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Table 278: All age standardised mortality ratios for diabetes disease for Hull and
comparators, 2006-2008
Area All age diabetes SMR 2006-2008 (95% CI)
Males Females Persons
England 100 (98, 102) 100 (98, 102) 100 (98, 102)
Hull 119 (84, 164) 106 (74, 146) 112 (88, 141)
Y&H SHA 103 (96, 111) 99 (93, 106) 101 (96, 106)
Indust Hinterlands 103 (94, 112) 105 (97, 114) 104 (98, 110)
Wolverhampton 159 (120, 206) 180 (140, 227) 170 (141, 202)
Salford 122 (85, 170) 100 (69, 140) 110 (86, 140)
Derby 106 (74, 147) 116 (84, 156) 111 (88, 138)
Stoke-on-Trent 120 (85, 163) 119 (87, 159) 119 (95, 148)
Coventry 151 (115, 193) 139 (107, 178) 145 (120, 172)
Plymouth 97 (67, 137) 83 (58, 116) 90 (69, 114)
Sandwell 151 (115, 195) 214 (173, 261) 185 (157, 216)
Middlesbrough 106 (64, 166) 104 (65, 160) 105 (75, 143)
Sunderland 83 (56, 117) 122 (91, 161) 103 (82, 128)
Leicester 143 (105, 190) 124 (91, 166) 133 (107, 163)
Average above 10 125 (114, 138) 133 (122, 145) 129 (121, 138)
NE Lincolnshire 156 (109, 216) 136 (95, 188) 145 (114, 183)
The trends in the directly standardised mortality rates (DSRs) per 100,000 persons for
diabetes for Hull and comparator areas is given in Figure 220. As the approximately
two-thirds of all deaths with a primary cause of death of diabetes occur after the age of
75 years and the number of deaths under 75 with a primary cause of death of diabetes
are very small, the DSRs are presented for all ages. The underlying data are given in
the APPENDIX on page 923. The mortality rate in Hull decreased between 1993-95
and 2003-05, but rose relatively sharply between 2003-05 and 2004-06. The rate has
then decreased between 2004-06 and 2006-08. The increase for this single period
could be due to random variation as the total number of deaths are relatively small. For
men, the total number of deaths between 1993 and 2008 ranged from 5 (for 1997) to 16
(for 1996 and 2006) with an average of 11deaths per year. For women, the number of
deaths ranged from 8 (in 2000) to 27 (1993) with 10 of the 16 years having between 9
and 15 deaths with an overall mean of 14 deaths per year between 1993 and 2008.
During 2003, there were 9 male and 9 female deaths which was the lowest over the
period 1993 to 2008. During 2006 there were 16 male and 18 female deaths, which is
one of the highest (except for 1993). Thus it is not surprising that the DSR mortality rate
increased between 2003-05 and 2004-06 as the year 2003 which few deaths was
excluded and the year 2006 which had many deaths was introduced. As the number of
deaths in 2006 was so high compared to all the years since the mid-1990s, it is likely
that there will be a relatively large decreased in the mortality rate for the period 2007-
2009 when the year 2006 is excluded. The DSRs for 2007 and 2008 were 6.0 and 5.2
per 100,000 persons respectively, compared to 10.7 for 2006. If the DSR was around 6
per 100,000 persons for 2009 (which is similar to that for 2007 and 2008, but slightly
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 576