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
disorder than young women. Men and women had a similar prevalence for
psychotic disorders. For many of the symptoms of poor mental health the
prevalence tended to be lowest at the youngest and oldest age groups, with
peaks in the late 20s, late 30s and late 40s. The trend was similar for neurotic
disorders with the highest prevalence in the late 40s and early 50s, but with the
prevalence being much higher in young females compared to young males with
the gap gradually reducing in the early 60s but then increasing again with older
women having much a higher prevalence than older men. The prevalence of
obsessions, phobias, compulsions and panic tended to be highest in the
youngest age group and gradually decreased with age. The prevalence of
personality disorders was similar in men over the three age groups considered.
Men and women had a similar prevalence in the 55-74 year age group, but the
prevalence for men was three times higher than women for those aged 16-34
years and twice as higher for those aged 35-54 years. The national prevalence
of psychotic disorders was based on very small numbers of individuals so it is
difficult to compare age groups.
With respect to differences in referrals to local specialist mental health services,
women tended to have much higher referral rates for men being approximately
25% higher for all age groups except those aged 0-19 years where the referral
rate is slightly lower in women. The referral rates are highest in the 20s and 30s
for both men and women. For men, the referral rates are 25% higher in these
age groups compared to those aged 0-19 years, and almost twice as high for
women aged 20-39 compared to those aged 0-19 years. The referral rates to the
Hull Primary Care Health Workers are much higher in women being
approximately three times higher. However, this only includes certain selected
practices in Hull so the estimates may not be as robust.
With respect to differences in inpatient admissions among the age groups and
genders, the number of patients admitted for dementia increased dramatically
with age with men tending to have a higher number of men being admitted
compared to women. Inpatient admissions for mental and behavioural disorders
due to psychoactive substance abuse was two or three times higher for men
compared to women (depending on age), and considerably higher in the younger
age groups compared to the older age groups. A similar pattern with age was
observed for schizophrenia, schizotypal and delusional disorders, but whilst men
under 60 were admitted more often than women the reverse was true for those
aged 60+ years. Women were more likely to be admitted than men for mood
disorders (half as likely again to twice as likely depending on age group) and this
increased with age for both genders. Women were more likely to be admitted for
neurotic, stress-related and somotoform disorders compared to men.
Relative to prevalence, women tended to be more likely to be admitted as
inpatients compared to men for neurotic disorders, depressive episodes,
personality disorders and psychosis. There were exceptions over the age groups
particularly for depressive episodes where men aged 25-44 years and 65-74
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