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Health and Wellbeing Profiles 2008
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Dumfries & Galloway CHPPopulation: 148,030
Each CHP profile contains: a map of the area, ‘at a glance’ commentary on the findings for that area, a spine chart showing findings for all 61 indicators, trend and rank charts for eight key indicators and a table of ‘definitions and sources’. Note: detailed profiles for the 10 Community Health and Care Partnership (CHCP) areas in Greater Glasgow & Clyde NHS Board area have been produced separately by the Glasgow Centre for Population Health (GCPH) –www.gcph.co.uk/communityprofiles (with links also from the ScotPHO website). The profiles are designed to: • provide organisations and communities with up-to-date and locally-relevant public health intelligence; • highlight health and social inequalities; • show trends in key indicators; • provide local information for targeting resources and priority-setting; and • develop knowledge of the complex nature of health and its determinants. In addition to the CHP area reports there are: a Scotland level report (including data for NHS boards), a technical report, spine charts for intermediate zones (IZs) and localities, and time trends and rank charts for other indicators and geographies. These are all available from the ScotPHO website at www.scotpho.org.uk/profiles. We aim to update the profiles in future.
DUMFRIES
AYR
ANNAN
GIRVAN
MOFFAT
LANARKIRVINE PEEBLES
LANGHOLM
SANQUHAR
LOCKERBIE
STRANRAER DALBEATTIE
WIGTOWN KIRKCUDBRIGHT
CASTLE DOUGLAS
0 6 123 Miles
This profile is one of 30 Community Health Partnership (CHP) area profiles compiled by the Scottish Public Health Observatory (ScotPHO) Team at the Information Services Division (ISD) of NHS National Services Scotland. The profiles comprise 61 indicators of health (e.g. ill-health & injury and mortality) and wider determinants of health (e.g. education, employment & prosperity and environment). They build on the 2004 community health profiles previously published by NHS Health Scotland.
Dumfries & Galloway CHP at a Glance
ScotPHO - Health and Wellbeing Profiles 2008 Page 2 of 12
Population Profile
Mortality
Substance Use
Crime and Environment
Dumfries & Galloway CHP has an estimated total population of 148,030. The percentage of the population who are of working age is the second lowest of the 40 CHPs in Scotland. The percentage aged 65 and over is the highest of any CHP. Male and female life expectancies are better than the Scotland average. The area has a 0.7% ethnic minority population (2001 Census), which is significantly lower than the Scotland average (2.0%).
All-cause mortality (all ages), and the mortality rate from cancer (under-75s), are significantly better than the Scotland average. Early mortality from heart disease is the second lowest of any CHP.
An estimated 25.6% of adults smoke, compared to 27.3% in Scotland as a whole. There have been 143 alcohol related deaths in the last five years, a death rate significantly better than (below) the Scotland average. The proportion of the population hospitalised for alcohol related and attributable causes is amongst the lowest of any CHP. The proportion of the population hospitalised for drug related conditions is also better than average, with 211 patients discharged from hospital over the last three years.
The CHP has a significantly better (lower) than average incidence of cancer. For patients with heart disease and stroke, emergency admission patients, and multiple admission patients aged 65 years and over, the proportions of the population hospitalised are significantly better than the Scotland average. In contrast, the road traffic accident casualty rate is significantly worse than the Scotland average. Expected years of life in good health are 68.8 for males and 72.3 for females (Scotland 66.3 and 70.2 respectively). With the exception of adults with ‘limiting long-term illness’ (2001 Census) where the CHP figure is 20.6% compared to a Scotland average of 20.3%, the area is either significantly better than, or not significantly different to, Scotland on all mental health & function indicators.
In Dumfries & Galloway CHP, 46.0% of older people with intensive care needs are cared for at home, rather than in care homes or geriatric long-stay hospital beds (Scotland 29.2%). At the 2001 Census, lone pensioner households accounted for 16.6% of total households (Scotland 15.0%), and 3.7% of the population were providing unpaid care for over 20 hours per week (Scotland 3.5%).
Dumfries and Galloway CHP has a significantly better (lower) than average percentage of people living in the 15% ‘most deprived’ areas of Scotland. This is reflected in the education, employment & prosperity indicators, with the area rating significantly better than, or not significantly different to, the Scotland average on all indicators.
The crime rate is significantly better (lower) than the Scotland average, and the assault hospital patient rate is better (lower) than average. Fewer than 9% of the population live within 500m of a derelict site (Scotland 27.3%). This is a partly rural CHP, with 38.5% of the population living in the 15% ‘most access deprived’ areas in Scotland (Scotland average 15.0%).
The percentage of mothers smoking during pregnancy is slightly worse than average, and the percentage of babies exclusively breastfed is significantly worse (lower) than average (25.4%, compared to 27.1%). However, immunisation uptake rates at 24 months, unintentional injuries in children in the home, and the percentage of low birthweight babies, are all significantly better than the Scotland average.
