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THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Updated January 2015 Key results for Haringey (E09000014) Introduction This tool has been developed by Public Health England's (PHE) Knowledge and Intelligence Teams (London and East Midlands) and 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. The tool provides data tables and charts showing the breakdown of the life expectancy gap in 2010-12 for two comparisons: 1. The gap between the Local Authority as a whole and England as a whole. This option is only available if the selected area has a lower life expectancy than England. 2. The gap between the most deprived quintile of the selected Local Authority and the least deprived quintile of the Local Authority. This option is available for all areas. This document presents key results for Haringey. The tool, along with a user guide and technical document, can be downloaded from http://www.lho.org.uk/LHO_Topics/Analytic_Tools/Segment/TheSegmentTool.aspx Interpreting the charts Two types of chart are included below. The scarf charts show, for each broad cause of death, the percentage contribution that it makes to the overall life expectancy gap between the areas selected. This could be between the local authority as a whole and England, or between the most deprived quintile of the local authority and the least deprived quintile of the local authority, depending on which comparison has been selected. If a cause shows a contribution of 0, this means that the cause of death does not make any contribution to the life expectancy gap. The bar charts show, for a more detailed breakdown of causes of death, the years of life expectancy that would be gained or lost in the selected area, if it had the same mortality rates as the comparator area. The tables show the percentage contributions and years of life gained for each cause of death. The number of deaths occurring in the area in 2010-12 are shown, and alongside, the number of excess deaths. Excess deaths are the number of 'extra' deaths that occur in the selected area because it has a higher mortality rate for that cause of death than the comparator area. If these deaths were prevented, then the contribution of that cause of death to the overall life expectancy gap would be eliminated. For some causes of death, there are no excess deaths in the selected area, and therefore no impact is made to the life expectancy gap. If this is the case the table shows a value of "..". 1 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Contextual information for Haringey Information on inequalities in life expectancy between Haringey and England Life expectancy at birth in Haringey, 2010-2012 Male 79.4 Female 83.8 Life expectancy at birth in England, 2010-2012 79.2 83.0 Absolute gap in life expectancy between Haringey and England in years* 0.2 0.8 Slope index of inequality** in Haringey, 2010-2012 Male 7.7 Female 3.4 Life expectancy at birth in the most deprived quintile of Haringey, 2010-2012 76.4 82.7 Life expectancy at birth in the least deprived quintile of Haringey, 2010-2012 82.1 86.3 *A value below 0 indicates a lower life expectancy in the selected area compared to England. Information on inequalities in life expectancy within Haringey ** Range of life expectancy in years within the area from most to least deprived. + Slope index of inequality is not available because numbers are too small for robust calculation Sources: Life expectancy - Office for National Statistics (ONS), life expectancy at birth for local areas in England and Wales Slope index of inequality - Public Health England (PHE), Public Health Outcome Framework data tool 2 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Between area inequalities: Life expectancy gap between Haringey as a whole and England Chart 1: Scarf chart showing the breakdown of the life expectancy gap between Haringey as a whole and England as a whole, by broad cause of death, 2010-2012 **This chart is not available as life expectancy is the same as or higher in Haringey than in England as a whole** 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Male Female Footnote: Circulatory diseases includes coronary heart disease and stroke. Digestive diseases includes alcohol-related conditions such as chronic liver disease and cirrhosis. External causes include deaths from injury, poisoning and suicide. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates 3 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Chart 2: Bar chart showing life expectancy years gained or lost if Haringey as a whole had the same mortality rates as England as a whole, by broad cause of death, 2010-2012 Male Female External causes Circulatory 0.28 0.26 Cancer 0.00 Cancer Digestive 0.00 Digestive -0.01 Deaths under 28 days -0.02 -0.06 Deaths under 28 days -0.02 0.05 Circulatory -0.09 External causes Mental and behavioural -0.11 Respiratory Respiratory -0.12 Mental and behavioural -0.41 Other -0.18 Other -0.41 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 3.5 -0.22 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 Footnote: Circulatory diseases includes coronary heart disease and stroke. Digestive diseases includes alcohol-related conditions such as chronic liver disease and cirrhosis. External causes include deaths from injury, poisoning and suicide. