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Continue clicking the arrowed hand tool to advance down the list. 93 trends Population In this issue In brief New proposals for population and health regular publications, ONS Longitudinal Study, Annual Report GRO (Scotland), New ONS catalogue published 1 Recent ONS publications 5 Updates and demographic indicators 6 Geographic variations in suicide mortality, 1982-96 Analyses suicide trends by age and sex for the constituent countries of the UK Julia Bunting and Sue Kelly 7 Teenage mothers and the health of their children Discusses trends in teenage conception rates, their outcomes and long-term consequences Beverley Botting, Michael Rosato and Rebecca Wood 19 Drug-related mortality: methods and trends Describes the processes involved in collecting and compiling data on drug-related deaths in England and Wales, and documents recent trends in drug-related deaths Olivia Christophersen, Cleo Rooney and Sue Kelly 29 Marriages in ‘Approved Premises’ in England and Wales: the impact of the 1994 Marriage Act Considers the impact of the introduction of approved premises marriages following the 1994 Marriage Act John Haskey 38 Tables List of tables Tables 1-24 Notes to tables 53 54 80 Contact points at ONS 82 London: The Stationery Office A publication of the Government Statistical Service © Crown copyright 1998. Published with the permission of the Office for National Statistics on behalf of the Controller of Her Majesty’s Stationery Office. ISBN 0 11 620971 2 ISSN 0307-4436 Population Trends Office for National Statistics B7/05 1 Drummond Gate London SW1V 2QQ Editorial office: tel: 0171 533 5101 Editorial board John Fox (editor) David Pearce (deputy editor) Patricia Broad Angela Dale Karen Dunnell Graham C Jones Ian R Scott Judith Walton Population Trends is a journal of the Office for National Statistics. It is published four times a year in March, June, September and December. In addition to bringing together articles on a wide range of population and health topics, Population Trends contains regular series of tables on a wide range of subjects for which ONS is responsible. Annual subscription, including postage, £70.00, single issues £19.00. ONS EDITORIAL POLICY The Office for National Statistics works in partnership with others in the Government Statistical Service to provide Parliament, government and the wider community with the statistical information, analysis and advice needed to improve decision-making, stimulate research and inform debate. It also registers key life events. It aims to provide an authoritative and impartial picture of society and a window on the work and performance of government, allowing the impact of government policies and actions to be assessed. Contributions Articles: 5,000 words max dates for submissions: Spring issue: by 30 Oct Summer issue: by 29 Jan Autumn issue: by 28 April Winter issue: by 27 July Please send to: Denise Tanner, executive secretary Permission to reproduce material in this publication: Copyright enquiries Office for National Statistics B1/04 1 Drummond Gate London SW1V 2QQ tel: 0171 533 5674 fax: 0171 533 5689 9 3 | A u t um n 1 9 9 8 P o p u l a t i o n Tr e n d s in brief other groups. Only among the academics was there more support for the status quo. One tenth of those in favour however mentioned the importance of including some mortality data in the population quarterly, and some population data, especially fertility, in the health quarterly. This fits in with the idea that each journal would flag up the contents and summaries of the other. New proposals for population and health regular publications In spite of this level of support we should remember that almost one in 5 of respondents were against the separation – praising the wide scope of Population Trends and often mentioning the usefulness of the annual publication, Key Population and Vital Statistics for local government and health authority areas in England and Wales. Regular readers of Population Trends will be aware that a consultation paper was sent out with Population Trends 91, in March of this year, setting out new proposals for population and health regular publications.The consultation document was also sent to users of ONS’s Population and Health Monitors, and to key customers in Government Departments, members of advisory committees and other interested parties. Replies were requested by the end of April. The document asked for comments on the following 3 questions: (a) Would you welcome the focusing of population and health material from ONS into 2 separate publications? (b) Would you welcome receiving all our current regular commentary, annual updates, articles, monitors and quarterly tables in a single quarterly publication ñ one for health, one for population and demography? (c) What are your views on costs and timetable? Responses By 7 May, 124 replies had been received. Table A shows responses to questions (a) and (b) by type of customer. Half of all replies (59) came from local government. The next largest group was health authorities (20). There were 13 replies from