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The State of Men's Health

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The State of Men's Health

  1. 1. Health in the Workplace, National Football Centre June 29th, 2015
  2. 2. 39.1% Male deaths – under 75 25.0% Female deaths – under 75 Source: ONS 2014
  3. 3. 19.6% Male deaths – under 65 12.0% Female deaths – under 65 Source: ONS 2014
  4. 4. 273 884 3,458 10,284 30,990 81,066 111,553 203 509 1,690 6,561 21,550 61,533 165,737 - 20,000 40,000 60,000 80,000 100,000 120,000 140,000 160,000 180,000 1-4 years 5-19 years 20-34 years 35-49 years 50-65 years 65-79 years 80+ years Number of male and female deaths by age Men Women Source: 2012 Mortality Statistics. ONS 2013
  5. 5. 64.0 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 Life Expectancy at Birth – 1980-2012 Male Female Male Female
  6. 6. 73.8 76.0 77.1 78.3 79.2 79.9 80.8 81.4 81.8 82.9 79.0 80.6 81.4 82.3 83.1 83.4 84.1 84.4 85.0 85.9 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 86.0 88.0 1 2 3 4 5 6 7 8 9 10 Life Expectancy Male Female Source: ONS, Inequality in Healthy Life Expectancy at Birth by National Deciles of Area Deprivation: England, 2010-12
  7. 7. 79.1 74.0 82.983.0 79.5 86.6 66.0 68.0 70.0 72.0 74.0 76.0 78.0 80.0 82.0 84.0 86.0 88.0 England Blackpool / Manchester East Dorset / Purbeck Life Expectancy at birth – 2010-12 Men Women Source: ONS
  8. 8. 3,130 2,335 981 1,746 2,004 804 0 500 1,000 1,500 2,000 2,500 3,000 3,500 Circulatory diseases Cancer Respiratory diseases Male 2002 2012 1,945 1,635 675 1,118 1,471 581 0 500 1,000 1,500 2,000 2,500 3,000 3,500 Circulatory diseases Cancer Respiratory diseases Female 2002 2012 Source: ONS Age-standardised mortality rates (ASMRs) per million population
  9. 9. Male 71% Female 29% CVD deaths under 65
  10. 10. 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 Under 1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-89 90+ Malignantcancer,ratepermillion population,England&Wales2013 Malignant cancer, rate per million Male Female
  11. 11. 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 - 0.50 1.00 1.50 2.00 2.50 3.00 3.50 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.
  12. 12. 4 84 178 207 254 286 387 408 357 291 225 140 109 85 71 53 21 3 0 50 100 150 200 250 300 350 400 450 10-14 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: 2013 Mortality Statistics. ONS 2014
  13. 13. 0% 1% 1% 2% 2% 2% 3% 4% 5% 6% 9% 10% 10% 10% 19% 54% 0% 10% 20% 30% 40% 50% 60% Alzheimer's disease or dementia Blindness or severe visual impairment Epilepsy Kidney or liver disease Learning difficulty Long-term neurological problem Cancer in the last 5 years Deafness or severe hearing impairment Long-term mental health problem Angina or long-term heart problem Diabetes Long-term back problem Asthma or long-term chest problem Arthritis or long-term joint problem High blood pressure [Combined LTCs] Source: GP Patient Survey, July 2014
  14. 14. 40% Full-time paid work (30 hours or more each week) 53% Part-time paid work (under 30 hours each week) 30% Full-time education at school, college or university 60% Unemployed 99% Permanently sick or disabled 84% Fully retired from work 62% Looking after the home 53% Doing something else Source: GP Patient Survey, July 2014
  15. 15. You should probably have come a little earlier
  16. 16. Wang Y et al. BMJ Open 2013;3:e003320 ©2013 by British Medical Journal Publishing Group
  17. 17. 2,587 11,573 530 1,546 664 7,449 757 5,183 2,000 4,000 6,000 8,000 10,000 12,000 14,000 Self-employed full-time Employee full- time Self-employed part-time Employed part- time ‘000 Men Women Source: ONS, Labour Force Survey, UK, Feb-Apr 2014
  18. 18. 800 155 0 100 200 300 400 500 600 700 800 900 Men Women Extra deaths by suicide during 2008-2010 recession years 2014 DH suicide strategy report
  19. 19. Rate of Heart Attack over time, by Employment Status Dupreetal,2012,TheCumulativeEffectofUnemploymentonRisksfor AcuteMyocardialInfarction.ArchInternMed.2012;172(22):1731-1737.
  20. 20. 24.4 66.6 25.1 57.2 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Men - Obese Men - Overweight including obese Women - Obese Women - Overweight including obese
  21. 21. 22 17 0 10 20 30 40 50 60 1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 GB Smoking Rates Men Women
  22. 22. 0 10,000 20,000 30,000 40,000 50,000 60,000 Under 16 16 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75+ Alcohol-related NHS hospital admissions (wholly attributable to alcohol) Male Female HospitalEpisodeStatistics,HealthandSocialCare InformationCentre,England-Datafortotalnumber ofadmissionsforeachICD-10code.2012/13
  23. 23. 64% 55% 25% 5% 49% 37% 14% 22% 59% 54% 75% 72% 82% 34% 64% 51% 5% 48% 33% 71% 0% 20% 40% 60% 80% 100% Arthritis Bowel cancer Breast cancer Cervical cancer Dementia Lung cancer None of the above Osteoporosis Prostate cancer Skin cancer Which of the following conditions, if any, do you think you know the symptoms of? Male Female Lower claimed symptom awareness Populus survey on behalf of Saga – August 2013 – 11,729 men and women 50+
  24. 24. 13% 23% 0% 5% 10% 15% 20% 25% Total Usage of NHS Choices Male Female Base: All adults 16+ in England, NHS Choices Omnibus, January 2014
  25. 25. 69,245 avoidable deaths
  26. 26. One man in five dies before 65. Together we can change that

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