Health and Wellbeing Profiles 2008

Stirling CHP

Population: 87,810

01.5 3 6 Miles This profile is one of 30 Community Health

Partnership (CHP) area profiles compiled by the Scottish Public Health Observatory Governmenth 2007. (ScotPHO) Team at the Information CRIEFF dnanceSurvey Crown© Copyright 2008.

Services Division (ISD) of NHS National Alrights l reserved.Li cenceNum ber 399221. Services . The profiles comprise 61 indicators of health (e.g. ill-health & injury and mortality) and wider © Community© Health Partnershipboundaries – Scottis determinants of health (e.g. education, employment & prosperity and Thi s productincludes mappi ngdata licensed fromOr environment). They build on the 2004 community health profiles previously published by NHS Health Scotland. HELENSBURGH Strathblane FALKIRK

Each CHP profile contains: a map of the area, ‘at a glance’ commentary on the findings for that area, a spine chart showing findings for all 61 indicators, trend and rank charts for eight key indicators and a table of ‘definitions and sources’.

Note: de tailed profiles for the 10 Community Health and Care Partnership (CHCP) areas in Greater & Clyde NHS Board area have been produced separately by the Glasgow Centre for Population Health (GCPH) – www.gcph.co.uk/communityprofiles (with links also from the ScotPHO website).

The profiles are designed to: • provide organisations and communities with up-to-date and locally-relevant public health intelligence; • highlight health and social inequalities; • show trends in key indicators; • provide local information for targeting resources and priority-setting; and • develop knowledge of the complex nature of health and its determinants.

In addition to the CHP area reports there are: a Scotland level report (including data for NHS boards), a technical report, spine charts for intermediate zones (IZs) and localities, and time trends and rank charts for other indicators and geographies. These are all available from the ScotPHO website at www.scotpho.org.uk/profiles .

We aim to update the profiles in future.

ScotPHO,is part of the UK & Ireland Association of Public Health Observatories. Stirling CHP at a Glance

Population Profile Stirling CHP has an estimated total population of 87,810. The percentage of the population who are of working age is below the Scotland average, and the percentage aged 0-15 years is higher than average (19.0%, compared to 18.0%). Male and female life expectancies are both significantly higher than the Scotland average and have been rising steadily over time. The area has a 1.5% ethnic minority population (2001 Census), compared to a Scotland average of 2.0%.

Mortality All-cause mortality (all ages), and mortality rates from heart disease, cancer and stroke (under-75s), are all significantly better than the Scotland average. Substance Use An estimated 23.5% of adults smoke, compared to 27.3% in Scotland as a whole. There have been 92 alcohol related deaths in the last five years, a death rate significantly better than (below) the Scotland average. The proportion of the population hospitalised for alcohol related and attributable causes is amongst the lowest of any CHP. The proportion of the population hospitalised for drug related conditions is also better than average, with 114 patients discharged from hospital over the last three years. Ill Health & Injury and Mental Health & Function The CHP has an incidence of cancer not significantly different to the Scotland average. For patients with heart disease and stroke, multiple admission patients aged 65 years and over, and unintentional injuries in the home among patients aged 65 and over, the proportions of the population hospitalised are significantly better than the Scotland average. The area is significantly better than, or not significantly different to, the Scotland average for all ill health & injury indicators. Expected years of life in good health are 69.3 for males and 72.2 for females (Scotland 66.3 and 70.2 respectively). The area is either significantly better than, or not significantly different to, Scotland on all mental health & function indicators.

Social Care & Housing In Stirling CHP, 15.2% of older people with intensive care needs are cared for at home, rather than in care homes or geriatric long-stay hospital beds (Scotland 29.2%). Just over 3.0% of older people receive free personal care at home (Scotland 4.8%). At the 2001 Census, lone pensioner households accounted for 14.1% of total households (Scotland 15.0%), and 3.2% of the population were providing unpaid care for over 20 hours per week (Scotland 3.5%).

Education, Employment & Prosperity Stirling CHP has a significantly better (lower) than average percentage of people living in the 15% ‘most deprived’ areas of Scotland. This is reflected in the education, employment & prosperity indicators, with the area rating either significantly better than, or not significantly different to, Scotland on all of these.

Crime and Environment The crime rate is significantly better (lower) than the Scotland average, and the assault hospital patient rate is also better (lower) than average. Fewer than 12% of the population live within 500m of a derelict site (Scotland 27.3%). Compared to a Scotland average of 15.0%, 17.6% of the population live in the 15% ‘most access deprived’ areas in Scotland. Child & Maternal Health For all child & maternal health indicators, the area is either significantly better than, or not significantly different to, the Scotland average. Over one-third of babies (34.3%) are exclusively breastfed at 6-8 weeks (Scotland 27.1%), and 22.0% of mothers smoke during pregnancy (Scotland 24.3%).

