Publication - Statistics

Long-term monitoring of health inequalities: January 2020 report

Published: 28 Jan 2020

Annual update of the long-term monitoring of health inequalities headline indicators.

61 page PDF

4.5 MB

61 page PDF

4.5 MB

Supporting files

Contents
Long-term monitoring of health inequalities: January 2020 report
Headline indicator of Health Inequalities

61 page PDF

4.5 MB

Supporting files

Headline indicator of Health Inequalities

Premature Mortality (under 75 years)

In 2018, the gap in premature mortality rates between the most and least deprived areas increased to its highest point since 2008, although the gap remains lower than at the start of the time series. Relative inequalities, however, have widened over the long term.

In 1997, premature mortality rates were 3 times higher in the most deprived areas compared to the least deprived; in 2018, rates were 4 times higher in the most deprived areas.

Trends in premature mortality

Just over 21,500 people in Scotland died before the age of 75 in 2018.

Over the long term there has been a reduction in the mortality rate among under-75s. The age-standardised mortality rate among under-75s in 2018 was 432.0 per 100,000 people, a reduction of 34 per cent since 1997 (651.9 per 100,000).

Table 1.1: Trends in premature mortality (under 75 years), 1997-2018

Year Number of deaths Target population size Rate per 100,000 (EASR)
1997 26,081 4,740,269 651.9
1998 25,857 4,729,975 643.3
1999 25,491 4,721,298 632.5
2000 24,593 4,708,667 607.3
2001 24,168 4,703,661 593.1
2002 24,219 4,701,958 588.9
2003 23,789 4,702,431 573.4
2004 22,896 4,714,233 546.2
2005 22,441 4,735,320 530.3
2006 22,237 4,752,425 520.4
2007 22,359 4,783,452 516.8
2008 22,005 4,811,453 501.3
2009 21,229 4,835,007 477.0
2010 20,997 4,858,058 467.4
2011 20,685 4,888,316 456.1
2012 20,446 4,895,114 445.3
2013 20,344 4,903,074 437.5
2014 19,961 4,914,362 423.2
2015 20,988 4,935,283 440.5
2016 21,313 4,962,391 439.7
2017 20,992 4,976,829 425.2
2018 21,601 4,983,364 432.0

Inequalities in premature mortality, 2018

In 2018, the premature mortality rate in the most deprived areas was 820.0 per 100,000, four times higher than the rate in the least deprived areas (210.6 per 100,000).

Figure 1.1

All cause mortality amongst those aged <75y by Income Employment Index Scotland 2018 (European Age Standardised Rates per 100,000)

Figure 1.1

Trends in relative inequalities

Over the longer term, relative inequalities have increased. The RII for 2018 is the highest on record at 1.48, compared with 1.00 at the start of the time series in 1997.

Between 1997 and 2018, premature mortality rates declined by 45% in the least deprived areas, but by only 20% in the most deprived areas in Scotland.

Figure 1.2

Relative Index of Inequality (RII): All cause mortality <75y Scotland 1997-2018

Figure 1.2

In 1997, premature mortality rates were three times higher in the most deprived areas compared to the least deprived; in the last four years premature mortality rates have been four times higher in the most deprived areas.

Trends in absolute inequalities

Absolute inequalities in premature mortality reached a peak in 2002. Between 2002 and 2013 there was a general downward trend. Most notably, the absolute gap between the most and least deprived areas reduced every year between 2007 and 2013.

Since 2013 the gap has increased, and is currently at its highest point since 2008 at 609.4 per 100,000.

Figure 1.3

Absolute Gap: All cause mortality <75y, Scotland 1997-2018 (European Age Standardised Rates per 100,000)

Figure 1.3


Contact

Email: morag.shepherd@gov.scot