We have a new website go to gov.scot

Summary: Age and Health, Social Care & Sport

Nurse and childSummary: Age and Health, Social Care and Sport

  • In 2015, the proportion of adults reporting to be in 'very good' or 'good' health declined with age from 88% of those aged 16-24 to 55% of those aged 75 and over.
  • In 2015, levels of 'very good' health for children ranged between 65% and 73% for those aged 0-11 but declined from 63% for those aged 12-13 to 52% for those aged 14-15. 

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Prevalence of multiple long-term conditions was much higher among older adults, 2012-2015

Prevalence of multiple long-term conditions was much higher among older adults, 2012-2015

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 

Useful Links

Age page

Health, Social Care and Sport page

Mental Health and Wellbeing
  • Levels of wellbeing were significantly lower for women aged 16-24 than for other age groups of men and women in 2015

Levels of wellbeing were significantly lower for women aged 16-24 than for other age groups of men and womenSource: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Levels of self-reported self-harm were highest among those aged 16-24 in 2012-2015 (18%) and, particularly, women in that age group (23%).

  • In 2012-2015, wellbeing scores among 13 to 15 year olds (as measured by WEMWBS) decreased with age for all children (52.3 for those aged 13 compared with 50.0 for those aged 15). 

Source: Scottish Health Survey 2015 (Last updated: September 2016)

Physical Health and Obesity
  • Levels of overweight (BMI>=25) tend to increase with age (2015)

Levels of overweight (BMI>=25) tend to increase with age

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • In 2015, prevalence of survey-defined hypertension rose from 3% of those aged 16-24 to 71% of those aged 75 and over.

  • In 2013/2015, prevalence of adults reporting an accident in the last 12 months was higher for those aged 16-24 (16%) than those aged 25 and over (9-12%). 

  • In 2013/2015, prevalence of accidents in children tended to increase with age, from 9% among those aged 0-1 to 20-22% among those aged 12-15.

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 
  • Older women less likely to have natural teeth than men of the same age, in 2015

Older women less likely to have natural teeth than men of the same age

Source: Scottish Health Survey 2015 (Last updated: September 2016)

Healthcare Experiences
  • The Scottish Government collects information on the experiences of people in relation to healthcare services through the Scottish care experience survey programme.  Both patient and non-patient factors influence people’s experiences. While patient characteristics such as age and gender account for some of the variation in experiences, non-patient factors such as the individual GP practice, GP practice size, type of admission to hospital and individual hospital are also an important influence on experience.
  • Analysis has been undertaken which takes all of these factors into account in relation to differences in experiences for GP, Inpatient and Cancer care.

Sources:

Note: this analysis is not routinely carried out every year, and isn't available for more recent years

NHS Workforce
  • As at end December 2017, 15.2% of the NHS Scotland workforce (whole time equivalent) were aged under 30 years, whilst just under half (46.7%) were aged between 30 and 49 years, and 38.1% were aged over 50 years.

Source: NHS Workforce Statistics (ISD. Last updated: December 2017)

Social Care
  • In 2016 the vast majority of both Social Care* at home clients (75%) and long stay care home residents (90%) were aged 65 years old and over.

Source: Care Home Census 2016 (Last updated: October 2016), Social Care Services Scotland 2016 (Last updated: November 2016)

Note: Social Care services refer to: Home Care, Telecare / Community alarm, Housing Support, Direct Payments and Meals services.

 
  • Carers - 17% of people aged 50 to 64 are provide unpaid care to a relative, friend or neighbour; This compares to 2% of under-25s, 10% of 25-49 year olds and 11% of over-65s;

Source: Scotland's Carers (Last updated: March 2015)

Physical Activity and Diet
  • In 2015, the proportion of adults meeting both Moderate or Vigorous Physical Activity (MVPA) and muscle strengthening guidelines decreased with age, from 42% of those aged 16-24 to 7% of those aged 75 and over.
  • In 2015, mean consumption of fruit and vegetables was lowest for those aged 16-24 (2.6 portions) and highest for those aged 55-74 (3.4 portions).
  • In 2015, supplement use was highest among older adults (33-34% of those aged 65 or over), while consumption of vitamin D was highest among those aged 4-5 (25%).

