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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 />

10.2.1.13 Mortality Within the Most Deprived National Quintile – Hull and Comparators<br />

The data in this section are from a project looking at SMRs within national deprivation<br />

quintiles, using national mortality data as well as population estimates at lower layer<br />

super out area (LLSOA) for the entire country. This work was possible due to the<br />

assistance of the Yorkshire and Humber Public Health Observatory, who hold a copy of<br />

the national mortality file and have commissioned the Office for National Statistics<br />

(ONS) to produce the LLSOA population estimates. At the time the analyses were<br />

undertaken, the most recent period for which data were available was 2008. It should<br />

be noted that, because the LLSOA population estimates are derived from resident<br />

population estimates, which tend to be different to the GP registered populations used<br />

locally, the SMRs produced will not be the same as those produced using local data.<br />

Comparisons were made between Hull and North East Lincolnshire, as well as the<br />

averages for the 10 comparator PCTs (see section 3.3.3.1 on page 44), Spearhead<br />

PCTs, the 20 most deprived PCTs in England, the Industrial Hinterlands group of local<br />

authorities and the Yorkshire and Humber region, using England deprivation-specific<br />

reference rates.<br />

Figure 207 shows trends in under 75 standardised mortality ratios (SMRs) for cancer for<br />

Hull and comparator areas for those residents living in areas that lie within the most<br />

deprived 20% of areas in England, which for Hull amounts to more than half of all<br />

residents. The underlying data are given in the APPENDIX on page 916. Under 75<br />

cancer SMRs for men in Hull were higher for each year than for all comparators<br />

excluding North East Lincolnshire. The only substantial changes in under 75 cancer<br />

SMRs for Hull were a 9% decrease in 2003-2005 and an 8% increase in 2006-2008 to<br />

end the period just 2.5% lower than in 2001-2003, and higher than all the comparator<br />

areas. For women in Hull under 75 cancer SMRs increased for each year, ending the<br />

period 22% higher than in 2001-2003, and between 16% and 20% higher than for<br />

comparator areas, statistically significantly higher than for each comparator, excluding<br />

North East Lincolnshire. Under 75 cancer SMRs remained largely unchanged over the<br />

period for comparator areas.<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 528

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