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
For the three year period 2007-2009 in Hull, there were 372 deaths in men and 288
deaths in women in total. The figures for Hull differ slightly from the Compendium
because different population estimates have been used, and it is not possible to present
the information for all areas due to small numbers (marked with an asterisk in the table).
The total number of deaths from lung cancer for men and women aged under 75 years
as well as the directly standardised mortality rates (DSRs) are given in Table 247 for the
most recent period 2007-2009. The DSRs are standardised to the European Standard
Population. The confidence intervals are given, and it can be seen that they are wide for
the Areas and Localities, particularly for the former. Therefore, despite the relatively
large differences among the Areas and Localities, the majority of the differences could
well be associated with random variation rather than related to true differences in the
mortality rates.
Table 247: Total number of deaths and under 75 directly standardised mortality rates for
lung cancer per 100,000 persons, Hull 2007-2009
Area Total deaths over three years and under 75 DSRs for lung cancer 2007-
2009 per 100,000 persons (95% CI)
Males Females Persons
N DSR N DSR N DSR
North Carr 28 77 (51 to 112) 14 37 (20 to 63) 42 57 (41 to 77)
Northern 23 50 (31 to 75) 20 39 (24 to 61) 43 44 (32 to 60)
NORTH 51 61 (45 to 80) 34 38 (26 to 53) 85 49 (39 to 61)
East 24 40 (25 to 59) 27 41 (27 to 60) 51 41 (30 to 54)
Park 34 56 (39 to 78) 22 35 (22 to 54) 56 45 (34 to 59)
Riverside (E) 10 56 (27 to 103) 6 36 (13 to 79) 16 46 (26 to 75)
EAST 68 49 (38 to 62) 55 38 (29 to 50) 123 43 (36 to 52)
Riverside (W) 37 71 (50 to 98) 37 85 (60 to 118) 74 77 (60 to 97)
West 31 52 (35 to 75) 14 22 (12 to 38) 45 37 (27 to 49)
Wyke 17 46 (26 to 73) 7 18 (7 to 38) 24 32 (20 to 48)
WEST 85 57 (45 to 70) 58 40 (30 to 52) 143 48 (41 to 57)
HULL 204 55 (48 to 63) 147 39 (33 to 46) 351 47 (42 to 52)
Table 248 gives under 75 SMRs for lung cancer for Hull and comparators relating to
deaths which were registered during the period 2006-2008. The under 75 mortality rate
from lung cancer is 79% higher in men and 82% higher in women compared to England.
The SMR is one of the highest of the comparator areas. Middlesbrough has a higher
SMR for both men and women and Salford for women. Middlesbrough is the only local
authority that has a higher Index of Multiple Deprivation 2007 score (9 th versus Hull‟s
11 th ranking over all 354 local authorities). Sandwell (14 th ), Salford (15 th ) and Stoke-on-
Trent (16 th ) are the three other local authorities with the most similar IMD 2007 score to
Hull. So the premature mortality rates from lung cancer are not consistently high for the
more deprived areas below; it is possible that there are differential rates of smoking
across the country independent of deprivation. The prevalence of smoking may be
higher in the North compared to the South.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 537