South Tyneside Joint Strategic Needs Assessment 2012 Data Annex pot

South Tyneside Joint Strategic Needs Assessment 2012 Data Annex Chapter 3: Child Health and Lifestyle... South Tyneside 2012 Joint Strategic Needs Assessment – Data Annex – Version 2

Trang 1

South Tyneside Joint Strategic Needs Assessment

2012 Data Annex

Chapter 3: Child Health and

Lifestyle

Trang 3

South Tyneside 2012 Joint Strategic Needs Assessment – Data Annex – Version 2 QAd

91

South Tyneside Joint Strategic Needs Assessment 2012

Data Annex Chapter 3 Child Health and Lifestyle

This Annex brings together indicators of population, health, well-being, the wider determinants

of health and usage of care and health services among the population of South Tyneside Trends are considered over time and the values for local populations are compared to figures for local neighbours, similar populations in other parts of England, the NE and England as a whole The data set has been put together jointly by South Tyneside Primary Care Trust and South Tyneside Council

The Annex is divided into nine chapters:

1 Population

2 Social and Environmental Context

3 Child Health and Lifestyle

4 Life Expectancy, Mortality and Ill Health due to All Causes

5 Heart Disease, Stroke and Related Conditions

Information in this Chapter on child health and lifestyles is grouped into four broad sections

 Infant, Child and Maternal Health

 Children and Young People’s Lifestyles

 Uptake of children’s services

 Wider determinants of child health

Wherever information is available at a geographical level below the Local Authority population

as a whole, this is illustrated on maps of South Tyneside showing either wards or lower tier super output areas (a geography used within the 2001 Census) Each ward has an average population of around 10,000 and each lower tier super output area has an average population of around 1,500 The maps of variations in health and lifestyle for small areas are constructed so that poor health or less healthy lifestyle behaviours are shown as darker colours

The data set is designed to support Local Authorities, Clinical Commissioning Groups and

Primary Care Trusts when undertaking Joint Strategic Needs Assessment It will also be of use

to a wide range of partner agencies in the public, third and commercial sectors and individuals who either provide or use local health and care services The format of the data set has been agreed through consultation with health and social care specialists across the North East region and this process was facilitated by the North East Public Health Observatory It also

acknowledges the content suggested by the Association of Public Health Observatories in its report “The JSNA Core Dataset”

If you have any queries about the data in this annex please contact:

Public Health Analyst, NHS South of Tyne and Wear, Pemberton House, Colima Avenue, Sunderland SR5 3XB Tel: 0191 529 7000 E-mail: andy.billett@sotw.nhs.uk

Trang 4

92

Contents

Child Health and Lifestyles in South Tyneside in 2012 95

3. Child Health and Lifestyle 101

3.1. Infant, child and maternal health 101

3.1.1. Infant mortality rate 101

3.1.2. Low birthweight births 103

3.1.3. Teenage conception rates, under 18 and under 16 106

3.1.4. Teenage conception rates, ward rates by level of significance compared to England rate 109

3.1.5. Early identification of communities with high teenage conception rates 110

3.1.6. Proportion of mothers smoking at time of delivery 111

3.1.7. Breastfeeding - initiation 115

3.1.8. Breastfeeding – proportion of mothers continuing to breastfeed at the 6 to 8 week health check 121

3.1.9. Children killed or seriously injured in road traffic accidents 125

3.1.10. Rate of emergency admission to hospital among children under 5 years 127

3.1.11. Rate of emergency admission to hospital among children under 18 years 128

3.1.12. Rate of emergency admission to hospital due to intestinal infection among children and young people under 18 years 129

3.1.13. Rate of emergency admission to hospital due to influenza or pneumonia among children and young people under 16 years 130

3.1.14. Rate of emergency admission to hospital due to accidental injury among children under 5 years 131

3.1.15. Rate of emergency admission to hospital due to accidental injury among children and young people under 16 years 132

3.1.16. Mental health – rate of hospital admission due to self-harm among children and young people under 19 years 133

3.1.17. Oral health – average number of diseased, missing or filled teeth (DMFT) among 5 year olds 134

3.2. Children and young people’s lifestyles 136

3.2.1. Participation of children 5-16 years in PE and sport - SURVEY CEASED – SEPT 2010 136

3.2.2. Monitoring health-related behaviours among young people 138

3.2.3. Percentage of Year 10 boys (14 or 15 years of age) who self-report smoking 139 3.2.4. Percentage of Year 10 girls (14 or 15 years of age) who self-report smoking 140

