Introduction to a conference at the University of York on September 4, 2014 on men's health and long-term conditions - including mortality rates, cancer, heart disease, suicide and diabetes

1. Martin Tod, CEO, Men’s Health Forum

2. Male deaths – under 75
39.1%
Female deaths – under 75
25.0%
Source: ONS 2014

3. Male deaths – under 65
19.6%
Female deaths – under 65
12.0%
Source: ONS 2014

4. Number of male and female deaths by age
273 884 3,458
10,284
30,990
81,066
111,553
203 509 1,690
6,561
21,550
61,533
165,737
180,000
160,000
140,000
120,000
100,000
80,000
60,000
40,000
20,000
-
1-4 years 5-19 years 20-34 years 35-49 years 50-65 years 65-79 years 80+ years
Men Women
Source: 2012 Mortality Statistics. ONS 2013

5. 84.0
82.0
80.0
78.0
76.0
74.0
72.0
70.0
68.0
66.0
64.0
Life Expectancy at Birth – 1980-2012
Female
Male
Male Female

6. 79.1
Life Expectancy at birth – 2010-12
83.0 82.9
74.0
79.5
86.6
88.0
86.0
84.0
82.0
80.0
78.0
76.0
74.0
72.0
70.0
68.0
66.0
England Blackpool / Manchester East Dorset / Purbeck
Men Women
Source: ONS

7. 3,130
2,335
981
1,746
2,004
804
3,500
3,000
2,500
2,000
1,500
1,000
500
0
Circulatory
diseases
Cancer Respiratory
diseases
Male
2002 2012
1,945
1,635
675
1,118
1,471
581
3,500
3,000
2,500
2,000
1,500
1,000
500
0
Circulatory
diseases
Cancer Respiratory
diseases
Female
2002 2012
Source: ONS Age-standardised mortality rates (ASMRs) per million population

8. 2.89
1.65 1.58
2.01
1.70
1.92
1.53 1.62
1.42 1.54
2.89
1.27
2.21
3.50
3.00
2.50
2.00
1.50
1.00
0.50
-
Male to female cancer mortality ratio (all ages)
Source: CRUK, Mortality rate ratios are European age-standardised, of male to
female cancer mortality (excluding NMSC), UK, 2010.

9. 5
78
213
224
252
285
367 372
311
250
169
126
81
65 59
43
15
6
400
350
300
250
200
150
100
50
-
10­14
15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+
Male Female
Source: 2012 Mortality Statistics. ONS 2013

10. Now let’s talk about
your long-term
condition…

11. 28%
Do you have a long-standing health condition?
32%
41%
54%
69%
82%
90% 92%
30% 31%
39%
50%
66%
79%
89%
93%
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 to 84 85 or over
Male Female
Source: GP Patient Survey, July 2014

12. 40% Full-time paid work
(30 hours or more each
week)
84% Fully retired from work
99% Permanently sick
or disabled
30% Full-time education at
school, college or university
53% Part-time paid work
(under 30 hours each week)
60% Unemployed
62% Looking after the home
53% Doing something else
Source: GP Patient Survey, July 2014

13. 5%
4%
2%
2%
2%
2%
1%
1%
0%
3%
12%
10%
10%
9%
6%
10%
19%
54%
0% 10% 20% 30% 40% 50% 60%
[Combined LTCs]
High blood pressure
Another long-term condition
Arthritis or long-term joint problem
Asthma or long-term chest problem
Long-term back problem
Diabetes
Angina or long-term heart problem
Long-term mental health problem
Deafness or severe hearing impairment
Cancer in the last 5 years
I would prefer not to say
Long-term neurological problem
Learning difficulty
Kidney or liver disease
Epilepsy
Blindness or severe visual impairment
Alzheimer's disease or dementia
Source: GP Patient Survey, July 2014

14. Source: GP Patient Survey, July 2014
Medical condition Male Female
Men more than women
Diabetes 9% 6%
Angina or long-term heart problem 6% 4%
High blood pressure 19% 18%
Learning difficulty 2% 1%
Deafness or severe hearing impairment 4% 4%
Kidney or liver disease 2% 1%
Epilepsy 1% 1%
I would prefer not to say 2% 2%
Cancer in the last 5 years 3% 3%
Same Long-term neurological problem 2% 2%
Women more than
men
Alzheimer's disease or dementia 0% 1%
Blindness or severe visual impairment 1% 1%
Long-term mental health problem 5% 5%
Long-term back problem 10% 10%
None of these conditions 42% 43%
Another long-term condition 12% 13%
Asthma or long-term chest problem 10% 12%
Arthritis or long-term joint problem 10% 16%

15. Text ICED55 £5 to 70070

16. 250
200
150
100
50
-
Mortality from Motor Neurone Disease
15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95+
Male Female
Source: ONS: Deaths registered in England and Wales, 2012

17. • Between 1990-2005, The rate of MND in
men was 54% higher than in women
• The lifetime risk of MND, adjusting for
competing causes of death, was 1 in 472
(2.1 per 1000) in women and 1 in 350 (2.9
per 1000) in men.
Alonso, A., Logroscino, G., Jick, S. S. and Hernán, M. A. (2009), Incidence and lifetime
risk of motor neuron disease in the United Kingdom: a population-based study.
European Journal of Neurology, 16: 745–751. doi: 10.1111/j.1468-1331.2009.02586.x

18. “SR 520 Eastside project night work, August 2011" by Washington
State Department of Transportation censed under CC BY-NC-ND 2.0

19. Wang Y et al. BMJ Open 2013;3:e003320
©2013 by British Medical Journal Publishing Group

20. 61%
Visited GP in the last 3 months
32%
68%
51%
80%
70%
60%
50%
40%
30%
20%
10%
0%
LTC No LTC
Male Female
Source: GP Patient Survey, July 2014

21. LTC
54%
DK
3%
% men
overall
visiting GP in last 3 months
LTC
69%
% men
DK
2%
Source: GP Patient Survey, July 2014

22. “Pound Coins" by William Warby
is licensed under CC BY-NC-ND 2.0

23. 3,521
1,020
1,743
307
4,000
3,500
3,000
2,500
2,000
1,500
1,000
500
-
Amputation of leg Amputation of foot
Male Female
• 49% of amputations
diabetes related
• 80% preceded by a
(preventable) foot
ulcer
• White men living in
poorer areas are the
group with the highest
risk of diabetes-related
amputation
Source: Hospital Episode Statistics for England’s Inpatient statistics
2012-13 via Diabetes UK