Segmenting life expectancy by cause of death

Public Health England has developed a resource which provides information on the causes of death that are driving inequalities in life expectancy at local area level. Targeting the causes of death which contribute most to the life expectancy gap should have the biggest impact on reducing inequalities.

For males and females, the tool provides data tables and charts showing the breakdown of the life expectancy gap in 2012-14 for two comparisons:

  • The gap between the Local Authority as a whole and England as a whole.
  • The gap between the most deprived quintile and the least deprived quintile within the Local Authority.


The gap between Middlesbrough and England
For both men and women, the largest portion of the gap between Middlesbrough and England is caused by higher rates of cancer mortality.  Within the cancer category, lung cancer is a main contributor to the gap.  External causes (such as suicide and accidents), circulatory diseases and respiratory diseases have large contribution to the gap for men. Respiratory diseases and circulatory diseases significantly contribute to the gap for women.

Middlesbrough inequality gaps with England cause of death scarf chart 2012-14


The gap within Middlesbrough

For women, cancer forms the largest part of the gap between the most and least deprived communities in Middlesbrough, whereas for men, circulatory diseases have the greatest contribution to the gap.  For males, external causes of death  have a much greater contribution to the gap between deprived and affluent communities in Middlesbrough compared with females.

Middlesbrough gap in cause of death most and least deprived, 2012-14

Full details, including number of deaths and numbers of excess deaths can be found in The Segment Tool: Key results for Middlesbrough.


Premature mortality

Premature mortality, that is to say deaths before age 75 years, is a symptom of high disease burden as well as underlying health inequalities.  Know your numbers: premature mortality provides an analysis of the main causes of premature mortality in Tees Valley, and estimates how many premature deaths would need to be prevented to achieve rates similar to the North East and England.  In Middlesbrough the greatest burden of premature mortality is due to cancer, followed by circulatory disease.

Middlesbrough premature mortality rates and numbers