3.2.5. Percentage of Year 8 boys (12 or 13 years of age) who self-report smoking 141

3.2.6. Percentage of Year 8 girls (12 or 13 years of age) who self-report smoking 142

3.2.7. Percentage of Year 10 boys (14 or 15 years of age) who self-report having consumed alcohol in the past seven days 143

3.2.8. Percentage of Year 10 girls (14 or 15 years of age) who self-report having consumed alcohol in the past seven days 144

3.2.9. Percentage of Year 8 boys (12 or 13 years of age) who self-report having consumed alcohol in the past seven days 145

3.2.10. Percentage of Year 8 girls (12 or 13 years of age) who self-report having consumed alcohol in the past seven days 146

3.2.11. Percentage of Year 10 boys (14 or 15 years) who consumed 3 or more portions of fruit and vegetables yesterday 147

3.2.12. Percentage of Year 10 girls (14 or 15 years) who consumed 3 or more portions of fruit and vegetables yesterday 148

Trang 5

93

3.2.13. Percentage of Year 8 boys (12 or 13 years) who consumed 3 or more portions of

fruit and vegetables yesterday 149

3.2.14. Percentage of Year 8 girls (12 or 13 years) who consumed 3 or more portions of fruit and vegetables yesterday 150

3.2.15. Percentage of Year 10 boys (14 or 15 years of age) who had nothing for breakfast on the day of the survey 151

3.2.16. Percentage of Year 10 girls (14 or 15 years of age) who had nothing for breakfast on the day of the survey 152

3.2.17. Percentage of Year 8 boys (12 or 13 years of age) who had nothing for breakfast on the day of the survey 153

3.2.18. Percentage of Year 8 girls (12 or 13 years of age) who had nothing for breakfast on the day of the survey 154

3.2.19. % of Year 10 boys (14 or 15 yrs) who registered a ‘high’ self-esteem score in response to questions about wellbeing 155

3.2.20. % of Year 10 girls (14 or 15 years) who registered a ‘high’ self-esteem score in response to questions about wellbeing 156

3.2.21. % of Year 8 boys (12 or 13 years) who registered a ‘high’ self-esteem score in response to questions about wellbeing 157

3.2.22. % of Year 8 girls (12 or 13 years) who registered a ‘high’ self-esteem score in response to questions about wellbeing 158

3.2.23. Obesity among primary school age children in reception year 159

3.2.24. Obesity among primary school age children in year 6 164

3.3. Uptake of maternity and children’s services 168

3.3.1. Proportion of pregnant women who see a midwife by 12 weeks of gestation 168

3.3.2. Immunisation rates 169

3.3.2.1. Uptake of Diphtheria, Tetanus, Polio, Pertussis and Haemophilus influenzae B (DTaP/IPV/HiB) Immunisation at 12 Months 169

3.3.2.2. Uptake of Meningitis C (MenC) Immunisation at 12 Months 170

3.3.2.3. Uptake of Pneumococcal Conjugate Vaccination (PCV) at 12 Months 171

3.3.2.4. Uptake of Diphtheria, Tetanus, Polio, Pertussis and Haemophilus influenzae B (DTaP/IPV/HiB) Immunisation at 24 Months 172

3.3.2.5. Uptake of Meningitis C (MenC) Immunisation at 24 Months 173

3.3.2.6. Uptake of Measles, Mumps and Rubella (MMR) 1st Dose at 24 Months 174

3.3.2.7. Uptake of Haemophilus Influenzae B and Meningitis C (Hib/MenC) Immunisation at 24 Months 175

3.3.2.8. Uptake of Pneumococcal Conjugate Vaccination (PCV) at 24 Months 176

3.3.2.9. Uptake of Diphtheria, Tetanus and Polio Primary Immunisation at 5 Years 177

3.3.2.10. Uptake of Diphtheria, Tetanus, Polio and Pertussis (DTPP) Booster Immunisation at 5 Years 178

3.3.2.11. Uptake of Haemophilus Influenzae B Primary Immunisation at 5 Years 179

3.3.2.12. Uptake of Mumps, Measles and Rubella (MMR) Immunisation 1st dose at 5 Years 180

3.3.2.13. Uptake of Mumps, Measles and Rubella (MMR) Immunisation 1st and 2nd dose at 5 Years 181

3.3.2.14. Uptake of Human Papilloma Virus (HPV) Vaccination among Girls 12 or 13 Years 182

3.3.3. Immunisation rates by electoral ward 183

3.3.3.1. Uptake of Diphtheria, Tetanus, Polio, Pertussis and Haemophilus influenzae B (5 in 1) Immunisation at 12 Months – 2007/08 to 2008/09 183

