4
This is one of 22 profiles produced for each local authority in Wales comparing outcomes and their trends in the most and least deprived areas in the local authority. A Wales profile has also been produced and contains more detailed analysis and background information. 62.1 61.5 67.2 66.5 81.9 80.8 60.3 59.7 64.7 64.0 76.9 75.6 6.3 5.9 9.1 8.8 10.7 10.6 5.1 4.2 7.2 6.3 5.2 4.3 Life expectancy Healthy life expectancy Disability-free life expectancy Life expectancy Healthy life expectancy Disability-free life expectancy Males Females Life expectancy in Pembrokeshire, as in Wales in general, is increasing. However, this improvement is not experienced equally across all areas. There are in many cases substantial national and local inequality gaps between the most and least deprived areas in both life expectancy and deaths from different causes. There are also inequalities in the quality of life in terms of healthy life expectancy and disability-free life expectancy. The Slope Index of Inequality (SII) measures the absolute gap in years of life expectancy between the most and least deprived, taking into account the pattern across all fifths of deprivation within the Local Authority. The SII shows, for example, that the gap in life expectancy in males between the most and least deprived fifth is about 6 years. When considering healthy life expectancy the gap is greater at around 9 years. 2001-05 2005-09 Life expectancy with 95% confidence interval Inequality gap (SII in years) Comparison of life expectancy, healthy life expectancy and disability-free life expectancy at birth, Pembrokeshire 2001-05 and 2005-09 Trends in mortality and life expectancy in Pembrokeshire Measuring inequalities

Measuring inequalities - wales.nhs.uk€¦ · Measuring inequalities Trends in mortality and life expectancy in Pembrokeshire All-cause mortality, all ages Males 1.4 1.5 1.4 1.4 1.3

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Page 1: Measuring inequalities - wales.nhs.uk€¦ · Measuring inequalities Trends in mortality and life expectancy in Pembrokeshire All-cause mortality, all ages Males 1.4 1.5 1.4 1.4 1.3

This is one of 22 profiles produced for each local authority in Wales comparing outcomes and their trends in the most and least deprived areas in the local authority. A Wales profile has also been produced and contains more detailed analysis and background information.

62.1 61.5

67.2 66.5

81.9 80.8

60.3 59.7

64.7 64.0

76.9 75.6 6.3

5.9

9.1 8.8

10.710.6

5.14.2

7.26.3

5.24.3

Life expectancy

Healthy life expectancy

Disability-free life expectancy

Life expectancy

Healthy life expectancy

Disability-free life expectancy

Males

Females

Life expectancy in Pembrokeshire, as in Wales in general, is increasing. However, this improvement is not experienced equally across all areas. There are in many cases substantial national and local inequality gaps between the most and least deprived areas in both life expectancy and deaths from different causes. There are also inequalities in the quality of life in terms of healthy life expectancy and disability-free life expectancy.

The Slope Index of Inequality (SII) measures the absolute gap in years of life expectancy between the most and least deprived, taking into account the pattern across all fifths of deprivation within the Local Authority. The SII shows, for example, that the gap in life expectancy in males between the most and least deprived fifth is about 6 years. When considering healthy life expectancy the gap is greater at around 9 years.

2001-05 2005-09 Life expectancy with 95% confidence interval

Inequality gap (SII in years)

Comparison of life expectancy, healthy life expectancy and disability-free life expectancy at birth, Pembrokeshire 2001-05 and 2005-09

Trends in mortality and life expectancyin Pembrokeshire

Measuring inequalities

Page 2: Measuring inequalities - wales.nhs.uk€¦ · Measuring inequalities Trends in mortality and life expectancy in Pembrokeshire All-cause mortality, all ages Males 1.4 1.5 1.4 1.4 1.3

Trends in mortality and life expectancy in PembrokeshireMeasuring inequalities

All-cause mortality, all ages

Males

1.4 1.5 1.4 1.4 1.3 1.4 1.4 0

100

200

300

400

500

600

700

800

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Females

1.3 1.3 1.4 1.5 1.4 1.3 1.3 0

200

400

600

800

1000

1200

1400

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Most deprived within Pembrokeshire (95% CI) Wales EASR

