Health and wellbeing profile for East Staffordshire Borough Council May 2012 Population Health Intelligence Staffordshire Public Health Contents Summary .................................................................................................................... 3 1 Introduction ....................................................................................................... 15 2 Glossary of terms .............................................................................................. 17 3 Population characteristics ................................................................................. 18 3.1 Population estimates .................................................................................. 18 3.2 Population projections ................................................................................ 21 3.3 The rural and urban area classification ...................................................... 22 3.4 Ethnicity ..................................................................................................... 25 3.5 Migration .................................................................................................... 26 3.6 Geodemographic profile ............................................................................. 27 4 The wider determinants of health ...................................................................... 30 4.1 Index of multiple deprivation ...................................................................... 30 4.2 Child wellbeing index ................................................................................. 33 4.3 Education ................................................................................................... 36 4.4 Income deprivation ..................................................................................... 39 4.5 Employment deprivation ............................................................................ 44 4.6 Housing ...................................................................................................... 47 4.7 Transport.................................................................................................... 48 4.8 Crime ......................................................................................................... 50 5 Maternal and infant health ................................................................................. 51 5.1 General fertility rates .................................................................................. 51 5.2 Terminations of pregnancy......................................................................... 52 5.3 Stillbirths, perinatal and infant mortality ..................................................... 52 5.4 Access to maternity services ...................................................................... 55 5.5 Smoking in pregnancy ............................................................................... 56 5.6 Low birthweight babies .............................................................................. 58 5.7 Breastfeeding ............................................................................................. 59 5.8 Childhood immunisation ............................................................................. 62 5.9 Dental health .............................................................................................. 66 6 Mortality and ill-health ....................................................................................... 68 6.1 Life expectancy .......................................................................................... 68 6.2 Main causes of death ................................................................................. 70 6.3 Premature mortality .................................................................................... 73 6.4 Health deprivation and disability ................................................................ 80 6.5 Cancer ....................................................................................................... 82 6.6 Mental health ............................................................................................. 84 6.7 Accidents ................................................................................................... 86 6.8 Long-term conditions ................................................................................. 90 6.9 Excess winter deaths ................................................................................. 94 6.10 Adult immunisation ..................................................................................... 95 7 Living well ......................................................................................................... 96 7.1 Smoking ..................................................................................................... 96 7.2 Alcohol ..................................................................................................... 100 7.3 Substance misuse .................................................................................... 105 7.4 Obesity ..................................................................................................... 107 7.5 Healthy eating .......................................................................................... 112 7.6 Physical activity ........................................................................................ 115 7.7 Sexual health ........................................................................................... 119 2 Summary Introduction There are a wide range of factors that affect the health of individuals. These factors include genetic, demographic (e.g. age, gender and ethnic group), socio-economic, environmental (e.g. income, employment, educational attainment, housing and crime) and lifestyle (e.g. smoking, diet and physical activity levels). The health and wellbeing profile provides an overview of the key health and demographic issues facing the East Staffordshire Borough Council population by drawing upon numerous sources of data. The profile presents information for East Staffordshire and makes comparisons with Staffordshire, West Midlands and England where available. East Staffordshire is comprised of 21 electoral wards and data is presented at ward level, where available, to highlight particular geographical areas experiencing health and social deprivation. The purpose of the profile is to provide commissioners with an evidence base across a range of health and wellbeing issues. Population characteristics Population estimates The 2010 mid-year population estimate for East Staffordshire was 109,400. Overall the population of East Staffordshire is slightly different to that of England. There are lower proportions of adults aged 20-39 years in East Staffordshire but larger proportions of children aged 15-19 and adults aged 40 and over. At ward level the population age structure differs across the district. Anglesey, Eton Park, Heath, Horninglow, Shobnall and Winshill wards have high proportions of children under 16 compared with England. 13 of East Staffordshire’s 21 wards have high proportions of older people aged 65 and over. Population projections Population projections for East Staffordshire from 2010 to 2035 suggest there will be an overall growth in population (22%). There will also be an increase in the number of children under 16 (14%) and people aged 16-64 (8%). The population is however projected to see significant growth in people aged 65 and over (81%) and in particular those aged 75 and over (109%). Rural and urban area classification Under the Rural and Urban Area Classification (2004), 25% of the East Staffordshire population is classified as rural, compared with 19% nationally and 24% of Staffordshire. 3 Ethnicity and migration The proportion of people from minority ethnic groups within East Staffordshire is lower than the national average (8%, or 8,500 people, compared with 13%) but is higher than the Staffordshire average (5%). There is no single comprehensive source of information on migrants in the UK. During 2010/11 the total number of national insurance number (NINo) registrations to adult overseas nationals in East Staffordshire was 1,030, an increase from 730 in the previous year. The number of individuals who were born outside the UK and have entered England and Wales for the first time and registered with a NHS GP (Flag 4 data) shows that there were 820 new registrations in 2009/10. Geodemographic profile Mosaic Public Sector 2009 allows populations to be segmented in terms of individual’s demographics, lifestyles and behaviours. This allows interventions to be targeted more effectively in an appropriate style and language suited to the different lifestyle groups. Over 70% of the East Staffordshire population falls within one of five Mosaic groups: Terraced Melting Pot (14%), Industrial Heritage (14%), Professional Rewards (13%), Small Town Diversity (11%) and Suburban Mindsets (9%). The wider determinants of health Index of multiple deprivation The Index of Multiple Deprivation 2010 (IMD 2010) is a way of identifying deprived areas. There are 12 lower super output areas (LSOAs) that fall within the most deprived national quintile in East Staffordshire, making up 19% of the total population. These areas fall within Eton Park, Stapenhill, Shobnall, Winshill, Horninglow, Anglesey and Burton. Child wellbeing index The child wellbeing index (CWI) 2009 provides useful information at a small area level for the wellbeing of