Helena Tunstall

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OBJECTIVES To identify plausible mechanisms by which resilience (low mortality rates despite persistent economic adversity) was achieved in some areas in Britain between 1971 and 2001. METHODS Mixed method observational study, combining quantitative analyses of cause- and age group-specific mortality rates, and area sociodemographic and environmental(More)
This paper considers the spatial characteristics of the relationship between deprivation and mortality rates in Scotland. Scotland not only has higher average mortality rates than England and Wales but the greatest spatial concentrations of the poorest health areas in Britain. Recent analysis has suggested that degree of deprivation alone cannot explain the(More)
This study analyses demographic and spatial factors that underlie the rise in murder rates seen in Britain between 1981 and 2000 and considers the possible contribution of a public health approach to the understanding of murder. Comparison of murder rates by age group and sex finds that increases occurred only among males aged 5-59 years, and were greatest(More)
People that move home within developed countries report, on average, better health than non-movers. Pregnant women, new mothers and infants are particularly mobile, but the limited evidence regarding the relationship between their mobility and health suggests they may not conform to the 'healthy migrant' effect. This paper examines the relationship between(More)
Local context is widely believed to influence voting behavior with, for example, the voters’ evaluation of the state of their local economy affecting whether they choose to reward or punish the incumbent government. Such reward-punish models apply in the United Kingdom at the national scale: those who believe that the government has delivered prosperity(More)
BACKGROUND Health inequalities have widened within and between many European countries over recent decades, but Europe-wide sub-national trends have been largely overlooked. For regions across the European Union (EU), we assess how geographical inequalities (i.e., between regions) and sociospatial inequalities (i.e., between regions grouped by an area-level(More)
OBJECTIVES To identify areas of Britain whose residents have relatively low age specific mortality, despite experiencing long-term economic adversity. METHODS Longitudinal, ecological study of all residents of Britain from 1971 to 2001. RESULTS 54 of Britain's 641 parliamentary constituencies were identified as having been persistently economically(More)
Residential mobility may play an important role in influencing both individual health, by determining individual exposures to environments, and area health, by shaping area population composition. This study is the first analysis of migration within the UK to compare general and mental health among adults by age group and consider moves between(More)