3.3.3.2. Uptake of HIB Meningitis C (MenC) Immunisation at 24 Months – 2007/08 to 2008/09 184

3.3.3.3. Uptake of Measles, Mumps and Rubella (MMR) 1st Dose at 24 Months – 2007/08 to 2008/09 185

Trang 6

94

3.3.3.4. Uptake of Diphtheria, Tetanus, Polio and Pertussis (DTPP or 4 in 1) Booster

Immunisation at 5 Years – 2007/08 to 2008/09 186

3.3.3.5. Uptake of Mumps, Measles and Rubella (MMR) Immunisation 1st and 2nd dose at 5 Years – 2007/08 to 2008/09 187

3.3.3.6. Uptake of selected immunisations by South Tyneside ward – 2007/08 to 2008/09 188

3.3.3.7. Percentage uptake of selected immunisations by South Tyneside ward – 2007/08 to 2008/09 189

3.3.4. Uptake of chlamydia screening programme 190

3.3.5. Percentage of looked after children who have received an annual health check192 3.3.6. Percentage of looked after children who have received an annual dental check by a dentist 193

3.3.7. Percentage of looked after children whose immunisations were up to date 194

3.3.8. School meals 195

3.3.8.1. Proportion of children in nursery and primary schools eligible for free school meals 195

3.3.8.2. Proportion of children in secondary schools eligible for free school meals 196

3.3.8.3. Proportion of children in nursery and primary schools eligible for free school meals who take them up 197

3.3.8.4. Proportion of children in secondary schools eligible for free school meals who take them up 198

3.3.8.5. Proportion of all children in primary schools that take up school meals 199

3.3.8.6. Proportion of all children in secondary schools that take up school meals 200

3.3.9. Care leavers in suitable accommodation 201

3.3.10. Care leavers in employment, education or training 202

3.3.11. Young offenders’ access to suitable accommodation 203

3.3.12. Young offenders’ engagement in suitable education, training and employment 204 3.4. Wider determinants of child health 205

3.4.1. Children under 16 in households dependent upon Income Support 205

3.4.2. Educational attainment – proportion of school children at Key Stage 4 achieving 5 or more GCSEs at grades A*-C including English and maths 206

3.4.3. Educational qualifications of looked after children 210

3.4.4. Proportion of working age population by highest qualification 213

3.4.5. Ethnic composition of offenders on the Youth Justice System disposals and rates of youth offending 215

Trang 7

95

Child Health and Lifestyles in South Tyneside in 2012

Improving child health, whether by improving the standard of care and health services, or

supporting families and children to adopt healthier lifestyles, is an investment in the future Children picking up healthy lifestyle habits in their early and teenage years are more likely to take these into adult life Reducing the proportion of young people who smoke, for example, will help to increase life expectancy over the next forty years, and so begin to close the two year gap in life expectancy which persists between South Tyneside and England

Source: 2012 Child Health Profile, Child and Maternal Health Observatory, Association of Public Health Observatories

A good overview of child health is provided by the Child Health Profile for South Tyneside

published by the Child and Maternal Health Observatory The red dots on the spine chart

reproduced above highlight those areas where health, health outcomes or lifestyles are

