2016 Health Profile 2016
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Cornwall Unitary Authority This profile was published on 6 September 2016 Health Profile 2016 Health in summary N The health of people in Cornwall is varied compared with the England average. About 17% (14,800) of children live in low Bude Stratton income families. Life expectancy for women is higher than the England average. Health inequalities Launceston Life expectancy is 6.2 years lower for men and 3.8 years Higher Larrick lower for women in the most deprived areas of Cornwall than Padstow in the least deprived areas. Wadebridge Bodmin Liskeard Child health Newquay Lostwithiel Saltash In Year 6, 17.1% (808) of children are classified as obese, Looe Seaton better than the average for England. The rate of alcohol- St Austell specific hospital stays among those under 18 was 46.5*, Truro worse than the average for England. This represents 49 Redruth stays per year. Levels of smoking at time of delivery are St Ives Penryn worse than the England average. Levels of teenage Falmouth Penzance pregnancy and breastfeeding initiation are better than the Helston England average. Adult health The rate of alcohol-related harm hospital stays is 725*, worse 20 miles than the average for England. This represents 4,060 stays per year. The rate of self-harm hospital stays is 228.6*, worse Contains OS data © Crown copyright and database rights 2016 than the average for England. This represents 1,172 stays per year. The rate of smoking related deaths is 262*, better than the average for England. This represents 983 deaths Population: 545,000 per year. Estimated levels of adult excess weight are worse Mid-2014 population estimate. Source: Office for National Statistics. than the England average. Rates of sexually transmitted infections and TB are better than average. The rate of deaths This profile gives a picture of people’s health in from drug misuse is worse than average. Rates of statutory homelessness, violent crime, long term unemployment, early Cornwall. It is designed to help local government deaths from cardiovascular diseases and early deaths from and health services understand their community’s cancer are better than average. needs, so that they can work together to improve people’s health and reduce health inequalities. Local priorities Priorities in Cornwall are reducing smoking, physical Visit inactivity, unhealthy diets, excess alcohol, and lack of social https://fingertips.phe.org.uk/profile/health- connections. These five behaviours lead to five health profiles for more profiles, more information and conditions (cardiovascular disease, cancer, mental illness, interactive maps and tools. lung disease and musculoskeletal problems) that cause the Follow @PHE_uk on Twitter majority of deaths and disability in Cornwall. For more information see public health at www.cornwall.gov.uk * rate per 100,000 population © Crown Copyright 2016 1 Cornwall - 6 September 2016 Deprivation: a national view The map shows differences in deprivation in this area This chart shows the percentage of the population based on national comparisons, using quintiles (fifths) who live in areas at each level of deprivation. of the Index of Multiple Deprivation 2015 (IMD2015), shown by lower super output area. The darkest coloured areas are some of the most deprived 100 neighbourhoods in England. N Lines represent electoral wards (2015) 90 80 70 60 50 40 % Residents 30 20 10 0 England Cornwall Contains OS data © Crown copyright and database rights 2016 Most deprived quintile Least deprived quintile Life expectancy: inequalities in this local authority The charts below show life expectancy for men and women in this local authority for 2012-2014. Each chart is divided into deciles (tenths) by deprivation (IMD2010), from the most deprived decile on the left of the chart to the least deprived decile on the right. The steepness of the slope represents the inequality in life expectancy that is related to deprivation in this local area. If there was no inequality in life expectancy as a result of deprivation, the line would be horizontal. Life expectancy gap for men: 6.2 years Life expectancy gap for women: 3.8 years 95 95 90 90 85 85 80 80 75 75 Life expectancy at birth (years) 70 Life expectancy at birth (years) 70 65 65 Most deprived Least deprived Most deprived Least deprived Inequality slope for men Life expectancy for men Inequality slope for women Life expectancy for women © Crown Copyright 2016 2 Cornwall - 6 September 2016 Health inequalities: changes over time These charts provide a comparison of the changes in early death rates (in people under 75) between this area and all of England. Early deaths from all causes also show the differences between