JSNA Briefing. Derbyshire Strategic Partnership. April 2009

Transcription

1 Derbyshire Strategic Partnership JSNA Briefing April 2009 Introduction This JSNA briefing describes the accompanying data about estimates for the percentage of people who binge drink in Derbyshire. It identifies areas where the percentage of people who binge drink are abnormally high, and compares Derbyshire with national and regional rates. Additional data allows for in depth analysis at Middle Super Output Area (MSOA) level to allow further comparisons to be made against other lifestyle risks i.e.. smoking healthy eating and obesity. Analysis The Health Survey for England (HfSE) is carried out annually asking questions about the health of people living in England. Data from the surveys has been used to create estimates, based upon population characteristics of local authorities, of the percentage of people who binge drink; adults who consume at least twice the daily recommended amount of alcohol in a single drinking session (that is, 8 or more units for men and 6 or more units for women). The healthy lifestyle measure for binge drinking was generated from the data collected in the HSfE about the quantities of all the different types of alcoholic drinks (beer, wine, spirits, sherry and alcopops) consumed on a respondent s heaviest drinking day in the previous week. These measures were combined to give the number of units of alcohol consumed on the heaviest drinking day. Binge drinking was then defined separately for men and women: men were defined as having indulged in binge drinking if they had consumed 8 or more units of alcohol on the heaviest drinking day in the previous seven days; for women the cut-off was 6 or more units of alcohol. Of the 28,662 adults in the HSfEs, 5,231 (18%) were defined to have indulged in binge drinking. The ONS latest News Release published on 22/01/09 stated that "over a third of adults exceed the daily limits for regular drinking on at least one day during the week, despite growing awareness of safe drinking levels". The press release also stated "that more people in "managerial" and "professional" households exceeded the daily limits on their heaviest drinking day of the week (43%) whilst those in "routine" or "manual" households reported" (31%).see: Additionally the NHS Information published a report Statistics on Alcohol in England 2009 on 20/05/09. This report presented a range of information from a variety of published sources to provide detailed analysis on all aspects of alcohol consumption. It aims to present a broad picture of health issues relating to alcohol in England and covers topics such as drinking habits and behaviours among adults and school children, drinkingrelated, ill-health and mortality, affordability of alcohol and alcohol-related costs. We have included a data extract from the datasets accompanying this report within this JSNA briefing and all other alcohol related datasets within this JSNA. Theheadlinekey factsfrom thisreport relatingspecificallyto bingedrinkingwere that25% of men and16% of women reporteddrinkingover8unitsformenand6unitsforwomen -onatleastonedayintheweekpriorto interview. Additionally in % of men reported drinking more than 21 units in an average week. For women 20% reported drinking more than 14 units in an average week. Binge drinking has become an accepted activity within many sections of the population, both young and old. In 2007 in England there were 6,541 deaths directly related to alcohol; this has increased by 19 per cent since Of these alcohol related deaths, the majority (4,249) died from alcoholic liver disease. 1

2 Derbyshire Strategic Partnership JSNA Briefing April 2009 The data set - NHSstats onalcohol shows the regionalpercentage of bingedrinkersin 2009 was; for all adults 21%; men 26%; were slightly higher that the national percentage of 21% all adults; and 25% men. Whilst the percentage of women binge drinkers in the region was the same as the national average of 16%. Datasets and Methodology are available to download here : : Themodelbasedestimates fromonsfor showsthatover17%ofthepopulationofderbyshireare binge drinkers. There is little variation across the County. High Peak has the highest estimated percentage of binge drinkers, 18.0%, and South Derbyshire has the lowest, 17.1%. The data at Middle Super Output level highlights pockets of much higher percentages of binge drinkers the highest percentage within each district being: Amber Valley - Somercotes North East % Bolsover -Bolsover North West - 20% Chesterfield - Barrow hill and Hollingwood and Dunston & Whittington Moor both % Derbyshire Dales - Matlock North % Erewash - Long Eaton Centre % High Peak - Hadfield West and Gamesley % North East Derbyshire - Holmewood % South Derbyshire - Church Gresley & Woodville % Whilst this data shows that Derbyshire is average for binge drinking in comparison to the region, the data is based on population characteristics and may not reflect the true extent of binge drinking within the county. This dataset should be used in conjunction with all other briefing documents within this JSNA to ensure a balanced view - data such as alcohol related admissions for the County should be taken into consideration in order to gain a broader view of how alcohol affects health within Derbyshire. Further data is also available from Local Area Profiles for England (LAPE). These are local area profiles of alcohol - related harms comprising 23 indicators: For further information contact: Chris McManus T: E chris.mcmanus@derbyshirecountypct.nhs.uk 2

