Long-term Monitoring of Health Inequalities: Headline Indicators - October 2013

Cancer deaths by type

Mortality rates by income employment index decile are also available for cancer of the prostate (males only), cancer of the breast (females only), cancer of the trachea, bronchus and lung, and colorectal cancer.

Prostate cancer deaths (males only) aged 45-74 years

Prostate cancer mortality rates have reduced slightly over time, from 31 deaths per 100,000 population in 1997 to 25 per 100,000 in 2011. Levels of both relative and absolute inequality have been low throughout this period, with variation in which areas have seen the highest rates. In some years (e.g. 1997, 1999) mortality rates have been higher in the least deprived areas, though generally rates are lower in these than in the most deprived areas. Differences between mortality rates in the most and least deprived areas continue to be low (stable since 2008 at between 12 and 15 deaths per 100,000 population).

Prostate cancer mortality trend tables

Scale/ context

	Number of deaths	Target population size	Rate per 100,000 (EASR)
1997	272	777,554	31.1
1998	260	784,561	29.4
1999	289	791,405	33.1
2000	276	798,634	31.1
2001	270	808,259	30.4
2002	285	816,390	31.8
2003	274	826,663	30.1
2004	292	839,315	31.4
2005	246	850,070	26.4
2006	254	860,799	27.3
2007	265	873,332	27.6
2008	259	885,030	26.8
2009	258	896,871	26.0
2010	253	908,007	25.3
2011	252	918,208	24.7

Inequalities

	1997	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011
RII	0.32	0.53	0.25	0.25	0.10	0.32	0.43	0.02	0.15	0.47	0.08	0.19	0.34	0.32	0.20
Most deprived decile rate	31.7	34.2	30.1	26.9	30.2	42.3	38.4	37.6	23.6	25.0	31.0	36.3	29.5	41.1	37.5
Least deprived decile rate	38.5	19.7	34.4	28.7	31.5	23.3	26.7	38.9	24.1	19.0	30.5	21.1	18.1	29.4	25.4
Absolute range	6.8	14.5	4.3	1.8	1.4	19.0	11.7	1.4	0.4	6.0	0.6	15.2	11.4	11.7	12.1

The RII value has been italicised to indicate years in which higher mortality rates were observed in less deprived areas.

Breast cancer deaths (females only) aged 45-74 years

Deaths from breast cancer have also fallen since 1997, from 72 per 100,000 population to 54 per 100,000 (in 2011). There have been very low levels of both relative and absolute inequality throughout this period, with only five more deaths per 100,000 population reported in the least deprived areas compared to the most deprived in 2011 (57 per 100,000, compared to 52 per 100,000). In some years, mortality rates are higher in the most deprived areas, while in others differences between rates in the least and most deprived areas are negligible.

Breast cancer mortality trend tables

Scale/ context

	Number of deaths	Target population size	Rate per 100,000 (EASR)
1997	653	858,036	72.4
1998	642	862,150	70.8
1999	634	866,719	69.5
2000	612	872,026	65.9
2001	612	879,163	67.4
2002	583	887,429	62.4
2003	615	898,277	64.7
2004	578	910,978	59.3
2005	591	921,384	62.0
2006	571	932,624	58.2
2007	563	944,870	56.9
2008	506	958,579	50.5
2009	505	972,492	49.8
2010	503	985,486	48.9
2011	551	997,722	53.5

Inequalities

	1997	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011
RII	0.02	0.12	0.16	0.00	0.06	0.01	0.04	0.32	0.29	0.02	0.36	0.07	0.30	0.16	0.20
Most deprived decile rate	78.9	80.9	69.8	54.7	62.8	65.3	71.8	77.8	59.6	68.5	72.8	46.8	58.9	53.3	52.1
Least deprived decile rate	75.1	64.7	65.8	65.4	62.2	63.7	80.1	51.2	44.2	69.3	45.4	52.7	42.8	44.5	57.4
Absolute range	3.7	16.2	4.0	10.7	0.6	1.6	8.3	26.6	15.4	0.8	27.3	5.8	16.1	8.7	5.3

The RII value has been italicised to indicate years in which higher mortality rates were observed in less deprived areas.