Source: Scottish Health Survey 2015 (Last updated: September 2016)

Alcohol, Smoking and Drug Use
  • In 2015, prevalence of drinking at hazardous or harmful levels, or having a possible alcohol dependency, decreased with age from 35% of those aged 16-24 to 2% of those aged 75 and over.
  • Smoking prevalence in 2015 was highest among those aged 25-54 (24-26%), lower among those aged 16-24 (21%) and those aged 55-74 (15-21%) and lowest among those aged 75 and over (8%).

  • A significantly higher mean number of cigarettes were smoked by male smokers (13.9 per day) than female smokers (11.3), in 2015.

  • In 2015, e-cigarette usage was higher for those aged 25-64 (7-9%) than other age groups.  Younger adults were much more likely to have ever tried e-cigarettes than older ones (22-26% of those aged 16-34, compared with 4-10% of those aged 65 and over).

Source: Scottish Health Survey 2015 (Last updated: September 2016)

 

Drug-related deaths in Scotland, 3- and 5-year moving averages, and likely range of values around 5-year moving average

Drug related deaths in Scotland

Drug-related deaths in Scotland continue to increase and are currently at the highest level recorded.   Over two thirds (73%) of deaths were amongst those aged 35 and over, the same as in 2015. The median age at death increased from 28 years in 1996 to 41 years in 2016.

Source: Drug Related Deaths in Scotland 2016 (Last updated: August 2017)

 
  • The number and rate of younger people admitted to hospital for drug misuse has remained relatively stable over time, while admissions among older drug users have increased.  Amongst those aged 35 and over, a twelve-fold rise from 11 to 132 patients per 100,000 population between 1996/97 and 2016/17 (general acute)).
  • Drug-related psychiatric patient rates also increased for older individuals, more than doubling between 1997/98 and 2015/16 (from 34 to 90 patients per 100,000 population for 35-39 year olds, from 19 to 79 patients per 100,000 population for 40-44 year olds; and from 12 to 49 patients per 100,000 population for 45-49 year olds).

Source: Drug-Related Hospital Statistics Scotland 2016/17 (ISD. Last updated: September 2017)

National Performance Framework

National Performance Framework

Fifty National Indicators enable progress towards the achievement of the National Outcomes and ultimately the delivery of the Purpose to be tracked.

Indicators are chosen to show how the Scottish Government are progressing on the range of Outcomes. Equality breakdowns illustrate how protected groups are progressing towards achievement of the National Outcomes, particularly ‘we have tackled the significant inequalities in Scottish society’.

National Indicator number 18: Increase physical activity, data tables

National Indicator number 19: Improve self-assessed general health, data tables

National Indicator number 20: Improve mental wellbeing, data tables

National Indicator number 24: Reduce emergency admissions to hospital, data tables

National Indicator number 25: Improve the quality of healthcare experience, data tables

National Indicator number 26: Reduce the percentage of adults who smoke, data tables

National Indicator number 28: Reduce the number of individuals with problem drug use, data tables

- progress against these National Indicators, broken down by Age, can be found under the 'What more do we know about the National indicator?' heading.

Publications and Outputs

Publications and Outputs

Scottish Health Survey 2016 (October 2017) The Scottish Health Survey 2016 report presents statistics on mental health, general health and caring, alcohol consumption, smoking, diet, physical activity, obesity, respiratory conditions, cardiovascular disease, and diabetes. Contains analysis on age, deprivation and gender

Measuring Use of Health Services by Equality Group (NHS Scotland Information Services Division, 2017) This report describes the current availability of equality data in routine national administrative health datasets in Scotland that are used for a number of secondary uses such as planning, performance monitoring, benchmarking and research. It covers age, disability, ethnicity, gender, religion, sexual orientation and transgender

ISD Equality Evidence Finder (NHS Scotland Information Services Division) Summarises the NHS data available by equality characteristics

Scottish Surveys Core Questions 2016 (April 2018) Official statistics publication on equality groups across a range of measures from harmonised questions across the major SG population surveys. This publication provides statistics centred around protected equality characteristics and sub-national geographies: age, disability, ethnicity, gender, religion, sexual orientation, country of birth, deprivation and Health Board/Police Scotland Division.