3 METADATA Title Model based estimates for the percentage of people who binge drink Subject Behaviours - Alcohol Description This data estimates the percentage of people who binge drink Contributor Office for National Statistics Creator John Jenkins from ONS data - see link below Contact Chris McManus; chris.mcmanus@derbyshirecountypct.nhs.uk Date of Creation 16/07/08 Date of data Jan Dec 2005 Data quality These estimates must be used with caution. They will almost certainly not mirror precisely any available measures from local studies or surveys (although research by NatCen and others have shown that they tend to be related). The modelbased approach generates estimates that are of a different nature from standard survey estimates because they are dependent upon correctly specifying the relationship between individual healthy lifestyle behaviours and the census/administrative information about the area in which people reside. The main limitation of estimates for small areas, either those estimated directly from responses to surveys or model-based, is that they are subject to variability. NatCen have produced confidence intervals associated with the model-based estimates in order to make the accuracy of the estimates clear. In addition, the model - based estimates do not take account of any additional local factors that may impact on the true prevalence rate (e.g. local initiatives designed to reduce smoking). This also applies to other factors not covered by the census and administrative data used for modelling. The estimates, therefore, cannot be used to monitor perf Coverage Derbyshire Geography Derbyshire districts Rights Freely available but source should be quoted in all publications Frequency of update Ad Hoc Scope Further info./links Data Item Descriptions Report on drinking ONS published 22/01/09 Data Item name Drinking: adults behaviour and knowledge in 2008 Statistics on Alcohol - Report published 20/09/09

4 Derbyshire PCT Table 2.15 Maximum drunk on any one day last week 1, by gender and Government Office Region, ,3 Published May 2009 Great Britain Percentages Drank more than 4/3 units on at least one day 4 Drank more than Weighted bases 8/6 units on at least (000s) one day 4 Unweighted bases All adults England ,479 13,320 North East , North West ,900 1,800 Yorkshire and the Humber ,842 1,440 East Midlands ,275 1,340 West Midlands ,824 1,350 East of England ,351 1,660 London ,715 1,270 South East ,112 2,300 South West ,745 1,500 Wales , Scotland ,838 1,430 Great Britain ,552 15,620 Men England ,077 6,170 North East North West , Yorkshire and the Humber , East Midlands , West Midlands , East of England , London , South East ,859 1,070 South West , Wales , Scotland , Great Britain ,940 7,230 Women England ,401 7,160 North East North West , Yorkshire and the Humber , East Midlands , West Midlands , East of England , London , South East ,253 1,230 South West , Wales , Scotland , Great Britain ,611 8, Aged 16 and over Results The method for 2007 used include for calculating longitudinal the number data (see of Appendix units drunk A) was updated for the 2006 survey. The change is designed to take into account changes in the way drinks are served and the changing strength of drinks 4. The first of each pair of figures shown relate to men, and the second, to women Source: General Household Survey The Office For National Statistics Copyright 2009, re-used with the permission of The Office for National Statistics Copyright The Health and Social Care Information Centre, Lifestyles Statistics. All rights reserved

5 Comparison of Model Based Estimates at Middle Super Output area for all Derbyshire Districts at Middle Super Output level for all Healthy Lifestyle behaviours - showing 2 highest and 2 lowest MSOA percentages for each District Amber Valley MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Codnor West,Loscoe & Ripley South 31.3 Duffield 18.4 Somercotes North East 30.5 Crich & South Wingfield 22.8 Healthy Eating Duffield 34.4 Somercotes North East 17.7 Crich & South Wingfield 30.0 Langley Mill & Shipley 19.5 Binge Drinking Somercotes North East 21.8 Crich & South Wingfield 12.8 Codnor East & Ripley North 20.6 Duffield 13.1 Smoking Somercotes North East 39.0 Duffield 12.7 Langley Mill & Shipley 34.1 Crich & South Wingfield 15.9 Bolsover MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Shirebrook North West 33.6 Barlborough & Clowne 27.1 South Normanton North 30.9 Bolsover South East & Glapwell 28.3 Pinxton & South Normanton South 30.9 Healthy Eating Barlborough & Clowne 24.9 Shirebrook North West 19.2 Bolsover South East & Glapwell 23.7 South Normanton North 19.7 Binge Drinking Bolsover North West 20.0 Whitwell 15.2 South Normanton North 19.7 Barlborough & Clowne 15.9 Smoking Cresswell 34.3 Bolsover South East & Glapwell 22.4 Bolsover North West 33.0 Pinxton & South Normanton South

