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DPH Report 2010/11 Wealden Summary

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East Sussex Downs & Weald PCT Hastings & Rother PCT Wealden Introduction This document provides an abstract of the data available for Wealden district from the Director of Public Health Annual Report 2010/11 – Reducing Health Inequalities in East Sussex. These quick reference summaries are designed to provide information about health inequalities in these areas, for use by those working in, and commissioning for, these specific districts and boroughs. However, the main report should be accessed at: http://www.esdw.nhs.uk/ http://www.hastingsandrother.nhs.uk/ to explain the information contained in this document. The figure numbering in this document is taken from the main report, to enable you to easily relate back to the main report for further information and commentary on any particular figure. Throughout the main report, the districts and boroughs are colour coded in the same colours, to enable the local information to be easily spotted. 3 Wealden Table 1: Life Expectancy and disability-free life expectancy among males at birth, 2001 Index of Multiple Life expectancy Disability-free life Difference (yrs) Deprivation 2007 (yrs) expectancy (yrs) Score Eastbourne 23.36 75.3 61.2 14.1 Hastings 32.21 74.2 58.3 15.9 Lewes 14.79 78.7 65.1 13.6 Rother 17.85 77.4 63.5 13.9 Wealden 10.86 78.3 66.0 12.3 Note: The higher the Index of Multiple Deprivation Score the more deprived. Table 2: Life Expectancy and disability-free life expectancy among females at birth, 2001 Index of Multiple Life expectancy Disability-free life Difference (yrs) Deprivation 2007 (yrs) expectancy (yrs) Score Eastbourne 23.36 81.7 65.2 16.5 Hastings 32.21 79.6 62.2 17.4 Lewes 14.79 82.3 66.8 15.5 Rother 17.85 81.4 66.3 15.1 Wealden 10.86 83.1 68.5 14.6 Note: The higher the Index of Multiple Deprivation Score the more deprived. Figure 2: Difference between life expectancy and disability-free life expectancy among males at birth, East Sussex districts and boroughs, 2001 85 80 75 13.6 12.3 70 13.9 14.1 ears Y 15.9 65 60 55 50 Eastbourne Hastings Lewes Rother Wealden Source: 2001 Census and ONS mortality data Figure 3: Difference between life expectancy and disability-free life expectancy among females at birth, East Sussex districts and boroughs, 2001 85 80 14.6 75 15.5 16.5 15.1 17.4 70 ears Y 65 60 55 50 Eastbourne Hastings Lewes Rother Wealden Source: 2001 Census and ONS mortality data Wealden Table 4: IMD 2007 score and rank for districts and boroughs in East Sussex Local Average score National rank Number of Minimum Maximum authority across LSOAs of average LSOAs LSOA score LSOA score within local score (1 = authority most deprived 354 = least deprived) Eastbourne 23.4 104 59 5.8 46.2 Hastings 32.2 31 53 10.3 71.0 Lewes 14.8 218 62 2.0 32.5 Rother 17.9 166 58 5.6 44.8 Wealden 10.9 284 95 1.6 37.8 Figure 4: Index of Multiple Deprivation 2007 scores by LSOA grouped by East Sussex districts and boroughs 80 70 60 50 40 30 IMD 2007 score 20 10 0 Eastbourne Hastings Lewes Rother Wealden Source: Index of Multiple Deprivation 2007 Figure 6: Infant mortality rate with 95% confidence intervals, East Sussex districts and boroughs, 2006–2008 12 10 8 6 4 Rate per 1,000 live births 2 6.4 5.5 3.8 2.9 5.8 5.1 4.0 4.8 0 Eastbourne Hastings Lewes Rother Wealden East Sussex South East England Source: Index of Multiple Deprivation 2007 Wealden Figure 8: Male life expectancy, East Sussex districts and boroughs, 1991–1993 to 2006–2008 86 England South East Region Eastbourne Hastings Lewes Rother Wealden 84 82 80 ears Y 78 76 74 72 1991- 1992- 1993- 1994- 1995- 1996- 1997- 1998- 1999- 2000- 2001- 2002- 2003- 2004- 2005- 2006- 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Source: Compendium of Clinical and Health Indicators Figure 9: Female life expectancy, East Sussex districts and boroughs, 1991–1993 to 2006–2008 86 84 82 80 ears Y 78 76 England South East Region Eastbourne Hastings Lewes Rother Wealden 74 72 1991- 1992- 1993- 1994- 1995- 1996- 1997- 1998- 1999- 2000- 2001- 2002- 2003- 2004- 2005- 2006- 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Source: Compendium of Clinical and Health Indicators Figure 10: Life expectancy at birth, East Sussex districts and boroughs, 2006−2008 86 Males Females 84 82 80 Years 78 76 74 78.682.8 80.5 84.3 80.5 83.5 76.3 80.5 79.3 83.1 79.2 83.0 79.2 83.0 77.9 82.0 72 Eastbourne Lew es Wealden Hastings Rother East Sussex South East England Source: Compendium of Clinical and Health Indicators Figure 16: Life