1. FHWA Health and Health Inequalities
Dr Gina Radford
DPH

2. SMRs, Fife,

3. All cause mortality rate per 100000 population aged under 65, by interzone, Fife and Scotland, 2006

5. Determinants of health

6. ROA areas
20% most deprived population
20% least deprived population
Fife
All cause mortality rate per population under 65 (2005)
44.7
42.4
16.7 31
Hospital admissions for alcohol misuse rate per population ( )
95.9
89.7
19.2
48.5
Percentage of women smoking in pregnancy ( )
47.2
46.8
7.8
28.5
Percentage of working age population claiming Job Seekers Allowance (2005)
7.5
6.9
1.1
3.4
Percentage of working age population in receipt of Incapacity Benefit, Severe Disablement Allowance or Compulsory New Deal (2005)
18.2
17.1
2.9
9.1

7. Reducing Health Inequalities
Health varies in Fife in relation to
Socio-economic status
Gender
Ethnicity
Place of residence
Other inequalities

8. Percentage of S4 children attaining English and Maths at SCQF level 3 and above, 2006
Looked after children
40%
Fife
89%
Scotland
91.3%
Risk factors for teenage pregnancy
Poor attendance rates and dislike of school
Poor educational attainment

9. Feeling like they belong somewhere, like they’re living their life.

10. More likely to reduce inequalities
Improving accessibility of services
Prioritising disadvantaged groups
Offering intensive support
Starting young

11. Disadvantaged groups
tend :
to be harder to reach
to find it harder to change behaviour
to receive less benefit from lifestyle change or access to services
interventions with more disadvantaged groups may need to be much more intensive and targeted than might be appropriate for more advantaged groups: information based approaches such as food labelling, pamphlets in doctors’ surgeries, and mass media campaigns, or those which require people to take the initiative to sign up for, may be less effective among more disadvantaged groups

12. An intervention which, in general, works (e. g
An intervention which, in general, works (e.g. dental health education) might have
no effect on health inequalities if all SES groups benefit equally
increase health inequalities if the rich benefit more
reduce health inequalities if the poor benefit more

13. Less likely to reduce inequalities
Information based campaigns
Written materials
Campaigns reliant on people taking the initiative to opt in
Campaigns/messages designed for the whole population
Whole school health education approaches

14. Young people are the future generation so we need to help them before they become useless to society.
What use is a twenty-five year old man with no qualifications, no job and messes around with alcohol and drugs?

15. Priority areas for Fairer Scotland Fund Health Inequalities funding – the context
SOA
Community Plan
Fairer Fife Framework
FSF principles
JHIP
Equally Well

16. What people told us Fairer Fife Framework Action Areas Priority 1
Targeting resources to people living in the most disadvantaged life circumstances 17 8
Improving mental health and emotional well-being 4 10
Increasing opportunities for people to have a healthier lifestyle in relation to where they live, work and spend their time 3 2
Increasing community involvement in the planning and delivery of health improvement work –
Improving access to services and support that impact on peoples health and well-being –

17. What people told us Equally well priority areas Priority 1 Priority 2
Children, particularly in the early years 11 3
“Killer diseases” such as heart disease, cancer, diabetes (and associated risk factors such as smoking, obesity etc) 12 2
Mental health and wellbeing 4
The harm caused by drugs, alcohol and violence 5

18. What people told us
People living in most disadvantaged areas in Fife 19
People represented by one of the six equality strands 2
Race 4
Gender
Disability 6
Age
Religion/belief 3
Sexuality
Other e.g. people addicted to drugs/alcohol; long-term unemployed
Early Years and vulnerable young people
Homelessness and housing issues
People with mental health issues
Others 16

19. What people told us Other issues
Integrated approaches
Improving access to services
Early intervention across lifestages
Clusters of disadvantage/identified families not geographical areas

20. 5 areas emerged Vulnerable families Mental health & wellbeing
Homelessness & housing issues
Alcohol
Disadvantaged life circumstances

21. Seasons Greetings

22. Consensus Voting You have three votes
Vote once for each of your top three priorities from the list
Your votes are worth 3 points, 2 points and 1 point
Use more points for your higher priority
List
Disadvantage (Areas and/or Individual Circumstances)
Mental health and wellbeing 
Alcohol 
Vulnerable families
Homelessness and housing issues