Ill Health & Injury and Mental Health & Function
Education, Employment & Prosperity
Child & Maternal Health
Social Care & Housing
Notes:
1. For presentational purposes, these indicators have been arbitrarily assigned to ‘worse’ if the proportion is below the Scottish average. 2. Three-year combined number, and 3-year average annual measure.
3. Five-year combined number, and 5-year average annual measure. 4. Data available down to local authority level only.
Key: n/a= data not available, or cannot be calculated. In addition, where the figures are based on small numbers, range rather than actual number is shown (see technical report for disclosure
rules). cr = crude rate per 100,000 population; cr2 = crude rate per 1,000 population; sr = age-sex standardised rate per 100,000 population; yrs = years; % = percent; mean = average.
See the detailed Definitions and Sources table for indicator information and Technical Report (on the web) for further guidance on interpreting the spine.
Dumfries & Galloway CHP Health Summary
ScotPHO - Health and Wellbeing Profiles 2008 Page 3 of 12
This chart compares the local value for each indicator to the Scottish average and range for all CHPs.
Statistically significantly 'worse' than Scottish average
Statistically not significantly different from Scottish average
Statistically significantly 'better' than Scottish average
Scotland Average
25th Percentile 75th Percentile
'Worse' Area 'Better' Area
No significance can be calculated
Domain Number Measure TypeScot.
Average'Worst' 'Best'
1 Population 0-15 years 1 25,731 17.4 % 18.0
2 Population 16-64 years 1 91,755 62.0 % 65.6
3 Population 65+ 1 30,544 20.6 % 16.4
4 Life expectancy - males 3 n/a 75.7 yrs 73.9
5 Life expectancy - females 3 n/a 80.0 yrs 79.1
6 Live births 1 1,454 9.8 cr2 10.8
7 Deaths all ages 2 5,461 678.1 sr 745.6
8 Early deaths from heart disease (< 75s) 2 318 52.0 sr 80.3
9 Early deaths from cancer (< 75s) 2 758 127.0 sr 140.8
10 Early deaths from stroke (< 75s) 2 68 10.8 sr 12.4
11 Estimated smokers (16+) 30,677 25.6 % 27.3
12 Alcohol related and attributable hospital patients 2 3,441 628.2 sr 859.7
13 Alcohol related deaths 3 143 15.3 sr 27.4
14 Drug related hospital patients 2 211 67.2 sr 77.6
15 Patients registered with cancer 2 2,678 400.5 sr 420.5
16 Heart disease hospital patients 2 3,522 501.2 sr 710.5
17 Stroke hospital patients 2 847 104.8 sr 126.7
18 Emergency admission hospital patients 2 26,567 5,119.9 sr 6,230.6
19 Multiple admission hospital patients aged 65+ 2 2,878 2,981.1 sr 4,173.3
20 Patients prescribed statins 29,379 19.3 % 18.2
21 Road traffic accident casualties - all ages 2 382 94.6 sr 83.7
22 Unintentional injuries in the home - patients aged 65+ 2 1,163 1,282.5 cr 2,170.6
23 Expected years of life in good health - males 3 n/a 68.8 yrs 66.3
24 Expected years of life in good health - females 3 n/a 72.3 yrs 70.2
25 Patients prescribed drugs for anxiety/depression/psychosis 12,011 7.9 % 8.1
26 Self-assessed health 'not good' 14,078 9.5 % 10.2
27 Psychiatric hospital patients 2 1,202 762.2 sr 791.7
28 Deaths from suicide 3 80 11.0 sr 10.9
29 Adults claiming incapacity benefit/severe disability allowance 7,510 6.1 % 7.4
30 Adults with limiting long-term illness 30,460 20.6 % 20.3
31 Lone pensioner households 10,578 16.6 % 15.0
32 Providers of unpaid care > 20 hrs per week 5,452 3.7 % 3.5
33 Older people 65+ receiving free personal care at home 4 1,384 4.5 % 4.8
34 Older people with intensive care needs cared for at home 4 736 46.0 % 29.2
35 Households assessed as homeless 4 1,066 1.6 % 1.8
36 Households in extreme fuel poverty 4 6,000 8.2 % 5.9
37 Average tariff score of all pupils on the S4 roll 1,817 188.7 mean 171.7
