"I'm all right, John": voting patterns and mortality in England and Wales, 1981-92

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Abstract
Objective: To investigate the association between voting patterns, deprivation, and mortality across England and Wales. Design: Ecological study. Setting: All the electoral constituencies of England and Wales. Main outcome measures: Combined and sex specific standardised mortality ratios. Results: For the years surrounding the three elections of 1983, 1987, and 1992 overall standardised mortality ratios showed substantial negative correlations of −0.74 to −0.76 with Conservative voting and substantial positive correlations of 0.73 to 0.77 with Labour voting (all PConclusions: Conservative and Labour voting are at least as strongly associated with mortality as is a standard deprivation index. Voting patterns may add information above that provided by indicators of material deprivation. People living in better circumstances and who have better health, who are least likely to require unemployment benefit and free school meals or to rely on a state pension in old age, and who are most able to opt out of state subsidised provision of transport, education, and the NHS, vote for the party that is most likely to dismantle the welfare state. The places where people are most likely to die young are also the places where people are most difficult to count when alive The places where people are most likely to die young are also the places where people are least likely to choose or to be registered to vote This study provides further evidence of the strength of self interest in voting in Britain There are wide ranging social, economic, and political implications from the polarisation of health and voting in Britain