Gap between rich and poor has widened since 2001 according to new report

The Longevity Science Panel  (LSP) have published the latest health inequality figures.The LSP looked at data from the Office of National Statistics (ONS) for 33,000 residential areas in total.

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The data show the increasing difference between the life expectancy of males in the least advantaged fifth of the population, compared to the most advantaged fifth.

  • Males aged 60 to 89 from the least advantaged fifth of the country were 52% more likely to die in 2001 than men in the most advantaged fifth. By 2015, the death rate for the least advantaged was 80% higher.
  • Similarly for women, the least advantaged fifth were 44% more likely to die in a year than the most advantaged fifth in 2001, but 81% more likely to die in 2015.
  • Baby girls born in the most advantaged fifth of neighbourhoods could expect to live 5 years longer than the least advantaged fifth in 2001, increasing to 5.8 years longer in 2015.
  • Although mortality rates have fallen across all groups, the most advantaged fifth have experienced a greater fall in death rates than their less advantaged counterparts

The full report can be read here

The following article may also be of interest:

BBC News Life expectancy gap between rich and poor widens

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Key Data on Young People

Key Data on Young People 2017 | The Association for Young People’s Health (AYHP) | via OnMedica

This report looks at the living circumstances, education and employment, health behaviours and lifestyle, sexual health, mental health, physical health and long-term conditions, and use of health care services of children and young people.

The report  found evidence of a number of positive trends, with rates of drinking, smoking and teenage pregnancy all continuing to fall. However, authors explained the teens and early 20s remain a ‘risky period’ in health terms, for a range of issues that will have lifetime implications. These include: diet, activity and obesity; sexually transmitted infections; the peak age for diagnosis of a number of chronic conditions such as asthma and type 1 diabetes; the peak age for hospitalisation for challenging conditions such as eating disorders and self-harm; the most common age for concerns around child sexual exploitation.

The report also highlighted the impact of health inequalities, with young people living in the most deprived areas are more likely to be killed or seriously injured on roads, more likely to be obese, and more likely to have worse physical, mental and sexual health outcomes.

Full report: Key Data on Young  People 2017:  Latest information and statistics 

OnMedica News story: We are ‘sitting on a young people’s health time bomb’

New liver disease data shows major variation across England

The rate of people dying early from liver disease in some parts of England is almost 8 times higher than others. | Public Health England

New data published by Public Health England (PHE) shows a wide variation of premature mortality rates from liver disease across England.

Liver disease is almost entirely preventable with the major risk factors, alcohol, obesity and Hepatitis B and C, accounting for up to 90% of cases. The atlas will help health professionals to allocate their resources to improve patient outcomes.

The atlas shows premature mortality rates – dying before the age of 75 – ranged from 3.9 per 100,000 in South Norfolk clinical commissioning group (CCG) to 30.1 per 100,000 in Blackpool CCG, a 7.7 fold difference.

The atlas paints a mixed picture, with 10 indicators showing improvements including a reduction of premature deaths and fewer alcohol-specific hospital admissions for under 18s.

Nine of the indicators have become worse over time, including a doubling of hospital admission rates for cirrhosis from 54.8 per 100,000 to 108.4 per 100,000 people over the past decade. This indicator also varies significantly across the country with an 8.5 fold variation across CCGs and this gap has widened over the past decade.

The 2nd Atlas of Variation in risk factors and healthcare for liver disease in England will be published on the PHE fingertips website.

Supporting local action on health inequalities

Reducing health inequalities is at the heart of public health and PHE’s priorities | Public Health Matters Blog

Recent media headlines have further confirmed the extent of their impact on people’s lives and health, including the stark divides between different parts of the country and between different groups of people.

Today in England, people living in the least deprived areas of the country live around 20 years longer in good health than people in the most deprived areas, with some of the greatest need concentrated in large parts of the north of England.

As part of our efforts to address this situation we’ve published “Reducing health inequalities: system scale and sustainability”, together with an introduction summary  to support local action on health inequalities.

Read the full blog post here

Deprivation strongly linked to mortality

Report from the Office for National Statistics reveals “sizeable and highly significant” absolute and relative inequalities in avoidable mortality between those living in the most and least deprived areas.

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Main points

  • Avoidable, amenable and preventable mortality is strongly related to area deprivation in England and in Wales.
  • In England in 2015 there were 16,686 deaths from avoidable causes in the most deprived areas whereas there were less than half that number (7,247 deaths) in the least deprived areas.
  • In the most deprived areas of Wales there were 1,054 deaths from avoidable causes in 2015, compared with 509 deaths in the least deprived areas.
  • Absolute and relative inequalities in avoidable mortality between those living in the most and least deprived areas were sizeable and highly significant, but the excess was larger for males than females in all cases.
  • The largest relative inequality in avoidable mortality was for deaths from respiratory diseases which were 4.8 times (males) and 7.7 times (females) more likely in the most deprived populations compared with the least deprived.
  • The largest absolute difference in avoidable mortality between the most and least deprived deciles was from cardiovascular disease and cancer.

Full report: Measuring Socioeconomic inequalities in avoidable mortality in England and Wales: 2015

Psychosocial pathways and health outcomes

Overview of current evidence about the relationships between social determinants, psychosocial factors and health outcomes. | Public Health England

This report highlights the current evidence that exists about the relationships between social determinants, psychosocial factors and health outcomes.

It also provides a conceptual framework that focuses on the psychosocial pathways between factors associated with social, economic and environmental conditions, psychological and psychobiological processes, health behaviours and mental and physical health outcomes.