two of the most important known risk factors for death by suicide. Increasing suicide rates are a major public health concern and Northern Ireland (NI) consistently has the highest rate of suicide in the UK and Ireland. Recent nationwide policies to reduce suicide are now including a focus on reducing SH and SI as these are precursors to suicide. However, little is known about what causes SH and SI, how these two factors are related and what impact they have on mortality risk. Understanding the individual level, household-level, area-level and health related predictors for SH, SI and suicide is of vital public health importance so that intervention services can be targeted accurately.

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Multi-morbidity and Mortality in Northern Ireland: An investigation of the association between self-reported multiple health disorders and subsequently recorded mortality.

Multi-morbidity and Mortality in Northern Ireland: An investigation of the association between self-reported multiple health disorders and subsequently recorded mortality.

Multi-morbidity is becoming an increasingly pertinent public health issue and challenge, given advancement of research, policy and treatment and an ageing population. One of the consequences of increased life expectancy is increased risk of accumulation of multiple disorders, with the prevalence of multi-morbidity thought to be in excess of 65% of the elderly population (Banjaree, 2015). While multi-morbidity is more prevalent at older ages, in absolute terms over half of multi-morbid cases are aged under sixty-five. Despite multi-morbidity now being the norm for individuals with chronic diseases rather than the exception, existing health systems, clinical practice, guidance and training are dominated by single-disease approaches (Barnett et al., 2012).

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Of Doctors and Death: A data linkage study.

Of Doctors and Death: A data linkage study.

There is a long history in both epidemiology and public health of studying the health and mortality risk of doctors, and the proposed study aims to continue this trend. This history includes the famous ‘Doctors Study’ (with Doll, Bradford-Hill and Peto) which ran from 1951 until 2001 and provided some of the original and most conclusive evidence linking cigarette smoking and lung cancer (and later heart disease and stroke).

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Mortality Rates by Occupation Within the UK.

Mortality Rates by Occupation Within the UK.

The relationship between occupation and population health is complex, but understanding their interrelationships is a policy priority. It is widely accepted that being in employment is associated with health benefits. However, there is a lack of detailed understanding about the relative mortality risks of specific occupations and whether health-related benefits of employment occur across all occupations.

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