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates 4 3.5 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Table 1: Breakdown of the life expectancy gap between Haringey as a whole and England as a whole, by broad cause of death, 2010-2012 Male Number of Number of Number of deaths in local excess deaths years of life authority in local expectancy authority gained/lost* Broad cause of death Circulatory Cancer Respiratory Digestive External causes Mental and behavioural Other Deaths under 28 days Total 502 561 215 100 165 74 164 19 -17 -2 -13 -2 29 -14 -20 -1 Female Contribution Number of Number of Number of to the gap (%) deaths in local excess deaths years of life authority in local expectancy authority gained/lost* -0.09 0.00 -0.12 0.00 0.28 -0.11 -0.18 -0.02 1,798 ++ ++ ++ ++ ++ ++ ++ ++ 504 523 209 95 57 101 164 14 ++ 1,666 34 6 -29 -1 -6 -62 -61 -2 0.26 0.05 -0.22 -0.01 -0.06 -0.41 -0.41 -0.02 Contribution to the gap (%) ++ ++ ++ ++ ++ ++ ++ ++ ++ * A positive figure indicates that life expectancy years would be gained if the local authority had the same mortality rate as England as a whole (ie the mortality rate in the local authority for the cause is higher than England as a whole). A negative figure indicates that life expectancy years would be lost if the local authority had the same mortality rate as England as a whole. .. The calculated contribution to the gap is negative ++ The figures have not been calculated as life expectancy is higher than England Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates 5 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Chart 3: Bar chart showing life expectancy years gained or lost if Haringey as a whole had the same mortality rates as England as a whole, by detailed cause of death, 2010-2012 Male Other external Chronic liver disease including cirrhosis Other respiratory disease Suicide Other circulatory Infectious and parasitic diseases Lung cancer Ill defined conditions Other mental and behavioural disorders Diabetes Deaths under 28 days Other cancers Urinary conditions Stroke Pneumonia CHD Other digestive Dementia Chronic obstructive airways disease Other Female Other circulatory Other cancers Pneumonia Diabetes CHD Other digestive Suicide Other mental and behavioural disorders Chronic liver disease including cirrhosis Deaths under 28 days Infectious and parasitic diseases Urinary conditions Lung cancer Other external Other respiratory disease Chronic obstructive airways disease Stroke Ill defined conditions Other Dementia 0.24 0.09 0.07 0.05 0.04 0.04 0.03 0.01 -0.01 -0.02 -0.02 -0.03 -0.03 -0.04 -0.08 -0.09 -0.09 -0.09 -0.13 -0.18 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 3 3.5 Life expectancy years gained/lost 0.46 0.10 0.03 0.02 0.01 0.01 0.01 -0.01 -0.02 -0.02 -0.03 -0.04 -0.05 -0.07 -0.09 -0.15 -0.17 -0.17 -0.21 -0.41 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 3 3.5 Life expectancy years gained/lost Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates 6 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Table 2: Table showing life expectancy years gained or lost if Haringey as a whole had the same mortality rates as England as a whole, by detailed cause of death, 2010-2012 Broad cause of death Detailed cause of death CHD Circulatory Stroke Other circulatory Lung cancer Cancer Other cancers Pneumonia Respiratory Chronic obstructive airways disease Other respiratory disease Chronic liver disease including cirrhosis Digestive Other digestive Suicide External Other external Mental and Dementia Other mental and behavioural disorders behavioural Infectious and parasitic diseases Urinary conditions Other Ill defined conditions Diabetes Other < 28 days Deaths under 28 days Total Male Number of Number of deaths in local excess deaths authority in local authority 267 101 134 132 429 65 75 74 53 47 55 110 70 3 24 21 27 15 76 19 -17 -1 1 5 -7 -11 -16 13 12 -14 5 25 -11 -2 5 -4 5 -3 -23 -1 1,798 Female Number of Number of Number of years of life deaths in local excess deaths expectancy authority in local gained/lost* authority -0.09 -0.04 0.04 0.03 -0.03 -0.08 -0.13 0.07 0.09 -0.09 0.05 0.24 -0.09 -0.01 0.04 -0.03 0.01 -0.02 -0.18 -0.02 181 118 205 94 429 99 61 49 21 74 16 41 98 2 16 30 21 21 76 14 2 -26 58 -9 15 5 -21 -12 -3 2 1 -7 -62 -1 -6 -5 -26 4 -29 -2 Number of years of life expectancy gained/lost* 0.01 -0.17 0.46 -0.05 0.10 0.03 -0.15 -0.09 -0.02 0.01 0.01 -0.07 -0.41 -0.01 -0.03 -0.04 -0.17 0.02 -0.21 -0.02 1,666 * A positive figure indicates that life expectancy years would be gained if the local authority had the same mortality rate as England as a whole (ie the mortality rate in the local authority for the cause is higher than England as a whole). A negative figure indicates that life expectancy years would be lost if the local authority had the same mortality rate as England as a whole. