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

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


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

Contact

Email: Craig Kellock

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