38 School children registered for free school meals 2,136 10.4 % 15.8
39 Primary school attendance n/a 96.4 % 95.3
40 Working age adults without educational qualifications 4 n/a 13.8 % 13.8
41 Population income deprived 17,112 11.6 % 13.9
42 Working age population employment deprived 9,885 11.4 % 12.9
43 Working age population claiming Jobseekers allowance 2,315 2.7 % 2.8
44 Lone parents claiming income support 1,315 14.3 cr2 19.0
45 60+ population claiming pension credit 6,800 16.7 % 19.7
46 People living in 15% 'most deprived' areas in Scotland 8,617 5.8 % 15.0
47 Crime 7,021 47.5 cr2 53.5
48 Assault patients 2 216 60.5 sr 112.8
49 Population within 500 metres of derelict site 12,561 8.5 % 27.3
50 Average house price (£s) 3,740 125,679 mean 133,872
51 Adults rating neighbourhood as good place to live 4 n/a 95.0 % 93.0
52 People living in 15% most 'access deprived' areas 57,009 38.5 % 15.0
53 Teenage pregnancies 2 323 39.7 cr2 41.0
54 Mothers smoking during pregnancy 2 999 25.4 % 24.3
55 Low weight live births 2 64 1.8 % 2.5
56 Babies exclusively breastfed at 6-8 weeks 2 1,058 25.4 % 27.1
57 Immunisation uptake at 24 months -MMR 2 3,970 94.1 % 90.3
58 Immunisation uptake at 24 months - all excl MMR 2 4,146 98.2 % 96.0
59 Child dental health in primary 1 577 56.3 % 54.8
60 Child obesity in primary 1 n/a 7.8 % 9.1
61 Unintentional injuries in the home - patients < 15 2 511 704.8 cr 1,123.5
Scotland Average
Mortality
Substance
use
Crime
Environment
Child & M
aternal
Health
Indicator
Ill Health & Injury
Mental Health &
Function
Social Care &
Housing
Education, Employment &
Prosperity
Population Profile
5th Percentile 95th Percentile
Number
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
100,000
1996 2001 2006 2011 2016 2021 2026
Year
0-15 years 16-64 years 65+
Life expectancy in
years
66.0
68.0
70.0
72.0
74.0
76.0
78.0
80.0
82.0
84.0
1994-1998 1996-2000 1999-2003 2001-2005
Year
Life expectancy in
years
66.0
68.0
70.0
72.0
74.0
76.0
78.0
80.0
82.0
84.0
1994-1998 1996-2000 1999-2003 2001-2005
Year
Age-sex standardised rate per 100,000
pop’n
0
100
200
300
400
500
600
700
800
900
1,000
97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06
Year
Dumfries & Galloway CHP Trends (Key Indicators)
ScotPHO - Health and Wellbeing Profiles 2008 Page 4 of 12
Time trends and ranks for other indicators and geographies are on the ScotPHO website
Population, and Population Projections, by Age Group
Male Life Expectancy
Female Life Expectancy
Alcohol Related and Attributable Hospital Patients
Scotland95% Confidence Interval
Dumfries & Galloway CHP
Figure 1a
Figure 2a
Figure 3a
Figure 4a
Note: No Scotland figures shown
Age-sex standardised rate per
100,000 pop’n
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
East
Dunbartonshire
Angus CHP
East Renfrewshire
CHP
Falkirk CHP
Glenrothes &
North East Fife
Dumfries &
Galloway CHP
Aberdeenshire
CHP
Stirling CHP
East Lothian CHP
Clackmannanshire
CHP
Edinburgh CHP
Midlothian CHP
Perth & Kinross
CHP
South Lanarkshire
CHP
Dunfermline &
West Fife CHP
Moray CHP
West Lothian CHP
Scottish Borders
CHP
Dundee CHP
Kirkcaldy &
Levenmouth CHP
Argyll & Bute CHP
Renfrewshire CHP
Shetland CHP
North Lanarkshire
CHP
Aberdeen City
CHP
West Glasgow
CHP
West
Dunbartonshire
South East
Highland CHP
Orkney CHP
North Highland
CHP
North Ayrshire
CHP
Mid Highland CHP
East Ayrshire CHP
South Ayrshire
CHP
Inverclyde CHP
North Glasgow
CHP
South West
Glasgow CHP
South East
Glasgow CHP
Western Isles CHP
East Glasgow
CHP
Life expectancy in years
66
68
70
72
74
76
78
80
82
84
North Glasgow
CHP
East Glasgow
CHP
South West
Glasgow CHP
South East
Glasgow CHP
West
Dunbartonshire
North Lanarkshire
CHP
Inverclyde CHP
West Glasgow
CHP
East Ayrshire CHP
Dundee CHP
