Road traffic injury* 0.96 No Suicide 1.51 Yes Source: NPHS *Where the ratio is less than one, this means that the most deprived group exhibit a lower level for that particular indicator. For example, the rate ratio of 0.65 for healthy diet means that people living in the most deprived fifth of wards are about a third less likely to have a healthy diet than their counterparts in the least deprived fifth or wards. **The rate ratio is reserved in this case, due to the way in which the SF36 is scored. The rate ratio of 0.95 shows that people living in the most deprived fifth of wards rate their health significantly more poorly than people living in the least deprived fifth of wards. 3.3 Deprivation and maternal/neonatal health There are well documented links between a number of key maternal and neonatal health indicators and deprivation. Research studies have shown that: In Wales stillbirths were increased by 41% in the most deprived enumeration districts compared to the least deprived (Guildea et al 2001). In neonatal deaths were increased by 20% in the most deprived enumeration districts compared to the least deprived (Guildea et al 2001). In Wales Sudden Unexplained Death in Infancy (SUDI) was strongly associated with deprivation, with higher mortality rates in the most deprived enumeration districts compared to the least deprived (Guildea et al 2001). Neonatal unit admission rates in an English district general hospital were associated with levels of deprivation. Admission rates for all indications except jaundice and feeding problems increased with increasing deprivation (Manning et al 2005). The rate of preterm birth in the most deprived fifth was consistently higher than the rate in the least deprived fifth (Paranjothy S et al 2008); see Figure 9. Figure 9: Rates of preterm babies in Wales, in the lowest and the highest fifths of deprivation, 1993-2005 Source: All Wales Perinatal Survey, 2008
Road traffic injury* 0.96 No Suicide 1.51 Yes Source: NPHS *Where the ratio is less than one, this means that the most deprived group exhibit a lower level for that particular indicator. For example, the rate ratio of 0.65 for healthy diet means that people living in the most deprived fifth of wards are about a third less likely to have a healthy diet than their counterparts in the least deprived fifth or wards. **The rate ratio is reserved in this case, due to the way in which the SF36 is scored. The rate ratio of 0.95 shows that people living in the most deprived fifth of wards rate their health significantly more poorly than people living in the least deprived fifth of wards. 3.3 Deprivation and maternal/neonatal health There are well documented links between a number of key maternal and neonatal health indicators and deprivation. Research studies have shown that: In Wales stillbirths were increased by 41% in the most deprived enumeration districts compared to the least deprived (Guildea et al 2001). In neonatal deaths were increased by 20% in the most deprived enumeration districts compared to the least deprived (Guildea et al 2001). In Wales Sudden Unexplained Death in Infancy (SUDI) was strongly associated with deprivation, with higher mortality rates in the most deprived enumeration districts compared to the least deprived (Guildea et al 2001). Neonatal unit admission rates in an English district general hospital were associated with levels of deprivation. Admission rates for all indications except jaundice and feeding problems increased with increasing deprivation (Manning et al 2005). The rate of preterm birth in the most deprived fifth was consistently higher than the rate in the least deprived fifth (Paranjothy S et al 2008); see Figure 9. Figure 9: Rates of preterm babies in Wales, in the lowest and the highest fifths of deprivation, 1993-2005 Source: All Wales Perinatal Survey, 2008