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates 7 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Chart 4: Bar chart showing life expectancy years gained or lost if Haringey as a whole had the same mortality rates as England as a whole, alcohol specific deaths, 2010-2012 Male Female Alcohol specific Alcohol specific 0.08 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 3.5 -0.06 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 3.5 Footnote: Alcohol specific includes causes of death that are wholly attributable to alcohol Table 3: Table showing life expectancy years gained or lost if Haringey as a whole had the same mortality rates as England as a whole, alcohol specific deaths and all other causes of death, 2010-2012 Cause of death Alcohol specific All other causes of death Total Male Number of Number of deaths in local excess deaths authority in local authority 51 1,745 10 -51 Female Number of Number of Number of years of life deaths in local excess deaths expectancy authority in local gained/lost* authority 0.08 -0.28 13 1,657 1,796 -8 -107 Number of years of life expectancy gained/lost* -0.06 -0.70 1,670 * A positive figure indicates that life expectancy years would be gained if the local authority had the same mortality rate as England as a whole (ie the mortality rate in the local authority for the cause is higher than England as a whole). A negative figure indicates that life expectancy years would be lost if the local authority had the same mortality rate as England as a whole Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates 8 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Within area inequalities: Life expectancy gap between the most deprived quintile and least deprived quintle of Haringey Chart 5: Scarf chart showing the breakdown of the life expectancy gap between Haringey most deprived quintile and Haringey least deprived quinitle, by broad cause of death, 2010-2012 100% Circulatory, 15.8% 90% 80% Circulatory, 44.7% Cancer, 13.6% 70% 60% Respiratory, 26.9% Cancer, 1.2% 50% Respiratory, 22.0% 40% Digestive, 8.7% 30% External causes, 10.3% Digestive, 9.8% 20% 10% 0% Mental and behavioural, 12.4% External causes, 9.3% Mental and behavioural, 0.3% Other, 8.7% Other, 8.7% <28 days, 4.0% <28 days, 3.6% Male Female Footnote: Circulatory diseases includes coronary heart disease and stroke. Digestive diseases includes alcohol-related conditions such as chronic liver disease and cirrhosis. External causes include deaths from injury, poisoning and suicide. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates, and DCLG Index of Multiple Deprivation, 2010 9 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Chart 6: Bar chart showing life expectancy years gained or lost if Haringey most deprived quintile had the same mortality rates as Haringey least deprived quintile, by broad cause of death, 2010-2012 Male Female Circulatory Respiratory 2.39 Respiratory 0.94 Circulatory 1.18 0.55 Digestive 0.52 Cancer 0.47 External causes 0.50 Mental and behavioural 0.43 Other 0.46 External causes 0.36 Digestive 0.30 0.30 Deaths under 28 days 0.21 Cancer 0.06 Other Mental and behavioural 0.02 Deaths under 28 days -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 0.13 -2.5 3.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 3.5 Footnote: Circulatory diseases includes coronary heart disease and stroke. Digestive diseases includes alcohol-related conditions such as chronic liver disease and cirrhosis. External causes include deaths from injury, poisoning and suicide. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates, and DCLG Index of Multiple Deprivation, 2010 10 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Table 4: Breakdown of the life expectancy gap between Haringey most deprived quintile and Haringey least deprived quintile, by broad cause of death, 2010-2012 Male Number of Number of Number of deaths in most excess deaths years of life deprived in most expectancy quintile deprived gained/lost* quintile Broad cause of death Circulatory Cancer Respiratory Digestive External causes Mental and behavioural Other Deaths under 28 days 145 108 60 25 34 16 41 5 Total 434 70 3 39 15 17 0 8 4 Female Contribution Number of Number of Number of to the gap (%) deaths in most excess deaths years of life deprived in most expectancy quintile deprived gained/lost* quintile 2.39 0.06 1.18 0.52 0.50 0.02 0.46 0.21 44.7 1.2 22.0 9.8 9.3 0.3 8.7 4.0 96 102 52 23 15 21 34 5 100 349 18 12 27 10 10 12 7 2 0.55 0.47 0.94 0.30 0.36 0.43 0.30 0.13 Contribution to the gap (%) 15.8 13.6 26.9 8.7 10.3 12.4 8.7 3.6 100 * A positive figure indicates that life expectancy years would be gained if the most deprived quintile of the local authority had the same mortality rate as the least deprived quintile (ie the mortality rate in the most deprived quintile for the cause is higher than that of the least deprived quintile). A negative figure indicates that life expectancy years would be lost if the most deprived quintile in the local authority had the same mortality rate as the least deprived quintile. .. The calculated contribution to the gap is negative ## The figures have not been calculated as life expectancy in the most deprived quintile is higher than life expectancy in the least deprived quintile Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates, and DCLG Index of Multiple Deprivation, 2010 11 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Chart 7: Bar chart showing life expectancy years gained or lost if Haringey most deprived quintile had the same mortality rates as