To ask the Scottish Executive what percentage of people in the (a) West Dunbartonshire and (b) East Dunbartonshire local authority area have improved their health by (i) reducing (1) smoking and (2) alcohol misuse and (ii) improving their diet and what reduction there has been on mortality rates from coronary heart disease in each year since 1996.
The Executive is taking a number of actions aimed at improving health for children and young people, including all our work to tackle smoking. One of the main factors in smoking prevention for young people will be the introduction of the smoke-free public places legislation in March 2006. This will help de-normalise smoking in Scottish society and help protect young people from the health risks associated with second-hand smoke. In respect of diet, we have mature policies in place.
Hungry for Success ensures healthier school meals with minimum nutritional standards are available to school children and we are providing free fruit to primary school children. In addition, reducing harmful drinking by children and young people is one of the key priorities in our
Plan for Action on Alcohol.
(i)(1) Smoking:
The following table shows the percentage of cigarette smokers aged 16 years and over in East and West Dunbartonshire between 1999-2000 and 2003-04.
| West Dunbartonshire | East Dunbartonshire |
1999-2000 | 31 | 22 |
2001-02 | 33 | 19 |
2003-04 | 30 | 18 |
% change 1999-2000 to 2003-04 | -3 | -18 |
Source: Scottish Household Survey.
Note: The earliest data which are available from the Scottish Household Survey is for 1999. There is no available source which provides sufficient numbers to extract meaningful results prior to this. The sample is designed to provide data for each local authority over a two year period.
(i)(2) Alcohol Misuse:
Information on discharges from general acute and psychiatric hospitals with a diagnosis of an alcohol-related condition during 1996-97 to 2001-02 is shown in table 1. Complete data on psychiatric discharges is unavailable for 2002-03, 2003-04 and 2004-05. Table 2 shows the information requested from 1996-97 to 2004-05 for discharges from general acute hospitals only.
Table 1: Scottish Hospital1,2 Discharge Records for West and East Dunbartonshire Residents with an Explicit Diagnosis3 of an Alcohol-Related Condition: 1996-97 to 2001-02
| West Dunbartonshire | East Dunbartonshire |
1996-97 | 689 | 508 |
1997-98 | 777 | 507 |
1998-99 | 858 | 564 |
1999-00 | 1033 | 576 |
2000-01 | 990 | 568 |
2001-02 | 947 | 502 |
Notes:
1. Includes acute hospitals, mental illness hospitals and psychiatric units (but excludes maternity hospitals).
2. Information on hospital discharge relates to episodes of in-patient or day case care rather than individual patients. The same patient may account for several hospital admissions during the course of a year (or across years) and will be counted each time in the above table. Transfer cases have also been included.
3. The recording of alcohol misuse may vary in different hospitals. Where alcohol misuse is suspected but unconfirmed it may not be recorded by the hospital.
Source: SMR01 andSMR04.
Table 2: Scottish General Acute Hospital1,2 Discharge Records for West and East Dunbartonshire Residents with an Explicit Diagnosis3 of an Alcohol-Related Condition: 1996-97 to 2004-05
| West Dunbartonshire | East Dunbartonshire |
1996-97 | 526 | 437 |
1997-98 | 587 | 436 |
1998-99 | 659 | 502 |
1999-00 | 846 | 524 |
2000-01 | 817 | 518 |
2001-02 | 781 | 459 |
2002-03 | 921 | 480 |
2003-04 | 940 | 489 |
2004-05P | 1034 | 536 |
PProvisional.
Source: SMR01.
Notes:
1. Includes acute hospitals (excludes maternity hospitals, mental illness hospitals and psychiatric units).
2. Information on hospital discharge relates to episodes of in-patient or day case care rather than individual patients. The same patient may account for several hospital admissions during the course of a year (or across years) and will be counted each time in the above table. Transfer cases have also been included.
3. The recording of alcohol misuse may vary in different hospitals. Where alcohol misuse is suspected but unconfirmed it may not be recorded by the hospital.
(ii)(1) Diet:
There is no information available in sufficient numbers to provide meaningful information at local authority level.
(ii)(2) Coronary Heart Disease Mortality:
Information on mortality from coronary heart disease in each year since 1996 is shown in the following table.
Crude Death Rates1 Per 100,000 Population for Coronary Heart Disease2 Within West and East Dunbartonshire: 1996 to 2004
| West Dunbartonshire | East Dunbartonshire |
1996 | 324.2 | 228.7 |
1997 | 339.3 | 203.1 |
1998 | 286.5 | 188.9 |
1999 | 291.3 | 192.3 |
2000 | 271.5 | 188.7 |
2001 | 265.8 | 167.2 |
2002 | 244.5 | 176.1 |
2003 | 283.8 | 162.7 |
2004 | 241.4 | 153.9 |
Notes:
1. Registered deaths from the General Register Office for Scotland. The number of deaths is based on the date of registration and main cause of death.
2. Diagnostic information is defined by using the World Health Organization’s International Classification of Diseases 9th revision from 1996-1999 and 10th revision from 2000 onwards (ICD9 codes: 410-414; ICD10 codes: I20-I25).