Does better than expected life expectancy in areas of disadvantage indicate health resilience? Stakeholder perspectives and possible explanations

Rebecca Mead*, Chiara Rinaldi, Elizabeth McGill, Matt Egan, Jennie Popay, Greg Hartwell, Konstantinos Daras, Annabelle Edwards, Monique Lhussier

*Corresponding author for this work

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Some places have better than expected health trends despite being disadvantaged in other ways. Thematic analysis of qualitative data from stakeholders (N = 25) in two case studies of disadvantaged local authorities the North West and South East of England assessed explanations for the localities’ apparent health resilience. Participants identified ways of working that might contribute to improved life expectancy, such as partnering with third sector, targeting and outcome driven action. Stakeholders were reluctant to assume credit for better-than-expected health outcomes. External factors such as population change, national politics and finances were considered crucial. Local public health stakeholders regard their work as important but unlikely to cause place-centred health resilience.
Original languageEnglish
Article number103242
Number of pages10
JournalHealth and Place
Early online date30 Apr 2024
Publication statusPublished - 1 May 2024

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