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Health Inequalities in Godivaville: A Report Introduction Godivaville - a (fictional) socially and economically disadvantaged town - has higher rates of death and illness than most of the West Midlands, largely due to the poor health of particular groups. The town has a largely 'young' population, many lone-parent households, very high unemployment, and a relatively large proportion of ethnic minorities. Several health inequalities are evident, the most obvious being between social classes; mirroring national figures, the life-expectancy for social class one exceeds by more than nine years that for class five (Hattersley, 1999), and morbidity data shows a similar pattern. There are also health inequalities between genders - females having lower mortality but higher morbidity rates - and between ethnic groups. This report offers likely explanations for these relationships, then suggests how health inequalities might be tackled. The Health Inequalities in Godivaville and their Possible Explanations The Black Report (DHSS, 1980) gives four main...

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