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
Table 268 gives under 75 SMRs for breast cancer for Hull and comparators relating to
deaths which were registered during the period 2006-2008. Hull has the highest
premature breast cancer mortality rate of all the comparators, 29% higher than England.
Furthermore, it is the only area where the rate, despite the wide confidence intervals,
that is statistically significantly higher than England. The under 75 SMR for the
Industrial Hinterlands and the average of the 10 comparators are both slightly lower than
England (lower than 100).
Table 268: Under 75 standardised mortality ratios for breast cancer for Hull and
comparators for women, 2006-2008
Area Under 75 breast cancer SMR
2006-2008 (95% CI) for women
England 100 (98, 102)
Hull 129 (104, 157)
Y&H SHA 100 (95, 105)
Indust Hinterlands 96 (91, 102)
Wolverhampton 119 (96, 147)
Salford 111 (87, 139)
Derby 91 (70, 116)
Stoke-on-Trent 98 (77, 123)
Coventry 107 (87, 131)
Plymouth 80 (61, 102)
Sandwell 85 (67, 106)
Middlesbrough 111 (82, 148)
Sunderland 90 (72, 111)
Leicester 110 (87, 136)
Average above 10 99 (92, 106)
North East Lincolnshire 89 (66, 118)
The trends in the directly standardised mortality rates (DSRs) for breast cancer for Hull
and comparator areas are given per 100,000 women in Figure 217. The underlying
data are given in the APPENDIX on page 922. The mortality rate for breast cancer has
consistently decreased for most of the comparator areas over the period 1993-95 and
2006-08 with the exception of Hull. The mortality rate in Hull decreased by 40% from
41.3 to 24.6 per 100,000 women between 1993-95 and 2001-03, but since 2001-03 and
2006-08 the rate has increased by 35%, so that the current rate is 20% lower than 1993-
95. The mortality rate in Hull is the highest of all 152 PCTs, and 24% and 22% higher
than the Industrial Hinterlands and the average of the 10 comparators respectively. If
the increasing trend from 2001-03 continues then the all age breast cancer mortality rate
will be higher for 2011-13 than it was for 1993-95.
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 560