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
Over the three year period 2007-2009, there were a total of 243 deaths in men and 250
deaths in women from COPD. The age-specific mortality rates 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 COPD for men and women aged under 75 years as
well as the directly standardised mortality rates (DSRs) are given in Table 302 for the
most recent period 2007-2009. The DSRs are standardised to the European Standard
Population. Given the relatively wide confidence intervals, no particular Locality appears
particularly high or low in relation to the DSR.
Table 302: Total number of deaths and under 75 directly standardised mortality rates for
COPD per 100,000 persons, Hull 2007-2009
Locality Total deaths over three years and under 75 DSRs for COPD 2007-2009 per
100,000 persons (95% CI)
Males Females Persons
N DSR N DSR N DSR
North 23 26.5 (16.8 to 39.8) 20 21.1 (12.8 to 32.6) 43 23.7 (17.1 to 31.9)
East 38 26.5 (18.7 to 36.4) 37 23.3 (16.3 to 32.2) 75 25.1 (19.7 to 31.4)
West 38 24.9 (17.6 to 34.3) 27 18.1 (11.9 to 26.4) 65 21.5 (16.5 to 27.4)
HULL 99 25.9 (21.1 to 31.6) 84 20.9 (16.7 to 26.0) 183 23.4 (20.1 to 27.1)
Table 303 gives under 75 SMRs for cancer for Hull and comparators for 2006-2008.
For men, the premature COPD mortality rate is 70% higher in Hull compared to England
(and statistically significantly higher), which has increased substantially from 2005-2007
when it was 27% higher than England. It is possible that the increase is due to random
variation including slightly difference in the age the people living in Hull died from COPD
(i.e. a few more died before 75 years rather than at 75+ years). For 2005-2007, the
under 75 COPD SMR in Hull was lower than the Industrial Hinterlands and the average
of the 10 comparators, but for 2006-2008, it is substantially higher than England, and
one of the highest of the comparators (only Leicester is higher). For women, the
premature SMR for COPD was 88% higher than England and statistically significant
higher than England. Despite being so much higher than England for women, the SMR
for Hull is not the highest of the comparators with Salford and Middlesbrough having
premature mortality rates that are twice England‟s. These areas have similar levels of
deprivation compared to Hull, and the SMRs for lung cancer were also high for these
areas, which suggests, as expected, the smoking prevalence is high in these areas.
Given the prevalence of smoking in Hull, it is not surprising that the premature mortality
rate for COPD is so high, with an estimated 84% of COPD deaths directly attributable to
smoking (see Table 96 and Figure 224).
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 622