Scottish Household Survey 2016 (September 2017) This report presents reliable and up-to-date information on the composition, characteristics and behaviour of Scottish households, both nationally and at a sub-national level. This includes analysis of age, deprivation, disability, ethnicity, gender, religion and sexual orientation

 

Social Care Services, Scotland 2017 (December 2017) Presents the latest national figures for Social Care services provided or purchased by Local Authorities in Scotland. Includes breakdowns by age and disability

 

Drug Related Deaths in Scotland 2016 (NRS, August 2017) Statistics of drug-related deaths in 2016 and earlier years, broken down by cause of death, selected drugs reported, age and gender.

Self-Directed Support 2015-16 (July 2017) This report provides analysis of information collected by the 2016 Social Care Survey for all Self-directed Support options. It contains breakdowns by age, deprivation, and gender

Inpatient Experience Survey Volume 3: Exploring differences in experience (April 2017) This report explores differences in the self-reported experiences of different groups of people based on the 2015/16 Scottish Inpatient Experience Survey. It considers age, deprivation, disability, ethnicity, gender, religion and sexual orientation

Care Home Census 2016 (October 2016) This annual census publication presents information on care homes for adults (aged eighteen and older) in Scotland. It focuses on the five main client groups: older people 65+, adults with physical disabilities, adults with mental health problems, adults with learning difficulties, and other vulnerable adults

Respite Care 2015 (December 2015) Presents information on respite care services provided or purchased by Local Authorities in Scotland.

Active Scotland Outcomes: Indicator Equality Analysis (November 2015) This report presents an analysis of equality data across the indicators from the Active Scotland Outcomes Framework. Many data gaps were highlighted, however, available evidence points to inequality of opportunities and outcomes for all groups with protected characteristics across all the Active Scotland outcomes.

Scottish Patient Experience Survey of GP and Local NHS Services 2011/12 Volume 3: Variation in the Experiences of Primary Care Patients (March 2013) This report explores variations in the self-reported experiences of different people using GP and out-of–hours health services. The main source of information is the Scottish Patient Experience Survey of GP and Local NHS Services 2011/12. It considers age, deprivation, disability, ethnicity, gender and religion

Scottish Government Equality Outcomes: Age Evidence Review (2013) A comprehensive review of available evidence in relation to age equality.

Scotland’s Mental Health and its Context: Adults (NHS Health Scotland, 2012) Report describing the state of mental health and the associated contextual factors that influence it. It identifies inequalities in mental health within the Scottish population, by socio-economic status, age and gender.

Dimensions of Diversity:Population Differences and Health Improvement Opportunities (NHS Health Scotland, 2010) This gives a concise overview, of basic health information about a range of population groups in Scotland, linking users to further sources of information.

Data

Future Developments

Future Developments

Tod, E., Parkinson, J., McCartney, G. Children and young people 2013. Glasgow: NHS Health Scotland (2013)

Developing datasets section of website to include more interactive spreadsheets that provide additional anaylsis than in our publications - http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Data

Health, Social Care and Housing - Data linking project : http://www.scotland.gov.uk/Topics/Statistics/Browse/Health/Datalinking/HealthSocialCareandHousin

External Links

External Links

Please note that you will leave the Scottish Government web site by clicking on any of the following links, and that the Scottish Government and its staff are not responsible for content external to this web site. The research below has been carried out independently of the Scottish Government and the findings do not necessarily represent the views of the Scottish Government or Scottish Ministers

External Publications and Outputs

Children and Young People Statistics 2013 (British Heart Foundation, 2013) Presents statistics on children and young people's health and diet. Examines incidence, mortality, treatment and quality of life for congenital heart disease. Looks at medical risk factors associated with cardiovascular disease, setting out figures on blood pressure, diabetes, cholestorol and obesity. Presents findings from Scotland, England, Wales and UK level.

External Research Organisations

NHS Health Scotland - Provide an introduction to equality, health inequalities and human rights in relation to health outcomes for each of the nine protected characteristics, signposting to qualitative research about access to services, practice guidance and case studies to help planners and practitioners design and deliver services which meet the needs of individuals and communities. Their Monthly Equalities Alert provides an update on the latest articles and journals covering health in relation to protected characteristics and population groups.

 

Scottish Public Health Observatory - Presents information on health inequalities covering children and young people, older people, ethnicity, religion and sexual orientation.

Contacts

Contacts

Health, Social Care & Sport

swstat@scotland.gsi.gov.uk