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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 />

Figure 207: Trends in under 75 cancer standardised mortality ratios by national<br />

deprivation quintiles for Hull and comparators for 2001-03 to 2006-08<br />

10.2.1.14 Survival in Relation to Deprivation<br />

The local Cancer Equity Audit conducted during the financial year 2005/2006 revealed<br />

that whilst premature cancer mortality was strongly associated with deprivation,<br />

incidence was less strongly associated and the relationship between incidence and<br />

mortality was not consistent among the deprivation quintiles (Figure 208). The Cancer<br />

Equity Audit was conducted in Hull and East Riding of Yorkshire so the data are for both<br />

local authorities combined and use incidence and mortality data for the period 2001 to<br />

2003, and deprivation defined on the basis of the Index of Multiple Deprivation 2004<br />

national quintiles. It can be seen that there is no substantial difference in cancer<br />

incidence among the national deprivation quintiles. However, there is a trend in cancer<br />

mortality with those in the most deprived quintiles having the highest mortality rates.<br />

This suggests that survival rates are lower in the most deprived national quintile. There<br />

are many potential reasons why this might be the case, and this relationship could<br />

reflect differences in risk factors, stage of cancer at diagnosis, referral rates to<br />

secondary care, co-morbidity, treatment options, type of cancer, and many other factors.<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 529

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