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
10.1.3.9 Mortality Within the Most Deprived National Quintile – Hull and Comparators
The data in this section are from a project looking at SMRs within national deprivation
quintiles, using national mortality data as well as population estimates at lower layer
super out area (LLSOA) for the entire country. This work was possible due to the
assistance of the Yorkshire and Humber Public Health Observatory, who hold a copy of
the national mortality file and have commissioned the Office for National Statistics
(ONS) to produce the LLSOA population estimates. At the time the analyses were
undertaken, the most recent period for which data were available was 2008. It should
be noted that, because the LLSOA population estimates are derived from resident
population estimates, which tend to be different to the GP registered populations used
locally, the SMRs produced will not be the same as those produced using local data.
Comparisons were made between Hull and North East Lincolnshire, as well as the
averages for the 10 comparator PCTs (see section 3.3.3.1 on page 44), Spearhead
PCTs, the 20 most deprived PCTs in England, the Industrial Hinterlands group of local
authorities and the Yorkshire and Humber region, using England deprivation-specific
reference rates.
Figure 196 shows trends in under 75 standardised mortality ratios (SMRs) for stroke for
Hull and comparator areas for those residents living in areas that lie within the most
deprived 20% of areas in England, which for Hull amounts to more than half of all
residents. The underlying data are given in the APPENDIX on page 911. While under 75
stroke SMRs for men in Hull decreased between 2001-2003 and 2006-2008 by 12%,
decreases in comparators over this period ranged from 21% to 26%. Whereas under 75
stroke SMRs in most deprived men in Hull in 20001-2003 were similar to those in
comparator areas (although a little higher in each case) by 2006-2008 they were around
20% higher in Hull. Amongst women under 75 stroke SMRs increased by 14% between
2001-2003 and 2004-2006, thereby decreasing by 21% by 2006-2008, an overall
decrease of 10% between 2001-2003 and 2006-2008, compared with decreases of
between 16% and 20% for comparators, excluding North East Lincolnshire which saw
SMRs increase by 60% over this period. In 2006-2008 under 75 stroke SMRs in Hull‟s
most deprived women were between 17% and 28% higher than for comparators, an
increase of between 50% and 100% since 2001-2003.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 479