other Government Departments, 10 from libraries and 8 from individual academics. The fourteen ‘others’ comprised charities, individuals and unknown sources. Findings There was overwhelming support for the proposal to publish, and report, separately population and health statistics. Overall 82 per cent of respondents were in favour. This was true of local and health authorities and the Table Table A 6 There was also strong support for the idea of combining existing articles, tables, monitors and annual updates in 2 quarterly publications. Seventy-four per cent of respondents were in favour of this – although another 17 per cent did not reply. Again there was a similar response from the main categories of responders. Responses to consultation about new proposals for population and health regular publications All Local Authority Health Authority Other Libraries Govt. Dept Academics Others a. Separation of population & health Yes No Qualified answer No answer 101 17 5 1 49 8 2 - 17 2 1 - 10 1 2 - 9 1 - 4 3 1 - 12 2 - Total 124 59 20 13 10 8 14 92 10 2 20 44 3 12 16 1 3 11 2 - 8 2 3 3 2 10 3 1 124 59 20 13 10 8 14 b. All in a single Quarterly Yes No Qualified answer No answer Total O f f i c e f o r N a t i o n a l S t a t i s t i c s 1 P o p u l a t i o n Tr e n d s 9 3 The answers to the question on costs and timetables are more difficult to interpret. The consultation paper states that local and health authorities would get one free copy each. Many acknowledged this and said they were happy with that and the proposed timetable. Others gave qualified answers or did not reply. Replies came from a variety of departments in these organisations, not all of which would have first access to the one free copy. Nevertheless, 67 per cent of all respondents gave their approval to the proposal to keep the total cost to about £150 – the current cost of Population Trends and all monitors. Customers were very averse to price rises, some even suggested reducing the cost of PopulationTrends to reflect the reduction in scope. | A u t u m n 1 9 9 8 ONS Longitudinal Study Other Government Departments There were some interesting comments from other Government Departments raising issues about Great Britain and UK Statistics as well as country specific results. The issue of an overall strategy for health publications is being addressed by the Department of Health. • more likely to remain in non-private households • in a lower socio-economic status • experienced poorer health and survival • more difficult to trace over time Virtually all the letters acknowledged the value of such consultation exercises. Many respondents replied at some length with ideas and questions. The latter are being referred to the relevant person in ONS for reply. Some of the additional points made are set out below: • crossover of key mortality and fertility data in both journals • cumulative indexes would be of value • importance of keeping population estimates as a separate annual reference publication • guest articles • free tables on the internet • flag forthcoming items in each edition • problems for cataloguing in libraries • will be able to stop having separate binders for monitors • take account of Wales, Scotland, HSE, and so on • aim for more Great Britain and UK coverage Conventionally in LS analyses, those who could not be found at a subsequent census or by registering a vital event are assumed to be lost to follow-up. Loss to follow-up of those in children’s homes (38 per cent) and of men, aged 15–30, in places of detention (41 per cent) was higher than for all other children (20 per cent) and other men (18 per cent) of comparable age. The higher loss to follow-up of these two groups introduces a bias if those who were lost gained a socio-economic status which was different to those who remained in the study. Recent analysis of ONS Longitudinal Study (LS) data by Seeromanie Harding, Michael Rosato, Karen Dunnell illustrates the use of LS data in the study of social exclusion. The socio-economic status and health of children aged under 18 years, who were living in children’s homes, and young men aged 15– 29, in places of detention, identified in the 1971 Census have been followed-up for 25 years. The analysis showed that compared with all other children and all other men of the same age, both groups were: General comments those in places in detention) was measured using Cox regression. Children aged under 18 years and living in children’s homes in 1971 At the 1971 Census, 292 children were living in children’s homes, and of these, 172 were found in both the 1981 and 1991 Censuses. Table 1 shows that the proportion of these children who remained in non-private households was greater than that of all other children of the same age. In 1981, 24 per cent were in non-private households compared with only 2 per cent of all other children, and by 1991, 13 per cent compared with 4 per cent. The advantage of studies using longitudinal rather than cross-sectional data is that the same individuals can be tracked over time and changes in their social status can be measured. This allows the influence