Long-Term Monitoring of Health Inequalities

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


Coronary Heart Disease - first ever hospital admission for heart attack aged under 75 years

Summary

  • Over time inequalities have decreased in both absolute and relative terms, with a slight increase in the most recent year

Around 3,900 new cases (aged under 75 years) were admitted to hospital for heart attack in 2009. Between 1997 and 2009, there was a considerable decrease (40%) in the annual rates. In 2009 the rate of admission for people living in the most deprived decile was 104.8 per 100,000 population, compared to a rate of 37.5 in the least deprived decile - a difference of 67.3. Although both absolute and relative measures reflect higher rate of hospital admissions in deprived areas, the extent of these inequalities decreased consistently from 2003 to 2008, but increased slightly in 2009.

Inequalities gradient in the most recent year available

Hospital admissions for heart attack among those aged <75y by Income- Employment Index: Scotland 2009

Relative Index of Inequality ( RII) over time

Relative Index of Inequality (RII): Hospital admissions for heart attack <75y - Scotland 1997-2009

Please note that all trend data for this indicator have been revised from last year's report.

Absolute range over time

Absolute range: Hospital admissions for heart attack <75y Scotland 1997-2009

Please note that all trend data for this indicator have been revised from last year's report.

Scale / context 1

Number of new cases Target population size Rate per 100,000 ( EASR)
1997 5,765 4,740,269 110.9
1998 5,676 4,729,975 108.3
1999 5,102 4,721,298 97.0
2000 4,812 4,708,667 90.7
2001 4,776 4,703,661 89.6
2002 4,833 4,690,508 89.6
2003 4,569 4,690,603 84.0
2004 4,413 4,706,922 80.5
2005 4,054 4,718,403 73.2
2006 3,817 4,734,676 68.6
2007 3,624 4,755,963 64.5
2008 3,733 4,775,321 65.8
2009 3,857 4,795,479 67.1

1. An amendment to the methodology resulted in all data from 1997 to 2009 being revised in the data published in October 2011. The methodology was refined to more accurately pick up first ever emergency admission for AMI, and this has resulted in a slight reduction in the overall numbers for each year.

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