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How wealth affects health
 

How wealth affects health

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a slideshow giving indicators for health inequalities in the city of Westminster

a slideshow giving indicators for health inequalities in the city of Westminster

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    How wealth affects health How wealth affects health Presentation Transcript

    • How wealth affects health inyour local authority areaIn WestminsterThe average life expectancy... hides significant variation ...and the quality of life based on where you live.. your fellow citizens lead
    • This slideshow looks at Westminster local authorityand is based on the Marmot report ‘Fair SocietyHealthy Lives’It is divided into two parts:  Key indicators of health inequalities laid down by Marmot report  Indicators relating to the social determinants of health inequalities Children achieving a Young people not in People in receipt Means tested good level of employment, educat of means tested benefits by area of development aged 5 ion or training benefits deprivation The Marmot report covers much more, including Show a detailed range of policy initiatives me
    • HEAT MAP SHOWING INDEXOF MULTIPLE DEPRIVATIONFOR YOUR AREAThis presentation also comes with a heatmap showing small area based levels ofdeprivation in your local authority area. Thisuses the Index of Multiple Deprivation datawhich both the Marmot report and the UCLInstitute of Health Equity refer to.The map is there to make it easier for you torefer and compare different neighbourhoodsin your area. It includes a radial graphshowing the seven domains of deprivationthat go to make up the Index of MultipleDeprivation. For technical reasons both themap and radial graph reverse the numberrange contained in the Marmot report:Decile 1 is now least deprived and Decile10 = most deprived.This is so that the data is aligned to theDecile range shown in the accompanyingheat map and radial graph.
    • Key indicatorsHEALTH INEQUALITIES IN WESTMINSTER
    • In Westminster the average life expectancy atbirth is 83.8 years for men and 86.7 for women London England Women MenWestminster 74.0 76.0 78.0 80.0 82.0 84.0 86.0 88.0 Years
    • But those living in the most deprived areas of Westminster have a lower life expectancy compared to those in the most affluent areas 95.0 90.0 85.0 80.0 Years 75.0 men 70.0 Women 65.0 60.0 Dec 10 Dec 9 Dec 8 Dec 7 Dec 6 Dec 5 Dec 4 Dec 3 Dec 2 Dec 1 men 75.4 77.0 81.6 81.3 83.5 85.7 86.5 86.2 88.1 93.0 Women 81.4 82.5 84.1 85.8 87.1 87.0 91.3 87.1 89.3 90.0 Most deprived Decile range Least deprived areas areas Check the heatmap to see which decile 16.9 Years The inequality in male life expectancy in Westminster your neighbourhood between the most and least deprived areas falls into. Click on an area of the map for The inequality in female life expectancy in more information 9.7 Years Westminster between the most and least deprived areas
    • And the inequality in ‘disability-free life expectancy’ (DFLE) is even greater The inequality in male life The inequality in Disability16.9 Years 17 Years expectancy in Westminster -free life expectancy for between the most and least men in Westminster deprived areas between the most and least deprived areas The inequality in female life The inequality in Disability9.7 Years expectancy in Westminster 14.4 Years -free life expectancy for between the most and least women in Westminster deprived areas between the most and least deprived areasThose living in areas of high Disability-free life expectancy (DFLE) is the averagedeprivation not only die earlier but number of years a person could expect to live withoutalso spend more of their years an illness or health problem that limits their dailycoping with a disability activities. An inequality of 17 years means that a DFLE for the best off in Westminster is 17 years higher than for the worst off.
    • Health inequalities result from social inequalities 95.0 90.0 85.0 80.0 Years 75.0 70.0 65.0 60.0 Dec 10 Dec 9 Dec 8 Dec 7 Dec 6 Dec 5 Dec 4 Dec 3 Dec 2 Dec 1 Social inequality indicators used to predict health outcomes* The London HealthObservatory (LHO) and theUCL Institute of HealthEquity have produced thefollowing key indicators Children achieving Young people not People in receipt Means testedrelating to the social a good level of in of means tested benefits by areadeterminants of health development employment, edu benefits of deprivationoutcomes aged 5 cation or training *see spine charts in Marmot report