ScotPHO - Health and Wellbeing Profiles 2008 Page 2 of 12 Stirling CHP Health Summary

This chart compares the local value for each indicator to the Scottish average and range for all CHPs.

Statistically significantly 'worse' than Scottish average Statistically not significantly different from Scottish average 'Worse' Area Scotland Average 'Better' Area Statistically significantly 'better' than Scottish average 5th Percentile 25th Percentile 75th Percentile 95th Percentile No significance can be calculated Scot. Domain Indicator Number Measure Type 'Worst' Scotland Average 'Best' Average 1 Population 0-15 years 1 16,664 19.0 % 18.0 2 Population 16-64 years 1 56,866 64.8 % 65.6 3 Population 65+ 1 14,280 16.3 % 16.4 4 Life expectancy - males 3 n/a 76.1 yrs 73.9 5 Life expectancy - females 3 n/a 79.8 yrs 79.1

Population Profile Population 6 Live births 1 896 10.2 cr2 10.8 7 Deaths all ages 2 2,559 663.7 sr 745.6 8 Early deaths from heart disease (< 75s) 2 189 63.3 sr 80.3 9 Early deaths from cancer (< 75s) 2 353 118.0 sr 140.8 Mortality 10 Early deaths from stroke (< 75s) 2 22 6.8 sr 12.4 11 Estimated smokers (16+) 16,357 23.5 % 27.3 12 Alcohol related and attributable hospital patients 2 1,865 646.6 sr 859.7

use 13 Alcohol related deaths 3 92 19.7 sr 27.4

Substance Substance 14 Drug related hospital patients 2 114 51.3 sr 77.6 15 Patients registered with cancer 2 1,300 401.0 sr 420.5 16 Heart disease hospital patients 2 2,206 652.0 sr 710.5 17 Stroke hospital patients 2 347 94.9 sr 126.7 18 Emergency admission hospital patients 2 17,594 6,253.9 sr 6,230.6 19 Multiple admission hospital patients aged 65+ 2 1,703 3,875.2 sr 4,173.3 20 Patients prescribed statins 17,212 18.8 % 18.2 Ill Health & Injury & Health Ill 21 Road traffic accident casualties - all ages 2 207 81.1 sr 83.7 22 Unintentional injuries in the home - patients aged 65+ 2 836 1,972.1 cr 2,170.6 23 Expected years of life in good health - males 3 n/a 69.3 yrs 66.3 24 Expected years of life in good health - females 3 n/a 72.2 yrs 70.2 25 Patients prescribed drugs for anxiety/depression/psychosis 6,184 6.7 % 8.1 26 Self-assessed health 'not good' 7,370 8.5 % 10.2 27 Psychiatric hospital patients 2 672 696.8 sr 791.7 Function 28 Deaths from suicide 3 42 10.2 sr 10.9 Mental Health & Health Mental 29 Adults claiming incapacity benefit/severe disability allowance 4,075 5.7 % 7.4 30 Adults with limiting long-term illness 15,945 18.5 % 20.3 31 Lone pensioner households 5,003 14.1 % 15.0 32 Providers of unpaid care > 20 hrs per week 2,787 3.2 % 3.5 33 Older people 65+ receiving free personal care at home 4 445 3.1 % 4.8 34 Older people with intensive care needs cared for at home 4 108 15.2 % 29.2 Housing 35 4 500 1.3 % 1.8

Social Care & Care Social Households assessed as homeless 36 Households in extreme fuel poverty 4 3,000 8.6 % 5.9 37 Average tariff score of all pupils on the S4 roll 1,017 181.4 mean 171.7 38 School children registered for free school meals 1,426 11.7 % 15.8 39 Primary school attendance n/a 95.5 % 95.3 40 Working age adults without educational qualifications 4 n/a 8.7 % 13.8 41 Population income deprived 8,610 10.0 % 13.9 42 Working age population employment deprived 5,308 10.0 % 12.9

Prosperity 43 Working age population claiming Jobseekers allowance 1,095 2.0 % 2.8 44 Lone parents claiming income support 755 13.3 cr2 19.0

Education, Employment & Employment Education, 45 60+ population claiming pension credit 2,855 14.9 % 19.7 46 People living in 15% 'most deprived' areas in Scotland 4,893 5.7 % 15.0 47 Crime 3,842 44.5 cr2 53.5 48 2 Crime Assault patients 151 63.5 sr 112.8 49 Population within 500 metres of derelict site 10,400 11.8 % 27.3 50 Average house price (£s) 2,607 160,744 mean 133,872 51 Adults rating neighbourhood as good place to live 4 n/a 95.0 % 93.0