West Lothian CHP
Renfrewshire CHP
Clackmannanshire
CHP
North Ayrshire
CHP
Dunfermline &
West Fife CHP
South Lanarkshire
CHP
Falkirk CHP
Midlothian CHP
North Highland
CHP
Kirkcaldy &
Levenmouth CHP
Angus CHP
South Ayrshire
CHP
Stirling CHP
Western Isles CHP
Aberdeen City
CHP
South East
Highland CHP
Dumfries &
Galloway CHP
Moray CHP
Argyll & Bute CHP
East Lothian CHP
Edinburgh CHP
Scottish Borders
CHP
Mid Highland CHP
Perth & Kinross
CHP
Glenrothes &
North East Fife
East
Dunbartonshire
Shetland CHP
Aberdeenshire
CHP
East Renfrewshire
CHP
Orkney CHP
Percentage
54
56
58
60
62
64
66
68
70
72
74
Western Isles CHP
Dumfries &
Galloway CHP
North Highland
CHP
East Lothian CHP
Scottish Borders
CHP
East Renfrewshire
CHP
Angus CHP
Perth & Kinross
CHP
Argyll & Bute CHP
South Ayrshire
CHP
Kirkcaldy &
Levenmouth CHP
East
Dunbartonshire
Orkney CHP
North Ayrshire
CHP
Mid Highland CHP
Moray CHP
Shetland CHP
Midlothian CHP
Inverclyde CHP
Stirling CHP
East Ayrshire CHP
Aberdeenshire
CHP
South East
Highland CHP
Dundee CHP
South Lanarkshire
CHP
Falkirk CHP
Dunfermline &
West Fife CHP
Clackmannanshire
CHP
Renfrewshire CHP
West
Dunbartonshire
North Lanarkshire
CHP
Glenrothes &
North East Fife
South West
Glasgow CHP
East Glasgow
CHP
West Lothian CHP
North Glasgow
CHP
Aberdeen City
CHP
South East
Glasgow CHP
Edinburgh CHP
West Glasgow
CHP
Life expectancy in years
66
68
70
72
74
76
78
80
82
84
North Glasgow
CHP
East Glasgow
CHP
South West
Glasgow CHP
West Glasgow
CHP
Inverclyde CHP
West
Dunbartonshire
South East
Glasgow CHP
Western Isles CHP
North Lanarkshire
CHP
Renfrewshire CHP
Dundee CHP
Clackmannanshire
CHP
East Ayrshire CHP
North Ayrshire
CHP
Kirkcaldy &
Levenmouth CHP
West Lothian CHP
Falkirk CHP
South Lanarkshire
CHP
Aberdeen City
CHP
South Ayrshire
CHP
Dunfermline &
West Fife CHP
Midlothian CHP
North Highland
CHP
South East
Highland CHP
Moray CHP
Shetland CHP
Edinburgh CHP
Angus CHP
Argyll & Bute CHP
Mid Highland CHP
Dumfries &
Galloway CHP
East Lothian CHP
Orkney CHP
Scottish Borders
CHP
Stirling CHP
Glenrothes &
North East Fife
East Renfrewshire
CHP
Aberdeenshire
CHP
Perth & Kinross
CHP
East
Dunbartonshire
Dumfries & Galloway CHP Ranks (Key Indicators)
ScotPHO - Health and Wellbeing Profiles 2008 Page 5 of 12
Time trends and ranks for other indicators and geographies are on the ScotPHO website
Population of Working Age (16-64)
Male Life Expectancy
Female Life Expectancy
Alcohol Related and Attributable Hospital Patients
Figure 1b
Figure 2b
Figure 3b
Figure 4b
Scotland95% Confidence Interval
Age-sex standardised rate per 100,000
pop’n
0
100
200
300
400
500
600
700
800
900
1,000
96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06
Year
Age-sex standardised rate per 100,000
pop’n
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
96-98 97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06
Year
% of working age
population
0.0
1.0
2.0
3.0
4.0
5.0
6.0
2000 2001 2002 2003 2004 2005 2006 2007
Year
% babies exclusively breastfed at 6-8
weeks
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
97-99 98-00 99-01 00-02 01-03 02-04 03-05 04-06
Year
Dumfries & Galloway CHP Trends (Key Indicators)
ScotPHO - Health and Wellbeing Profiles 2008 Page 6 of 12
Time trends and ranks for other indicators and geographies are on the ScotPHO website
Heart Disease Hospital Patients
Emergency Admission Hospital Patients
Working Age Population Claiming Jobseekers Allowance
Breastfeeding
Figure 5a
Figure 6a
Figure 7a
Figure 8a
Scotland95% Confidence Interval
Dumfries & Galloway CHP
% babies exclusively breastfed at 6-8
weeks
0
5
10
15
20
25
30
35
40
45
50
Aberdeen City
CHP
North Highland
CHP
Mid Highland CHP
Moray CHP
South East
Highland CHP
Orkney CHP
Shetland CHP
Western Isles CHP
