Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Index List: A


AAACMR / All Age All Cause Mortality Rate

A discussion of the problems with achieving AAACMR targets is given in Hull JSNA Toolkit: Mortality. Historically, there were targets related to AAACMR, but this is no longer the case. However, most of the same arguments apply to life expectancy as a target, and this remains the case. Some of the discussion relates to AAACMR and life expectancy, but there is also some discussion of these targets specifically in relation to Hull.

Modelling has been undertaken to assess the effect of changes to age-specific mortality rates on the all age all cause mortality rates (AAACMR) and standardised mortality ratios (SMR). Details are given in Hull JSNA Toolkit: Mortality.

AAACMR figures are given within Hull JSNA Toolkit: Mortality. They are also examined for each ward and in relation to deprivation (and Hull City Council's Customer Profiles (housing types) is given for under 75s rather than all age).

Further associated information is given in the Mortality and Life Expectancy pages.

The AAACMR is not presented within JSNA Hull Atlas, but the under 75 all cause mortality rate is presented.

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Abbreviations

A list of abbreviations is given within the Glossary document as well as in the JSNA Toolkit.

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Abdominal Aortic Aneurysm

Screening, risk factors and mortality information is given in Hull JSNA Toolkit: Other Circulatory Diseases.

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Abortions

The overall crude abortion rate, and the number and percentage of abortions by gestational age are given in Hull JSNA Toolkit: Sexual Health.

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Absence from School

The percentage of half-days missed from school is given in Hull JSNA Toolkit: Deprivation and Associated Measures. This is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

Using the definition from the Public Health Outcomes Framework, information is given at ward level in the JSNA Hull Atlas (but it is based on ward of the location of the school rather than ward of the school pupil).

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Absence from Work due to Sickness

Sickness absence rates are given in Hull JSNA Toolkit: Deprivation and Associated Measures.  This is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Access to a Car or Van

-see Environmental Factors and Housing

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Access to Services

Some information on commissioned services available to the population of Hull is given within the JSNA Toolkit.

Access to services is also a topic within the equity audits, and the following equity audits have been undertaken:

Stroke Equity Audit (September 2011)
Hypertension Equity Audit (February 2011)
Chronic Obstructive Pulmonary Disease Equity Audit (December 2010)
Diabetes Equity Audit (October 2008)
Mental Health Equity Audit (March 2007)
Cancer Equity Audit (July 2006)
Coronary Heart Disease Equity Audit (September 2005)

The time since the last dental visit has been collected as part of some of the Adult and Young People Health and Lifestyle Surveys and described within the main reports as follows:

Young People Health and Lifestyle Survey 2012 Main Report
Young People Health and Lifestyle Survey 2008-09 Main Report
Young People Health and Lifestyle Survey 2002 Main Report
Adult Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report
Veterans' Health and Lifestyle Survey 2009 Main Report
Adult Health and Lifestyle Survey 2007 Main Report
BME Health and Lifestyle Survey 2007 Main Report
Gypsy and Traveller Health and Lifestyle Survey 2007 Main Report
Adult Health and Lifestyle Survey 2003 Main Report
Adult Health and Lifestyle Survey 2003 Eastern Hull Tables
Adult Health and Lifestyle Survey 2003 West Hull Tables

Within the Young People Health and Lifestyle Survey 2002 Main Report further information is provided about the reason for the last dental visit and whether the child has ever worn a brace on their teeth. The Adult Health and Lifestyle Survey 2003 Main Report also asked about distance to their dentist.

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Accidents

Rates of inpatient admissions where the main or secondary diagnosis relates to an accident and admissions relative to deprivation, and the rates of those killed or seriously injured in traffic accidents are given in Hull JSNA Toolkit: Accidents. Details of the local Accident Prevention Strategy are also given within Hull JSNA Toolkit: Accidents.

The crude rate of hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years and 15-24 years, and the number of people reported killed or seriously injured on the roads per 100,000 resident population are indicators within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

Information is given at ward level in the JSNA Hull Atlas for the Public Health Outcomes Framework indicators involving hospital admissions for accidents in children.

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Accommodation

-see Environmental Factors and Housing

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ACORN

- see Geo-demographic Segmentation

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Activity

- see Physical Activity

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Admissions

For an explanation or definition of hospital clinical episodes, daycases, hospital admissions and associated information, see the Glossary or JSNA Toolkit.