expectancy at birth by deprivation quintile with 95% confidence intervals, Wealden, 2004−2008 Males Females 90 80 70 60 50 40 30 Life expectancyLife (years) 20 10 78.082.1 80.7 83.0 80.0 83.6 80.4 83.9 81.7 84.5 0 12345 Wealden deprivation quintile ( 1 = most deprived 20% LSOAs) Source: APHO health profiles Wealden Main Contributors to the Life Expectancy Gap The gap in life expectancy in 2001–2005 between Further analysis of the breakdown of the gap in the most and least income-deprived in Wealden life expectancy shows that, in males from the most was 2.3 years in males and 2.2 years in females. Ex- deprived areas, the largest potential gains in life ex- ternal causes of death and circulatory diseases are pectancy are from CHD (0.84 years) and road traf- the highest contributors to the gap in life expectan- fic accidents (0.49 years) (Figure 42). In females, if cy in males in Wealden (both 22%) in 2001–2005. those experienced the same mortality from CHD In females, the main contributors to the gap are in the most deprived areas as in the least, there circulatory diseases (33%) and respiratory diseases could be gain in life expectancy of 0.55 years. (26%), see Figure 41. Figure 41: Breakdown of life expectancy gap between the most deprived and least deprived quintile in Wealden by cause of death, 2001–2005 Males Females 100% 90% All circulatory; 22% All circulatory; 33% 80% All circulatory All cancers; 13% All cancers 70% Respiratory All cancers; 10% Digestive 60% Respiratory; 15% External Infections 50% Digestive; 4% Other Respiratory; 26% Neonatal 40% External; 22% 30% Digestive; 10% 20% Other; 19% Other; 17% 10% Neonatal; 6% Neonatal; 4% 0% Source: London Health Observatory Figure 42: Possible gain in life expectancy in Wealden 2001–2005 Males Females 1.0 0.8 0.6 0.4 0.2 0.0 0.0 0.2 0.4 0.6 0.8 1.0 Coronary Heart Disease Heart failure Stroke Other cardiovascular disease Oesophageal cancer Stomach cancer Colorectal cancer Lung cancer Breast cancer Other cancers Pneumonia Chronic obstructive airways disease Other respiratory disease Stomach/duodenum ulcer Chronic cirrhosis of the liver Other digestive diseases Road traffic accidents Other accidents Suicide and undetermined injury Other external causes Infectious and parasitic diseases Endocrine, nutritional, metabolic diseases Mental and behavioural disorders Diseases of nervous system Musculoskeletal diseases Genitourinary diseases Perinatal conditions Congenital anomolies Ill defined conditions Other All causes <28 days Source: London Health Observatory Table 12 shows the age groups in which there are Significant differences in mortality from circulato- significant differences in mortality rates for circula- ry diseases can be seen between the most and least tory, cancer and respiratory conditions between the deprived in Wealden in people aged 70–79 years. most and least deprived areas of Wealden. Mortality rates from CHD are significantly differ- ent in those aged 55–59 years: there were 11 deaths in the most deprived areas compared to none in the least during 2004–2008. Wealden Table 12: Significant differences in mortality rates in Wealden Circulatory Cancer Respiratory circulatory All CHD Stroke cancer All Lung Breast respiratory All Pneumonia COPD emphysema & Bronchitis, Wealden 70–79 55–59 Mortality rates from all cancers are higher in the Across all ages, those in the most deprived areas most deprived areas of Wealden in those aged 55 of Wealden have higher mortality rates from all years or over, and higher in mortality from lung respiratory conditions as well as for bronchitis, cancer in those aged 60 years or over, but with no emphysema and COPD, but not significantly. significant differences. Joint Strategic Needs Assessment Profile Demography • The county has less diversity in terms of • Wealden is the most populated district, with ethnicity and religion compared to England. an estimated 145,882 people. The next largest Only 2.3% of the East Sussex population is district is Eastbourne, with 97,691 people. from a non-White ethnicity and 1.3% belong • The highest fertility rate in Wealden is found to a main religion other than Christianity, at Polegate North and Hailsham East, both compared to 5.5% and 8.7%, respectively, with 88 per 1000 population. Forest Row has in England as a whole. Wealden is the least the lowest rate, at 24 per 1000 population diverse district, at 1.7% (highest: Mayfield, (the lowest in East Sussex), followed closely 4.3%; and Forest Row, 3.4%) and 0.9%, by Crowborough St Johns at 25 per 1000 respectively.
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