Wednesday, November 07, 2012

The Glasgow Effect


"It's a human tragedy on a massive scale," says Gerry McCartney, an epidemiologist at NHS Scotland.

David Walsh, a lead researcher at Glasgow Centre for Population Health adds: "You are talking about thousands of people dying before their time."

Whether it is deaths from cirrhosis, drug abuse, lung cancer, murder or suicide, Glasgow's mortality rates are easily the highest in Britain, and among the highest in Europe. Life expectancy at birth in Glasgow is the lowest in the UK – more than six years below the national average for Glaswegian men (71.6 years, compared with a UK average of 78.2 years), and more than four years below average for Glasgow's women (78 years, compared with the UK average of 82.3). And because Glasgow is home to more than 10% of Scotland's total population, with nearly 600,000 people in the city itself, and more than a million in the greater Glasgow area, Glasgow's problems are very much Scotland's problems.

Despite years of research and decades of evidence that something has gone terribly wrong in the heart of Scotland's largest city, the underlying causes of Glasgow's fatally poor health remain something of a scientific mystery.  Deprivation accounts for less than half (around 40%) of Glasgow's "mortality gap" compared with the rest of the UK. The other causes are still unknown.  There are no fewer than 17 competing explanations for Glasgow's ill health.

Glasgow's city boundaries contain some of Britain's most deprived neighbourhoods. Liverpool and Manchester, for example – have rates of deprivation every bit as high as Glasgow, yet their life expectancies are substantially higher. Glaswegians neither binge-drink nor smoke more than their peers in Liverpool or Manchester. What's more, even Glasgow's most affluent citizens, those in the top 10% of the income distribution, die significantly younger than their counterparts in other British cities.  Obesity rates in the city are actually lower than in some English cities.

Drug abuse (particularly heroin), knife crime, murder and suicide are all significantly more prevalent in Glasgow than in other cities. What is it about life in Glasgow that seems to predispose some of its citizens to such destructive behaviours?

Socialist Courier has documented the evidence that the type of society we live in - capitalism - and the suffering inflicted in the past, can be seen as a culprit for the Glasgow Effect

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