of factors at an earlier point in life to be examined in relation to adult circumstances. The notion of accumulation of risk of adverse events over time has direct relevance to policies that aim to arrest or reverse social deprivation. Figures 1a and 1b show the socio-economic status at the 1981 and 1991 Censuses of children who were in homes and of all other children. All three indicators show that higher proportions of those in children’s homes were in a lower socio-economic status in 1981 and 1991 compared with that of all other children. For example, 53 per cent of children in homes were living in rented housing in 1981 and 49 per cent in 1991. This compares with 40 per cent and 26 per cent respectively for all other children. Similarly, 51 per cent and 60 per cent were in a manual class in 1981 and 1991, respectively, compared with 40 per cent and 43 per cent for all other children. The socio-economic status for the two groups, at the 1981 and 1991 Censuses, was measured using established indicators –occupation based social class, housing tenure and access to cars. In the analysis of health, two outcome measures were used: prevalence of limiting long-term illness as recorded at the 1991 Census, and death from any cause during the period 1971-95. Age-adjusted risk of death compared with that of all others (men for Table 1 Children, aged under 18 years, and living in children’s homes in 1971: proportions remaining in non-private households in the 1981 and 1991 Censuses. ONS Longitudinal Study Next steps Household status The plans to have two quarterly publications from the beginning of 1999 is being progressed within ONS. We would like to thank those people and organisations who replied. 1981 Census O f f i c e f o r N a t i o n a l 1991 Census 1981 Census 1991 Census 98 96 76 87 0 0 2 0 0 4 12 1 11 0 1 12 112,325 112,324 172 172 Private households Non-private households children’s homes prison other All = 100% 2 All other children aged under 18 in 1971 Children in chidren’s homes S t a t i s t i c s 9 3 Figure 1a | A u t um n 1 9 9 8 P o p u l a t i o n Tr e n d s Children, aged under 18 years, living in children’s homes in the 1971 Census: socio-economic status in the 1981 and 1991 Censuses 100 Percentage 80 1981 1991 60 40 20 0 owner occupied rented NPH* car access no car access NPH* non-manual manual unclassified * NPH refers to non-private household Figure 1b All other children, aged under 18 years, in the 1971 Census: socio-economic status in the 1981 and 1991 Censuses 100 1981 Percentage 80 1991 60 40 20 0 owner occupied rented NPH* car access no car access NPH* non-manual manual unclassified * NPH refers to non-private household Table 2 shows the risks of limiting long-term illness and death from any cause among those who were in children’s homes. Both of these outcome measures suggest poorer health compared with other children. The prevalence of limiting long-term illness was almost four times greater among children who were in homes compared with others. Their risk of mortality was two and a half times higher. Male, aged 15–29, in places of detention in 1971 Of the 291 men, aged 15–29, who were in places of detention at the 1971 Census, 147 were present at both the 1981 and 1991 Censuses. The pattern of results is similar to that of children in homes – lower socioeconomic status and poorer health outcomes compared with all other men of the same age. Table 2 Children, aged under 18 years, and living in children’s homes in 1971: Health outcome indicators- prevalence of limiting long-term illness in 1991 Census and mortality ONS Longitudinal Study during the period 1971-95. Health outcome All other children aged under 18 in 1971 Limiting long-term illness Yes No All = 100% 4 96 15 85 112,325 172 1.00 2.5* 1.34–4.66 Mortality Hazard ratio 95% confidence interval 10 Deaths * p<0.05 Table 3 Men, aged 15–29 years, in places of detention in 1971: proportions remaining in nonprivate households in the 1981 and 1991 Censuses. ONS Longitudinal Study Household status Table 3 shows that a higher proportion of these men remained in a non-private household compared with all other study members. In 1981, 8 per cent remained in a non-private household compared with only 1 per cent of all other study members. By 1991, the comparable figures were 8 per cent compared with 3 per cent. Two per cent of men in places in detention were classified as being in prison in 1991. Children in chidren’s homes Private households Non-private households prison psychiatric institutions other All = 100% All other men aged 15–29 years in 1971 Prisoners aged 15–29 in 1971 1981 Census 1981 Census 1991 Census 1991 Census 99 97 92 92 0 0 1 0 0 3 3 0 5 2 1 5 42,168 42,168 147 147 N a t i o n a l S t a t i s t i c s O f f i c e f o r 3 P o p u l a t i o n Tr e n d s 9 3 Figures 2a and 2b show the socio-economic status at the 1981 and 1991 Censuses of male prisoners and all other men. All three indicators show lower socio-economic status of men who were in places of detention compared with all other men in 1981 and 1991. In 1981, 73 per cent were in a manual class and in 1991, 