Trang 8

96

significantly poorer than the national average The profile highlights that the proportion of

mothers that initiate breastfeeding is very low as is the proportion of children in care that have been immunised The rate of teenage mothers and the proportion of women that continue to smoke during pregnancy are both very high However, both uptake of childhood immunisations and participation in sport are significantly higher than the national average Below are some headlines from among the many indicators of child health and lifestyle in South Tyneside

monitored in this volume

Health Status

Infant mortality

The mortality rate among infants (under one year of age) living in South Tyneside is, currently, lower than the England average rate but the difference is not statistically significant The rate has fallen over the past five years The number of

infant deaths is, thankfully, small There is currently an average of six infant deaths each year in South Tyneside among 1,700 births Because the number of deaths is small, any year to year variation

in the rate may be due to random or ‘chance’ variations There is

a confidential enquiry into all perinatal deaths (stillbirths or deaths within the first week of life) carried out by a panel of specialists in the Northern region and this feeds its findings into a national enquiry system Thus there is learning from episodes of infant mortality at both a local and a national level A detailed analysis of trends in infant mortality across the North East region can be found in the Annual Report of the Regional Maternity Survey Office1, which is part of the North East Public Health Observatory

Low birthweight

births

In 2010 there were 110 low birthweight births (<2,500g) within the population of South Tyneside This represents 6.5% of all births The proportion of low birthweight births is lower than the average proportion across the North East (7.6%) and England (7.3%) but the differences are not statistically significant Low birth weight is closely associated with poor

health outcomes both in infancy and later life2 Risk factors include poor nutrition3 and smoking during pregnancy4 Reducing the number of women who smoke during pregnancy and

improving diet among pregnant women will contribute towards reducing the number of low birthweight births over time

1

Regional Maternity Survey Office (2011) “RMSO Annual Report 2010” available to download at

http://www.nepho.org.uk/rmso/ (last accessed 1st March 2011)

Smokefree (2008) “NHS Smokefree factsheet: Risks of smoking during pregnancy” available to download at

Trang 9

110 conceptions in South Tyneside among young women under

18 years of age Because the number is relatively small (around 4% of the total number of young women 15 to 17 years of age in South Tyneside), it fluctuates from year to year due to random factors Between 2008 and 2010 rates of teenage conceptions were significantly higher than the average rate across England in Bede, Hebburn North, ‘Simonside and Rekendyke’.and Whiteleas wards

Smoking during

pregnancy

The proportion of mothers smoking throughout pregnancy has been falling in recent years but remains significantly higher in South Tyneside (24%) when compared to the North East (21%) and England (13%) – the smoking during pregnancy

rate in South Tyneside is one of the highest among all North East and ‘Industrial Hinterlands’ PCT populations Rates are highest in the ‘Biddick and All Saints’, Primrose and ‘Simonside and

Rekendyke’ wards

Breastfeeding

There has been an upward trend in the proportion of mothers initiating breastfeeding in the first 48 hours after birth in South Tyneside but the gap between breastfeeding rates in South Tyneside and England is not closing – Breastfeeding is

beneficial for the health of both baby and mother The proportion starting to breastfeed soon after birth has risen slowly over the past five years Over half (55%) of mothers now start

breastfeeding within 2 days of delivery However, there is still a significant gap between the proportion of mums in South Tyneside (55%) and the average proportion of mums across England (74%) who start breastfeeding within 48 hours National research has shown that young mothers from socially and economically more disadvantaged communities are least likely to start

breastfeeding5 In South Tyneside, the proportion of mums starting breastfeeding soon after birth is lowest in the wards of Bede, ‘Fellgate and Hedworth’ and ‘Biddick and All Saints’

Maintaining breastfeeding into the first six months of life is also beneficial to the infant’s health Only 23% of mothers in South Tyneside are still breastfeeding at the six to eight week infant health check compared to an average of 48% across England and the proportion in South Tyneside has fallen over the past three years

Trang 10

in South Tyneside were killed or seriously injured in road traffic accidents each year Between 2008 and 2010 the annual average was 10 The rates of emergency hospital admissions among 0-4 year olds and 0-15 year olds due to all accidentally injury among children in South Tyneside are below NE average rates but similar

to average rates of hospital admission across England

Child lifestyle

South Tyneside children keep active but a higher proportion smoke compared to England as a whole and over 40% of 15 year olds drink alcohol - The 2009/10 national PE and Sports

Survey showed that 73% of children 5-16 years in South Tyneside did at least three hours of PE or sport each week which higher than the England average of 57% The last survey of children’s lifestyles in South Tyneside was carried out in 2006 At this time the proportion of Year 10 girls (14 or 15 years of age) that smoked (27%) was significantly higher than the average across England (20%) It was also higher than the proportion of Year 10 boys in South Tyneside that smoked (12%) The proportion of Year 10 boys and girls that had consumed alcohol were not significantly different to England averages, but at 44% and 42% respectively, the figures are concerning This issue becomes more important when viewed in the light of high local rates of alcohol-related hospital admissions among adults The proportion of both year 8 and year 10 girls in South Tyneside that registered a high self-esteem score in response to a series of questions about emotional wellbeing were significantly lower than the respective England averages

