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Women’s equality in the UK – A health check

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12.41<br />

12.42<br />

Recommendations:<br />

• There is a need for more preventative measures and rais<strong>in</strong>g awareness about<br />

women and mental <strong>health</strong> <strong>in</strong>clud<strong>in</strong>g ensur<strong>in</strong>g that violence aga<strong>in</strong>st women is<br />

acknowledged as a key <strong>in</strong><strong>equality</strong> that impacts upon mental <strong>health</strong>. This should be<br />

a role for Public Health England and Health and Wellbe<strong>in</strong>g Boards<br />

• The Department of Health needs to provide clear guidance about <strong>the</strong> value<br />

and legality of women-only specialist services, and should be promot<strong>in</strong>g<br />

and support<strong>in</strong>g women’s services as partners <strong>in</strong> support<strong>in</strong>g women’s good<br />

mental <strong>health</strong><br />

Screen<strong>in</strong>g<br />

In <strong>the</strong> last 20 years, <strong>the</strong> rates of smok<strong>in</strong>g and lung cancer fell sharply for men, yet at <strong>the</strong> same<br />

time rates <strong>in</strong>creased and stabilised for women. More young women (age 16-19) smoke and so<br />

are at risk of lung cancer, compared to young men. 91 Cancer morbidity and mortality rates are<br />

also reduc<strong>in</strong>g more quickly for men than for women. 92 Women liv<strong>in</strong>g <strong>in</strong> <strong>the</strong> most deprived areas<br />

have cervical cancer rates more than three times as high as those <strong>in</strong> <strong>the</strong> least deprived areas. 93<br />

Women liv<strong>in</strong>g <strong>in</strong> deprived areas have a lower survival rate for breast cancer 94 and <strong>in</strong>equalities <strong>in</strong><br />

rates of breast cancer are <strong>in</strong>creas<strong>in</strong>g. 95 Breast cancer is <strong>the</strong> second biggest cause of death from<br />

cancer for women <strong>in</strong> <strong>the</strong> <strong>UK</strong>, after lung cancer. In women under <strong>the</strong> age of 35, breast cancer is<br />

<strong>the</strong> most commonly diagnosed cancer. 96 In 2009 48,417 women <strong>in</strong> <strong>the</strong> <strong>UK</strong> were diagnosed with<br />

breast cancer. 97 (See Appendix: 23 for more <strong>in</strong>formation)<br />

Recommendation:<br />

The Government need to commit to a national primary prevention strategy for breast<br />

cancer as part of <strong>the</strong> Cancer Reform Strategy<br />

Women and cardiovascular disease<br />

<strong>Women’s</strong> risk of cardiovascular disease <strong>in</strong> general <strong>in</strong>creases later <strong>in</strong> life and one <strong>in</strong> three women<br />

die from cardiovascular disease (similar to men), yet <strong>the</strong>y are less likely to th<strong>in</strong>k <strong>the</strong>y are at<br />

risk, notice <strong>the</strong> symptoms and so seek help at a later stage, or to attend a cardio rehabilitation<br />

programme. 98 Women are also less likely to be referred to specialists and <strong>the</strong>re is very little<br />

national policy that takes <strong>the</strong>se differences <strong>in</strong>to account. 99 Women are also more at risk of<br />

stroke than men and tend to be more seriously affected, need<strong>in</strong>g long-term care. 100<br />

91. Office for National Statistics (2008) Focus on Gender, September 2008. ONS: London http://www.ons.gov.uk/ons/rel/social-trends-rd/<br />

focus-on-gender/september-2008/<strong>in</strong>dex.html<br />

92. Department of Health (2008) The Gender and Access to Health Services Study: F<strong>in</strong>al Report http://www.sfh-tr.nhs.uk/attachments/<br />

article/41/The%20gender%20and%20access%20to%20<strong>health</strong>%20services%20study.pdf<br />

93. Cancer Research <strong>UK</strong>, Cervical cancer risk factors http://<strong>in</strong>fo.cancerresearchuk.org/cancerstats/types/cervix/riskfactors/ Accessed:<br />

13/04/13<br />

94. Cancer Research <strong>UK</strong>, Breast cancer survival statistics http://<strong>in</strong>fo.cancerresearchuk.org/cancerstats/types/breast/%20survival/ Accessed:<br />

13/04/13<br />

95. Davey. C., Austoker, J. and Macleod, U. (1999) Reduc<strong>in</strong>g Inequalities <strong>in</strong> Breast Cancer: A guide for primary care. The Cancer Research<br />

Campaign http://books.google.co.uk/books/about/Reduc<strong>in</strong>g_Inequalities_<strong>in</strong>_Breast_Cancer.html?id=8BM4AAAACAAJ&redir_esc=y<br />

96. Breast Cancer Care, Breast cancer facts and statistics http://www.breastcancercare.org.uk/news/media-centre/facts-statistics Accessed:<br />

13/04/13<br />

97. Cancer Research <strong>UK</strong>, Breast cancer statistics http://<strong>in</strong>fo.cancerresearchuk.org/cancerstats/types/breast/ Accessed: 13/04/13<br />

98. British Heart Foundation (2010) Factfile for GPs about Women and Heart Disease http://www.bhf.org.uk/publications/view-publication.<br />

aspx?ps=1001365<br />

99. Department of Health (2008) The Gender and Access to Health Services Study: F<strong>in</strong>al Report http://www.sfh-tr.nhs.uk/attachments/<br />

article/41/The%20gender%20and%20access%20to%20<strong>health</strong>%20services%20study.pdf<br />

100. British Heart Foundation (2010) Factfile for GPs about Women and Heart Disease http://www.bhf.org.uk/publications/view-publication.<br />

aspx?ps=1001365<br />

<strong>Women’s</strong> <strong>equality</strong> <strong>in</strong> <strong>the</strong> <strong>UK</strong>: CEDAW shadow report 2013 121

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