Diseases and the burden of ill health are the cornerstone of every JSNA. Producing information on the main causes of premature mortality and incidences of diseases in the local population provides local authorities with significant information to decide its funding allocation. If diseases and causes of premature mortality are gendered, then this will allow local authorities to target health resources more effectively.
Cancer mortality and cardiovascular disease mortality are often measures which are gendered. This positive development should be encouraged elsewhere as it shows JSNAs are identifying that more men are dying from cancers and cardiovascular diseases and that they are attempting to introduce a targeted response.
LITTLE IS KNOWN ABOUT HOW MEN EXPERIENCE A PARTICULAR DISEASE UNTIL THEY ACTUALLY DIE FROM IT
However, there is much less gender disaggregated data on specific cancers and cardiovascular diseases. This includes the prevalence of lung and colorectal cancer, coronary heart disease, hypertension, diabetes and strokes. Furthermore, although mortality is often a gendered measure, the hospital admission rates related to these diseases are usually not.
As a result local authorities and CCGs have little knowledge of how many males are actually suffering from the disease until they have died.
Men may not have a high mortality rate for a particular disease, but may have a high diagnosis rate.
The table opposite shows how many JSNAs included gendered data on the incidence, admission and mortality rates for all cancer, lung cancer and colorectal cancer.
Some local authorities’ JSNAs have taken the differential experience of disease into account.
Lewisham has included gendered measures on the incidence and admission rates of cancer, as well as incidence and mortality rates of both lung and colorectal cancer. Furthermore their JSNA consists of gendered measures of coronary heart disease admission rates. Lewisham has used information from the London Health Observatory to determine the needs of men in the area.
Incidence and Mortality Rates for Heart Disease
|CVD Mortality Rate||48%|
|Stroke Mortality Rate||36%|
|Hypertension Mortality Rate||0|
|Coronary Heart Disease Mortality Rate||38%|
|Coronary Heart Disease Incidence||14%|
|Diabetes Mortality Rate||14%|
Incidence and Mortality Rates for Cancer
|All Cancer Incidence||33%|
|All Cancer Mortality Rate||49%|
|All Cancer Hospital Admissions||4%|
|Lung Cancer Incidence||29%|
|Lung Cancer Mortality Rate||39%|
|Lung Cancer Hospital Admissions||1%|
|Colorectal Cancer Incidence||29%|
|Colorectal Cancer Mortality Rate||31%|
|Colorectal Cancer Hospital Admissions||<1%|