presenting small area life expectancies in england · female life expectancy at birth in coventry...
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Presenting small area life
expectancies in England
Allan Baker
Deputy Head of Epidemiology and Surveillance
(non-communicable disease)
Workshop on Small-area Estimates of Life Expectancy
Claremont, 7th March 2018
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Contents
• PHE’s Local Health tool
• Media reporting
• Visualising life expectancy estimates
• Measuring inequality in small area life expectancy
• PHE life expectancy tools
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Local Health
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Local HealthPHE’s annual release of small area life expectancy estimates is via our
Local Health tool
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Local Health
Local Health created to meet user need for small area data
Contains around 70 indicators, for health outcomes, wider determinants
of health and demographic characteristics of populations
• An interactive mapping tool from which data can also be downloaded
• Provides report ‘profiles’ for defined small areas
• Areas can be combined to build up user defined bespoke areas
• Users can upload their own data
www.localhealth.org.uk
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Male LE at birth - Wards
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Stockton-on- Tees – Male LE
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Stockton Town Centre
64 years
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Kensington & Chelsea – Male LE
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Courtfield
91.1 years
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Kensington & Chelsea – Male LE
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Notting Dale
78.5 years
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Courtfield
ward – K&C
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Highest and lowest LE estimates, 2011-15
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Males MSOAs 64.2
Males MSOAs 93.2
Males Wards 64.0
Males Wards 91.9
Females MSOAs 73.6
Females MSOAs 96.3
Females Wards 72.1
Females Wards 96.0
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Display 2 maps
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Female life expectancy Deprivation
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Bespoke geographies
• Users can aggregate small areas
to define their own geographies
• Majority of indicators can be aggregated
to new areas within the tool
but not life expectancy
• Standardised mortality ratios are
therefore also included,
which can be aggregated
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Bing maps
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Detailed
reports
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Media reporting
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A baby girl born in the
Northburn estate could expect
to live to 105, according to the
survey by Public Health
England.
Boys still lag a little behind in
life expectancy but overall
Northburn is cited as a great
place to be born and live.
Town and county councillor
Wayne Daley said: “This is
fantastic news and shows what
residents here have known all
along – that this is a great
place to live.”
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“Shocking new figures from Public Health
England reveal the average age at death in
Tranmere is 66.5 years - two-and-a-half years
lower than the famine-hit Communist state”
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RESIDENTS in some of the most deprived areas of Swindon can
expect to die up to 17 years younger than their counterparts in the
town’s wealthiest neighbourhoods, alarming new figures have
revealed.
According to the statistics released by Public Health England,
women in the Parks have the lowest life expectancy in town, with
the average dying at 78 years old. This is compared to Grange
Park where female residents live to more than 95 years old.
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Sex-specific results
In some small areas,
male life expectancy may be
higher than for females
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“Survival forecasts show scores
of areas where men are now
expected to outlive women after
a lifestyle revolution”
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Males and females
In 2011-15 for electoral wards:
• 194 areas had higher life expectancy for males
• Biggest difference was 8.3 years
• Five wards had difference > 5 years (including Courtfield
in Kensington & Chelsea)
• Confidence intervals overlap for all 194 wards
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Visualising small area life
expectancies
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Travelling east from Westminster, each tube stop represents nearly one year of life expectancy lost
Westminster
Waterloo
Southwark
London Bridge
BermondseyCanada
Water
Canary
Wharf
North
Greenwich
Canning Town
London Underground Jubilee Line
Differences in Life Expectancy within a small area in London
Electoral wards just a few miles apart geographically have lifeexpectancy spans varying by years. For instance, there are eight stops between Westminster and Canning Townon the Jubilee Line – so as one travels east, each stop, onaverage, marks nearly a year of shortened lifespan. 1
River Thames
1 Source: Analysis by London Health Observatory using Office for National Statistics data. Diagram produced by Department of Health
Male Life
Expectancy71.6 (CI 69.9-73.3)
Female Life
Expectancy 80.6 (CI 78.7-82.5)
Male Life
Expectancy77.7 (CI 75.6-79.7)
Female Life Expectancy
84.2 (CI 81.7-86.6)
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Lives on the Line
Source: http://tubecreature.com/#/livesontheline/current/same/U/*/TFTF/14/-0.0848/51.5066/
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🏭 🏢🏠🏠🏠 🏠🏠🏢🏢
Female life expectancy at birth in Coventry 2010-2014Coventry’s bus route 10 crosses the city’s more affluent and more deprived neighbourhoods. This makes it useful to help illustrate the stark differences in life expectancy across the city –
a gap of ten years for males and seven years for females.