Trang 11

Tyneside currently see a midwife by 12 weeks of gestation compared to 87% across England as a whole

Immunisation

Uptake of most immunisations exceeds 95% in South Tyneside which ensures that all children get the best protection - Primary health care services in South Tyneside have

achieved exceptionally high levels of uptake of all childhood immunisations both compared to uptake across England and uptake within other local areas With the exception of MMR, herd immunity (a 95% level of uptake) has been achieved for all immunisations up to 24 months consistently over the past four years Uptake of the MMR immunisation has also been rising and,

in 2010/11 a 95% level of uptake was achieved for 1st dose MMR

at 24 months, compared to 89% across England There is a continuing challenge to increase the proportion of children who are completely immunised against measles, mumps and rubella Uptake of 1st and 2nd dose MMR at 5 years is currently 88% in South Tyneside Maps of variations in uptake at ward level show where levels of uptake are lowest within the Borough

Sexual health

In 2011/12 36% of young people 15-24 years were tested for Chlamydia 5% of screens were positive compared to 3% across England but the proportion testing positive locally has fallen over the past three years Patterns of uptake and

incidence have been studied so that the programme can be targeted towards those population groups where the rate of positive screens is highest

Looked after

children

The proportion of looked after children receiving an annual health check has risen over the past five years but the proportion getting their teeth checked and being immunised has fallen between 2009/10 and 2010/11 – Although the

proportion of looked after children whose immunisations were up

to date has fallen to 33%, the sudden nature of the fall suggests that this is a data error and this is being investigated with service commissioners

Trang 12

secondary school pupils 75% who are eligible take them up

Care leavers

A greater proportion of care leavers in South Tyneside take

up employment, education or training compared to England

as a whole – Around 20 young people aged 17 years leave care

each year in South Tyneside Of these, most are in suitable accommodation (96%) on their 19th birthday A smaller proportion (70%) are in employment, education or training by their 19th

birthday but this is above the England average (61%)

Wider Determinants of Child Health

Educational

attainment

The proportion of 15 and 16 year olds achieving 5 good GCSEs in South Tyneside including English and maths has risen over the past five years and is now similar to the England average – One means to reduce poverty in the medium

to long term is to improve levels of educational attainment among young people, thus increasing prospects of securing stable

employment in later life The proportion of 15 and 16 year old young people in South Tyneside achieving 5 or more good GCSEs including English and maths (58% in 2010/11) has increased considerably in recent years and is close to the England average of 59% However, an average of 20 looked after children sit GCSEs each year in South Tyneside and less than half achieve five good GCSEs compared to 90% of all young people at Key Stage 4 Also, while attainment at 16 years is currently very good, a smaller proportion of people go on to achieve a higher level qualification in South Tyneside when compared to the average for England 26% of the working population in South Tyneside currently have a degree or an equivalent level qualification compared to 34% across England as

a whole

Trang 13

101

3 Child Health and Lifestyle

3.1 Infant, child and maternal health

Year

Gateshead

rate

Gateshead infant deaths

South Tyneside rate

South Tyneside infant deaths

Sunderland

rate

Sunderland infant deaths

North East rate

Englandrate

Source: Clinical and Health Outcomes Knowledge Base at www.nchod.nhs.uk 2011-2013 figures will be published Dec 2012

The infant mortality rate is the number of deaths under the age

of 1 year, per 1,000 live births

Trang 14

102

Infant mortality rate (cont.)

Source: NHS Information Centre at http://indicators.ic.nhs.uk

Trang 15

103

Percentage

low birth weight births

Low birth weight births (<2500g)

Percentage low birth weight births

Source: Clinical and Health Outcomes Knowledge Base at www.nchod.nhs.uk, based on data from Annual Births

Extract, Office for National Statistics 2011 figures will be published in December 2012 Figures in bold indicate

where the percentage is significantly different from the England statistic at a 95% level of confidence

Percentage of low birthweight births is calculated as the proportion of all live and still births where the birth weight is known that are under 2500g in weight

Trang 16

- 104 -

Low birthweight births (cont.)

