By Nick J. Spencer, Elizabeth Dowler
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Additional resources for Challenging health inequalities : from Acheson to 'choosing health'
1997) ‘Contribution of job control and other risk factors to social variations in coronary heart disease incidence’, Lancet, vol 350, no 9073, pp 235-9. McLoone, P. A. (1994) ‘Deprivation and mortality in Scotland, 1981 to 1991’, BMJ, vol 309, pp 1465-70. Nazroo, J. (2003) ‘The structuring of ethnic inequalities in health: economic position, racial discrimination, and racism’, American Journal of Public Health, vol 93, no 2, pp 277-84. NCH (National Children’s Homes) (1991) Poverty and nutrition survey 1991, London: NCH Action for Children.
Many of the sets of recommendations were also too vague to be useful. Recommending ‘measures to prevent suicide among young people, especially among young men and seriously mentally ill people’, or ‘the development of policies to reduce the fear of crime and violence, and to create a safe environment for people to live in’ received universal support, but they were of little use in practice since it was not specified how these things were to be brought about. Rates of violence in Britain subsequently rose under New Labour, although suicide rates did not 32 Inequalities in mortality rates under New Labour (Hillyard et al, 2005).
For the first time we also learnt from the report that, apparently, these poor results were to be expected: ‘There is, as expected over this short timescale, no narrowing of health inequalities against the PSA target. Thus, despite the publication of the Acheson Report in 1998 (Acheson, 1998), a raft of policy documents since and an historic third term for Labour, it is still apparently too early to expect change, as ‘many interventions will only be coming on stream after 2003’ (DH, 2005a, p 6).