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- W2000291360 abstract "This editorial introduces this special issue of the Journal of Bioethical Inquiry on global health by presenting an analysis of the ethical implications of the Glasgow effect, the curious phenomenon whereby inhabitants of Scotland’s largest city have substantially higher mortality rates than their counterparts in similar British cities, despite adjustment for factors such as socioeconomic status, obesity, smoking, drinking, and drug use. The Glasgow effect represents a health inequality that cannot currently be addressed, as its causes are as yet unidentified. As such, it raises several ethical issues. Parents may even have an ethical obligation to move their children away from Glasgow to prevent them being affected by the effect. The Glasgow effect is perhaps the most perplexing health inequality. It represents unfairness with an unknown cause and is composed of several different elements. The most basic fact is that socioeconomically disadvantaged people (SDP) are worse off in terms of health than socioeconomically advantaged people (SAP) in Glasgow. This is a typical pattern of health inequality, and most cities in the developed world exhibit it. However, the first curious fact is that the disparity between SDP and SAP in Glasgow is more pronounced than almost anywhere else, with differences in life expectancy of up to 30 years. Second, SDP in Glasgow have substantially worse health outcomes than SDP elsewhere, even after adjustment for variables such as consumption of alcohol, obesity, and smoking. And third, SAP in Glasgow, despite their health advantages over SDP in Glasgow, are 30 percent more likely to die young than SAP elsewhere: “premature deaths are more than 30% higher [than in Liverpool and Manchester], and all deaths around 15% higher” (Walsh et al. 2010a, 32; Walsh et al. 2010b; McCartney et al. 2011). Despite at least 17 different hypotheses (see Table 1), the cause of these effects is unknown. In a sense, there are at least three Glasgow effects, and some confusion has arisen because people use the phrase to refer to different things at different times. This paper addresses some ethical issues related to the second and third Glasgow effects listed above." @default.
- W2000291360 created "2016-06-24" @default.
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- W2000291360 date "2015-02-21" @default.
- W2000291360 modified "2023-09-25" @default.
- W2000291360 title "Ethical Aspects of the Glasgow Effect" @default.
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- W2000291360 doi "https://doi.org/10.1007/s11673-015-9627-7" @default.
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