Environment 52 People living in 15% most 'access deprived' areas 15,216 17.6 % 15.0 53 Teenage pregnancies 2 154 33.1 cr2 41.0 54 Mothers smoking during pregnancy 2 578 22.0 % 24.3 55 Low weight live births 2 45 1.8 % 2.5 56 Babies exclusively breastfed at 6-8 weeks 2 793 34.3 % 27.1 57 Immunisation uptake at 24 months -MMR 2 2,471 90.9 % 90.3 Health 58 Immunisation uptake at 24 months - all excl MMR 2 2,635 96.9 % 96.0 59 Child & Maternal &Maternal Child Child dental health in primary 1 373 58.3 % 54.8 60 Child obesity in primary 1 n/a 9.4 % 9.1 61 Unintentional injuries in the home - patients < 15 2 543 1,163.8 cr 1,123.5 Notes: 1. For presentational purposes, these indicators have been arbitrarily assigned to ‘worse’ if the proportion is below the Scottish average. 2. Three-year combined number, and 3-year average annual measure. 3. Five-year combined number, and 5-year average annual measure. 4. Data available down to local authority level only. Key: n/a= data not available, or cannot be calculated. In addition, where the figures are based on small numbers, range rather than actual number is shown (see technical report for disclosure rules). cr = crude rate per 100,000 population; cr2 = crude rate per 1,000 population; sr = age-sex standardised rate per 100,000 population; yrs = years; % = percent; mean = average. See the detailed Definitions and Sources table for indica tor information and Technical Report (on the web) for further guidance on interpreting the spine. ScotPHO - Health and Wellbeing Profiles 2008 Page 3 of 12 AlcoholAttributable and Patients Related Hospital Expectancy Life Female Expectancy Life Male by Projections, Population Age and Population, Grou (Key CHPTrends Indicators) Stirling

Age-sex standardised rate per 100,000 Life expectancy in Life expectancy in Number pop’n years years 10, 000 20, 000 30, 000 40, 000 50, 000 60, 000 70, 000 1 ,0 0 0 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 0 100 200 300 400 500 600 700 800 900 9620 0621 0622 2026 2021 2016 2011 2006 2001 1996 0 79 80 90 00 10 20 30 04-06 03-05 02-04 01-03 00-02 99-01 98-00 97-99 9419 9620 9920 2001-2005 1999-2003 2001-2005 1996-2000 1999-2003 1994-1998 1996-2000 1994-1998 Scotland Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends ScotPHO - Health and Wellbeing Profiles 2008 Profiles Wellbeing and Health - ScotPHO 0-15 years Figure 1aFigure Figure 4a Figure 3a Figure 2a 16-64 years p Year Year Year Year Stirling CHP Stirling raphies are on the ScotPHO ScotPHO website the on are raphies Note: No Note: Scotland figures shown 65+ Interval Confidence 95% Page 4 of 12 of 4 Page AlcoholAttributable and Patients Related Hospital Expectancy Life Female Expectancy Life Male Age ofWorking Population (16-64) CHPRanks (Key Stirling Indicators) Age-sex standardised rate per Life expectancy in years Life expectancy in years Percentage 100,000 pop’n 66 68 70 72 74 76 78 80 82 84 54 56 58 60 62 64 66 68 70 72 74 66 68 70 72 74 76 78 80 82 84 1 , 000 1 , 200 1 , 400 1 , 600 1 , 800 200 400 600 800 0 North Glasgow North Glasgow Western Isles CHP East CHP CHP Dunbartonshire East Glasgow East Glasgow Dumfries & CHP CHP Galloway CHP Angus CHP South West South West North Highland East Renfrewshire Glasgow CHP Glasgow CHP CHP CHP South East West Glasgow East Lothian CHP Glasgow CHP CHP Falkirk CHP West Scottish Borders Inverclyde CHP Glenrothes & Dunbartonshire CHP North East Fife North Lanarkshire West East Renfrewshire Dumfries & CHP Dunbartonshire CHP Galloway CHP South East Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends Inverclyde CHP Angus CHP Aberdeenshire Glasgow CHP CHP West Glasgow Perth & Kinross Western Isles CHP CHP CHP Stirling CHP North Lanarkshire East Ayrshire CHP Argyll & Bute CHP CHP East Lothian CHP South Ayrshire Dundee CHP Renfrewshire CHP Clackmannanshire CHP Scotland CHP Kirkcaldy & West Lothian CHP Dundee CHP CHP Levenmouth CHP Clackmannanshire East Renfrewshire CHP Midlothian CHP CHP Dunbartonshire ScotPHO - Health and Wellbeing Profiles 2008 Profiles Wellbeing and Health - ScotPHO Clackmannanshire East Ayrshire CHP Orkney CHP Perth & Kinross CHP CHP North Ayrshire North Ayrshire North Ayrshire South Lanarkshire CHP CHP CHP CHP Dunfermline & Kirkcaldy & Mid Highland CHP Dunfermline & West Fife CHP Levenmouth CHP West Fife CHP South Lanarkshire West Lothian CHP Moray CHP Moray CHP CHP Falkirk CHP Falkirk CHP Shetland CHP West Lothian CHP South Lanarkshire Midlothian CHP Midlothian CHP