Aberdeenshire
CHP
East Glasgow
CHP
West
Dunbartonshire
Inverclyde CHP
North Lanarkshire
CHP
North Ayrshire
CHP
Falkirk CHP
Clackmannanshire
CHP
South West
Glasgow CHP
Dundee CHP
Renfrewshire CHP
East Ayrshire CHP
South Lanarkshire
CHP
North Glasgow
CHP
Kirkcaldy &
Levenmouth CHP
Dumfries &
Galloway CHP
West Lothian CHP
South Ayrshire
CHP
Dunfermline &
West Fife CHP
Angus CHP
Midlothian CHP
Glenrothes &
North East Fife
Argyll & Bute CHP
South East
Glasgow CHP
West Glasgow
CHP
Stirling CHP
East Lothian CHP
Scottish Borders
CHP
East
Dunbartonshire
Perth & Kinross
CHP
East Renfrewshire
CHP
Edinburgh CHP
% of working age population
0
1
2
3
4
5
6
Aberdeenshire
CHP
East Lothian CHP
Orkney CHP
East Renfrewshire
CHP
Aberdeen City
CHP
Shetland CHP
East
Dunbartonshire
Scottish Borders
CHP
Perth & Kinross
CHP
South East
Highland CHP
Stirling CHP
Midlothian CHP
Edinburgh CHP
Mid Highland CHP
Glenrothes &
North East Fife
Moray CHP
West Lothian CHP
South Lanarkshire
CHP
Angus CHP
Argyll & Bute CHP
Falkirk CHP
Dumfries &
Galloway CHP
Renfrewshire CHP
North Lanarkshire
CHP
South Ayrshire
CHP
Clackmannanshire
CHP
North Highland
CHP
Dunfermline &
West Fife CHP
West Glasgow
CHP
Western Isles CHP
South East
Glasgow CHP
South West
Glasgow CHP
East Ayrshire CHP
Dundee CHP
West
Dunbartonshire
Inverclyde CHP
East Glasgow
CHP
North Glasgow
CHP
North Ayrshire
CHP
Kirkcaldy &
Levenmouth CHP
Age-sex standardised rate per
100,000 pop’n
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
East
Dunbartonshire
East Renfrewshire
CHP
Edinburgh CHP
Dumfries &
Galloway CHP
East Lothian CHP
Moray CHP
Aberdeenshire
CHP
Orkney CHP
Angus CHP
Glenrothes &
North East Fife
Shetland CHP
Midlothian CHP
Perth & Kinross
CHP
Argyll & Bute CHP
Dunfermline &
West Fife CHP
Clackmannanshire
CHP
Falkirk CHP
West Glasgow
CHP
West
Dunbartonshire
Stirling CHP
South Lanarkshire
CHP
South East
Highland CHP
Kirkcaldy &
Levenmouth CHP
West Lothian CHP
Renfrewshire CHP
Mid Highland CHP
North Highland
CHP
Western Isles CHP
South East
Glasgow CHP
South Ayrshire
CHP
Scottish Borders
CHP
Aberdeen City
CHP
North Ayrshire
CHP
North Lanarkshire
CHP
East Ayrshire CHP
Inverclyde CHP
South West
Glasgow CHP
Dundee CHP
North Glasgow
CHP
East Glasgow
CHP
Age-sex standardised rate per
100,000 pop’n
0
200
400
600
800
1,000
1,200
Dumfries &
Galloway CHP
East Renfrewshire
CHP
East
Dunbartonshire
Shetland CHP
Aberdeenshire
CHP
Edinburgh CHP
Glenrothes &
North East Fife
Clackmannanshire
CHP
Orkney CHP
Perth & Kinross
CHP
East Lothian CHP
Stirling CHP
Argyll & Bute CHP
Angus CHP
Dunfermline &
West Fife CHP
Aberdeen City
CHP
Moray CHP
Kirkcaldy &
Levenmouth CHP
West Lothian CHP
West Glasgow
CHP
Scottish Borders
CHP
South Ayrshire
CHP
Mid Highland CHP
North Highland
CHP
South West
Glasgow CHP
Midlothian CHP
North Ayrshire
CHP
South Lanarkshire
CHP
Renfrewshire CHP
Falkirk CHP
Dundee CHP
South East
Highland CHP
West
Dunbartonshire
South East
Glasgow CHP
East Ayrshire CHP
North Glasgow
CHP
North Lanarkshire
CHP
Western Isles CHP
East Glasgow
CHP
Inverclyde CHP
Dumfries & Galloway CHP Ranks (Key Indicators)
ScotPHO - Health and Wellbeing Profiles 2008 Page 7 of 12
Time trends and ranks for other indicators and geographies are on the ScotPHO website
Heart Disease Hospital Patients
Emergency Admission Hospital Patients
Working Age Population Claiming Jobseekers Allowance
Breastfeeding
Figure 5b
Figure 6b
Figure 7b
Figure 8b
Scotland95% Confidence Interval
Note: data not available for all areas
Definitions and Sources
ScotPHO - Health and Wellbeing Profiles 2008 Page 8 of 12
NB: more details on methodology and definitions are available in our technical report, available on the ScotPHO website at
www.scotpho.org.uk/profiles.
