Dudley Strategy for Tackling Health Inequalities 2010-15

Standardised Rate per 100,000 Population1983-19851984-19861985-19871986-19881987-19891988-19901989-19911990-19921991-19931992-19941993-19951994-19961995-19971996-19981997-19991998-20001999-20012000-20022001-20032002-20042003-20052004-20062005-20072006-2008The inequalities gap is even bigger for those from the most disadvantaged sectionsof the community where in some cases smoking prevalence can reach 74% (e.g.people with schizophrenia) (Great Britain, Department of Health, 2010)CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN DUDLEYThere has been a general decline in premature mortality from COPD in Dudley overthe last twenty-five years, but the rate of decline has now slowed and the gapbetween Dudley and England and Wales has widened slightly in the last six years.When differences in gender are analysed it can be seen that premature mortality inmales is significantly higher than the national average, and although female rates arestill below the national average the gap is getting much narrower than it was twentyfiveyears ago. (Figure 1)Figure 150Directly Standardised Mortality Rates from COPD by Year3-Year Rates, Dudley, Males & Females Aged Under 75, 1983-1985 to 2006-2008454035302520151050When we look at mortality using the deprivation indices it is noticeable thatpremature mortality from COPD is significantly higher in the most deprived quintilecompared with the least deprived. (Figure 2)137