82 per cent. This compared with 53 per cent and 50 per cent for all other men. Unemployment was considerably greater – 43 per cent in 1981 and 38 per cent in 1991 compared with under 8 per cent for all other men. Table 4 shows the risks of limiting long-term illness and death from any cause. Among men in places of detention, the prevalence of limiting long-term illness was more than three times that for all men of the same age. Their risk of mortality was also more than two and a half times higher. Figure 2a | A u t u m n Table 4 1 9 9 8 Men, aged 15–29 years, in places of detention in 1971: Health outcome indicatorsprevalence of limiting long-term illness in 1991 Census and mortality during the ONS Longitudinal Study period 1971-95. Health outcome All other men aged 15–29 years in 1971 Prisoners aged 15–29 years in 1971 Limiting long-term illness Yes No All = 100% Mortality Hazard ratio 95% confidence interval 7 93 26 74 42,173 147 1.00 2.79* 1.88–4.15 25 Deaths * p<0.05 Men, aged 15–25, in places of detention in the 1971 Census: socio-economic status in the 1981 and 1991 Censuses 100 Percentage 80 1981 1991 60 40 20 0 owner rented occupied * NPH refers to non-private household Figure 2b NPH* car access no car access NPH* nonmanual manual unclassified employed unemployed sick All other men, aged 15–29 years, in the 1971 Census: socio-economic status in the 1981 and 1991 Censuses 100 Percentage 80 1981 1991 60 40 20 0 owner occupied rented NPH* car access no car access NPH* * NPH refers to non-private household 4 O f f i c e f o r N a t i o n a l S t a t i s t i c s nonmanual manual unclassified employed unemployed sick 9 3 Annual report GRO(Scotland) The Annual Report of the Registrar General for Scotland, 1997, was published in July. The report presents statistical information arising from the registration of vital events - births, deaths and marriages, together with divorces and adoptions - and related statistical information on the population in Scotland. In addition to material for 1997, time series of data are included. The report is available on the GRO(S) Web site at: www.open.gov.uk./gros/groshome.htm; or can be obtained from GRO(S) Customer Services on 0131 314 4243. | A u t um n 1 9 9 8 P o p u l a t i o n Tr e n d s New ONS catalogue published The latest catalogue of ONS and GSS statistical outputs and services, The Source, has just been published.The catalogue brings together the vast array of outputs produced by central government departments and agencies. Copies are available, free of charge, from the ONS Newport Library (Tel: 01633 812915). Recent ONS publications Key Health Statistics from General Practice 1996 (ONS June £30 ISBN 1 85774 273 7) Analyses of morbidity and treatment data, including time trends (1994-96) for England and Wales. The report is the second in an annual series of morbidity and treatment data derived from the General Practice Research Database. Mortality statistics, Childhood, infant and perinatal 1996 (The Stationery Office July £35 ISBN 0 11 621048 6). Annual reference volume presenting statistics relating to stillbirths, infant deaths and childhood deaths for 1996 in England and Wales. Key population and vital statistics, local and health authority areas 1996 (The Stationery Office June £30 ISBN 0 11 621046 X). Annual reference volume providing key 1996 statistics for local and health authority areas in England and Wales on population, births, deaths and migration. Population and Health Monitors Legal abortions in England and Wales 1997 (AB 98/3 ONS June £4) Legal abortions 1997: residents of regions and health authorities (AB 98/4 ONS June £4) International migration 1996 (The Stationery Office June £30 ISBN 0 11 621036 2). Annual reference volume presenting statistics on the flows of international migrants to and from the United Kingdom during the last ten years. Detailed figures are given for the calendar year 1996. Infant and perinatal mortality 1997: Health authorities and regional offices (DH3 98/1 ONS June £4) Marriage, divorce and adoption statistics 1995 (The Stationery Office July £25 ISBN 0 11 621028 1). Annual reference volume providing statistics on marriages solemnised, dissolutions and annulments of marriages granted and adoption orders made, in England and Wales during 1995. Social Focus on the Unemployed (The Stationery Office July £30 ISBN 0 11 621039 7).This edition of the Social Focus series looks at unemployed people in the United Kingdom and the experience of unemployment, both economically and socially, for the individual, their household and their family. Cancer survival in England and Wales: 1981 and 1989 registrations (MB1 98/1 ONS June £4) Estimates of newly diagnosed cases of cancer, England and Wales, 1993-1997 (MB1 98/2 ONS July £4) Marriages in England and Wales during 1996 (FM2 98/1 ONS July £4) Divorces in England and Wales during 1996 (FM2 98/2 ONS July £4) O f f i c e f o r N a t i o n a l S t a t i s t i c s 5 P o p u l a t i o n Tr e n d s 9 3 | Autumn 1 9 9 8 updates Deaths Births ● The provisional number of deaths in England and Wales for the June quarter 1998 was 