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joint strategic needs assessment foundation profile - JSNA

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Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org<br />

Cancer: For 2006-2008, under 75 directly standardised incidence rate for cancer (all<br />

sites) is higher for Hull men (358 per 100,000) compared to England (307 per 100,000),<br />

with Hull women (339 per 100,000) also higher compared to England (301 per 100,000).<br />

For 2006-2008, the under 75 standardised mortality ratio (SMR) for cancer is 1.29 for<br />

Hull (so mortality rate 29% higher than England), which is higher than the Industrial<br />

Hinterlands group and the average of the 10 comparators.<br />

A higher percentage of cancer deaths for men and women are due to lung cancer in Hull<br />

compared to England. For 2006-2008 under 75 SMR from lung cancer for Hull is 1.79<br />

for men and 1.82 for women (so mortality rate 79% and 82% higher for men and women<br />

respectively compared to England), and is one of the highest of the 10 comparator<br />

areas.<br />

Premature cancer mortality is strongly associated with deprivation. The under 75 lung<br />

cancer standardised mortality rate for people living in the most deprived quintile areas of<br />

Hull is 77.4 per 100,0000 persons compared to almost one-third lower (26.2 per 100,000<br />

persons) in the least deprived quintile areas.<br />

Diabetes: For 2009/2010, prevalence of diagnosed diabetes for those aged 17+ years is<br />

lower for Hull (5.2%) compared to England (5.4%) based on general practice registers.<br />

It is also possible that the undiagnosed prevalence of diabetes is higher in Hull<br />

compared to England. For 2006-2008, the all-age diabetes mortality rate in Hull is<br />

higher than England for men, but similar to areas with similar ethnicity rates. For<br />

women, the mortality rate is only slightly higher than England.<br />

A comparison of prevalence, inpatient admissions and mortality indicated that for a<br />

particular prevalence level, there were substantially more hospital admissions (double<br />

the rate) and more deaths in the most deprived quintiles areas compared to the least<br />

deprived quintile areas of Hull.<br />

Chronic obstructive pulmonary disease: For 2009/2010, the prevalence of diagnosed<br />

COPD is higher for Hull (2.1%) compared to England (1.6%) based on general practice<br />

disease registers. It is also possible that the undiagnosed prevalence of COPD is higher<br />

in Hull compared to England. For 2006-2008, the under 75 standardised mortality ratio<br />

is 1.7 for men in Hull (70% higher than England), which is greater than the average of 10<br />

comparator areas deemed similar to Hull and the Industrial Hinterlands group average.<br />

For women in Hull, the premature COPD mortality rate is almost double that of England<br />

at 1.9 and is one of the highest of all comparators (Industrial Hinterlands group and 10<br />

comparators).<br />

Given the prevalence of smoking in Hull, it is not surprising that the premature mortality<br />

rate for COPD is so high, with an estimated 84% of COPD deaths directly attributable to<br />

smoking.<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 23

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