Cancer of the trachea, bronchus and lung deaths aged 45-74 years

Deaths from cancer of the trachea, bronchus and lung have steadily decreased over time, from a rate of 138 per 100,000 population in 1997 to 108 per 100,000 in 2011. Throughout this period, there has been a stable pattern of both relative and absolute inequality, with mortality between four and five times higher in the most deprived areas compared the least deprived. In 2011, there were 217 deaths per 100,000 population in the most deprived areas, compared to 54 per 100,000 in the least deprived.

Cancer of the trachea, bronchus and lung mortality trend tables

Scale/ context

	Number of deaths	Target population size	Rate per 100,000 (EASR)
1997	2,530	1,635,590	137.8
1998	2,430	1,646,711	131.9
1999	2,402	1,658,124	129.6
2000	2,309	1,670,660	124.3
2001	2,334	1,687,422	125.1
2002	2,421	1,703,819	128.6
2003	2,206	1,724,940	115.9
2004	2,244	1,750,293	117.1
2005	2,240	1,771,454	116.0
2006	2,262	1,793,423	115.6
2007	2,258	1,818,202	114.3
2008	2,254	1,843,609	112.4
2009	2,275	1,869,363	111.4
2010	2,205	1,893,493	107.0
2011	2,257	1,915,930	107.8

Inequalities

	1997	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011
RII	1.28	1.45	1.35	1.30	1.38	1.33	1.50	1.41	1.49	1.51	1.56	1.57	1.57	1.53	1.47
Most deprived decile rate	250.9	246.3	234.0	213.8	226.7	227.5	224.7	213.6	221.1	241.3	233.5	232.1	243.0	219.2	217.4
Least deprived decile rate	65.6	51.8	58.0	60.8	53.5	55.5	43.0	56.5	56.0	52.5	46.6	50.3	51.4	48.3	53.6
Absolute range	185.4	194.5	176.0	153.0	173.1	172.0	181.7	157.1	165.1	188.8	186.9	181.8	191.5	170.8	163.8

Colorectal cancer deaths aged 45-74 years

Between 1997 and 2011, colorectal cancer mortality rates fell by 29% to 32 deaths per 100,000 population. In 2011, there were around twice as many deaths in the most deprived areas than in the least deprived (45 per 100,000 population, compared to 23 per 100,000 population). However, despite consistently higher rates in the most deprived areas, inequalities since 1997 have fluctuated considerably in both relative and absolute terms.

Colorectal cancer mortality trend tables

Scale/ context

	Number of deaths	Target population size	Rate per 100,000 (EASR)
1997	825	1,635,590	45.2
1998	813	1,646,711	44.5
1999	792	1,658,124	43.3
2000	743	1,670,660	39.9
2001	753	1,687,422	40.8
2002	752	1,703,819	40.2
2003	735	1,724,940	39.1
2004	712	1,750,293	36.9
2005	738	1,771,454	38.4
2006	702	1,793,423	36.3
2007	709	1,818,202	36.0
2008	762	1,843,609	37.9
2009	726	1,869,363	35.9
2010	647	1,893,493	31.6
2011	666	1,915,930	32.2

Inequalities

	1997	1998	1999	2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011
RII	0.30	0.11	0.11	0.42	0.28	0.24	0.21	0.73	0.16	0.35	0.30	0.80	0.26	0.60	0.51
Most deprived decile rate	50.0	45.7	43.5	49.6	51.5	51.9	42.5	54.4	34.8	39.9	50.9	52.7	37.8	47.1	45.2
Least deprived decile rate	40.7	37.4	40.1	26.6	36.2	36.2	35.5	25.2	31.0	21.8	28.1	24.0	30.2	22.3	23.0
Absolute range	9.3	8.3	3.4	23.0	15.3	15.6	7.0	29.3	3.8	18.2	22.9	28.7	7.6	24.8	22.2