    • In Westminster 55 % of children achieved a good level of development at age 5 (Year 2011) Children achieving a good level of This is significantly lower development at age 5 than the London and 60.0 national average 59.0 58.0 The highest priority in the Marmot Review Percentage 57.0 is the aim to give every child the best start 56.0 in life, as this is crucial to reducing health 55.0 inequalities across the life course. As the 54.0 foundations of human development are 53.0 laid in early childhood, the review 52.0 Westminster England London proposed an indicator of readiness for school to capture early years development. indicators usedto predicthealth Children achieving Young people not People in receipt Means testedoutcomes a good level of in of means tested benefits by area development employment, edu benefits of deprivation aged 5 cation or training
    • In Westminster, 4.9 % of young people are not in employment, education or training Nov 2010 - Jan 2011 Nov 2009 - Jan 2010 This is a modest improvement on the 8.0 previous period – and significantly below 7.0 the England average 6.0 Percentage 5.0 4.0 Non-participation of young people in 3.0 education, employment or training 2.0 between the ages of 16 and 19 is a major 1.0 predictor of later unemployment, low 0.0 income, depression, involvement in crime Westminster England London and poor mental health indicators usedto predicthealth Children achieving Young people not People in receipt Means testedoutcomes a good level of in of means tested benefits by area development employment, edu benefits of deprivation aged 5 cation or training
    • In Westminster, 15.6% of people were in receipt of means tested benefits (Year 2008) Year 2008 Year 2005 This is a modest decrease 25.0 from year 2005 to year 20.0 2008 20.6 18.8Percentage 15.0 17.4 “An adequate and fair healthy standard of 15.6 14.6 15.5 living is critical to reducing health 10.0 inequalities. Insufficient income is 5.0 associated with worse outcomes across virtually all domains, including long-term 0.0 health and life expectancy.” pg 120 of Westminster England London Marmot report indicators usedto predicthealth Children achieving Young people not People in receipt Means testedoutcomes a good level of in of means tested benefits by area development employment, edu benefits of deprivation aged 5 cation or training
    • In Year 2008,15.6% of people lived in households in receipt of means tested benefit – but this masks significant variations based on area Year 2008 Year 2005 In Westminster, when you 50.0 compare the worst off areas with 45.0 40.0 the best off, there is a difference 35.0 of 39.7* percentage points. Percentage 30.0 For example those areas falling into the 25.0 bottom decile (decile 10) have a far higher 20.0 concentration of their population on 15.0 benefits (around 40%) compared to decile 10.0 1 (around 2.5%) 5.0 0.0 * To be treated with caution - figure is Dec 10 Dec 9 Dec 8 Dec 7 Dec 6 Dec 5 Dec 4 Dec 3 Dec 2 Dec 1 subject to significant confidence intervals indicators usedto predicthealth Children achieving Young people not People in receipt Means testedoutcomes a good level of in of means tested benefits by area development employment, edu benefits of deprivation aged 5 cation or training
    • The average life expectancy... hides significant variation ...and the quality of life your based on where you live.. fellow citizens leadTo summarise: each of the indicators below is used to predict the health outcomes above The London HealthObservatory (LHO) and theUCL Institute of HealthEquity have produced thefollowing key indicators Children achieving Young people not People in receipt Means testedrelating to the social a good level of in of means tested benefits by areadeterminants of health development employment, edu benefits of deprivationoutcomes aged 5 cation or training *see spine charts in Marmot report
    • Doing nothing is not an optionThe Marmot report outlines a range of policy initiatives fromearly years education to a minimum income for healthy living.Those who claim that such policies are unaffordable inthe present economic climate, must weigh that claimagainst the cost of doing nothing: – £31-33 billion in productivity losses – £20-32 billion in lost taxes and higher welfare payments – costs in excess of £5.5 billion in additional NHS healthcare costs every year Marmot report
    • Slideshow by Gavin Barker www.gavin-barker.com KEY SOURCES Click to access source London Health Observatory UCL Institute of Health EquityYOU ARE FREE TO USE THIS SLIDESHOWAS A TEMPLATE FOR YOUR OWN –SEENEXT SLIDEShould you do so, please delete my name and substitute the picture in slide 14 (copyrightrestrictions by istockphoto apply). To embed a section of the map in your website, pleasecontact me gavinbark@gmail.comUse the data for your local authority located at the London Health ObservatoryThis is available for upper tier local authorities in England only (excluding the City ofLondon and Isles of Scilly)
    • Slideshow by Gavin Barker www.gavin-barker.com KEY SOURCES Click to access source London Health Observatory UCL Institute of Health Equity INSTRUCTIONS TO DOWNLOAD 2. Click download 3. Amend the PowerPoint adding in the data for your area along with any pictures 4. Create a free account on Slideshare and upload your powerpoint. 5. <>Copy and paste the embed code into your blog or website<> Click on1. slideshare