http://www.kirklees.nhs.uk/fileadmin/documents/About_Us/jsna09/contents%202009

Contents

Foreword.................................................................................................................................................2

1.

Purpose and how to use this JSNA What is a JSNA?..............................................................................................................................3 Relationships of the JSNA to data sources and planning systems......................................................4 Using the JSNA - questions it is trying to answer..............................................................................5 How to use this JSNA......................................................................................................................6 Acknowledgements.........................................................................................................................6

2.

The summary of the JSNA 2009 priorities for the health and well-being of Kirklees people.......................................................................................................................................7 Summary of priorities for the health and well-being of local children and young people..................8 Summary of the priorities for the health and well-being of local adults..........................................11

3.

Populations in Kirklees and in the future, including health status..................................................21

4.

Health and well-being issues for children and young people in Kirklees........................................23 Population.....................................................................................................................................23 Births.............................................................................................................................................23 Health and well-being challenges for children and young people...................................................23 Dying before their first birthday...........................................................................................23 Personal unhappiness and social isolation............................................................................25 Obesity................................................................................................................................25 Underlying factors affecting one or more of these challenges........................................................25 Emotional and mental well-being........................................................................................26 Safeguarding children.........................................................................................................28 Personal behaviours.......................................................................................................................30 Food and nutrition..............................................................................................................30 Physical activity....................................................................................................................30 Smoking..............................................................................................................................30 Drug misuse........................................................................................................................31 Alcohol...............................................................................................................................32 Teenage pregnancy and sexual health..................................................................................32 Sexual activity......................................................................................................................33 Disabilities...........................................................................................................................34 Single parents.....................................................................................................................35 Educational attainment.......................................................................................................35 Accidents............................................................................................................................36

5.

Health and well-being issues for adults.............................................................................................38 Specific populations.......................................................................................................................38 Women of child bearing age...............................................................................................38 Adults with physical and sensory disability...........................................................................42 Learning disabilities.............................................................................................................44 Carers.................................................................................................................................46 Older people.......................................................................................................................48 Offenders............................................................................................................................50 Conditions.....................................................................................................................................52 Cardiovascular disease.........................................................................................................52 Heart disease.......................................................................................................................52

High blood pressure and stroke...........................................................................................54 Mental ill-health..................................................................................................................56 Pain including backache......................................................................................................59 Obesity................................................................................................................................61 Diabetes..............................................................................................................................63 Cancers...............................................................................................................................65 Dementia............................................................................................................................69 Communicable diseases......................................................................................................71 Asthma...............................................................................................................................81 Personal behaviours.......................................................................................................................82 Smoking tobacco................................................................................................................82 Food and nutrition..............................................................................................................84 Physical activity....................................................................................................................87 Alcohol...............................................................................................................................89 Drug misuse........................................................................................................................91 Sexual health.......................................................................................................................92 Wider factors ...............................................................................................................................96 Social and community networks..........................................................................................96 Housing and neighbourhood...............................................................................................99 Accidents..........................................................................................................................100 Deprivation.......................................................................................................................101 Employment and income...................................................................................................102 Climate change.................................................................................................................104 6.

Localities..............................................................................................................................................107 Batley, Birstall & Birkenshaw........................................................................................................108 Denby Dale & Kirkburton.............................................................................................................114 Dewsbury & Mirfield....................................................................................................................119 Huddersfield North......................................................................................................................126 Huddersfield South......................................................................................................................132 Spen............................................................................................................................................138 The Valleys..................................................................................................................................143

7.

Overall table of all indicators for children & young people and adults.........................................150

8.

Appendix 1 - Definitions of health & well-being inequalities; the rainbow model......................162

9.

Appendix 2 - how the JSNA has been developed...........................................................................164 Aim of the JSNA..........................................................................................................................164 Assembling the JSNA...................................................................................................................166 Next steps for the JSNA...............................................................................................................168

10.

Appendix 3 - Technical issues.............................................................................................................169 Survey methods...........................................................................................................................169 YPHS.................................................................................................................................169 CLIK 2008.........................................................................................................................169 Place survey.......................................................................................................................170 Social marketing..........................................................................................................................170

11.

Appendix 4 - Data definitions ..........................................................................................................172

12.

Appendix 5 - Local Area Agreement indicators................................................................................179

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