Scottish Borders Figure 1b Figure 4b Figure 3b CHP Figure 2b CHP North Highland Aberdeen City Inverclyde CHP Dundee CHP CHP CHP Kirkcaldy & South Ayrshire Kirkcaldy & Stirling CHP Levenmouth CHP CHP Levenmouth CHP Dunfermline & Angus CHP East Ayrshire CHP Argyll & Bute CHP West Fife CHP

raphies are on the ScotPHO ScotPHO website the on are raphies South Ayrshire Aberdeenshire Midlothian CHP Renfrewshire CHP CHP CHP North Highland South East Stirling CHP Shetland CHP CHP Highland CHP South East North Lanarkshire Western Isles CHP Dundee CHP Highland CHP CHP Aberdeen City South Lanarkshire Aberdeen City Moray CHP CHP CHP CHP South East West Glasgow Shetland CHP Falkirk CHP Highland CHP CHP Dumfries & Dunfermline & West Edinburgh CHP Galloway CHP West Fife CHP

Dunbartonshire Interval Confidence 95% Clackmannanshire South East Moray CHP Angus CHP Highland CHP CHP

Orkney CHP Argyll & Bute CHP Argyll & Bute CHP Renfrewshire CHP West North Highland East Lothian CHP Mid Highland CHP CHP Dunbartonshire Dumfries & North Lanarkshire North Ayrshire Edinburgh CHP CHP Galloway CHP CHP Scottish Borders Glenrothes & East Lothian CHP Mid Highland CHP CHP North East Fife South West Mid Highland CHP Orkney CHP East Ayrshire CHP Glasgow CHP South Ayrshire Perth & Kinross Scottish Borders East Glasgow CHP CHP CHP CHP Glenrothes & Stirling CHP West Lothian CHP Inverclyde CHP North East Fife North Glasgow East Glenrothes & North Glasgow CHP Dunbartonshire North East Fife CHP South West East Renfrewshire Aberdeen City

Page 5 of 12 of 5 Page Shetland CHP Glasgow CHP CHP CHP South East Aberdeenshire Aberdeenshire South East Glasgow CHP CHP CHP Glasgow CHP East Renfrewshire Perth & Kinross Western Isles CHP Edinburgh CHP CHP CHP East Glasgow East West Glasgow Orkney CHP CHP Dunbartonshire CHP Breastfeeding Allowanc Age Jobseekers Working Claiming Population EmergencyAdmission Patients Hospital Patients Hospital Disease Heart (Key CHPTrends Indicators) Stirling

