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Director of Public Health Annual Report 2012 [pdf] - Stoke-on-Trent ...

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<str<strong>on</strong>g>Health</str<strong>on</strong>g> and lifestyles summary<br />

We have looked at a range <str<strong>on</strong>g>of</str<strong>on</strong>g> different health and lifestyle indicators in this chapter. Whilst<br />

acknowledging this is not a complete list, we have focused <strong>on</strong> those key indicators which are<br />

likely to have the greatest impact up<strong>on</strong> the health <str<strong>on</strong>g>of</str<strong>on</strong>g> people in <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong>. The<br />

performance <str<strong>on</strong>g>of</str<strong>on</strong>g> these indicators is summarised in table 4.<br />

Across the majority <str<strong>on</strong>g>of</str<strong>on</strong>g> the health and lifestyle indicators in <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong>, there has been an<br />

improvement in performance and a reducti<strong>on</strong> in the gap between the city and England. The<br />

main challenges are around mortality from respiratory disease, smoking, and breastfeeding<br />

at 6 to 8 weeks. It will also be important to m<strong>on</strong>itor infant mortality (which has shown an<br />

increase for the first time in two years), and mortality from cancer (where rates have<br />

struggled historically to reduce c<strong>on</strong>sistently).<br />

Table 4<br />

Performance <str<strong>on</strong>g>of</str<strong>on</strong>g> health and lifestyle indicators in <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong><br />

Indicator Trend 1 Gap 2<br />

<str<strong>on</strong>g>Health</str<strong>on</strong>g><br />

Life expectancy (males) Reducing<br />

Life expectancy (females) Increasing<br />

All cause mortality Reducing<br />

Cancer mortality No clear trend<br />

Circulatory disease mortality Reducing<br />

Respiratory disease mortality No clear trend Increasing<br />

Infant mortality No clear trend Reducing<br />

Teenage pregnancy Reducing<br />

Lifestyles<br />

Smoking No clear trend Increasing<br />

4 week smoking quitters Reducing<br />

Smoking during pregnancy No clear trend<br />

Breastfeeding (at birth) Reducing<br />

Breastfeeding (6-8 weeks) Increasing<br />

Alcohol admissi<strong>on</strong>s Reducing<br />

Obesity (adults) No clear trend No clear trend<br />

Obesity (Recepti<strong>on</strong> children) No clear trend<br />

Obesity (Year 6 children) No clear trend<br />

Physical activity Reducing<br />

1 Performance between current and previous years in <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong><br />

2 Gap between <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong> and England (based <strong>on</strong> current and previous years)<br />

Query<br />

Why is there an increasing gap if the trend shows improvement<br />

This occurs because, whilst there has been an improvement in this year’s<br />

performance in <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong> compared to the previous year, the England<br />

average performance has improved at a faster rate which makes it appear that the<br />

performance <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>Stoke</str<strong>on</strong>g>-<strong>on</strong>-<strong>Trent</strong> compared to England has worsened<br />

33 | P a g e

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