joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
Note that these locally derived SMRs are lower from those quoted in the official statistics
(available on the Compendium) from the Office for National Statistics (ONS). The
reason for this is that the population estimates used in the local figures are slightly
higher. Local resident population estimates from the GP registration file have been used
in Table 84 whereas the mid-year population estimates produced by ONS are used in
the official estimates. The official estimates for the under 75 SMR for the period 2006-
2008 (the most recent period for which this data were available at the time of writing) for
Hull were 134 (95% CI 128 to 140) for men, 138 (95% CI 131 to 147) for women and
136 (95% CI 131 to 141) for men and women combined, whereas using local population
data the equivalent SMRs for 2006-2008 were 127 (95% CI 121 to 133) for men, 134
(95% CI 127 to 142) for women and 131 (95% CI 126 to 136) for men and women
combined. The trends in the under 75 SMRs at ward, Area and Locality level are
available for 1999-2001 to 2006-2008 for mortality from all causes on the Hull Atlas
(www.hullpublichealth.org).
7.8.4.2 Under 75 Year All Cause Mortality Ratio in Relation to Deprivation
The all cause standardised mortality ratio (SMR) for those persons aged less than 75
years is given in Figure 69 by deprivation quintile for Hull (for the period 2007 to 2009).
There is a strong relationship between deprivation and the under 75 year SMR. Those
residents in Hull living in the areas within the most deprived quintile in Hull had a
standardised mortality rate that was 92% higher than England‟s average, but those
residents living in areas which are classified as the least deprived quintile in Hull had a
mortality rate that was 21% lower than England. While this might seem surprising as all
of Hull is relatively deprived (in the worst 60% of areas in England), two thirds of the
least deprived fifth of areas in Hull lie within the middle deprivation quintile nationally,
with the remainder in the second least deprived fifth of areas nationally. It might have
been anticipated therefore that the mortality rate in Hull‟s least deprived quintile would
be similar to, or slightly lower than, the England average, rather than significantly lower.
The underlying data are given in the APPENDIX on page 851.
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