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
10.2.5.7 Mortality in Relation to Deprivation
The directly standardised mortality rates for deaths from breast cancer for women aged
less than 75 years are given in Figure 219 for Hull (for the period 2007 to 2009). The
underlying data are given in the APPENDIX on page 923. It can be seen that the under
75 mortality rate in the most deprived quintiles is higher than in each other quintile, but that
the confidence intervals are wide. So overall, there are no significant differences in the
mortality rates among the deprivation quintiles. Nationally, it is recognised that there is a
general trend in the incidence rate with the risk of developing breast cancer being higher in
the least deprived quintiles (which is contrary to most diseases). Incidence data for 2001-
2003 was provided by Northern Yorkshire Cancer Registry and Information Service
(NYCRIS) specifically for the Cancer Equity Audit for Hull and East Riding of Yorkshire and
no trend was found between incidence and Index of Multiple Deprivation 2004 national
quintile. Recent incidence data is not available so it is neither possible to examine this
relationship using more recent data nor just for Hull residents. The Cancer Equity Audit
report is available at www.hullpublichealth.org.
Figure 219: Standardised mortality rate for breast cancer per 100,000 women aged
under 75 years by deprivation for Hull for 2007-2009
Under 75 directly age-standardsied
breast cancer mortality rate per 100,000
women 2007-2009
60
50
40
30
20
10
0
Most deprived
local quintile
10.2.5.8 Programme Budgeting
Quintile 2 Quintile 3 Quintile 4 Least deprived
local quintile
Local deprivation quintile (IMD 2007)
For breast cancer, the expenditures per head was £7.90, £7.53, £9.72 and £9.34 for
Hull, Industrial Hinterlands, North East Lincolnshire and England respectively with Hull
ranked 99 th . Further information on expenditure on cancer outcomes used in the
Yorkshire and the Humber Public Health Observatory Programme Budgeting toolkit is
given in section 10.2.1.16 on page 532.
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