the most and least deprived quintile (IMD2010) in this area. (Data points are the midpoints of 3 year averages of annual rates, for example 2005 represents the period 2004 to 2006). Early deaths from all causes: Early deaths from all causes: MEN WOMEN 1500 1500 1250 1250 1000 1000 750 750 500 500 Age-standardised rate Age-standardised rate per 100,000 population per 100,000 population 250 250 0 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Years Years Early deaths from heart disease and stroke Early deaths from cancer 250 250 200 200 150 150 100 100 Age-standardised rate Age-standardised rate per 100,000 population per 100,000 population 50 50 0 0 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Years Years England average Local average Local least deprived Local most deprived Local inequality Health inequalities: ethnicity Percentage of hospital admissions that were emergencies, by ethnic group, 2014/15 60% This chart shows the percentage of hospital admissions for each ethnic group that were 50% emergencies, rather than planned. A higher percentage of emergency admissions may be caused by higher levels of urgent need for hospital services 40% or lower use of services in the community. Comparing percentages for each ethnic group may help identify inequalities. 30% Cornwall 95% confidence interval 20% England average (all ethnic groups) 10% Figures based on small numbers of admissions have been suppressed to avoid any potential disclosure of information about individuals. Emergency admissions: age-standardised percentage 0% All ethnic White Mixed Asian Black Chinese Other Unknown groups 51,680 49,923 266 111 77 22 90 1,191 Local number of emergency admissions 34.2 34.6 40.3 42.6 36.8 32.0 32.4 22.4 Local value % 39.4 39.9 38.8 44.0 43.1 35.9 44.9 30.9 England value % © Crown Copyright 2016 3 Cornwall - 6 September 2016 E06000052 Health summary for Cornwall The chart below shows how the health of people in this area compares with the rest of England. This area’s result for each indicator is shown as a circle. The average rate for England is shown by the black line, which is always at the centre of the chart. The range of results for all local areas in England is shown as a grey bar. A red circle means that this area is significantly worse than England for that indicator; however, a green circle may still indicate an important public health problem. € Significantly worse than England average Regional average England average England England Not significantly different from England average worst best 25th 75th Significantly better than England average Percentile Percentile Not compared Period Local No Local Eng Eng Eng Domain Indicator total count value value worst England Range best 1 Deprivation score (IMD 2015) # 2015 n/a 23.8 21.8 42.0 5.0 2 Children in low income families (under 16s) 2013 14,800 16.5 18.6 34.4 5.9 3 Statutory homelessness† 2014/15 59 0.2 0.9 7.5 0.1 4 GCSEs achieved† 2014/15 3,180 57.3 *4 57.3 41.5 76.4 5 Violent crime (violence offences) 2014/15 6,063 11.2 13.5 31.7 3.4 Our communities 6 Long term unemployment 2015 720 2.2 4.6 15.7 0.5 7 Smoking status at time of delivery 2014/15 711 13.9 *4 11.4 27.2 2.1 8 Breastfeeding initiation 2014/15 4,094 79.3 74.3 47.2 92.9 9 Obese children (Year 6) 2014/15 808 17.1 *4 19.1 27.8 9.2 health 10 Alcohol-specific hospital stays (under 18) 2012/13 - 14/15 146 46.5 *4 36.6 104.4 10.2 Children's and young people's 11 Under 18 conceptions 2014 175 18.9 *4 22.8 43.0 5.2 12 Smoking prevalence in adults† 2015 n/a 18.2 16.9 32.3 7.5 13 Percentage of physically active adults 2015 n/a 54.7 57.0 44.8 69.8 Adults' lifestyle health and 14 Excess weight in adults 2012 - 14 n/a 69.9 64.6 74.8 46.0 15 Cancer diagnosed at early stage # 2014 1,327 49.3 50.7 36.3 67.2 16 Hospital stays for self-harm 2014/15 1,172 228.6 *4 191.4 629.9 58.9 17 Hospital stays for alcohol-related harm 2014/15 4,060 725 641 1223 374 18 Recorded diabetes 2014/15 28,280 6.2 6.4 9.2 3.3 19 Incidence of TB 2012 - 14 49 3.0 13.5 100.0 0.0 20 New sexually transmitted infections (STI) 2015 1,871 564 *4 815 3263 191 Disease and poor health 21 Hip fractures in people aged 65 and over 2014/15 778 583 *4 571 745 361 22 Life expectancy at birth (Male) 2012 - 14 n/a 79.5 79.5 74.7 83.3 23 Life expectancy at birth (Female) 2012 - 14 n/a 83.5 83.2 79.8 86.7 24 Infant mortality† 2012 - 14 79 4.7 *4 4.0 7.2 0.6 25 Killed and seriously injured on roads 2012 - 14 686 42.2 39.3 119.4 9.9 26 Suicide rate† 2012 - 14 211 14.6 10.0 27 Deaths from drug misuse # 2012 - 14 71 4.8 3.4 28 Smoking related deaths 2012 - 14 2,950 262.0 274.8 458.1 152.9 29 Under 75 mortality rate: cardiovascular 2012 - 14 1,134 68.2 75.7 135.0 39.3 30 Under 75 mortality rate: cancer 2012 - 14 2,209 131.1 141.5 195.6