Hull JSNA Toolkit: Inpatient Hospital Admissions includes general information on inpatient admissions, such as the number of clinical episodes and hospital admissions for each main cause (i.e. disease or medical condition listed as the primary cause of admission). The admission rate for each ward is also given (for both elective and emergency admissions), and for each GP practice. Re-admission rates are also provided, and admission rates by deprivation quintile.

Some of the indicators within Public Health Outcomes Framework relate to hospital admissions, and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

For more information, see Inpatient Admissions which provides a list of the medical conditions or diseases (e.g. alcohol-related admissions, accidents, re-admissions, for stroke, etc) for which specific information on hospital admissions are given within the JSNA Toolkit. Inpatient Admissions also gives information on the specific Public Health Outcomes Framework indicators relating to inpatient admissions.

Inpatient admission rates are presented within JSNA Hull Atlas at ward level.

For more information, see Inpatient Admissions.

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Adult Life Stage

Ward level data from the 2011 Census is available in the JSNA Hull Atlas in relation to adult life stage and household composition.

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Adults

There are a number of surveys that have been completed among adults (either 16+ or 18+ years depending on survey) across Hull. Information relating to the surveys is detailed in the survey reports and summarised within the JSNA Toolkit.

Information relating to adults is contained throughout the JSNA Toolkit. The ordering of the topics for the JSNA Toolkit has been around risk factors and specific diseases rather than on different age groups, although there are further sections on young people and older people for topics that did not specifically fall into any of the diseases or other topics.

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Affordability of Housing

- see Environmental Factors and Housing

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Age of Mothers

- see Population

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Age of Patients at Practice Level

- see General Practice Comparator Groupings

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Age Structure / Age Profile

- see Population

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AIDS / HIV

People presenting with HIV at a late stage of infection and HIV testing among pregnant women are an indicator within Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

Late stage infection is defined for adults aged 15+ years as those with newly diagnosed with Human Immunodeficiency Virus (HIV) infection within specified period with CD4 counts available within 91 days and indicating a count of less than 350 cells per mm3 as a percentage of number of adults (aged 15+ years) newly diagnosed with HIV infection within period with CD4 counts available within 91 days.

The prevalence of HIV and the percentages with late stage infection is also given within Hull JSNA Toolkit: Sexual Health.

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Air Pollution

- see Environment and Housing

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Alcohol

Please click here to open the Alcohol page where all the resources on alcohol produced by Hull Public Health are available.

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Alcohol Services

Please click here to open the Alcohol page where all the resources on alcohol produced by Hull Public Health are available.

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Alcohol Strategy

Please click here to open the Alcohol page where all the resources on alcohol produced by Hull Public Health are available.

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Alcohol Units

Please click here to open the Alcohol page where all the resources on alcohol produced by Hull Public Health are available.

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All Age All Cause Mortality Rate / AAACMR

-see AAACMR / All Age All Cause Mortality Rate

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Angiography

Angiography is an investigation of coronary heart disease (CHD) undertaken to assess whether one of two common treatments are necessary: percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG). Angiography rates are given within Hull JSNA Toolkit: Coronary Heart Disease and Coronary Heart Disease Equity Audit, as well as in relation to deprivation. Elective and non-elective admission for CHD are also given within Hull JSNA Toolkit: Coronary Heart Disease.

Information is given at ward level in the JSNA Hull Atlas.

For associated information, see Cardiovascular Disease

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Annual Reports/Director of Public Health Annual Reports

Please click here to open the Director of Public Health (DPH) Annual Reports page where past and present DPH reports are available to download.

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Antenatal Screening

There are some indicators within Public Health Outcomes Framework relating to screening and vaccination of pregnant women against disease and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Area Committee Areas

- see Geographical Area

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Areas

- see Geographical Area

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Armed Forces Veterans

The fieldwork for a Veterans' Health and Lifestyle Survey occurred during Autumn 2009 for Veterans who lived in Hull and had served in the British Armed forces since 1970. As well as a questionnaire, around 20 Veterans completed an in-depth interview. Potential survey responders were approached using existing networks and contacts. A press release was also issued encouraging Veterans to come forward to participate in the survey. Due to the methodology used to approach Veterans, those who participate in the survey will not necessarily be representative of all Veterans living in Hull. A total of 53 Veterans completed questionnaires between August and October 2009. They had served in and left Armed Services during 1970 or after 1970. A number of in-depth interviews were also conducted.