Indicator
No. Description Definition Time Period Source1
1-3 Population Number and percentage of total population in
each age band (0 –15 yrs; 16-64; 65+).
The time trend graph shows population
estimates for 1996-2006, and projected
numbers (for local authorities only) to 2026
(using GROS 2006-based population
projections).
Percentage of total population from a minority
ethnic group (included in commentary only).
1996 to 2006
2006 to 2026
2001
GROS
Census
4-5 Life expectancy Estimated average male and female life
expectancy at birth in years (using Chiang (II)
method).*
1994-98 to
2001-05
GROS
6 Live births Annual live births expressed as a number and
rate per 1,000 population.
2006 GROS
7-10 Deaths Deaths from all causes (all ages), heart
disease, cancer and stroke (under 75s); 3-year
total number and 3-year average directly age-
sex standardised rate per 100,000 population
per year.*
2004-06 GROS
11 Estimated
smokers (16+)
Modelled estimate of smoking prevalence,
expressed as a number and percentage of the
adult population.*
2003-04 NHS Health Scotland
12 Alcohol related
and attributable
hospital patients
No. of patients discharged from hospital
(annually) with alcohol related and attributable
conditions: 3-year total number and 3-year
average directly age-sex standardised rate per
100,000 population per year.*
1997-99 to
2004-06
ISD Scotland
(SMR1/01, Linked
Database)
13 Alcohol related
deaths
Total no. of deaths from alcohol related causes
(all ages) over 5 years and 5-year average
directly age-sex standardised rate per 100,000 population per year.*
2002-06 GROS
14 Drug related
hospital patients
Total no. of patients discharged from hospital
with drug related conditions over 3 years and
3-year average directly age-sex standardised
rate per 100,000 population per year.*
2004-06 ISD Scotland
(SMR1/01, Linked
Database)
15 Patients
registered with
cancer
Patients registered with cancer expressed as 3
year total number and 3-year average directly
age-sex standardised rate per 100,000
population per year.*
2002-04 ISD Scotland,
Scottish Cancer
Registry (SMR06)
16-19 Hospital patients Patients discharged from hospital (annually) in
particular circumstances and for specific
conditions (heart disease, stroke, emergency
admission, and multiple admission 65+),
expressed as 3-year total number and 3-year
average directly age-sex standardised rate per
100,000 population per year.
1996-98 to
2004-06
ISD Scotland
(SMR1/01, Linked
Database)
20 Patients
prescribed
statins
Estimated number and percentage of
population being prescribed statin drugs*. In
the spine chart this indicator is assigned to
'worse' if percentage is below the Scottish
average. However, when assessing whether a
particular level of use is appropriate, users should take account of local factors such as
age, deprivation and levels of CHD.
2006 ISD Scotland
(Prescribing
Information
System), CHI extract
*see technical report (at www.scotpho.org.uk/profiles) for more detail 1 In some cases this indicates the source of original raw datasets, with that data then manipulated by ISD to calculate required measures
(e.g. life expectancy at birth, mortality).
Definitions and Sources
ScotPHO - Health and Wellbeing Profiles 2008 Page 9 of 12
Indicator
No. Description Definition Time Period Source
21 Road traffic
accident casualties – all ages
Patients discharged from hospital (annually)
after a road traffic accident emergency admission, expressed as 3-year total number and 3-year average directly age-sex
standardised rate per 100,000 population per year.
2004-06 ISD Scotland
(SMR01)
22 Unintentional injuries in the home – patients
65+
Patients aged 65+ discharged from hospital (annually) after an emergency admission due to accident in the home: 3-year total number
and 3-year average crude rate per 100,000 population per year.
2004-06 ISD Scotland (SMR01)
23-24 Expected years of life in good health
Estimated average male and female healthy life expectancy at birth in years (using the Sullivan method)*.
1999-2003 GROS and 2001 Census
25 Patients prescribed drugs
for anxiety, depression or psychosis
Estimated number and percentage of population being prescribed drugs for anxiety,
depression or psychosis.*
2006 ISD Scotland (Prescribing
Information System), CHI extract
26 Self-assessed health
Number and percentage of population who rated their health as ‘not good’.
2001 Census
27 Psychiatric hospital patients
Total no. of people discharged from psychiatric hospitals during the 3-year period and 3-year
directly age-sex standardised rate per 100,000 population per year.
2002-04 ISD Scotland (SMR4)
28 Deaths from suicide
Deaths from suicide (all ages), expressed as 5-year total number and 5-year average directly age-sex standardised rate per 100,000 population per year.*
2002-06 GROS
29 Adults claiming
incapacity benefit/SDA
No. and percentage of all adults aged 16+
claiming incapacity benefit/severe disability allowance (SDA), .
