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Dudley Strategy for Tackling Health Inequalities 2010-15

Dudley Strategy for Tackling Health Inequalities 2010-15

Dudley Strategy for Tackling Health Inequalities 2010-15

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PercentageFigure 8bMechanism of injury by intent <strong>for</strong> females, <strong>Dudley</strong> 1994-1998100%90%80%70%60%50%40%30%20%10%0%MechanismOsteoporosisHomicide and probable homicideSuicideMental and behavioural disorders due to psychoactive substance useUndeterminedUnintentionalSource: Office of National Statistics (ONS) Annual Deaths ExtractOffice of National Statistics (ONS) mid-year population estimatesPatterns of injury and poisoning mortality <strong>for</strong> the top four mechanisms by ageMortality varies by five-year age band according to the mechanism of death. Forfalls and fractures in both males and females there is a strong relationship with age,with rates increasing across the age bands with a rapid rise in rates from age 65 to85+. In this age band falls and fractures are by far the highest mechanism of death(Figure 9a & b). For males the other mechanisms show a similar pattern across agebands, with rates lowest in the 5 to 9 age band and rates rise to a maximum in earlyadulthood. The age band of the peak varies by mechanism – <strong>for</strong> transport it is age20-24, whereby it then declines gradually across the older age bands, whereas <strong>for</strong>poisoning and suffocation it is in men aged 20-24 and 25-29 respectively. For bothpoisoning and suffocation these higher rates are maintained until age 45-49 whenthey begin to decline.For females, rates <strong>for</strong> all mechanisms were lowest in the 5-9 age band. Rates thenrise <strong>for</strong> age, but there is only a clear peak <strong>for</strong> transport in young adults (<strong>15</strong>-24 years).Suffocation peaks at two age bands 30-34 and 50-54, whereas poisonings graduallyrise to age 40-49, decline and have a second rise at 55-59 and then again at age 70-74.163

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