Deprivation
Deprivation, as measured by the Scottish Index of Multiple Deprivation, is associated with higher rates of coronary heart disease (CHD) mortality. The relationship is stronger amongst the under 65s. ISD Scotland's Deprivation and Health in Scotland, published in 1998, discusses the impact of deprivation on CHD.
More recent figures on the effect of deprivation on mortality from CHD can be found in the health chapter of the Scottish Executive's Social Focus on Deprived Areas 2005.
The report of the ministerial taskforce on inequalities, "Equally Well', published in June 2008, contains a more general account of the effect of deprivation on health, including CHD and cerebrovascular disease.
Key Points (from December 2012 release):
- In the 15% most deprived areas in Scotland, the age-standardised under 75 mortality rate from CHD for both sexes combined decreased by 9.6% from 95.5 per 100,000 in 2010 to 86.3 per 100,000 in 2011. However the rate for females increased by 1.7% from 48.5 per 100,000 in 2010 to 49.3 per 100,000 in 2011
(see Table DC3
). - There has been a reduction in absolute and relative inequality in mortality rates by deprivation over the decade 2002-2011; in other words the gap between least and most deprived has narrowed both in absolute terms and relative to the least deprived rate. Mortality rates fell across all quintiles of the SIMD. The relative reduction in the age-sex standardised CHD mortality rate among the most deprived quintile (quintile 1) was 38.7% compared with 25.1% in the least deprived quintile (quintile 5 - see Table DC7 ).
- There is a strong positive relationship between deprivation and CHD mortality rates. This relationship is evident for all ages but is strongest in the 0-64 age group. The 0-64 SMR is approximately 5.8 times higher in the most deprived tenth, compared to the least deprived (see Table DC1 ).
| Analysis | New/Updated | Excel Available | Size | National Statistics |
| Table DC1 Coronary Heart Disease and Deprivation; mortality crude rates and standardised mortality ratios (SMR) by age group and SIMD decile; 2007-2011. |
18 Dec 2012 | |
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Table DC3 Trends (2002-2011) in mortality rate from coronary heart disease among the under 75s in the 15% most deprived SIMD areas. |
18 Dec 2012 | |
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Table DC4 Number of deaths and European age-standardised rates by NHS board; ages under 75; 15% most deprived SIMD areas. |
18 Dec 2012 | |
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Table DC5 Number of deaths from coronary heart disease and European age-standardised rates by community health partnership (CHP); ages under 75; 15% most deprived SIMD areas. |
18 Dec 2012 | |
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Table DC6 Number of deaths from coronary heart disease and European age-standardised rates by local authority/ council area; ages under 75; 15% most deprived SIMD areas. |
18 Dec 2012 | |
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Table DC7 Trend in coronary heart disease mortality, crude mortality rates and standardised mortality rates by SIMD deprivation quintile; 2002-2011. |
18 Dec 2012 | |
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