joint strategic needs assessment foundation profile - JSNA

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10.2.2.10 Risk Stratification in Relation to Lung Cancer Mortality in Most Deprived
Wards in Hull
An analysis was completed in three of the most deprived wards in Hull (Bransholme
East, Bransholme West, and Orchard Park and Greenwood) where the prevalence of
smoking is high. Based on the Index of Multiple Deprivation 2007 (see section 6.9.1 on
page 131), Bransholme East and Bransholme West are the 6 th and 8 th most deprived
ward in Hull respectively (both in bottom 2% nationally) and Orchard Park and
Greenwood is the 2 nd most deprived ward in Hull (in the bottom 1% nationally).
The smoking prevalence from the local Health and Lifestyle Survey 2007 (see section
13.2.1.2 on page 791), was 44% in Bransholme East (relatively small numbers with only
25 completed questionnaires), 48% in Bransholme West, and 56% in Orchard Park and
Greenwood.
Age-specific mortality rates were examined for lung cancer for 2004-2008 (due to the
small numbers per year in the wards five years‟ of data needed to be combined for
analysis) and compared with the rest of Hull (Table 250).
Table 250: Age-specific lung cancer mortality rates in Bransholme and Orchard Park
and Greenwood wards, 2004-2008
Area Lung cancer mortality rates per 100,000, 2004-2008
Males Females
< 65 65-74 75+ < 65 65-74 75+
Bransholme 29.9 597 1,087 16.6 267 664
Orchard Pk & Greenwood 35.7 481 622 9.5 417 560
Rest of Hull 22.8 456 800 19.8 257 352
For 2004-2008, the all age standardised mortality ratios (SMRs) for lung cancer were
higher in Bransholme and Orchard Park and Greenwood wards (229 and 185 for men
respectively and 216 and 219 for women respectively) compared to the rest of Hull (165
for men and 162 for women).
Table 251 shows the percentages of the October 2008 populations of Bransholme, and
Orchard Park and Greenwood wards that are within each ACORN type, group and
category, based on the dominant ACORN type, group and category at output area level.
Only types and groups are shown where the percentages are greater than zero (with the
exception of the categories so the complete list of five categories is noted).
Only 5% of Bransholme residents are in the “Wealthy Achievers” ACORN category (in
type “Well-Off Working Families with Mortgages”), with the remainder of Bransholme
residents in the Hard Pressed category, 90% in the ACORN group “Struggling Families”
(of which most are within the “Low Income Families, Terraced Estates” type). All the
residents of Orchard Park and Greenwood live in output areas with the dominant
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 545