133.3 thousand, compared with 133.2 thousand in the equivalent quarter for 1997. ● The provisional number of live births in England and Wales for the March quarter 1998 was 155.4 thousand, compared with 158.1 thousand for the equivalent quarter in 1997. ● The provisional death rate for the June quarter 1998 was 10.2 per thousand population, unchanged from the equivalent quarter for 1997. ● The provisional rate for live births outside marriage in England and Wales for the March quarter 1998 was 375 per thousand live births, an increase of 5 per thousand from the March quarter 1997. D emographic indicators – England and Wales Population size Figure 1 Population change (mid-year to mid-year) Figure 2 Millions 52 Thousands 300 Thousands 250 Total change 200 51.5 International migration* Figure 3 inflow 250 51 Natural change 200 100 outflow 50.5 150 Net migration 50 1991 Figure 4 92 93 94 95 96 1991 Births 92 Figure 5 Quarterly thousands 12 months - thousands 800 200 175 93 94 95 (mid-year) 1991 97 96 Deaths Quarterly thousands 200 * United Kingdom 0 0 92 175 700 150 600 95 96 Infant mortality (under 1 year) Figure 6 12 months - thousands 800 93 94 Year Rate per 1,000 live births 10 9 700 8 7 150 600 125 125 1991 92 93 94 95 96 500 100 Source: Tables 5,8 and 18 6 O f f i c e f o r 500 1991 92 Key to Figs 4-6: N a t i o n a l 93 94 95 96 quarterly data S t a t i s t i c s 400 6 5 1991 92 annual data 93 94 95 96 99 33 | | AA uu t t uum m nn 11 99 99 88 PPoo pp uu l l aa t t i i oo nn TTrr ee nn dd ss Geographic variations in suicide mortality, 1982-96 Julia Bunting and Sue Kelly Demography and Health ONS This article is the second part of a paper which updates previous analyses of suicide published in Population Trends. Suicide trends are analysed by age and sex for the constituent countries of the United Kingdom. Data for England and Wales are presented by region and by local authority. The analyses show substantial variations in suicide rates both across the United Kingdom and within England and Wales. INTRODUCTION This article forms the second part of an analysis which updates three previous Population Trends articles 1,2,3, which presented data up to 1990/1992. The first part of the update 4 described trends in suicide by age, sex, occupation and method, and by other factors including marital status and imprisonment. The analysis showed that men aged 25–34 and women aged 15–24 were the only groups for which suicide rates continued to rise. Analyses by occupation and method suggested that there was a link between suicide rates and access to, and knowledge of, effective means of committing suicide. This article adds to our earlier work by exploring geographic variations in suicide mortality. The previous Population Trends article on the contribution of geography to suicide mortality3 presented analyses for the county districts of England and Wales over the period 1987-92. In this article we begin by presenting an overview of suicide trends by age and sex between 1982 and 1996 for the constituent countries of the United Kingdom; England, Northern Ireland, Scotland and Wales. This is followed by a more detailed analysis of England and Wales by region and by local authority. The regional analysis covers two time periods, 1982-86 and 1992-96, enabling us to compare suicide rates over time. The local authority analysis covers 1991-96 and provides a more detailed picture, identifying smaller areas of the country where mortality from suicide is high and those where it is low. All data are presented for local authority boundaries as at April 1997. O f f i c e f o r N a t i o n a l S t a t i s t i c s 7 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 Box 1 Registration and coding of suicides in Northern Ireland and Scotland In Northern Ireland coroners do not record verdicts on suicide as they do in England and Wales, instead they forward a summary of ‘findings’ to the Registrar. From these findings staff at the General Register Office for Northern Ireland (GRO(NI)) decide if the death is a suicide, accident, etc. GRO(NI) consult with coroners on findings where it is unclear whether the death was a suicide or not and then code the death accordingly. Scotland does not have a system of coroners and inquests and there is no delay in the initial registration of a death which in England and Wales would be referred to a coroner. Such deaths are reported to the Procurator Fiscal by the Registrar or others.The death meanwhile will have been registered in the normal way and the cause of death will have been coded by the General Register Office for Scotland (GRO(S)) in the light of information provided at the time of registration. This information may indicate that the death was due to suicide or self-inflicted injury and could immediately attract a code in the range E950–E959. In the absence of such information the death would be given the appropriate code in the range E980–E989 - injury undetermined whether accidentally or purposely inflicted. When the Procurator Fiscal has examined the case he informs the GRO(S) of any changes to the information originally recorded