PHIT-1011AB0004 PHIT-1011AB0004
Birchfield Health Profile 2010 This report gives a brief overview of the health of the people of Birchfield. Full data tables are posted on the Birmingham Health and Wellbeing Partnership website here. For full information on the calculations used to determine figures in this document, please refer to the Technical Guidance. The sources of original data used for calculations in this report are listed at the end of this document. Throughout this document, where a priority neighbourhood average is referred to, this is the combined figure for all 25 priority neighbourhoods and 6 clusters.
Key Points Birchfield has a young population compared to Birmingham overall The area is made up of multicultural groups with high health needs Life expectancy is lower than the Birmingham average but better than average for the priority neighbourhoods, it has improved comparatively over recent years Fewer people die young in Birchfield than Birmingham on average. The main contributors in the neighbourhood are: chronic liver disease including cirrhosis, cancers and circulatory diseases Mortality rates and admission rates are similar to the Birmingham average. Some diseases have much higher admission rates than the Birmingham average
Authors Andrew Baker Mohan Singh Irena Begaj
Department Leads Iris FermĂn (Head of Information and Intelligence) Jim McManus (Joint Director of Public Health)
Population Structure Around 7,600 people live in Birchfield; there are 102 men to every 100 women, which is close to the Birmingham average of 97 men to every 100 women.1 Figure 1 - Population Structure of Birmingham and Neighbourhood 2008
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Source: Birmingham Public Health Information Team
Birchfield has a slightly younger age structure than Birmingham on average; with a particularly high concentration of those in their twenties.
Health Clusters Figure 2 - Map of Neighbourhood showing Health Clusters
Source: Birmingham Public Health Information Team, Cluster Summaries
2
Birchfield is quite a mixed area; it is made up of two main groups of people: • •
Multicultural, mixed communities with crime and health problems Multicultural groups with Heavy cardiovascular disease Needs
Also in this neighbourhood are smaller areas of: • •
Very mixed ethnicities with unhealthy lifestyles South Asian Communities with high health needs
Life Expectancy Figure 3 - Male Life Expectancy 2001 to 2008
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Source: Birmingham Public Health Information Team
Figure 4 - Female Life Expectancy 2001 to 2008
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Source: Birmingham Public Health Information Team
Figure 5 - All Person Life Expectancy 2001 to 2008
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Source: Birmingham Public Health Information Team
Life expectancy for Birchfield is higher than the priority neighbourhoods average but lower than the Birmingham average. Overall life expectancy has increased and is slightly better comparatively. Male life expectancy has not changed much since 2001 and is now in a worse position compared to the priority neighbourhoods and Birmingham average. Female life expectancy has increased since 2001, it appears to have closed the gap to the Birmingham average.
Years of Life Lost Years of life lost (YLL) is a measure of premature mortality (Under 75). Its primary purpose is to compare the relative importance of different causes of premature death within a particular population and it can therefore be used by health planners to define priorities for the prevention of such deaths. It can also be used to compare the premature mortality experience of different populations for a particular cause of death. The concept of YLL is to estimate the length of time a person would have lived had they not died prematurely. By including the age at which the death occurs, rather than just the fact of its occurrence, the calculation is an attempt to better quantify the burden, or impact, on society from the specified cause of mortality. Infant deaths are omitted, as they are mostly a result of causes specific to this age period and have different causes to deaths later in life. Figure 6 shows the values of years of life lost for multiple causes for Birchfield, the priority neighbourhoods average and the Birmingham average. This is expressed as a rate per 10,000 population, which is shown as a number on the chart. These are then plotted to show the proportional contribution of this disease to the total, represented by the width of the bars. Figure 6 - Years of Life Lost (2006-2008)
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Source: Birmingham Public Health Information Team
Birchfield has a higher proportion of years of life lost from chronic liver disease including cirrhosis, cancers and circulatory diseases. The neighbourhood loses less lives proportionally overall from accidents, suicide and injury undetermined and stroke.
Health Summary Table
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Source: Birmingham Public Health Information Team – Table Produced using West Midlands Public Health Observatory Spine Chart Creator
DSRs – Directly Standardised Rates above are expressed per 100,000 population, details in Technical Guidance.
The health of residents of Birchfield is on the whole worse than the Birmingham average. In particular the percentage of self reported good health is significantly below the Birmingham average. Mortality rates are similar to the Birmingham average. Admission rates across all causes are similar to the Birmingham average. However, for particular causes the admission rates are significantly higher than the Birmingham average; these include all cancers, circulatory diseases and alcohol-attributable diseases.
Sources 1. Office for National Statistics (ONS) – Mid-Year Population Estimates 2008 2. Links to Cluster Summaries and Methodology may be found in the Technical Guidance or from here 3. Life Expectancy data is derived from Mortality data and Population data; both supplied by the Office for National Statistics, details are given in the Technical Guidance 4. Years of Life Lost is calculated from Mortality data supplied by the Office for National Statistics 5. Indicator Types used in Health Summary Table Indicator Type
Life Expectancy
Self Reported Health / Long Term Limiting Illness
Childhood Obesity
Low Birth Weight
Admissions
Mortality
Data Source
Year
ONS, Annual Mortality Extract and Population Estimates
2006-2008
Census
2001
National Child Measurement Programme
2006/07 – 2008/09
ONS Annual Births Data
2008
Hospital Episode Statistics / ONS Population Estimates
2007/08
ONS, Annual Mortality Extract and Population Estimates
2006-2008