6 Comparison of Model Based Estimates at Middle Super Output area for all Derbyshire Districts at Middle Super Output level for all Healthy Lifestyle behaviours - showing 2 highest and 2 lowest MSOA percentages for each District Chesterfield MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Duckmanton & Inkersall 30.6 Walton 20.8 Staveley 28.6 Chesterfield Centre 24.0 Healthy Eating Walton 32.1 Staveley 18.1 Linacre & Loundsley Green 25.2 Boythorpe & Birdholme 18.6 Binge Drinking Staveley 21.3 Walton 14.4 Barrow Hill & Hollingwood 21.3 Ashgate & Brampton 17.3 Smoking Boythorpe & Birdholme 38.1 Walton 12.9 Chesterfield Centre 35.9 Ashgate & Brampton 18.0 Derbyshire Dales MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Ashbourne 27.0 Bakewell North 20.1 Southern Derbyshire Dales 24.5 Hathersage & Tideswell 20.9 Healthy Eating Bakewell North 38.6 Ashbourne 22.5 Mid Derbyshire Dales 32.1 Wirksworth 26.2 Binge Drinking Matlock North 17.1 Bakewell South 12.9 Ashbourne 15.7 Bakewell North 13.0 Smoking Ashbourne 26.4 Bakewell North 14.4 Matlock Bath 22.4 Bakewell South

7 Comparison of Model Based Estimates at Middle Super Output area for all Derbyshire Districts at Middle Super Output level for all Healthy Lifestyle behaviours - showing 2 highest and 2 lowest MSOA percentages for each District Erewash MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Hallam Fields 30.3 West Hallam 22.9 Cotmanhay 29.7 Little Eaton & Stanley 23.4 Healthy Eating Little Eaton & Stanley 31.2 Cotmanhay 17.6 West Hallam 30.4 Kirk Hallam 19.0 Binge Drinking Long Eaton Centre 22.3 Little Eaton & Stanley 15.0 Ilkeston 21.6 West Hallam 16.2 Smoking Cotmanhay 39.3 West Hallam 16.4 Ilkeston 34.6 Breaston East & Wilsthorpe 17.5 High Peak MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Buxton East 30.5 Charleswoth & Simmondley 19.3 Chapel -en-le-frith 26.7 Whaley Bridge 20.6 Healthy Eating Charleswoth & Simmondley 34.8 Buxton East 21.5 Hope Valley 33.2 Hadfield West & Gamesley 23.4 Binge Drinking Hadfield West & Gamesley 22.1 Whaley Bridge 14.2 Glossop Centre 21.2 Chapel -en-le-frith 14.5 Smoking Buxton East 31.7 Charleswoth & Simmondley 15.0 Glossop Centre 27.6 Hope Valley 16.3 Whaley Bridge

8 Comparison of Model Based Estimates at Middle Super Output area for all Derbyshire Districts at Middle Super Output level for all Healthy Lifestyle behaviours - showing 2 highest and 2 lowest MSOA percentages for each District North East Derbyshire MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Higham & Shirland 29.9 Dronfield Woodhouse 21.3 Holmewood 29.9 Holymoorside & Wingerworth West 21.8 Healthy Eating Dronfield Woodhouse 30.6 Clay Cross 19.0 Ashover & Wingerworth East 29.5 Holmewood 19.3 Binge Drinking Holmewood 20.4 Holymoorside & Wingerworth West 11.7 Clay Cross 18.5 Ashover & Wingerworth East 14.0 Smoking Clay Cross 33.6 Holymoorside & Wingerworth West 11.8 Holmewood 32.7 Dronfield Woodhouse 13.5 South Derbyshire MSOA areas with Model Based Estimate MSOA areas with Model Based Estimate Obesity Midway 32.9 Repton & Willington South 20.5 Church Gresley & Woodville 29.4 Melbourne 22.0 Healthy Eating Aston 38.1 Church Gresley & Woodville 23.3 Repton & Willington South 34.6 Midway 23.8 Binge Drinking Church Gresley & Woodville 22.4 Aston 14.4 Newhall 19.6 Etwall & Hilton 14.4 Smoking Church Gresley & Woodville 30.5 Aston 14.7 Newhall 29.7 Melbourne