on the death certificate, including clarification of the cause of death. If necessary, GRO(S) will then change the code allocated to this death. GRO(S) also consult with the forensic department that carried out any post mortem, the Crown Office and the Scottish Office Home and Health Departments on a regular basis to ensure that any information that these bodies hold is used to allocate the correct codes to suicides and other deaths (e.g. homicides). However, no changes are made to the records after about the end of March following the year in which the death was originally registered. DEFINITIONS In this article, as in the first part 4, ‘suicides’ refers to ‘suicides and deaths from injury and poisoning undetermined whether accidentally or purposely inflicted’. This corresponds to codes E950–E959 and E980–E989, (excluding E988.8 for England and Wales), of the International Classification of Diseases Ninth Revision (ICD9) 5 . As we explained in one of our earlier articles 1, it is likely that most undetermined deaths (open verdicts) among adults are cases where the harm was self-inflicted but there was insufficient evidence to prove that the deceased deliberately intended to kill themselves. The code E988.8 is excluded because, since 1979 in England and Wales, it has been used, although not exclusively, to accelerate the death registration in cases where a coroner adjourns an inquest 6. Nearly all of these cases that are resolved turn out to be homicide. In using this broader definition of suicide, we have restricted our analyses to those aged 15 and over. Details of the registration systems in Northern Ireland and Scotland are presented in Box 1. All suicide rates presented in this paper have been directly age-standardised to the European standard population7 aged 15 and over. COMPARISONS ACROSS THE UNITED KINGDOM To compare suicide trends in the four constituent countries of the United Kingdom we calculated age-standardised death rates, for men and women separately, for the two age-groups 15–44 and 45 and over. The results are presented in Figure 1. The most striking finding is that the suicide rates in Scotland were considerably higher than in the other countries and that these differences had increased over time. For men in both age-groups the rate in Scotland in 1982-84 was over 25 per cent higher than that for the United Kingdom as a whole, but by 1994-96 it was over 50 per 8 O f f i c e f o r N a t i o n a l cent higher. For women aged 15–44 the suicide rate in Scotland in 1982-84 was 35 per cent higher than that for the United Kingdom as a whole, by 1994-96 it was 70 per cent higher. For women aged 45 and over, there was little difference in the suicide rates between constituent countries of the United Kingdom in the early years of the analysis. However, by 1994-96 women in Scotland aged 45 and over had a suicide rate which was over 60 per cent higher than that for the United Kingdom as a whole. Suicide rates for men aged 15–44 generally increased between the early 1980s and the mid-1990s. However, in England there was a slight decline from a peak in 1990-92. In both Northern Ireland and Scotland suicide rates showed the first signs of a downturn in 1994-96, however in both countries rates in 1994-96 were still over 50 per cent higher than they were in 1982-84. In Wales, the suicide rate continued to increase throughout the 1990s, so that in 1994-96 it was over 65 per cent higher than in 1982-84. These different trends mean that, over the course of 15 years, suicide rates for men aged 15–44 have diverged between the constituent countries. For example, rates in Wales and England were the same in 1982-84, but by 1994-96 men aged 15–44 in Wales had a suicide rate which was 35 per cent higher than that in England. In contrast to men, suicide rates among women aged 15–44 decreased between 1982-84 and 1994-96 in all countries except Scotland. The greatest decline, of over 30 per cent, was in Northern Ireland, while rates in Wales and England decreased by 20 per cent and 13 per cent, respectively. As a result there was an overall convergence in the rates for Northern Ireland, Wales and England, which in 1994-96 all had rates of around 45 suicides per million women aged 15–44. However, the suicide rate among women in Scotland increased by over 12 per cent between 1982-84 and 1994-96, and was 70 per cent higher than that for the United Kingdom as a whole in 1994-96. S t a t i s t i c s 9 3 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Age-standardised suicide rates per million population by age and sex, United Kingdom, 1982-96* Figure 1 a) Men aged 15–44 b) Women aged 15–44 350 350 England Wales 300 300 Scotland N. Ireland 250 Rate per million Rate per million 250 200 150 200 150 100 100 50 50 0 0 1982 1984 1986 1988 1990 1992 1994 1996 1982 1984 1986 1988 c) Men aged 45 and over d) Women aged 45 and over 350 350 300 300 250 250 200 1992 1994 1996 150 1990 1992 1994 1996 200 150 100 100 50 50 0 0 1982 1984 1986 1988 1990 1992 1994 1996 1982 1984 1986 1988 Year * 1990 Year Rate per million Rate per million Year Year 3-year moving averages