Proportion of births that are low birthweight (<2500g) by South Tyneside ward, 2005 to

All Saints

Simonside and Rekendy ke

Hebburn South

Horsley Hill

Monkton Primrose

Westoe

West Park

Whitburn and Marsden

Percentage of births that are low birth weight births (<2500g)

by ward of residence of mother, 2002 to 2006 pooled by ward of residence of mother, 2002 to 2006 pooled

10% to <12%

9% to <10%

8% to <9%

3% to <8%

Reproduced by the permission of

Dotted Ey es © Crown copy right

or database right 2008 All rights

reserv ed Licence number 100019918

Trang 17

- 105 -

Low birthweight births (cont.)

Proportion of low birthweight births (<2500g) by South Tyneside ward, 2002 to 2009

Source: Office for National Statistics births extract

* H = significantly higher than Sunderland average at 95% level of confidence, L =

significantly lower, - = not significantly different

Trang 18

- 106 -

Prior to the election of the Coalition government in June 2010 there were targets for achieving a reduction in the teenage conception rate among women under 18 years of age In Sunderland the target was to reduce the rate by 55% between 1998 and 2010 In South Tyneside and Gateshead, there was a target to achieve a 50% reduction over the same period A milestone of realising a 15% reduction between 1998 and 2004 was achieved in all three South of Tyne and Wear PCT populations The ‘under 18’ teenage conception rate is measured as the number of conceptions to females under the age of 18 years per 1,000 females ages 15-17 years

Source of data: Department of Health

Trang 19

Trang 20

- 108 -

Teenage conception rates (cont.)

Number of conceptions among females under 18 years of age per 1,000 females ages 15-17 years Gateshead and South Tyneside have a target of achieving a 50% reduction in the rate between 1998 and 2010 Sunderland has a target of a 55% reduction over the same period

Trang 21

- 109 -

to England rate

Ward level teenage conception rates, by level of statistical significance compared to the

England rate, are now published regularly for all wards in England within the Teenage

Pregnancy Atlas This atlas is produced and maintained by the East Midlands Public Health Observatory and is available at www.apho.org.uk Ward level rates for the period 2009-2011 will

be published by the Department of Health in October 2013 and should then appear in the

Teenage Pregancy Atlas after this date Rates are still published corresponding to the ward boundaries that were in place prior to the boundary changes in June 2004

Ward teenage conception rates in South Tyneside by level of significance compared to England (2008-2010) showing locations of Contraception and Sexual Health clinics

Sources: Ward teenage conception rates by level of significance when compared to England average, East Midlands Public Health Observatory published within the Teenage Pregnancy Atlas at www.apho.org.uk, locations of Contraceptive and Sexual Health Clinics provided by South Tyneside NHS Foundation Trust Rates for 2009-2011 will be released by the

Department of Health in October 2013

Trang 22

- 110 -

There is a significant time lag between the date of a teenage conception and local sexual health service Commissioners and Providers receiving information about small communities among which rates of teenage conceptions are high There is a time gap between conception and birth

or termination Then there is a time period within which statistics are gathered, analysed to produce conception rates and then distributed to local health professionals Electoral ward level teenage conception rates are calculated centrally by the Department of Health This reflects the sensitivity of the data, but also recognises that some terminations are undertaken by private health care providers and that information sharing between private providers and local Primary Care Trusts is not common The ward level teenage conception rates are calculated over a three year time period and are released to local health practitioners 23 months after the end of calendar year in which the conceptions are estimated to have occurred

Early identification of communities in which rates of teenage conceptions are above average allows local sexual health service provision to be strengthened This can help to reduce future teenage conception rates but, also, allows for the better support of teenage parents which may reduce the risk of repeat conception

Work has been undertaken in Gateshead, South Tyneside and Sunderland to calculate

estimated conception dates from records of births and terminations within NHS health services These statistics have been aggregated into annual totals and compared with statistics released

to health professionals centrally by the Department of Health If only a small proportion of teenage conceptions can be identified locally there is a risk of changing service provision based

on data that is not representative of behaviour across the whole community Early results have been encouraging