2007
(Quarter ending February)
DWP
/SNS
30 Adults with limiting long-
term illness
Number and percentage of all adults with a limiting long-term illness, health problem or
disability which limits their daily activities or
the work they can do; includes problems due to old age.
2001 Census
31 Lone pensioner households
Lone pensioner households expressed as a number and as a percentage of all households.
2001 Census
32 Providers of unpaid care > 20 hrs per week
No. and percentage of all adults providing any unpaid care > 20 hrs per week.
2001 Census
33 Older people
65+ receiving free personal care at home
No. and percentage of all people aged 65+ who
receive free personal care services at home. In the spine chart this indicator is assigned to 'worse' if proportion is below the Scottish average.
2006/07
(year ending 31st March)
SG- Community Care
Statistics
34 Older people with intensive
care needs cared for at home
Taking all people aged 65+ and with intensive care needs as the denominator: the number
and percentage who are supported at home. Intensive care needs are defined as: receiving 10+ hrs of home care per week; long-stay supported care home residents aged 65+; or
residents 65+ in long-stay geriatric hospital
beds. In the spine chart this indicator is assigned to 'worse' if percentage is below the Scottish average.
2005/06 (year ending
31st March)
SG- Community Care Statistics
35 Households assessed as
homeless
Households categorised as homeless (based on applications to local authorities under the
Homeless Persons Legislation) – number and percentage of all households.
2006/07 (year ending
31st March)
SG- Housing Statistics
* see technical report (at www.scotpho.org.uk/profiles) for more detail
Definitions and Sources
ScotPHO - Health and Wellbeing Profiles 2008 Page 10 of 12
Indicator
No. Description Definition Time Period Source
36 Fuel poverty Percentage of all households that suffer
‘extreme fuel poverty’: defined as having to spend over 20% of household income on fuel (4-year average).
2003-6 SHCS
37 Average tariff score – S4
Average tariff score (pupil attainment) of all pupils enrolled in stage S4 of publicly funded
secondary schools.*
2006/07 (school year)
SNS/SG
38 Free school meals
Number (and percentage of all pupils) who are registered for free school meals (in primary and secondary schools).
2006/07 (school year)
SNS/SG
39 Primary school attendance
Primary school attendance rate – number attending and percentage of all pupils (based on pupil residence).
2006/07 (school year)
SNS/SG
40 Adults with no qualifications
Number and percentage of all working age adults who are without educational
qualifications.
2006 SNS/APS
41 Income deprived Adults defined as ‘income deprived’ expressed as a number and percentage of the total population.
2005 SIMD2006, SG
42 Employment deprived
Adults defined as ‘employment deprived’ expressed as a number and percentage of the working age population (16-64).
2005 SIMD2006, SG
43 Working age
population
claiming Job- seekers allowance
Population of working age in receipt of JSA:
number and percentage of total working age
population (16-64).
2007(Quarter
ending
February)
DWP
/SNS
44 Lone parents
claiming income support
Lone parents in receipt of income support –
total number and rate per 1,000 population aged 16-64.
2007(Quarter
ending February)
DWP
/SNS
45 Population 60+ claiming pension
credit
Number and percentage of population aged 60+ claiming pension credit.
2007(Quarter ending
February)
DWP/SNS
46 People living in 15% 'most deprived' areas in Scotland.
Number and percentage of total population living in 15% ‘most deprived’ areas (data zones) in Scotland.*
2006 SIMD2006, SG
47 Crime Number of crimes (based on SIMD crimes of violence; drug offences; domestic house
breaking; minor assault; and vandalism) and rate per 1,000 population.
2004 SIMD2006, SG
48 Assault patients Assault patients discharged from hospital (annually), expressed as a 3-year total number and 3-year average directly age-sex standardised rate per 100,000 population per year.*
2004-06 ISD Scotland (SMR1/01)
49 Population
within 500m derelict site
Number and percentage of total population
living within 500 metres of a derelict site.
2007 SVDLS/SNS
50 House price Annual average house sale price (in pounds Sterling).
2006 SNS/ROS
51 Adults rating neighborhood as ‘good place to live’
Percentage of all adults rating their neighbourhood a ‘very’ or ‘fairly’ good place to live.
2005/06 SHS
52 People living in
15% most 'access deprived' areas
Number and percentage of total population
living in 15% most ‘access deprived’ areas (data zones) in Scotland.
2006 SIMD2006, SG
* see technical report (at www.scotpho.org.uk/profiles) for more detail
Definitions and Sources
ScotPHO - Health and Wellbeing Profiles 2008 Page 11 of 12
Indicator
No. Description Definition Time Period Source
53 Teenage
pregnancies
Teenage (<18 years) pregnancies expressed as
a number (3-year total) and 3-year average
crude rate per 1,000 females aged 15-17 per year. Data not available for all areas.*
2003-05 ISD Scotland
(SMR02)
54 Smoking during
pregnancy
Women recorded as a ‘current smoker’ at
antenatal booking appointment, expressed as a
number (3-year total) and percentage of all women attending booking appointments.
