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All
Indicators > Indicator SH4: Premature mortality
| Definition |
Directly age and gender standardised rate of average
annual years of life lost up to age 75 per 10,000 resident
population |
| Dimension |
Situation of health |
| Sector |
Health status (individual) |
| Components |
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| Source Numerator |
2001, 2001 Ethnic: Deaths from all causes registered in 1999 and 2001,
ONS
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| 2003: Deaths from all causes registered in 2001 and 2002, ONS |
| Source Denominator |
2001, 2001 Ethnic, 2003: 2001 Census based mid year population estimates for the respective calendar year, ONS |
| Note |
2001 Ethnic Group:
2001 SOA level data, weighted by SOA population as a proportion of Local Authority population (process as with weights on data) |
Additional details
It is generally accepted that as a person ages they are more
likely to suffer from physical morbidity and will have a greater
risk of death in any given time period than those younger than them.
This greater risk of ill health and death is not deemed by society
to be unfair or unjust. Everyone will experience this deficit of
health in their lifetime and it is therefore seen as an acceptable
and unavoidable aspect of life.
What is defined as unjust and is, therefore, defined here as
health deprivation, is unexpected deaths or levels of ill health.
The usual way of operationalising this principle in a measure is to
age and sex standardise the data. That is to compare the number of
deaths or level of morbidity in an area to what would be expected
given the area’s age and gender structure.
The indicator is a directly age and gender standardised measure
of premature death (i.e. under the age of 75), as published in the
Compendium of Clinical and Health Outcome Indicators 2002, Crown
Copyright. In January 2001, ONS implemented a change from
International Classification of Diseases Version 9 (ICD-9) to
Version 10 (ICD-10) for coding causes of death in England and Wales.
As part of an exercise to investigate the effects of this change ONS
also re-coded all deaths registered in 1999. Deaths for years prior
to 1999 and for year 2000 have not been re-coded.
ONS have recommended that ICD-9 based data should not be pooled
with ICD-10 data. As a result, the data presented are two years
pooled data, 1999 and 2001, using 1CD-10 codes A00–Y99.
For ethnic estimation an SOA level weighting function was created to model access for individuals in ethnic groups within Local Authorities.
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