Long Term Monitoring of Health Inequalities: Headline Indicators – October 2014

Annual update of the 'Long-term Monitoring of Health Inequalities' headline indicators.

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Cancer deaths by type

Mortality rates by income-employment index decile are presented below for each of the four most common types of cancer.

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

Prostate cancer mortality rates have reduced slightly over time, from 39.0 deaths per 100,000 population in 1997 to 29.4 per 100,000 in 2012. 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, mortality rates were higher in the least deprived areas than the most deprived areas. The absolute range has not exceeded 20 deaths per 100,000 since 1998.

Prostate cancer mortality trend tables

Scale/ context

Number of deaths

Target population size

Rate per 100,000 (EASR)

1997

272

777,554

39.0

1998

260

784,561

37.3

1999

289

791,405

40.6

2000

276

798,634

38.9

2001

270

808,259

37.7

2002

285

818,160

39.3

2003

274

828,737

37.3

2004

292

840,971

39.6

2005

246

853,706

32.8

2006

254

866,473

33.0

2007

265

881,417

34.5

2008

259

896,220

32.7

2009

258

910,517

32.2

2010

253

925,186

30.7

2011

252

939,372

30.5

2012

250

950,729

29.4

Inequalities

  1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
RII 0.37 0.51 0.23 0.21 0.07 0.36 0.38 0.02 0.10 0.46 0.02 0.12 0.20 0.32 0.09 0.29
Most deprived decile rate 37.6 48.7 29.6 33.2 34.4 51.2 46.2 49.8 31.1 30.8 38.4 40.0 29.9 48.2 42.5 37.9
Least deprived decile rate 48.2 25.8 42.4 32.8 35.1 31.2 31.1 47.2 30.7 23.1 41.5 25.1 21.6 36.4 33.5 23.4
Absolute range 10.6 22.9 12.8 0.4 0.7 20.0 15.1 2.6 0.3 7.7 3.2 14.9 8.3 11.8 9.0 14.5

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, from 76.3 per 100,000 population in 1997 to 56.6 per 100,000 in 2012. There have been very low levels of both relative and absolute inequality throughout this period, most recently (in 2012) with only three more deaths per 100,000 population reported in the least deprived areas compared to the most deprived (60.4 per 100,000, compared to 57.5 per 100,000). In some years, mortality rates are higher in the most deprived areas; in others, rates are higher in the least deprived areas; while, in some years, the differences between rates in the most and least 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

76.3

1998

642

862,150

74.6

1999

634

866,719

73.4

2000

612

872,026

70.6

2001

612

879,163

70.2

2002

583

887,981

66.2

2003

615

898,375

69.1

2004

578

910,066

64.3

2005

591

921,159

64.9

2006

571

932,909

62.6

2007

563

945,903

60.7

2008

506

960,654

54.0

2009

505

975,176

53.1

2010

503

989,040

52.1

2011

551

1,001,881

56.3

2012

562

1,013,474

56.6

Inequalities

  1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
RII 0.01 0.16 0.17 0.03 0.14 0.03 0.06 0.35 0.30 0.06 0.29 0.06 0.30 0.14 0.22 0.06
Most deprived decile rate 78.3 85.2 73.5 54.8 61.4 62.7 70.6 93.3 62.0 71.7 74.1 48.2 61.6 57.3 57.4 57.5
Least deprived decile rate 77.0 64.5 76.1 65.5 53.5 71.5 88.4 57.1 44.0 76.0 49.6 54.0 45.7 50.2 61.8 60.4
Absolute range 1.3 20.7 2.6 10.7 7.9 8.8 17.7 36.3 18.0 4.3 24.5 5.8 15.9 7.1 4.5 3.0

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 160.2 per 100,000 population in 1997 to 120.0 per 100,000 in 2012 (a fall of 25%). Throughout this period, mortality rates have been around four to five times higher in the most deprived areas compared to the least deprived. While the absolute gap between the most and least deprived areas has fluctuated, relative inequality has increased over the long term and reached its highest level in 2012. There were 245.8 deaths per 100,000 population in the most deprived areas, compared to 55.3 per 100,000 in the least deprived, in 2012.

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

160.2

1998

2,430

1,646,711

153.1

1999

2,402

1,658,124

150.9

2000

2,309

1,670,660

144.4

2001

2,334

1,687,422

145.4

2002

2,421

1,706,141

149.4

2003

2,206

1,727,112

134.5

2004

2,244

1,751,037

135.2

2005

2,240

1,774,865

133.7

2006

2,262

1,799,382

134.0

2007

2,258

1,827,320

131.7

2008

2,254

1,856,874

129.5

2009

2,275

1,885,693

129.0

2010

2,205

1,914,226

123.4

2011

2,257

1,941,253

125.3

2012

2,205

1,964,203

120.0

Inequalities

  1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
RII 1.25 1.42 1.31 1.27 1.32 1.28 1.48 1.43 1.47 1.47 1.51 1.53 1.49 1.52 1.44 1.59
Most deprived decile rate 291.3 286.4 268.6 257.1 256.7 258.2 271.5 252.4 250.9 273.5 262.8 264.0 260.9 246.7 242.7 245.8
Least deprived decile rate 73.9 63.0 70.3 71.3 63.6 74.1 54.4 60.4 67.2 61.8 54.7 56.5 61.6 55.4 67.8 55.3
Absolute range 217.4 223.4 198.3 185.8 193.1 184.1 217.1 192.0 183.7 211.7 208.1 207.5 199.3 191.3 174.9 190.5

Colorectal cancer deaths aged 45-74 years

Between 1997 and 2012, colorectal cancer mortality rates fell by 29% to 37.3 deaths per 100,000 population. Despite consistently higher rates in the most deprived areas - in 2012 there were 51.8 per 100,000 population compared to 29.6 per 100,000 in the least deprived - 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

52.2

1998

813

1,646,711

51.2

1999

792

1,658,124

49.7

2000

743

1,670,660

46.5

2001

753

1,687,422

46.8

2002

752

1,706,141

46.2

2003

735

1,727,112

44.7

2004

712

1,751,037

43.0

2005

738

1,774,865

43.8

2006

702

1,799,382

41.4

2007

709

1,827,320

41.3

2008

762

1,856,874

43.7

2009

726

1,885,693

40.9

2010

647

1,914,226

35.9

2011

666

1,941,253

36.6

2012

687

1,964,203

37.3

Inequalities

  1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
RII 0.31 0.12 0.09 0.45 0.20 0.17 0.19 0.69 0.19 0.30 0.26 0.71 0.25 0.57 0.50 0.54
Most deprived decile rate 60.3 55.5 47.3 52.6 64.7 51.2 49.1 58.0 39.4 43.9 55.3 56.7 45.1 52.0 49.1 51.8
Least deprived decile rate 49.9 42.3 40.4 31.2 42.9 44.4 44.7 28.6 33.2 25.5 33.5 35.1 32.4 25.7 26.3 29.6
Absolute range 10.5 13.2 6.9 21.4 21.8 6.8 4.4 29.4 6.2 18.5 21.7 21.6 12.7 26.3 22.8 22.3

Contact

Email: Craig Kellock

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