9 Healthy Lifestyle Behaviours: Model Based Estimates, for the years NeSS Geography Hierarchy - Binge Drinking, all persons over 16 years of age LA code Derbyshire District Model Based Estimate for Binge Drinking Confidence Interval (Lower Limit) Confidence Interval (Upper Limit) Eng England E East Midlands UB Amber Valley UC Bolsover UD Chesterfield UF Derbyshire Dales UG Erewash UH High Peak UJ North East Derbyshire UK South Derbyshire LA code Derbyshire District Middle SOA Code MSOA ID Name of Middle Super Output Area 17UB Amber Valley E Alfreton UB Amber Valley E Crich & South Wingfield UB Amber Valley E Somercotes North East UB Amber Valley E Somercotes South West & Swanwick UB Amber Valley E Codnor East & Ripley North UB Amber Valley E Heage & Ripley West UB Amber Valley E Ambergate UB Amber Valley E Codnor West, Loscoe & Ripley South UB Amber Valley E Belper North East UB Amber Valley E Belper Centre UB Amber Valley E Belper East & Holbrook UB Amber Valley E Aldercar & Heanor West UB Amber Valley E Heanor East UB Amber Valley E Langley Mill & Shipley UB Amber Valley E Kilburn UB Amber Valley E Duffield UC Bolsover E Barlborough & Clowne UC Bolsover E Whitwell UC Bolsover E Creswell UC Bolsover E Bolsover North West UC Bolsover E Bolsover South East & Glapwell UC Bolsover E Shirebrook North West UC Bolsover E Scarcliffe & Shirebrook South East UC Bolsover E Tibshelf UC Bolsover E South Normanton North UC Bolsover E Pinxton & South Normanton South UD Chesterfield E Old Whittington UD Chesterfield E Staveley UD Chesterfield E Barrow Hill & Hollingwood UD Chesterfield E Dunston & Whittington Moor

10 Healthy Lifestyle Behaviours: Model Based Estimates, for the years NeSS Geography Hierarchy - Binge Drinking, all persons over 16 years of age LA code Derbyshire District Model Based Estimate for Binge Drinking Confidence Interval (Lower Limit) Confidence Interval (Upper Limit) Eng England E East Midlands UD Chesterfield E Brimington & Tapton UD Chesterfield E Duckmanton & Inkersall UD Chesterfield E Newbold & Stonegravels UD Chesterfield E Linacre & Loundsley Green UD Chesterfield E Ashgate & Brampton UD Chesterfield E Chesterfield Centre UD Chesterfield E Walton UD Chesterfield E Hady & Hasland UD Chesterfield E Boythorpe & Birdholme UF Derbyshire Dales E Hathersage & Tideswell UF Derbyshire Dales E Bakewell North UF Derbyshire Dales E Bakewell South UF Derbyshire Dales E Darley Dale UF Derbyshire Dales E Matlock North UF Derbyshire Dales E Matlock Bath UF Derbyshire Dales E Wirksworth UF Derbyshire Dales E Mid Derbyshire Dales UF Derbyshire Dales E Ashbourne UF Derbyshire Dales E Southern Derbyshire Dales UG Erewash E Cotmanhay UG Erewash E Shipley UG Erewash E Ilkeston UG Erewash E Little Eaton & Stanley UG Erewash E West Hallam UG Erewash E Hallam Fields UG Erewash E Kirk Hallam UG Erewash E Sandiacre UG Erewash E Borrowash & Ockbrook UG Erewash E Long Eaton North UG Erewash E Breaston East & Wilsthorpe UG Erewash E Long Eaton Centre UG Erewash E Breaston West & Draycott UG Erewash E Long Eaton East UG Erewash E Sawley UH High Peak E Hadfield East & Tintwistle UH High Peak E Hadfield West & Gamesley UH High Peak E Glossop Centre UH High Peak E Charlesworth & Simmondley UH High Peak E New Mills West UH High Peak E Hayfield & New Mills East

11 Healthy Lifestyle Behaviours: Model Based Estimates, for the years NeSS Geography Hierarchy - Binge Drinking, all persons over 16 years of age LA code Derbyshire District Model Based Estimate for Binge Drinking Confidence Interval (Lower Limit) Confidence Interval (Upper Limit) Eng England E East Midlands UH High Peak E Hope Valley UH High Peak E Whaley Bridge UH High Peak E Chapel-en-le-Frith UH High Peak E Buxton North UH High Peak E Buxton East UH High Peak E Buxton West UJ North East Derbyshire E Killamarsh UJ North East Derbyshire E Coal Aston & Eckington West UJ North East Derbyshire E Eckington & Renishaw UJ North East Derbyshire E Dronfield North East UJ North East Derbyshire E Dronfield Woodhouse UJ North East Derbyshire E Dronfield South West UJ North East Derbyshire E Calow & Sutton UJ North East Derbyshire E Holymoorside & Wingerworth West UJ North East Derbyshire E Holmewood UJ North East Derbyshire E Ashover & Wingerworth East UJ North East Derbyshire E North Wingfield & Pilsley UJ North East Derbyshire E Clay Cross UJ North East Derbyshire E Higham & Shirland UK South Derbyshire E Burnaston & Hatton UK South Derbyshire E Etwall & Hilton UK South Derbyshire E Findern, Stenson and Willington North UK South Derbyshire E Aston UK South Derbyshire E Repton and Willington South UK South Derbyshire E Melbourne UK South Derbyshire E Midway UK South Derbyshire E Newhall UK South Derbyshire E Swadlincote UK South Derbyshire E Church Gresley & Woodville UK South Derbyshire E Linton & Overseal