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
Figure 186: Trends over time in all age directly standardised mortality rates for CHD
Directly standardised mortality rate per 100,000
persons
250
200
150
100
50
0
1993-1995
10.1.2.5 Health Equity Audit
1994-1996
1995-1997
1996-1998
A health equity audit was conducted during 2004/2005 for Hull and East Riding of
Yorkshire which examined potential inequalities in relation to CHD. The report
examined the prevalence of risk factors, primary care prescribing, inpatient admissions
and mortality. The full report is available at www.hullpublichealth.org.
10.1.2.6 Diagnosed Prevalence in Relation to Deprivation
1997-1999
1998-2000
1999-2001
Period
England Hull
Yorkshire & The Humber SHA Industrial Hinterlands (ONS group)
Average of 10 comparator areas North East Lincolnshire (ONS nearest comparator)
It is possible to assign a deprivation score to each general practice using the Index of
Multiple Deprivation 2007 score assigned to each patient (based on their postcode) and
calculate the mean IMD 2007 score for each practice (i.e. weighted by patient
population). Table 202 shows the prevalence of diagnosed CHD on the practice
disease registers for 2009/2010 grouping the practices into five groups. One would
expect a relationship as factors associated with deprivation are risk factors for CHD,
however, the mortality rate from CHD will also be higher in these deprived areas.
Figure 187 shows the practice IMD 2007 scores and the prevalence of diagnosed CHD
for each practice. The linear regression line is also shown and indicates that there is no
association between the deprivation score and the prevalence of diagnosed CHD
(p=0.89). One would expect an association to exist, so this suggests that patients are
more likely in the most deprived areas to have CHD which is undiagnosed. The
underlying data are given in the APPENDIX on page 904.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 458
2000-2002
2001-2003
2002-2004
2003-2005
2004-2006
2005-2007
2006-2008