Dudley Strategy for Tackling Health Inequalities 2010-15

Standardised Rate per 100,000 populationFigure 5a & b shows the trend in mortality rates for accidents and suicides andundetermined injuries by sex and broad age band. The highest rates are in theoldest age group for accidents and this is the only age group where rates areequivalent for females and males. Rates are generally higher for males thanfemales between ages 15 and 64, with this gap beginning to narrow for ages 50-54and older. At ages up to 15, rates are also more similar between males andfemales, but again tend to be higher in the males. Rates begin to rise after age 9through to age 20-24. In males rates tend to decline from age 20-24 to 65-69 andthen start to increase to the oldest age group. For women the pattern is slightlydifferent with a tendency for rates to gradually increase from age 20-24 through toage 50-54, where the rate declines until 65-69 after which the rate increases rapidly.The pattern is different for mortality from suicide and undetermined injury but issimilar for males and females with the rate increasing from age 10-14 to age 50-54when it declines to age 65-69 when it levels off. The rate overall is considerablyhigher for males at all age bands between 10-14 and 60-64.Trends of mortality for accidents by broad age band (Figures 6a,b,c & d) show ratesin the 75 and over age band for both males and females were far higher than in anyother age group throughout the period 1983-1987 to 2004-2008. Rates in this ageband declined to the late 1990s before beginning to rise again. For females in allage bands the trend has been for the rates to decline across the whole period butthey reached a minimum in the late 1990s. For males, only the under 15 and the 55-74 age band have followed the pattern described for females. The other age bandshave shown no overall change.Figure 5a4.5Accident mortality rates by five year age band and sex, Dudley 2004-20084MalesFemales3.532.521.510.500 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+Age band (years)157