20 June 2017
👩 83
👩 84
👩 86
👩 80
👩 84
👩 82
👩 81
👩 79
👩 80
👩 79
👩 82
👩 83
👩 79 👩 79👩 80
🏭 🏢🏠🏠🏠 🏠🏠🏢🏢
www.coventry.gov.uk/infoandstats/
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Measuring inequalities in small
area life expectancies
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Inequalities in life expectancy
• 2009 – Public Health Observatories asked to recommend a method
to summarise inequality in life expectancy within local authorities
• Proposed the Slope Index of Inequality
• Adopted as one of the overarching indicators in the Public Health
Outcomes Framework
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Public Health Outcomes Framework
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SII for Males
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SII for females
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Inequality in life expectancy has widened in
England
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Deprivation
deciles
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Trends in deprivation deciles
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Visualising inequality in life
expectancy
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Who are the top football teams in the health
league?
Public health league table from University of Durham for Premier
League football clubs, based on:
• percentage of smokers (P, played)
• weight – percentage of obesity and overweight (W, won)
• deaths – all cause mortality rates per 100.000 (D, drawn)
• life expectancy for males in years (L, lost)
• female life expectancy in years (F, for)
• alcohol-related hospital admissions per 100,000 (A, against)
• gap in life expectancy for men between the most and least deprived
areas of the local authority in years (GD, goal difference)
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Inequality within Manchester
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Life expectancy: Which football fans are
Premier League?
For each neighbourhood in the country, BBC found the nearest English
Football League or Premier League team.
Cut down that catchment area to the 100,000 people living nearest to
the stadium and then, using latest from PHE, worked out average male
life expectancy for that group.
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Bottom of the league
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Other PHE tools
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Health Profiles
.
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Lambeth Health Profile
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Wider Determinants Tool
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Marmot Indicators – North East
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Marmot Indicators – South East
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The Segment Tool
• PHE’s Segment Tool provides information on the causes of death
that are driving inequalities in life expectancy at local area level
• Targeting the causes of death which contribute most to the life
expectancy gap should have the biggest impact on reducing
inequalities
• Absolute gap in life expectancy between most deprived and least
deprived areas (quintiles) within Stockton-on-Tees:
➢ Males – 14.0 years
➢ Females – 10.9 years
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Life expectancy
years gained or lost
if Stockton-on-Tees
most deprived
quintile had the
same mortality rates
as Stockton-on-Tees
least deprived
quintile, 2012-2014
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Narrative for local authorities
• Public Health Outcomes Framework - summarises inequality within
the local authority (the slope index of inequality)
• Local Health – shows local variation within the local authority
•
• Segment Tool – shows the causes of death which are contributing
most to the inequality gap
•
• Other profiles and tools – provide further intelligence on specific
diseases or risk factors
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Fingertips
Profiles
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Links to tools and resources
Local Health http://www.localhealth.org.uk/
Public Health Outcomes Framework
https://fingertips.phe.org.uk/profile/public-health-outcomes-framework
Health Profiles https://fingertips.phe.org.uk/profile/health-profiles
Wider Determinants Tool
https://fingertips.phe.org.uk/profile/wider-determinants
Segment Tool
https://fingertips.phe.org.uk/profile/segment
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