% babies exclusively breastfed at 6-8 % of working age Age-sex standardised rate per 100,000 Age-sex standardised rate per 100,000 weeks population pop’n pop’n 1 ,0 0 0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 1 ,0 0 0 2 ,0 0 0 3 ,0 0 0 4 ,0 0 0 5 ,0 0 0 6 ,0 0 0 7 ,0 0 0 8 ,0 0 0 0.0 5.0 100 200 300 400 500 600 700 800 900 0 0 0020 0220 0420 062007 2006 2005 2004 2003 2002 2001 2000 69 79 80 90 00 10 20 30 04-06 03-05 02-04 01-03 00-02 99-01 98-00 97-99 96-98 69 79 80 90 00 10 20 30 04-06 03-05 02-04 01-03 00-02 99-01 98-00 97-99 96-98 79 80 90 00 10 20 30 04-06 03-05 02-04 01-03 00-02 99-01 98-00 97-99 Scotland Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends ScotPHO - Health and Wellbeing Profiles 2008 Profiles Wellbeing and Health - ScotPHO Figure 5aFigure Figure 8a Figure 7a Figure 6a Year Year Year Year e Stirling CHP Stirling raphies are on the ScotPHO ScotPHO website the on are raphies Interval Confidence 95% Page 6 of 12 of 6 Page Breastfeeding Allowanc Age Jobseekers Working Claiming Population EmergencyAdmission Patients Hospital Patients Hospital Disease Heart CHPRanks (Key Stirling Indicators) % babies exclusively breastfed at 6-8 Age-sex standardised rate per Age-sex standardised rate per % of working age population weeks 100,000 pop’n 100,000 pop’n 10 15 20 25 30 35 40 45 50 0 1 2 3 4 5 6 1 , 000 1 , 200 1 , 000 2 , 000 3 , 000 4 , 000 5 , 000 6 , 000 7 , 000 8 , 000 9 , 000 0 5 200 400 600 800 0 Aberdeenshire 0 Aberdeen City CHP CHP East Dumfries & North Highland East Lothian CHP Dunbartonshire Galloway CHP CHP East Renfrewshire East Renfrewshire Orkney CHP CHP CHP Mid Highland CHP East Edinburgh CHP East Renfrewshire Dunbartonshire Moray CHP CHP Dumfries & Aberdeen City Shetland CHP South East Galloway CHP CHP Highland CHP Aberdeenshire East Lothian CHP Shetland CHP CHP Orkney CHP East Moray CHP Edinburgh CHP Time trends and ranks for other indicators and geog and indicators for other ranks and Time trends Shetland CHP Dunbartonshire Aberdeenshire Glenrothes & Scottish Borders CHP North East Fife Western Isles CHP CHP Clackmannanshire Orkney CHP Aberdeenshire Perth & Kinross CHP CHP CHP Angus CHP Orkney CHP East Glasgow South East CHP Highland CHP Glenrothes & Perth & Kinross North East Fife CHP Scotland West Stirling CHP Dunbartonshire Shetland CHP East Lothian CHP Inverclyde CHP Midlothian CHP Midlothian CHP Stirling CHP ScotPHO - Health and Wellbeing Profiles 2008 Profiles Wellbeing and Health ScotPHO - North Lanarkshire Edinburgh CHP Perth & Kinross CHP Argyll & Bute CHP CHP North Ayrshire Mid Highland CHP CHP Argyll & Bute CHP Angus CHP Glenrothes & Falkirk CHP North East Fife Dunfermline & Dunfermline & West Fife CHP West Fife CHP Clackmannanshire Moray CHP CHP Clackmannanshire Aberdeen City CHP CHP South West West Lothian CHP Glasgow CHP Falkirk CHP Moray CHP South Lanarkshire Dundee CHP

West Glasgow Kirkcaldy & Figure 5b Figure 8b CHP Figure 7b Figure 6b CHP Levenmouth CHP Renfrewshire CHP Angus CHP West West Lothian CHP Dunbartonshire East Ayrshire CHP Argyll & Bute CHP West Glasgow Stirling CHP CHP South Lanarkshire Falkirk CHP South Lanarkshire Scottish Borders CHP

e CHP CHP Dumfries & raphies are on the ScotPHO ScotPHO website the on are raphies North Glasgow South East South Ayrshire CHP Galloway CHP Highland CHP CHP Kirkcaldy & Renfrewshire CHP Kirkcaldy & Levenmouth CHP Mid Highland CHP Levenmouth CHP Dumfries & North Lanarkshire North Highland Galloway CHP CHP West Lothian CHP CHP South Ayrshire West Lothian CHP South West CHP Renfrewshire CHP Glasgow CHP South Ayrshire Clackmannanshire

CHP Note: not data available for all areas CHP Mid Highland CHP Midlothian CHP North Highland Dunfermline & North Highland North Ayrshire West Fife CHP CHP

CHP CHP Interval Confidence 95% Dunfermline & South Lanarkshire Angus CHP West Fife CHP Western Isles CHP CHP West Glasgow Midlothian CHP South East CHP Renfrewshire CHP Glasgow CHP Glenrothes & Western Isles CHP South Ayrshire Falkirk CHP North East Fife CHP South East Scottish Borders Argyll & Bute CHP Dundee CHP Glasgow CHP CHP South East South West Aberdeen City South East Glasgow CHP Glasgow CHP CHP Highland CHP West Glasgow East Ayrshire CHP North Ayrshire West CHP CHP Dunbartonshire Stirling CHP Dundee CHP North Lanarkshire South East CHP Glasgow CHP West East Lothian CHP Dunbartonshire East Ayrshire CHP East Ayrshire CHP Scottish Borders North Glasgow Inverclyde CHP Inverclyde CHP CHP CHP East East Glasgow South West North Lanarkshire Page 7 of 12 of 7 Page Dunbartonshire CHP Glasgow CHP CHP Perth & Kinross North Glasgow Dundee CHP Western Isles CHP CHP CHP East Renfrewshire North Ayrshire North Glasgow East Glasgow CHP CHP CHP CHP Kirkcaldy & East Glasgow Edinburgh CHP Inverclyde CHP Levenmouth CHP CHP Definitions and Sources

NB: more details on methodology and definitions are available in our technical report, available on the ScotPHO website at www.scotpho.org.uk/profiles .