Veterans' Health and Lifestyle Survey 2009 Main Report
Veterans' Health and Lifestyle Survey 2009 Questionnaire

Information relating to the survey is also summarised within the JSNA Toolkit.

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Asset Approach

The asset approach is introduced within the JSNA and the JSNA Toolkit. The asset approach is discussed in relation to the following specific health problems or lifestyle risk factors:

Alcohol
Obesity
Physical activity
Smoking
Mental health
Social capital
Cancer

A definition is also given within the Glossary.

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Asthma

The prevalence and modelled prevalence for each general practice, and inpatient admissions are given in Hull JSNA Toolkit: Asthma. The prevalence and inpatient admission rate are also given in relation to deprivation, as well as information on expenditure.

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Asylum Seekers

The Black and Minority Ethnic (BME) Health and Lifestyle Surveys undertaken in 2007 and 2011-12 included asylum seekers, with relatively high numbers in the 2007 survey. Their health, including mental health is compared with the general health of the population of Hull (main survey responders) in the BME Health and Lifestyle Survey 2007 Main Report, while comparisons with all British respondents are presented in the BME Health and Lifestyle Survey 2011-12 Main Report and the BME Health and Lifestyle Survey 2011-12 Summary. Hull JSNA Toolkit: Mental Health and Learning Dsabilities also includes some information related to the very poor mental health noted by asylum seeking survey respondents taking part in the 2007 survey.

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At Risk Groups

- see Vaccinations and Immunisations

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Atlas

See JSNA Hull Atlas for more about the mapping atlas, and see Geographical Area for more about the wards which is the geographical level used to present the data.

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Atrial Fibrillation

The prevalence and modelled prevalence for each general practice, and inpatient admissions are given in Hull JSNA Toolkit: Other Circulatory Diseases. The prevalence and inpatient admission rate are also given in relation to deprivation, as well as information on expenditure.

For associated information, also see Cardiovascular Disease.

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Attendance Allowance

- see Deprivation

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Attitudes to Health and Screening

The Attitudes to Health Survey 2007 examined attitudes to health as well as risk factors for health including:

Smoking
Diet
Lack of exercise
Obesity

Attitudes to screening and health checks were also investigated.

A summary of the findings is also given in the JSNA Toolkit.

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Attitudes to Risk and Lifestyle Risk Factors

Further information in relation to attitudes to risk and lifestyle risk factors is given in the Attitudes to Health Survey conducted during 2007, as well as some of the surveys, and the reflector groups following the surveys, with this information summarised in the JSNA Toolkit:

Attitudes to Health Survey 2007
JSNA Toolkit
Young People Health and Lifestyle Survey 2012 Reflector Report
Young People Health and Lifestyle Survey 2008-09 Reflector Report
Adult Health and Lifestyle Survey 2011-12 Reflector Report
Adult Health and Lifestyle Survey 2007 Reflector Report
Health and Lifestyle Survey 2009 Veterans Report

The Department of Health have generated a segmentation model toolkit (see https://socialmarketingportal.dh.gov.uk/healthyfoundations/) for more information). Individuals are classified based on their health-related behaviour. Also see Geo-demographic Segmentation for more information about the groups and their characteristics. The latest Adult Health and Lifestyle Survey included the 19 questions used to classify individuals into the Healthy Foundations groups. Many of the responses to other questions were tabulated in relation to the Healthy Foundation types in the following report:

Adult Health and Lifestyle Survey 2012 Main Report

Social marketing research was completed in Hull during September 2009 to assess general public knowledge and perception of chronic obstructive pulmonary disease (COPD) and of stroke. The conclusions are summarised in Hull JSNA Toolkit: Chronic Obstructive Pulmonary Disease  and Hull JSNA Toolkit: Stroke.

Two of the more recent surveys asked about perceived impact on health of changing lifestyle factors such as quitting smoking, eating a healthier diet, reducing alcohol consumption, doing more exercise, achieving or maintaining a healthy weight and reducing stress levels, and details are given in the following reports:

Adult Health and Lifestyle Survey 2011-12 Main Report
BME Health and Lifestyle Survey 2011-12 Main Report
Social Capital Survey 2009 Main Report

Two surveys asked about the impact on health of quitting smoking, but not about changes to other lifestyle risk factors:

Adult Health and Lifestyle Survey 2007 Main Report
BME Health and Lifestyle Survey 2007 Main Report
Gypsy and Traveller Health and Lifestyle Survey 2007 Main Report
Social Capital Survey 2004 Main Report

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