Estimating quality-adjusted life expectancy (QALE) for local authorities in Great Britain and its association with indicators of the inclusive economy: a cross-sectional study.

OBJECTIVES: Quantifying area-level inequalities in population health can help to inform policy responses. We describe an approach for estimating quality-adjusted life expectancy (QALE), a comprehensive health expectancy measure, for local authorities (LAs) in Great Britain (GB). To identify potential factors accounting for LA-level QALE inequalities, we examined the association between inclusive economy indicators and QALE. SETTING: 361/363 LAs in GB (lower tier/district level) within the period 2018-2020. DATA AND METHODS: We estimated life tables for LAs using official statistics and utility scores from an area-level linkage of the Understanding Society survey. Using the Sullivan method, we estimated QALE at birth in years with corresponding 80% CIs. To examine the association between inclusive economy indicators and QALE, we used an open access data set operationalising the inclusive economy, created by the System Science in Public Health and Health Economics Research consortium. RESULTS: Population-weighted QALE estimates across LAs in GB were lowest in Scotland (females/males: 65.1 years/64.9 years) and Wales (65.0 years/65.2 years), while they were highest in England (67.5 years/67.6 years). The range across LAs for females was from 56.3 years (80% CI 45.6 to 67.1) in Mansfield to 77.7 years (80% CI 65.11 to 90.2) in Runnymede. QALE for males ranged from 57.5 years (80% CI 40.2 to 74.7) in Merthyr Tydfil to 77.2 years (80% CI 65.4 to 89.1) in Runnymede. Indicators of the inclusive economy accounted for more than half of the variation in QALE at the LA level (adjusted R2 females/males: 50%/57%). Although more inclusivity was generally associated with higher levels of QALE at the LA level, this association was not consistent across all 13 inclusive economy indicators. CONCLUSIONS: QALE can be estimated for LAs in GB, enabling further research into area-level health inequalities. The associations we identified between inclusive economy indicators and QALE highlight potential policy priorities for improving population health and reducing health inequalities.

Measuring particle concentration in multiphase pipe flow using acoustic backscatter: generalization of the dual-frequency inversion method.

A technique that is an extension of an earlier approach for marine sediments is presented for determining the acoustic attenuation and backscattering coefficients of suspensions of particles of arbitrary materials of general engineering interest. It is necessary to know these coefficients (published values of which exist for quartz sand only) in order to implement an ultrasonic dual-frequency inversion method, in which the backscattered signals received by transducers operating at two frequencies in the megahertz range are used to determine the concentration profile in suspensions of solid particles in a carrier fluid. To demonstrate the application of this dual-frequency method to engineering flows, particle concentration profiles are calculated in turbulent, horizontal pipe flow. The observed trends in the measured attenuation and backscatter coefficients, which are compared to estimates based on the available quartz sand data, and the resulting concentration profiles, demonstrate that this method has potential for measuring the settling and segregation behavior of real suspensions and slurries in a range of applications, such as the nuclear and minerals processing industries, and is able to distinguish between homogeneous, heterogeneous, and bed-forming flow regimes.