Indicator Description Definition Time Period Source 1 No. 1-3 Population Number and percentage of total population in 1996 to 2006 GROS each age band (0 –15 yrs; 16-64; 65+). The time trend graph shows population estimates for 1996-2006, and projected 2006 to 2026 numbers (for local authorities only) to 2026 (using GROS 2006-based population projections).

Percentage of total population from a minority 2001 Census ethnic group (included in commentary only). 4-5 Life expectancy Estimated average male and female life 1994-98 to GROS expectancy at birth in years (using Chiang (II) 2001-05 method). * 6 Live births Annual live births expressed as a number and 2006 GROS rate per 1,000 population. 7-10 Deaths Deaths from all causes (all ages), heart 2004-06 GROS disease, cancer and stroke (under 75s); 3-year total number and 3-year average directly age- sex standardised rate per 100,000 population per year. * 11 Estimated Modelled estimate of smoking prevalence, 2003-04 NHS Health Scotland smokers (16+) expressed as a number and percentage of the adult population. * 12 Alcohol related No. of patients discharged from hospital 1997-99 to ISD Scotland and attributable (annually) with alcohol related and attributable 2004-06 (SMR1/01, Linked hospital patients conditions: 3-year total number and 3-year Database) average directly age-sex standardised rate per 100,000 population per year. * 13 Alcohol related Total no. of deaths from alcohol related causes 2002-06 GROS deaths (all ages) over 5 years and 5-year average directly age-sex standardised rate per 100,000 population per year. * 14 Drug related Total no. of patients discharged from hospital 2004-06 ISD Scotland hospital patients with drug related conditions over 3 years and (SMR1/01, Linked 3-year average directly age-sex standardised Database) rate per 100,000 population per year. * 15 Patients Patients registered with cancer expressed as 3 2002-04 ISD Scotland, registered with year total number and 3-year average directly Scottish Cancer cancer age-sex standardised rate per 100,000 Registry (SMR06) population per year. * 16-19 Hospital patients Patients discharged from hospital (annually) in 1996-98 to ISD Scotland particular circumstances and for specific 2004-06 (SMR1/01, Linked conditions (heart disease, stroke, emergency Database) admission, and multiple admission 65+), expressed as 3-year total number and 3-year average directly age-sex standardised rate per 100,000 population per year. 20 Patients Estimated number and percentage of 2006 ISD Scotland prescribed population being prescribed statin drugs *. In (Prescribing statins the spine chart this indicator is assigned to Information 'worse' if percentage is below the Scottish System), CHI extract average. However, when assessing whether a particular level of use is appropriate, users should take account of local factors such as age, deprivation and levels of CHD.

*see technical report (at www.scotpho.org.uk/profiles ) for more detail 1 In some cases this indicates the source of original raw datasets, with that data then manipulated by ISD to calculate required measures (e.g. life expectancy at birth, mortality).

ScotPHO - Health and Wellbeing Profiles 2008 Page 8 of 12 Definitions and Sources

Indicator Description Definition Time Period Source No. 21 Road traffic Patients discharged from hospital (annually) 2004-06 ISD Scotland accident after a road traffic accident emergency (SMR01) casualties – all admission, expressed as 3-year total number ages and 3-year average directly age-sex standardised rate per 100,000 population per year. 22 Unintentional Patients aged 65+ discharged from hospital 2004-06 ISD Scotland injuries in the (annually) after an emergency admission due (SMR01) home – patients to accident in the home: 3-year total number 65+ and 3-year average crude rate per 100,000 population per year. 23-24 Expected years Estimated average male and female healthy life 1999-2003 GROS and 2001 of life in good expectancy at birth in years (using the Sullivan Census health method) *. 25 Patients Estimated number and percentage of 2006 ISD Scotland prescribed drugs population being prescribed drugs for anxiety, (Prescribing for anxiety, depression or psychosis. * Information depression or System), CHI extract psychosis 26 Self-assessed Number and percentage of population who 2001 Census health rated their health as ‘not good’. 27 Psychiatric Total no. of people discharged from psychiatric 2002-04 ISD Scotland (SMR4) hospital patients hospitals during the 3-year period and 3-year directly age-sex standardised rate per 100,000 population per year. 28 Deaths from Deaths from suicide (all ages), expressed as 5- 2002-06 GROS suicide year total number and 5-year average directly age-sex standardised rate per 100,000 population per year. * 29 Adults claiming No. and percentage of all adults aged 16+ 2007 DWP incapacity claiming incapacity benefit/severe disability (Quarter /SNS benefit/SDA allowance (SDA), . ending February) 30 Adults with Number and percentage of all adults with a 2001 Census limiting long- limiting long-term illness, health problem or term illness disability which limits their daily activities or the work they can do; includes problems due to old age. 31 Lone pensioner Lone pensioner households expressed as a 2001 Census households number and as a percentage of all households. 32 Providers of No. and percentage of all adults providing any 2001 Census unpaid care > unpaid care > 20 hrs per week. 20 hrs per week 33 Older people No. and percentage of all people aged 65+ who 2006/07 SG- Community Care 65+ receiving receive free personal care services at home. In (year ending Statistics free personal the spine chart this indicator is assigned to 31 st March) care at home 'worse' if proportion is below the Scottish average. 34 Older people Taking all people aged 65+ and with intensive 2005/06 SG- Community Care with intensive care needs as the denominator: the number (year ending Statistics care needs and percentage who are supported at home. 31 st March) cared for at Intensive care needs are defined as: receiving home 10+ hrs of home care per week; long-stay supported care home residents aged 65+; or residents 65+ in long-stay geriatric hospital beds. In the spine chart this indicator is assigned to 'worse' if percentage is below the Scottish average. 35 Households Households categorised as homeless (based on 2006/07 SG- Housing assessed as applications to local authorities under the (year ending Statistics homeless Homeless Persons Legislation) – number and 31 st March) percentage of all households.

