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joint strategic needs assessment foundation profile - JSNA

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Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org<br />

change and deterioration in diet was levelled at the supermarkets, food manufacturers,<br />

advertising, low incomes and low availability of good food shops in some areas.<br />

13.2.2.2 Reflector Groups Following 2007 Health and Lifestyle Survey<br />

The findings from the 2007 Health and Lifestyle Survey for some subject areas<br />

demonstrated that there were reasons for public health concern in respect of a number<br />

of health and lifestyle topic areas. The objectives of the reflector groups following the<br />

quantitative survey were to gain additional insight into the varying attitudes, opinions and<br />

feelings of a number of target groups and improve understanding of the statistical<br />

differences identified between men and women, old and young, those living in different<br />

areas of the city, and between different ethnic groups for the main health and lifestyle<br />

topics of concern, namely, smoking; alcohol consumption; diet; overweight and obesity;<br />

and exercise.<br />

The groups were recruited by telephone and on a face-to-face basis with a target of 12<br />

attendees for each group. The groups recruited were: (i) all female – mixed age and<br />

living in the most deprived areas of Hull (18–64 years); (ii) all male – mixed age and<br />

living in the most deprived areas of Hull (18–64 years); (iii) male and female – mixed<br />

age and living in the least deprived areas of Hull (18–64 years); (iv) male and female<br />

aged 18–24 years; (v) male and female aged 60+ years; and (vi) male and female ethnic<br />

minority/immigrant 80 (18–64 years). The full report (Oldroyd et al. 2008) is available at<br />

www.hullpublichealth.org.<br />

The key findings noted in the main report were:<br />

“Smoking rates were high in all groups with a variety of explanations given for the<br />

higher frequency of smoking among men and women in Hull and mixed levels of<br />

success for those who had tried to quit. Psychological and economic pressures<br />

were cited most frequently as reasons for continued smoking and these were<br />

often related to unemployment and social deprivation. Good levels of health<br />

service support were recognised by most people but some men said that there<br />

was insufficient guidance in the area and there was a shared belief that high<br />

impact advertising was an effective way of driving messages home. Though<br />

smoking while pregnant was considered to be unacceptable by most people the<br />

majority did not regard the health impacts of smoking particularly seriously.<br />

There was broad understanding of the components of healthy and unhealthy<br />

diets and agreement that the cost of a healthy diet barred some people from<br />

eating the right food. The poor access to fresh fruit and vegetables in some<br />

areas, and the availability and the convenience of junk food were major factors,<br />

particularly for young people who were also most likely to ignore messages about<br />

80 As the survey found Africans and Asians tended to have the worst health as a relatively high proportion<br />

were asylum seekers, failed asylum seekers or refugees, the Black and Minority Ethnic (BME) reflector<br />

group focused on these BME groups.<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 795

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