Presentation on theme: "Exploring health inequalities in the Born in Bradford birth cohort study Neil Small, Professor of Health Research, School of Health Studies, University."— Presentation transcript:
Exploring health inequalities in the Born in Bradford birth cohort study Neil Small, Professor of Health Research, School of Health Studies, University of Bradford
Infant Mortality Rate Bradford 3 year rolling averages
Infant Mortality Rate by Quintiles of Deprivation in Bradford Rates nearly double in more deprived areas and rates within Pakistani Community higher than Bradford district rate
Born in Bradford A birth cohort study comprising babies born in the city between 2007 and 2011: Mothers 12453: pregnancies : fathers 3448: babies Half the babies born into the most deprived quintile of the UK’s population.
Comparing white British and Pakistani origin families. Different patterns of health related behavior Birth weight and growth – Pakistani origin infants lighter and shorter at birth. Catch up by age 2 SIDS – 4 times less likely in Pakistani babies Birth defects/ congenital anomalies – cousin marriage doubles prevalence from 3 to 6% in Bradford Diabetes in pregnancy and low levels of vitamin D higher in Pakistani mothers
Similarities in the cohort Similar take up of antenatal care Considerable obesity in pregnant women. Levels of initiating and sustaining breast feeding low High levels of eczema, asthma and allergies High levels of acrylamide in diets of pregnant women High levels of health problems identified by teachers when children start school High levels of physical inactivity in children Similarities in reported levels of positive attitudes to living in the city.
Interventions – education/ information + projects Advice to health professionals re appropriate growth rates SIDS – what is high risk behaviour Health education/ promotion re cousin marriage + accurate data collection + plan care provision Diabetes / vitamin D – pre and early pregnancy advice Avoid chips and crisps. Air quality – information to Public Health Improved communication schools/health services Open up playgrounds – PiP project Parenting programmes for those at high risk re obesity