Haringey least deprived quintile, by detailed cause of death, 2010-2012 Male CHD Other circulatory Other respiratory disease Stroke Chronic liver disease including cirrhosis Lung cancer Suicide Chronic obstructive airways disease Pneumonia Deaths under 28 days Urinary conditions Ill defined conditions Other external Diabetes Other Other digestive Dementia Infectious and parasitic diseases Other mental and behavioural disorders Other cancers Female CHD Pneumonia Other cancers Dementia Chronic obstructive airways disease Other Stroke Infectious and parasitic diseases Other external Other digestive Suicide Deaths under 28 days Chronic liver disease including cirrhosis Other respiratory disease Diabetes Other mental and behavioural disorders Urinary conditions Lung cancer Ill defined conditions Other circulatory 1.18 0.58 0.57 0.54 0.48 0.45 0.36 0.34 0.22 0.21 0.17 0.16 0.13 0.06 0.05 0.04 0.03 0.02 -0.01 -0.37 0.65 0.50 0.49 0.36 0.32 0.25 0.22 0.20 0.19 0.18 0.17 0.13 0.12 0.11 0.08 0.06 -0.01 -0.02 -0.22 -0.26 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 3 3.5 Life expectancy years gained/lost -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 2.5 3 3.5 Life expectancy years gained/lost Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates, and DCLG Index of Multiple Deprivation, 2010 12 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Table 5: Table showing life expectancy years gained or lost if Haringey most deprived quintile had the same mortality rates as Haringey least deprived quintile, by detailed cause of death, 2010-2012 Broad cause of death Detailed cause of death CHD Circulatory Stroke Other circulatory Lung cancer Cancer Other cancers Pneumonia Respiratory Chronic obstructive airways disease Other respiratory disease Chronic liver disease including cirrhosis Digestive Other digestive Suicide External Other external Mental and Dementia Other mental and behavioural disorders behavioural Infectious and parasitic diseases Urinary conditions Other Ill defined conditions Diabetes Other < 28 days Deaths under 28 days Total Male Number of Number of deaths in most excess deaths deprived in most quintile deprived quintile 75 31 39 38 70 15 21 24 17 8 13 21 16 1 7 5 7 4 18 5 35 19 17 16 -12 7 12 20 15 1 11 6 0 0 -1 5 5 3 -4 4 434 Female Number of Number of Number of years of life deaths in most excess deaths expectancy deprived in most gained/lost* quintile deprived quintile 1.18 0.54 0.58 0.45 -0.37 0.22 0.34 0.57 0.48 0.04 0.36 0.13 0.03 -0.01 0.02 0.17 0.16 0.06 0.05 0.21 42 22 33 18 84 28 15 10 6 17 5 10 19 2 6 6 1 6 14 5 20 5 -6 -1 13 14 10 3 4 6 4 5 10 2 5 0 -5 3 5 2 Number of years of life expectancy gained/lost* 0.65 0.22 -0.26 -0.02 0.49 0.50 0.32 0.11 0.12 0.18 0.17 0.19 0.36 0.06 0.20 -0.01 -0.22 0.08 0.25 0.13 348 * A positive figure indicates that life expectancy years would be gained if the most deprived quintile of the local authority had the same mortality rate as the least deprived quintile (ie the mortality rate in the most deprived quintile for the cause is higher than that of the least deprived quintile). A negative figure indicates that life expectancy years would be lost if the most deprived quintile in the local authority had the same mortality rate as the least deprived quintile. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates, and DCLG Index of Multiple Deprivation, 2010 13 THE SEGMENT TOOL SEGMENTING LIFE EXPECTANCY GAPS BY CAUSE OF DEATH Chart 8: Bar chart showing life expectancy years gained or lost if Haringey most deprived quintile had the same mortality rates as Haringey least deprived quintile, alcohol specific deaths, 2010-2012 Male Female Alcohol specific Alcohol specific 0.44 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 3.5 0.09 -2.5 -2 -1.5 -1 -0.5 0 0.5 1 1.5 2 Life expectancy years gained/lost 2.5 3 3.5 Footnote: Alcohol specific includes causes of death that are wholly attributable to alcohol Table 6: Table showing life expectancy years gained or lost if Haringey most deprived quintile had the same mortality rates as Haringey least deprived quintile, alcohol specific deaths and all other causes of death, 2010-2012 Broad cause of death Alcohol specific All other causes of death Total Male Number of Number of deaths in most excess deaths deprived in most quintile deprived quintile 17 416 14 141 Female Number of Number of Number of years of life deaths in most excess deaths expectancy deprived in most gained/lost* quintile deprived quintile 0.44 5.27 4 345 433 3 93 Number of years of life expectancy gained/lost* 0.09 3.46 349 * A positive figure indicates that life expectancy years would be gained if the most deprived quintile of the local authority had the same mortality rate as the least deprived quintile (ie the mortality rate in the most deprived quintile for the cause is higher than that of the least deprived quintile). A negative figure indicates that life expectancy years would be lost if the most deprived quintile in the local authority had the same mortality rate as the least deprived quintile. Analysis by Public Health England Knowledge and Intelligence Teams (London and East Midlands) based on ONS death registration data, and mid year population estimates, and DCLG Index of Multiple Deprivation, 2010 14