plotted on central year O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 Scotland8, McLoone concluded that in “1991-93 suicide rates in young men and women living in deprived areas [of Scotland] were about twice the rates of those living in affluent areas”. Suicide rates for men aged 45 and over decreased between 1982-84 Figure 3 in all countries but by varying amounts - in Scotland and 1994-96 by 5 per cent, in England by 26 per cent, in Northern Ireland by 27 per cent and in Wales by 29 per cent. Across the entire time period the highest rates were again in Scotland. In 1982-84, the rate in Scotland was 25 per cent higher than that for the United Kingdom as a whole. However, because of the slower rate of decline in Scotland compared to the other countries, this had risen to more than 50 per cent higher than the rate for the United Kingdom as a whole by 1994-96. PATTERNS AND TRENDS IN ENGLAND AND WALES G o ve r n m e n t O f f i c e R e g i o n s Age-standardised suicide rates for Wales and the ten English GORs, for men and women aged 15–44 and 45 and over, for the two time periods 1982-86 and 1992-96, are shown in Table 1. Figure 2 shows Wales and the boundaries of the ten Government Office Regions (GORs) of England. Among women aged 45 and over, suicide rates fell by between 45 and 55 per cent in England, Northern Ireland and Wales between 1982-84 and 1994-96. In comparison, the rate in Scotland decreased by 21 per cent overall, the result of a slight increase since 1991-93. These changes mean that again there has been a divergence in the rates between Scotland and the other constituent countries of the United Kingdom. Among men aged 15–44 suicide rates were higher in every region in 1992-96 than in 1982-86. However, despite this increase, rates in the ten English regions began to decline in the early 1990s (shown for England as a whole in Figure 1). In contrast, the suicide rate for men aged 15–44 in Wales showed no signs of a downward turn (see Figure 1). Table 1 shows that the rate for Wales increased by over 50 per cent between 1982-86 and 1992-96. This dramatic increase meant that in 1992-96 young men in Wales had a significantly higher rate of suicide than young men in England and Wales as a whole. In contrast, the suicide rate among men aged 15– 44 in London remained almost constant. This meant that London, the only region which had a significantly high suicide rate among young men in 1982-86, had a rate below that for England and Wales as a whole in 1992-96. Overall, suicide trends in the United Kingdom between the early 1980s and the mid-1990s show that for men and women in both age-groups there has been a divergence in the suicide rates between Scotland and the other three countries. For women, the suicide rates in 1994-96 were very similar in England, Northern Ireland and Wales for both age-groups. In contrast, the rates in Scotland were nearly double those of the other countries. For men in both age-groups the rates for Scotland were considerably higher than those for the rest of the United Kingdom, with the difference increasing over time. In an analysis of suicide and deprivation in Table 1 Age-standardised suicide rates per million population by age and sex, England and Wales, 1982-86 and 1992-96 Men Age 15–44 Women 1982–86 North East North West Merseyside Yorkshire and the Humber East Midlands West Midlands Eastern London South East South West Wales 161 174 153 173 147 146 151 181 160 162 162 England and Wales 162 North East North West Merseyside Yorkshire and the Humber East Midlands West Midlands Eastern London South East South West Wales 236 241 233 242 202 211 222 240 226 233 254 England and Wales 230 1992–96 ~ † 198 233 208 201 192 181 171 182 181 196 247 % change 1982–86 23 34 37 17 31 24 14 1 13 21 53 45 65 49 54 45 50 47 73 54 60 50 195 20 56 192 176 164 178 171 170 175 178 181 187 186 -19 -27 -29 -27 -15 -19 -21 -26 -20 -20 -27 121 159 104 155 125 114 134 146 131 143 122 178 -23 136 † ~ ~ † 1992–96 ~ † ~ ~ † 55 64 52 53 45 45 39 56 48 50 42 % change † ~ 22 -2 6 -2 0 -9 -16 -24 -12 -17 -16 50 -10 65 69 53 71 64 63 60 74 81 76 62 -46 -56 -49 -54 -49 -45 -55 -49 -38 -47 -49 Age 45 and over † ~ ~ ~ Significantly higher than England and Wales. Significantly lower than England and Wales. 10 O f f i c e f o r N a t i o n a l S t a t i s t i c s † ~ † ~ 69 ~ ~ † -49 9 3 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Box 2 Key to Maps The maps in Figure 3 all use five shades, with the middle shade denoting local authorities whose suicide rates were not significantly different from the corresponding rates for England and Wales. The darkest two shades show those authorities whose rates were significantly higher than those for England and Wales, with the darkest showing those whose rates were more than 15 per cent higher. The lightest two shades show those authorities whose rates were significantly lower than those for England and Wales, with the lightest showing those that had rates more than 15 per cent lower than those for England and Wales. In some local authorities (identified separately on the map) there were no