Over a two year period, within three Local Authority populations, the annual Local Authority total number of teenage conceptions identified locally was within 5% of the Department of Health figure in five out of six cases In the sixth case the margin of error was 6% This gives local practitioners the confidence to modify patterns of service provision based on the local early identification of high teenage conception rates

Number of teenage conceptions identified locally and centrally among the South Tyneside

Source: PCT estimates, Business Information, NHS South of Tyne and Wear; Dept of Health statistics, Department of Health

Trang 23

111

Source of data: Department of Health

Proportion smoking at time of

Proportion smoking at time of delivery

Source: Department of Health Figures in bold are significantly higher or lower than the average proportion for

England as a whole at 95% level of confidence

- figures not reported as the proportion of mothers for whom smoking status was unknown was more than 5%

Trang 24

112

Proportion of mothers smoking at time of delivery

Trang 25

113

Proportion of mothers smoking at time of delivery (cont.)

Proportion of mothers giving birth in South Tyneside recorded as continuing to smoke up to time of delivery by ward of residence,

2 The Glen Primary Care Centre

3 Biddick Hall Sure Start

4 Palmer Hospital

5 Boldon Lane Learning Resource Centre

6 Boldon Children's Centre

Trang 26

114

Proportion of mothers smoking at time of delivery (cont.)

Proportion of mothers giving birth in South Tyneside recorded as continuing to smoke up

to time of delivery by ward of residence, 2008/09 to 2009/10 pooled

Source: NHS South of Tyne and Wear based on data provided by South Tyneside

Healthcare NHS Foundation Trust * H = significantly higher than South Tyneside average at

95% confidence, L = significantly lower, - = not significantly different

Trang 27

115

From April 2008 method of feeding at the 6-8 week health check superseded method of feeding at 48 hours as the primary measure of infant feeding Method of feeding at 6-8 weeks is a better measure of infant health as it considers breastfeeding beyond the neo-natal period However, proportion initiating breastfeeding within 48 hours will continue to be monitored alongside the 48 hour measure

Proportion initiating

Proportion initiating breastfeeding

* figures were not reported for Sunderland in 2005/06 as the proportion of mothers for whom method of feeding was unknown was

>5% n/a = not available Source: Department of Health Figures in bold are significantly higher or lower than the average

proportion for England as a whole Statistics for 2012/13 will be published in July 2013.

Trang 28

116

Breastfeeding – initiation (cont.)

Source: Department of Health

Trang 29

117

Patterns of breastfeeding behaviour in South Tyneside

 The proportion of mothers who initiate and continue to breastfeed is particularly low in the Jarrow and West Shields Community Area Forum districts Jarrow comprises the wards of Bede, ‘Fellgate and Hedworth’ and Primrose West Shields is made up of the wards of

‘Biddick and All Saints’ and Whiteleas

 The proportion of mothers initiating breastfeeding is lowest in the wards of Bede, ‘Biddick and All Saints’ and ‘Fellgate and Hedworth’

 The proportion of mothers continuing breastfeeding is lowest in the wards of Bede, ‘Fellgate and Hedworth’, Primrose and Whiteleas The proportion of mothers who initiate breastfeeding but don’t continue beyond 6 to 8 weeks is highest in these same wards

 The West Shields Community Area Forum (comprising ‘Biddick and All Saints’ and Whiteleas wards) has two Children’s Centres in or adjacent to the area, but neither currently hosts a breastfeeding workshop or a breastfeeding support group

 The Fellgate and Hedworth ward doesn’t contain a Children’s Centre and there are no other community facilities in or adjacent to the area which currently host breastfeeding workshops or support groups

Where does the information come from and why analyse it?

 Information is provided by South Tyneside Healthcare NHS Foundation Trust relating to both the initiation of breastfeeding and the smoking status of women giving birth at the maternity unit at South Tyneside District Hospital This allows for the detailed analysis of

groups households together with similar occupations and lifestyles) and the mother’s registered GP Practice

 Analysis of this information allows the identification of population groups where the proportion of mothers initiating breastfeeding is significantly lower than the South Tyneside average

 Information is also available from NHS South of Tyne and Wear’s child health database relating to the method of infant feeding at the 6

to 8 week health check, which can be analysed in a similar way to the breastfeeding initiation data

 By comparing the proportion of mothers initiating and continuing breastfeeding it is possible to identify groups of women where the proportion who initiate but don’t continue to breastfeed is high