Least deprived within Pembrokeshire Pembrokeshire overall

European age-standardised rate (EASR) per 100,000 population

Mortality by cause of death

Males

1.8 2.0 1.9 1.9 1.7 1.7 1.7 0

50

100

150

200

250

300

350

400

450

500

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Females

1.5 1.5 1.7 1.9 1.7 1.5 1.6 0

100

200

300

400

500

600

700

800

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

All-cause mortality under 75

MalesFemales

1.1 1.3 1.3 1.3 1.3 1.3 1.4 0

50

100

150

200

250

300

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

1.1 1.1 1.2 1.5 1.5 1.5 1.4 0

50

100

150

200

250

300

350

400

450

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Mortality from circulatory disease

Death rates for all and specific major causes are compared between the most and least deprived using a rate ratio, thereby measuring the relative gap. The following charts show the rates for the fifths, the local authority overall and Wales. A rate ratio of two, for example, means that the rate in the most deprived fifth is twice the rate in the least deprived fifth.

Page 3: Measuring inequalities - wales.nhs.uk€¦ · Measuring inequalities Trends in mortality and life expectancy in Pembrokeshire All-cause mortality, all ages Males 1.4 1.5 1.4 1.4 1.3

Mortality by cause of death (continued)

Males

1.2 1.6 1.6 2.6 1.7 2.0 2.0 0

20

40

60

80

100

120

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Females

1.6 1.7 2.5 2.2 1.8 1.3 1.2 0

20

40

60

80

100

120

140

160

180

200

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Mortality from respiratory disease

Males

1.7 1.6 1.4 1.2 1.1 1.3 1.5 0

50

100

150

200

250

300

350

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Females

1.5 1.5 1.4 1.3 1.1 1.2 1.3 0

50

100

150

200

250

300

350

400

450

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Mortality from cancer

MalesFemales

1.6 2.1 1.8 1.7 1.4 1.6 2.3 0

50

100

150

200

250

300

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

1.3 1.3 1.5 1.5 1.3 1.5 1.6 0

100

200

300

400

500

600

700

2001-03 2002-04 2003-05 2004-06 2005-07 2006-08 2007-09

Rate ratio

Smoking-attributable mortality aged 35 and over

Notes and contact: This publication consists of individual profiles for each of the 22 local authorities, a more detailed Wales profile, selected data files and a technical guide to support the profiles. These are all available on our website at www.publichealthwalesobservatory.wales.nhs.uk/inequalities. For further details please contact us on [email protected]. All analyses, charts and the map have been produced by the Public Health Wales Observatory using the following data sources: Annual District Death Extract and Mid-Year Population Estimates (Office for National Statistics), Welsh Index of Multiple Deprivation and Welsh Health Survey (Welsh Government).© 2011 Public Health Wales Observatory

Most deprived within Pembrokeshire (95% CI) Wales EASR

Least deprived within Pembrokeshire Pembrokeshire overall

European age-standardised rate (EASR) per 100,000 population

Page 4: Measuring inequalities - wales.nhs.uk€¦ · Measuring inequalities Trends in mortality and life expectancy in Pembrokeshire All-cause mortality, all ages Males 1.4 1.5 1.4 1.4 1.3

Deprivation fifths

Trends in mortality and life expectancy in PembrokeshireMeasuring inequalities

Deprivation fifths for each local authority were produced by ranking all Lower Super Output areas (LSOAs) within the local authority and grouping them into fifths, based on the Welsh Index of Multiple Deprivation (WIMD). The relationship between local and national fifths is illustrated in the chart. The position of each local authority fifth shows the range of ranks it contains relative to the Wales fifths.

Overall, it shows that LSOAs in Pembrokeshire are concentrated towards the middle of the national deprivation scale. The most deprived local authority fifth is a broad range containing LSOAs that are nationally classed as most and next most deprived and the least deprived local authority fifth covers mostly LSOAs from the next least deprived national fifth. The gap between the most and least deprived fifths within Pembrokeshire in this analysis is narrower than for Wales as a whole.

Further details on deprivation fifths can be found in the technical guide.

Local authority fifths of deprivationLower Super Output Area

Most deprived (14)

Next most deprived (14)

Middle (14)

Next least deprived (14)

Least deprived (15)

LSOA boundary

© Crown Copyright and database right 2011 Ordnance Survey 100044810

Range of deprivation within local authority fifths on a scale relative to Wales fifths

15 14 14 14 14

379 379 380 379 379

Pembrokeshire fifths

Wales fifths

numbers show how many LSOAs are in each fifth

next least deprived

least deprived

middle next most deprived

most deprived

increasing deprivation rank