Rotherhams Life Course Approach to Health Inequalities

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Rotherhams Life Course Approach to Health
Inequalities

• Annual Report of the Director of Public Health,
  2003

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Background

• If we break it down by age we find that class
  differences in mortality are a constant feature
  of the entire human life span. They are found at
  birth, during the first year of life, in
  childhood, adolescence and adult life. At any
  age people in occupational class V (unskilled
  manual occupations) have a higher rate of death
  than their better-off counterparts. (Black
  report, 1980)
• inequalities affect the whole of society and
  they can be identified at all stages of the life
  course from pregnancy to old age. (Acheson
  report, 1998)

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National Health Inequalities Targets

• Starting with children under one year, by 2010
  reduce the gap in mortality by at least 10
  between routine and manual groups and the
  population as a whole.
• By 2010 reduce the gap by at least 10 between
  the fifth of areas with the lowest life
  expectancy at birth and the population as a whole.

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Need to agree Areas

• Whatever index used likely to look similar.
• Defining areas likely to be a match of political,
  local concerns and indices.
• Need to understand the implications

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Defining Service Priorities

• Reviving communities
• Reviving the local economy
• Improving housing and the environment
• Providing decent services

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Male Life Expectancy (1997-2001)
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Female Life Expectancy (1997-2001)
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Age Group 0-19 Years
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Infant Mortality and Low Birth Weight Rates
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Age Group 20-39 Years
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Suicide Rates Among Men Aged 20-34 (per 100,000)
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Age Group 40-59 Years
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CHD Death Rates Among People Aged 40-59 (per
100,000)
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Age Group 60-79 Years
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CHD Death Rates Among People Aged 60-79 (per
100,000)
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Key Areas

• Children under 1 and families
• Mental health (especially young men)
• Coronary Heart Disease primary and secondary
  prevention including smoking cessation
• Cardiovascular disease secondary prevention and
  care

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Can we achieve the Target?

• Reducing mortality in the 4 key areas outlined to
  the Rotherham average will more than meet the
  National Target for Rotherham

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Localities

• Percentage of the quintile 1 population
  registered with each locality
• Rother Valley 19.7
• Rotherham Central 52.8
• Wentworth 25.6