* see technical report (at www.scotpho.org.uk/profiles ) for more detail

ScotPHO - Health and Wellbeing Profiles 2008 Page 9 of 12 Definitions and Sources

Indicator Description Definition Time Period Source No. 36 Fuel poverty Percentage of all households that suffer 2003-6 SHCS ‘extreme fuel poverty’: defined as having to spend over 20% of household income on fuel (4-year average). 37 Average tariff Average tariff score (pupil attainment) of all 2006/07 SNS/SG score – S4 pupils enrolled in stage S4 of publicly funded (school year) secondary schools. * 38 Free school Number (and percentage of all pupils) who are 2006/07 SNS/SG meals registered for free school meals (in primary (school year) and secondary schools). 39 Primary school Primary school attendance rate – number 2006/07 SNS/SG attendance attending and percentage of all pupils (based (school year) on pupil residence). 40 Adults with no Number and percentage of all working age 2006 SNS/APS qualifications adults who are without educational qualifications. 41 Income deprived Adults defined as ‘income deprived’ expressed 2005 SIMD2006, SG as a number and percentage of the total population. 42 Employment Adults defined as ‘employment deprived’ 2005 SIMD2006, SG deprived expressed as a number and percentage of the working age population (16-64). 43 Working age Population of working age in receipt of JSA: 2007(Quarter DWP population number and percentage of total working age ending /SNS claiming Job- population (16-64). February) seekers allowance 44 Lone parents Lone parents in receipt of income support – 2007(Quarter DWP claiming income total number and rate per 1,000 population ending /SNS support aged 16-64. February) 45 Population 60+ Number and percentage of population aged 2007(Quarter DWP/SNS claiming pension 60+ claiming pension credit. ending credit February) 46 People living in Number and percentage of total population 2006 SIMD2006, SG 15% 'most living in 15% ‘most deprived’ areas (data deprived' areas zones) in Scotland.* in Scotland. 47 Crime Number of crimes (based on SIMD crimes of 2004 SIMD2006, SG violence; drug offences; domestic house breaking; minor assault; and vandalism) and rate per 1,000 population. 48 Assault patients Assault patients discharged from hospital 2004-06 ISD Scotland (annually), expressed as a 3-year total (SMR1/01) number and 3-year average directly age-sex standardised rate per 100,000 population per year. * 49 Population Number and percentage of total population 2007 SVDLS/SNS within 500m living within 500 metres of a derelict site. derelict site 50 House price Annual average house sale price (in pounds 2006 SNS/ROS Sterling). 51 Adults rating Percentage of all adults rating their 2005/06 SHS neighborhood as neighbourhood a ‘very’ or ‘fairly’ good place to ‘good place to live. live’ 52 People living in Number and percentage of total population 2006 SIMD2006, SG 15% most living in 15% most ‘access deprived’ areas 'access (data zones) in Scotland. deprived' areas

* see technical report (at www.scotpho.org.uk/profiles ) for more detail

ScotPHO - Health and Wellbeing Profiles 2008 Page 10 of 12 Definitions and Sources

