Publication - Progress report

Long-Term Monitoring of Health Inequalities

Published: 25 Oct 2011
Part of:
Health and social care
ISBN:
9781780454672

An annual report which summarises the long-term differences in health trends between the least and most deprived areas of Scotland.

39 page PDF

468.1 kB

39 page PDF

468.1 kB

Contents
Long-Term Monitoring of Health Inequalities
Healthy Life Expectancy ( HLE) - at birth

39 page PDF

468.1 kB

Healthy Life Expectancy ( HLE) - at birth

Summary

  • A new methodology means change over time cannot be measured, but there continues to be inequalities in both relative and absolute terms.

The Healthy Life Expectancy ( HLE) indicator is based on two years of data to ensure large enough sample sizes. Between 1999/2000 and 2007/2008, HLE increased by 3 years (4.5%) for males and 2.3 years (3.4%) for females. In 2009 the format of the self-assessed health question (on which the healthy life expectancy data is based) was changed to align with the European Union. This has led to a major discontinuity in the series. For both men and women, the markedly lower estimate of HLE at birth for Scotland for 2009 (8 years below the 2008 estimates for men and women) cannot be considered as part of the same series as earlier years, but represents the first point in a new time trend for future years. A technical paper by the Scottish Public Health Observatory ( ScotPHO) has more information on this change 3

In 2009/2010, HLE at Scotland level for males was 59.9 years (16.3 years less than life expectancy) and HLE for females was 62.1 years (18.6 years less than life expectancy). HLE in deprived areas is lower for both males and females than HLE in areas of low deprivation. In 2009/2010, HLE of those living in the most deprived decile was 22.5 years lower for males and 22.1 years lower for females than HLE of those living in the least deprived decile. The difference between HLE and life expectancy (expected years spent in not good)health is also notably greater in more deprived areas: for males - 21.3 years in 'not good' health in the most deprived decile compared with 12.1 years in the least deprived decile; and for females - 24.9 years in 'not good' health in the most deprived decile compared with 11.6 years in the least deprived decile.

Inequalities gradient in the most recent year available

Healthy Life Expectancy - Males - by Income-Employment Index: Scotland 2009/2010

Healthy Life Expectancy - Females - by Income-Employment Index: Scotland 2009/2010

(Note: the red bars for each column indicate the uncertainties in each estimate of HLE).

Relative Index of Inequality ( RII) over time

Relative Index of Inequality (RII): Healthy Life Expectancy - Males Scotland 1999/2000-2009/2010

Relative Index of Inequality (RII): Healthy Life Expectancy - Females Scotland 1999/2000-2009/2010

Data not available for 2003/2004

Absolute range over time

Absolute range: Healthy Life Expectancy - Males Scotland 1999/2000 to 2009/2010

Absolute range: Healthy Life Expectancy - Females Scotland 1999/2000 to 2009/2010

Data not available for 2003/2004.
The red bars for each column indicate the uncertainties in each estimate of absolute difference in HLE.

Scale / context

New Methodology (5 point scale of self-assessed health), 2009/2010

Male HLE in years 95% LL 95% UL Male LE in years 95% LL 95% UL Estimated years spent in not good health4
2009/2010
Scotland 59.9 59.4 60.4 76.1 76.0 76.2 16.2
Most deprived decile 47.4 45.8 49.0 68.7 68.3 69.1 21.3
Least deprived decile 69.9 68.2 71.6 82.0 81.6 82.3 12.1
Female HLE in years 95% LL 95% UL Female LE in years 95% LL 95% UL Estimated years spent in not good health 1
2009/2010
Scotland 62.1 61.6 62.6 80.6 80.5 80.8 18.6
Most deprived decile 51.1 49.6 52.6 76.1 75.7 76.5 24.9
Least deprived decile 73.2 71.7 74.7 84.8 84.5 85.1 11.6

1. From 2009 Self-assessed health was measured on a five-point scale (Very good, Good, Fair, Bad, Very bad). For summary purposes the final three categories (Fair, Bad, Very Bad) are collectively referred to as 'Not good health'. This is different to the category of 'Poor health' in the subsequent two tables.

Previous Methodology (3-point scale of self-assessed health), 1999/2000 to 2007/2008

Male HLE in years 95% LL 95% UL Male LE in years 95% LL 95% UL Estimated years spent in poor health 1
1999/2000
Scotland 65.0 64.7 65.4 73.0 72.8 73.1 7.9
Most deprived decile 53.7 52.6 54.8 65.8 65.4 66.3 12.1
Least deprived decile 75.0 74.0 75.9 78.6 78.3 79.0 3.7
2001/2002
Scotland 65.9 65.6 66.2 73.4 73.3 73.5 7.5
Most deprived decile 55.0 53.9 56.1 65.8 65.4 66.3 10.8
Least deprived decile 75.7 74.8 76.6 79.5 79.1 79.9 3.8
2003/2004
Scotland 74.0 73.9 74.1 -
Most deprived decile 66.3 65.9 66.8 -
Least deprived decile 79.7 79.3 80.0 -
2005/2006
Scotland 67.4 67.1 67.7 74.8 74.7 74.9 7.4
Most deprived decile 57.0 55.9 58.1 67.5 67.1 67.9 10.5
Least deprived decile 76.8 75.8 77.8 80.7 80.4 81.1 3.9
2007/2008 - revised 2
Scotland 68.0 67.6 68.3 75.1 75.0 75.2 7.1
Most deprived decile 56.9 55.7 58.1 67.6 67.2 68.0 10.6
Least deprived decile 75.8 74.7 76.9 80.9 80.6 81.3 5.1
Female HLE in years 95% LL 95% UL Female LE in years 95% LL 95% UL Estimated years spent in poor health 1
1999/2000
Scotland 68.2 67.8 68.5 78.4 78.3 78.5 10.3
Most deprived decile 59.8 58.6 61.0 74.2 73.9 74.6 14.4
Least deprived decile 77.1 76.1 78.1 81.8 81.5 82.1 4.7
2001/2002
Scotland 69.2 68.9 69.6 78.9 78.8 79.0 9.6
Most deprived decile 60.0 58.8 61.1 74.6 74.2 74.9 14.6
Least deprived decile 76.8 75.6 77.9 82.4 82.1 82.8 5.7
2003/2004
Scotland 79.1 79.0 79.2 -
Most deprived decile 74.8 74.4 75.2 -
Least deprived decile 83.0 82.6 83.3 -
2005/2006
Scotland 69.6 69.2 70.0 79.7 79.6 79.8 10.1
Most deprived decile 59.9 58.7 61.1 75.1 74.7 75.5 15.2
Least deprived decile 78.1 76.8 79.3 84.2 83.9 84.6 6.2
2007/2008 -revised 2
Scotland 70.5 70.1 70.9 80.0 79.8 80.1 9.5
Most deprived decile 60.9 59.5 62.2 75.5 75.2 75.9 14.7
Least deprived decile 77.6 76.3 78.8 84.3 84.0 84.6 6.7

1. Prior to 2009 Self-assessed health was measured on a three-point scale (Good, Fairly good, Not good). For summary purposes 'Not good' responses were counted as 'Poor health'. This is not comparable to the category of 'Not good health' used from 2009 onwards.
2. The 2007 and 2008 data has been revised since the publication of the report in October 2010.