Understanding what affects the health of residents in Oxfordshire
Posted: Mon, 08 Apr 2019 12:44
Each year the Joint Strategic Needs Assessment (JSNA) is published Oxfordshire Health and Wellbeing Board and provides detailed information about Oxfordshire's population and the factors affecting health, wellbeing, and social care needs.
The 2019 JSNA includes a 'snake' which shows the life course of someone who is born, grows up and lives in Oxfordshire. This is a useful snapshot of key demographic information for the county.
The health benefits of physical activity are well known and the JSNA identifies issues where physical activity interventions can help.
The JSNA provides a number of key points around the health and wellbeing of the residents of Oxfordshire.
· Oxfordshire's population is relatively healthy
o Oxfordshire does better or similar to the national average on most Public Health indicators.
o Healthy life expectancy in Oxfordshire is significantly higher than national and regional averages
· Inequalities remain
o Household income varies significantly across the county
o Life expectancy is lower in more deprived areas
· Cancer remains the leading cause of death in Oxfordshire and is the highest cause of preventable deaths in people aged under 75
· Over half of adults in Oxfordshire are overweight or obese, and three in ten adults are not meeting physical activity guidelines
· Mental health diagnosis and referrals are continuing to increase
· The population is ageing, a trend that is forecast to continue
· There has been a slight increase in rates of child poverty in Oxfordshire
· Unauthorised absence from secondary schools has increased at a faster rate than nationally
· Children's participation in sport and physical activity is declining nationally, and most children in Oxfordshire are not meeting the daily physical activity guidelines
· Self-harm admissions are increasing in young people (10-24 years) in Oxfordshire and are above the national average
· Referrals for mental health services in Oxfordshire in younger age groups have continued to increase. The proportion of children with a mental health disorder has increased over time (10.1% in 2004 to 11.2% in 2017 for ages 5-15)
· Excess weight in children in Oxfordshire has remained high. One in five children in Reception, and one in three children in Year 6 was overweight or obese.
Disabilities and Long-Term Health Conditions
· There are 129,700 people with a disability in Oxfordshire
· There are 1,548 pupils with autism in state primary, secondary and state schools.
· 6,263 pupils with learning difficulties in state primary, secondary and state schools.
· 430 blind or partially sighted children.
· Depression diagnosis among adults is increasing. The rate of social, emotional and mental health needs of school pupils in Oxfordshire is increasing and remains above the national average
· In 2017/18 there were 62,214 adult patients recorded with a diagnosis of depression in Oxfordshire. Since 2013/14, prevalence of depression has increased from 6.6% to 10.3% among the adult population (18+ years)
· Oxfordshire's population is ageing, with substantial recent and predicted growth in the number of people aged 85 and over.
· Wide areas of rural Oxfordshire are ranked poorly on geographical access to services according to the geographical access to services subdomain of the 2015 Indices of Multiple Deprivation
How does this relate to physical activity?
The health benefits of physical activity are well known. The JSNA published data shows that there are a number of key interventions that need to take place. Further data on physical activity in Oxfordshire can be found within this website.
Children and Young People
· Inactivity rates in this group are high therefore work needs to take place to address this
· Poor mental wellbeing amongst young people has been clearly identified and physical activity can help
Disabilities and Long-Term Health Conditions
· If you are disabled or have a long-term health condition you are twice as likely to be inactive in Oxfordshire.
· Prevalence of specific health conditions can be reduced if you take part in physical activity
· Physical activity is proven to help improve moods and reduces anxiety and depression
· The prevalence of physical inactivity increases significantly for older people with it doubling for 75-84 (41.7%) and a significant 70.4% for those who are 85+
· There is significant learning coming from the Bicester and Barton Healthy Towns and the Sport England Local Delivery Pilots are showing a place-based approach can deliver health improvements in specific areas.
· The Oxfordshire growth agenda shows that there will be significant housing and population increases till 2050