Indicator Description Definition Time Period Source No. 53 Teenage Teenage (<18 years) pregnancies expressed as 2003-05 ISD Scotland pregnancies a number (3-year total) and 3-year average (SMR02) crude rate per 1,000 females aged 15-17 per year. Data not available for all areas.* 54 Smoking during Women recorded as a ‘current smoker’ at 2002-04 ISD Scotland pregnancy antenatal booking appointment, expressed as a (SMR02) number (3-year total) and percentage of all women attending booking appointments. 55 Low weight live Low weight live full-term singleton births 2002-04 ISD Scotland births (<2,500g), expressed as a number (3-year (SMR02) total) and percentage of all live singleton births. 56 Breastfeeding at Babies being exclusively breastfed at 6-8 week 1997-99 to CHSP-PS 6-8 weeks review, expressed as a number (3-year total) 2004-06 and percentage of all those seen at 6-8 week review. Data not available for all areas. * 57-58 Immunisation Immunisation uptake at 24 months for 2004-06 SIRS uptake Diphtheria, Pertussis, Tetanus, Polio, Hib, and - separately - MMR (measles, mumps and rubella), expressed as a number (3-year total) and percentage of children of this age. 59 Dental health in Primary 1 children receiving a ‘Category C’ 2006/07 NDIP P1 letter from Basic Inspection ("No obvious decay (school year) Basic experience, but child should continue to see the family dentist on a regular basis.") – number and percentage of all primary 1 children. 60 Obesity in P1 Children whose BMI is within the top 5% of the 2005/06 CHSP-S 1990 UK reference range for their age and sex (school year) – percentage of the total cohort. Data not available for all areas * 61 Unintentional Number of patients aged under 15 discharged 2004-06 ISD Scotland injuries in the from hospital (annually) after an emergency (SMR01) home - <15s admission due to an accident in the home: 3- year total number and 3-year average crude rate per 100,000 population per year. *

Abbreviations APS: Annual Population Survey BMI: Body Mass Index CHI: Community Health Index CHSP-PS: Child Health Systems Programme – Pre-school Children CHSP-S: Child Health Systems Programme – School aged Children DWP: Department for Work and Pensions GROS: General Register Office for Scotland ISD: Information Services Division (of NHS Scotland) NDIP: National Dental Inspection Programme ROS: Registers of Scotland SDA: Severe Disability Allowance SG: Scottish Government SHCS: Scottish House Conditions Survey SHS: Scottish Household Survey SIMD2006: Scottish Index of Multiple Deprivation 2006 SIRS: Scottish Immunisation Recall System SMR01/02/04: Scottish Morbidity Records SNS: Scottish Neighbourhood Statistics SVDLS Scottish Vacant and Derelict Land Survey

* see technical report (at www.scotpho.org.uk/profiles ) for more detail

ScotPHO - Health and Wellbeing Profiles 2008 Page 11 of 12 Further information

Acknowledgements:

MembersAcknowledgements of the ISD ScotPHO : team who were involved with the production of these profiles: Alison Burlison, Dr Colin Fischbacher, Andy Gasiorowski, Linsey Galbraith, Ian Grant, Cheryl Heeley, Rosalia Munoz-Arroyo and Dr Diane Stockton. Members of the ISD ScotPHO team who were involved with the production of these profiles : Alison Burlison, Dr Colin Fischbacher, EveryoneAndy Gasiorowski, who provided Linsey data Galbraith for inclusion , Ian Grantin the ,profi Cheles.ryl Heeley, Rosalia Munoz-Arroyo and Dr Diane Stockton .

Everyone who provided data for inclusion in the profiles . Members of the Profiles Project Board. Members of the Profiles Project Board . Everyone who took part in the profiles consultations, and/or provided comment on the draft profiles. Everyone who took part in the profiles consultations , and/or provided comment on the draft profiles . Dataworx Ltd for graphic design and profile production automation. Dataworx Solutions Ltd for graphic design and profile production automation .

ForFor further further information information onon thisthis profileprofile and the widwiderer HealthHealth andand Wellbeing Wellbeing Profiles Profiles Project Project pleaseplease contact: contact:

ISD ScotPHO Team : ISD ScotPHO Team : email: [email protected] email: [email protected] fax: 0131 275 7511 fax: 0131 275 7511

Linsey Galbraith : Linsey Galbraith : tel: 0131 275 6227 tel: 0131 275 6227 Rosalia Munoz-Arroyo :

RosaliaTel: 0131 Munoz-Arroyo 275 6619 :

Tel: 0131 275 6619

Dataworx: Adrian Watson email: [email protected]

PublishedPublished by: by:

ScotPHOScotPHO (Scottish (Scottish Public Public HealthHealth Observatory)Observatory) TeamTeam Information Services Division (ISD) Scotland Information Services Division (ISD) Scotland Gyle Square Gyle1 South Square Gyle Crescent 1EDINBURGH South Gyle Crescent EDINBURGHEH12 9EB EH12 9EB

ScotPHO - Health and Wellbeing Profiles 2008 Page 12 of 12