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Social Justice
a Scotland where everyone matters
Indicators of Progress 2003

Milestone 22: Increasing the number of older people taking physical exercise and reducing the rates of mortality from coronary heart disease and the prevalence of respiratory disease

This milestone is measured by information from three indicators. The Scottish Health Survey provides data on older people taking physical exercise. The General Register Office for Scotland (GROS) provides data on mortality from coronary heart disease. The Information and Statistics Division (ISD) of the National Health Service in Scotland provide information on chronic respiratory disease. In all cases older people are defined as being aged between 65 and 74 years.

(a) Taking physical exercise

This indicator measures people who take at least 30 or more minutes of moderate activity at least 5 days a week. The 1998 Scottish Health Survey showed that about 14 per cent of men and 8 per cent of women aged between 65 and 74 years met this criterion.

Information from the 2003 Scottish Health Survey will be available in 2004/05.

(b) Rates of mortality from coronary heart disease

The latest figures show a continuation in the fall in the mortality rate from coronary heart disease for people aged 65 to 74. Chart 22a shows that men are around twice as likely as women to die of coronary heart disease.

Chart 22a: Mortality rate from coronary heart disease, persons aged 65-74, 1995 - 2002

Sources: Information and Statistics Division : National Health Service in Scotland and General Register Office for Scotland
Note: 2002 data are provisional

Carstairs Deprivation Quintiles

There is an association between mortality rate from coronary heart disease for people aged 65 to 74 and deprivation. Older people living in the least deprived areas are less likely to die from coronary heart disease than those in the most deprived areas. Since the baseline year of 1999, the mortality rates for coronary heart disease have continued to fall across all areas.

Urban Rural analysis

There are relatively higher mortality rates from coronary heart disease for people aged 65 to 74 living in urban areas than in rural areas..

(c) Prevalence of chronic respiratory disease

The national estimates are based on a sample of activity from General Practices across Scotland, so the figures should be seen as broad estimates of the national picture. For 65 to 74 year olds, around 80 to 100 people in every 1,000 suffer from chronic respiratory disease. There is no evidence of real change since 1999.

Table 22b: Prevalence rate per 100,000 of chronic respiratory disease, persons aged 65-74, 1996 - 2002

Background data

Table 22c: Mortality rate per 100,000 from coronary heart disease, persons aged 65-74

Table 22d: Mortality rate per 100,000 from coronary heart disease by Carstairs deprivation quintile, persons aged 65-74, 1991 - 2002

Table 22e: Mortality rate per 100,000 from coronary heart disease by urban rural, persons aged 65-74, 2002

Availability of data and references

Scottish Health Survey
www.show.scot.nhs.uk/scottishhealthsurvey/

Annex to the Social Justice Annual Report 2002
www.scotland.gov.uk/library5/social/emsjt-00.asp

Vital Events Reference Tables 2002, Section 6: Deaths - causes
www.gro-scotland.gov.uk/grosweb/grosweb.nsf/pages/02reference-table6

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