Population and health: structure, rates and environment

Analyse population change and health inequalities, then evaluate explanations across physical and social conditions.

A-level study: check your qualification and chosen options below.

Connect population change to its components

Population changes through births, deaths and migration, with boundary or recording changes also affecting totals. Age structure influences future births, deaths and service needs.

The demographic transition model organises broad patterns. It does not prescribe one inevitable timetable for every society.

Worked example

A fictional population has 10,000 births, 7,000 deaths, 4,000 arrivals and 2,000 departures. Net change is +5,000, assuming consistent geography and recording.

Common mistake: A birth rate and a birth count use different denominators.

Population pyramids · Percentage change

Compare health rates carefully

Health reflects environment, services, income, housing and working conditions. Exposure and the capacity to avoid or treat harm vary within places.

Age structure can confound comparisons of crude mortality. A meaningful comparison may require age-specific or standardised rates and a consistent cause definition.

Worked example

A fictional older population has more deaths per thousand despite lower age-specific risk. Applying both areas’ rates to the same reference age distribution can change the comparison.

Common mistake: A higher crude death rate does not automatically mean worse healthcare.

Choropleth maps · Source evaluation

Evaluate environmental and social explanations

Temperature, water quality and vector habitats influence disease pathways; housing, income and services alter exposure and responses. Identify a mechanism before interpreting an association.

Interventions such as safer water or improved housing can affect multiple outcomes. Evaluate reach and competing influences rather than equating spending with health improvement.

Worked example

In a fictional survey illness falls from 20% to 12% after safer supply: −8 points or a 40% relative decline. Other changes and sample differences still need evaluation.

Common mistake: Area-level association cannot prove the same relationship for each person.

Percentage change · Sampling methods · Source evaluation

Try a different resource

Population pyramids

These are broad age categories, not equal five-year bands. The six bars together sum to 100%.

Scroll the diagram sideways to see the full resource.

Broad age structure0–14: male 18%, female 16%; 15–64: male 27%, female 29%; 65+: male 5%, female 5%0–1418%16%15–6427%29%65+5%5%MaleFemaleEach bar is a percentage of the whole population.The three age groups have different age spans.
Age groupMale (% of total)Female (% of total)
0–141816
15–642729
65+55
Broad age structure. Original fictional resource; not an official map or real dataset.
Resource description

0–14: male 18%, female 16%; 15–64: male 27%, female 29%; 65+: male 5%, female 5%

1. What percentage of the whole population is aged 0–14?

2. Calculate dependants per 100 people aged 15–64, using 0–14 and 65+ as dependants.

The maps and data are fictional. These exercises do not count as required fieldwork.

Write an explanation

Check your answer
  • Explain interacting causal pathways.
  • Use suitable rates and population structures.
  • Evaluate geographical scale and confounding.
  • Judge interventions through reach and outcomes.

Practise and review a written answer

Case studies

Nigeria: growth and household outcomes · Cape Town’s water-security crisis

These pages provide selected evidence. Check the whole case requirement with your teacher.

Read further

Measuring development · Matching evidence to a claim · Association and geographical explanations

Course links

AQA A-level Geography · Pearson Edexcel A-level Geography · Higher Geography · OCR A-level Geography

Next topics

Migration: flows, identities and uneven effects · Development: indicators, change and inequality

Selected teaching sequence with fictional worked data. The linked case records supply bounded evidence; they do not satisfy every course case requirement.

Scottish links identify reusable parts of the topic. Scottish landforms, soil, weather and disease requirements need additional course-specific teaching.

Worked numerical examples are fictional unless explicitly attributed. These lessons cover selected parts of the topic; check your course requirements for the rest.