2002-04 ISD Scotland
(SMR02)
55 Low weight live births
Low weight live full-term singleton births (<2,500g), expressed as a number (3-year total) and percentage of all live singleton
births.
2002-04 ISD Scotland (SMR02)
56 Breastfeeding at 6-8 weeks
Babies being exclusively breastfed at 6-8 week review, expressed as a number (3-year total) and percentage of all those seen at 6-8 week review. Data not available for all areas.*
1997-99 to 2004-06
CHSP-PS
57-58 Immunisation uptake
Immunisation uptake at 24 months for Diphtheria, Pertussis, Tetanus, Polio, Hib, and - separately - MMR (measles, mumps and rubella), expressed as a number (3-year total) and percentage of children of this age.
2004-06 SIRS
59 Dental health in P1
Primary 1 children receiving a ‘Category C’ letter from Basic Inspection ("No obvious decay experience, but child should continue to see the family dentist on a regular basis.") – number and percentage of all primary 1
children.
2006/07 (school year)
NDIP Basic
60 Obesity in P1 Children whose BMI is within the top 5% of the 1990 UK reference range for their age and sex – percentage of the total cohort. Data not available for all areas*
2005/06 (school year)
CHSP-S
61 Unintentional injuries in the home - <15s
Number of patients aged under 15 discharged from hospital (annually) after an emergency admission due to an accident in the home: 3-year total number and 3-year average crude rate per 100,000 population per year.*
2004-06 ISD Scotland (SMR01)
Abbreviations
APS: Annual Population Survey
BMI: Body Mass Index
CHI: Community Health Index CHSP-PS: Child Health Systems Programme – Pre-school Children CHSP-S: Child Health Systems Programme – School aged Children DWP: Department for Work and Pensions GROS: General Register Office for Scotland ISD: Information Services Division (of NHS Scotland) NDIP: National Dental Inspection Programme
ROS: Registers of Scotland SDA: Severe Disability Allowance SG: Scottish Government SHCS: Scottish House Conditions Survey SHS: Scottish Household Survey
SIMD2006: Scottish Index of Multiple Deprivation 2006 SIRS: Scottish Immunisation Recall System
SMR01/02/04: Scottish Morbidity Records SNS: Scottish Neighbourhood Statistics SVDLS Scottish Vacant and Derelict Land Survey
* see technical report (at www.scotpho.org.uk/profiles) for more detail
Further information
ScotPHO - Health and Wellbeing Profiles 2008 Page 12 of 12
Acknowledgements :
Members of the ISD ScotPHO team who were involved with the production of these profiles : Alison Burlison, Dr Colin Fischbacher,
Andy Gasiorowski, Linsey Galbraith , Ian Grant , Cheryl Heeley , Rosalia Munoz-Arroyo and Dr Diane Stockton .
Everyone who provided data for inclusion in the profiles .
Members of the Profiles Project Board .
Everyone who took part in the profiles consultations , and/or provided comment on the draft profiles .
Dataworx Solutions Ltd for graphic design and profile production automation .
For further information on this profile and the wider Health and Wellbeing Profiles Project
please contact :
ISD ScotPHO Team :
email: [email protected]
fax: 0131 275 7511
Linsey Galbraith :
tel: 0131 275 6227
Rosalia Munoz-Arroyo :
Tel: 0131 275 6619
Published by:
ScotPHO (Scottish Public Health Observatory) Team
Information Services Division (ISD) Scotland
Gyle Square
1 South Gyle Crescent
EDINBURGH
EH12 9EB
Acknowledgements:
Members of the ISD ScotPHO team who were involved with the production of these profiles: Alison Burlison, Dr Colin Fischbacher, Andy
Gasiorowski, Linsey Galbraith, Ian Grant, Cheryl Heeley, Rosalia Munoz-Arroyo and Dr Diane Stockton.
Everyone who provided data for inclusion in the profiles.
Members of the Profiles Project Board.
Everyone who took part in the profiles consultations, and/or provided comment on the draft profiles.
Dataworx Ltd for graphic design and profile production automation.
For further information on this profile and the wider Health and Wellbeing Profiles Project
please contact:
ISD ScotPHO Team :
email: [email protected]
fax: 0131 275 7511
Linsey Galbraith :
tel: 0131 275 6227
Rosalia Munoz-Arroyo :
Tel: 0131 275 6619
Dataworx:
Adrian Watson
email: [email protected]
Published by:
ScotPHO (Scottish Public Health Observatory) Team
Information Services Division (ISD) Scotland
Gyle Square
1 South Gyle Crescent
EDINBURGH
EH12 9EB