Trang 30

118

 Identifying groups of women who are less likely to initiate or continue breastfeeding allows initiatives to increase the proportion of

mothers who breastfeed to be targeted towards those people who would most benefit from them These include breastfeeding

workshops led by Health Visitors, peer support groups where mothers who breastfeed meet to provide support and encouragement to each other and publicity material and media campaigns promoting the health-benefits of breastfeeding for both mother and child

 Shown below are variations in the proportion of mothers who initiate and continue to breastfeed by South Tyneside ward Initiation data

is pooled over two years (2008/09 to 2009/10) Continuation data is only from 2009/10 as this is the first year when reliable data for most mothers has been available If this analysis is repeated in future years, data will be pooled over two years for both the initiation and the continuation of breastfeeding

 It is planned to carry out further analysis of the 2008/09 and 2009/10 data to show variations in breastfeeding behaviour by maternal age, ethnic group, socioeconomic group, Mosaic group and registered GP Practice

Trang 31

119

Proportion of mothers initiating breastfeeding within 48 hours or before discharge in 2008/09 and 2009/10

Source: NHS South of Tyne and Wear, Business Information based on data provided by South Tyneside Healthcare NHS Foundation Trust 2010/11 data will be available in September 2011

Trang 32

120

Proportion of mothers initiating and continuing breastfeeding by South Tyneside ward

* H = significantly higher than PCT average at 95% confidence, L = significantly lower, - = not significantly different

Source: NHS South of Tyne and Wear, Information Services based on data provided by South Tyneside Healthcare NHS Foundation Trust 2010/11 data will be available in September 2011

Trang 33

South Tyneside 2012 Joint Strategic Needs Assessment – Data Annex – Version 2 QAd 121

From April 2008 method of feeding at the 6-8 week health check superseded method of feeding at 48 hours as the primary measure of infant feeding Method of feeding at 6-8 weeks is a better measure of infant health as it considers breastfeeding beyond the neo-natal period

% initiating breastfeeding07/08

08/09

n/a = not available Source: Department of Health Figures in bold are significantly higher or lower than the average proportion for

England as a whole Statistics for 2011/12 will be published in June 2012.

Trang 34

Trang 35

123

Breastfeeding – proportion of mothers continuing to breastfeed at the 6 to 8 week health check (cont.)

Proportion of mothers completely or partially breastfeeding at the 6 to 8 week health check in 2009/10

Source: NHS South of Tyne and Wear, Business Information based on data collected from GP Practices relating to the 6 to 8 week infant health check 2010/11 data will be available in September 2011

Trang 36

124

Breastfeeding – proportion of mothers continuing to breastfeed at the 6 to 8 week health check (cont.)

Proportion of mothers initiating and continuing breastfeeding by South Tyneside ward

* H = significantly higher than PCT average at 95% confidence, L = significantly lower, - = not significantly different

Source: NHS South of Tyne and Wear, Business Information based on data provided by South Tyneside Healthcare NHS Foundation Trust 2010/11 data will be available in September 2011

Trang 37

125

By 2010, compared with the average for 1994-1998, South Tyneside had met a national target to achieve a 50% reduction in the number of

children (ages under 16 years) killed or seriously injured in road accidents The target was originally set out in the report Tomorrow's Roads:

2011 statistics were published September 2012 but did not include children killed or seriously injured by Local Authority area

Trang 38

126

Children killed or seriously injured in road traffic accidents (cont.)

Trang 39

127

3.1.10 Rate of emergency admission to hospital among children under 5 years

Average rate of emergency hospital admission per 100,000 children under 5 years

Source: North East Public Health Observatory based on Hospital Episode Statistics extract.

Figures in bold are significantly higher or lower than England rate at 95% confidence.

Trang 40

128

3.1.11 Rate of emergency admission to hospital among children under 18 years

Average rate of emergency hospital admission due to all causes per 100,000 children and young people under 18 years

Source: North East Public Health Observatory based on Hospital Episode Statistics extract.

Figures in bold are significantly higher or lower than England rate at 95% confidence.

Tiêu đề	Child Health and Lifestyle
Trường học	South Tyneside College
Chuyên ngành	Public Health
Thể loại	joint strategic needs assessment
Năm xuất bản	2012
Thành phố	South Tyneside

Định dạng
Số trang	128
Dung lượng	7,85 MB