suicide deaths for the given age and sex groups between 1991 and 1996. These authorities tend to be those with very small populations, for example the Isles of Scilly, the City of London, Teesdale and Berwickupon-Tweed. Figure 2 Among men aged 45 and over the suicide rate declined by 23 per cent overall between 1982-86 and 1992-96. Rates fell by more than 25 per cent in the North West, Merseyside, Yorkshire and the Humber, Wales and London. In 1992-96, no region had a suicide rate which was significantly different from that for England and Wales as a whole. Wales and the Government Office Regions of England As our previous article4 showed, and these data confirm, the greatest declines in suicide since the early 1980s have been among women aged 45 and over. The suicide rate for this group almost halved between 1982-86 and 1992-96 in England and Wales as a whole. The smallest percentage decline, of 38 per cent, was in the South East. This slower rate of decline meant that in 1992-96 women aged 45 and over in the South East had a suicide rate which was significantly higher than that for England and Wales as a whole. In the North West, and Yorkshire and the Humber, rates were significantly high in 1982-86 but then fell substantially, so that in 1992-96 rates in these two regions were similar to that for England and Wales as a whole. Rates in Merseyside were significantly low in both time periods. NOR TH NORTH EAST NOR TH NORTH WEST ORKSHIRE YORKSHIRE AND THE HUMBER MERSEY SIDE MERSEYSIDE EAST MIDLANDS ALES WALES WEST MIDLANDS EASTERN LONDON SOUTH EAST SOUTH WEST In contrast to the trends in suicide rates among men aged 15–44, suicide rates for women aged 15–44 were lower in most regions in 1992-96 than in 1982-86. The exceptions were the North East and Merseyside where rates increased by 22 per cent and 6 per cent, respectively. Despite these increases the rates in these two regions did not become significantly higher than that for England and Wales as a whole in 1992-96. The suicide rate among women aged 15–44 in London declined between 1982-86 and 1992-96. The rate was significantly higher than that for England and Wales as a whole in the first time period but was no longer so in the second. The suicide rate in the North West was significantly higher than that for England and Wales as a whole in both time periods and declined by only 2 per cent. Rates in Eastern region were significantly low in both time periods. Overall, suicide rates in the Government Office Regions of England, and in Wales, diverged between 1982-86 and 1992-96 for men aged 15–44. This was largely a result of the much higher percentage increase in Wales compared to that in the regions of England. Rates for men aged 45 and over converged between 1982-86 and 1992-96 because those regions with the highest rates in the earlier time period showed the greatest percentage declines. The regional variation in suicide rates among women aged 15–44 and 45 and over showed no pattern of convergence or divergence. For women aged 15–44 this was largely the result of a 22 per cent increase in the rate in the North East, which had the lowest rate in 1982-86, offset by a 24 per cent decrease in the rate in London, which had the highest rate in 1982-86. In 1992-96 Eastern region had significantly low suicide rates for both men and women aged 15–44 and for women aged 45 and over. Regions with significantly high suicide rates in 1992-96 were the North West for men and women aged 15–44, Wales for men aged 15–44 and the South East for women aged 45 and over. Local authorities Figures 3a-3d show the pattern of age-standardised suicide rates for local authorities in England and Wales as at April 1997 boundaries, the latest available at the time of analysis. Local authorities include county districts (CDs), metropolitan county districts (MCDs), London boroughs (LBs) and unitary authorities (UAs). Data are O f f i c e f o r N a t i o n a l S t a t i s t i c s 11 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 Variations in age-standardised suicide rates per million population by local authority, England and Wales, 1991-96 Figure 3 (a) Men aged 15-44 Local authorities with no deaths Isles of Scilly London ;; ;; >15% higher than E&W <15% higher than E&W not significantly different from E&W <15% lower than E&W (b) Women aged 15-44 ;;; ;;; ;;; ;; ;; ;;; ;;; Local authorities with no deaths ;;; ;;; ;; ;;; ;;; ;; ;; ;;; ;; ;; ;; ;;;; ;;;; ;;; ;;;; ;;; ;; ;; ; ; 12 O f f i c e f o r N a t i o n a l S t a t i s t i c s >15% lower than E&W no deaths Berwick-upon-Tweed Blaneau Gwent East Northamptonshire Isles of Scilly Kennet Kettering Purbeck South Holland South Shropshire Teesdale Tunbridge Wells London 9 3 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Variations in age-standardised suicide rates per million population by local authority, England and Wales, 1991-96 (continued) Figure 3 (c) Men aged 45 and over Local authorities with no deaths Isles of Scilly London ;; >15% higher than E&W <15% higher than E&W not significantly different from E&W <15% lower than E&W ;; ;; (d) Women aged 45 and over >15% lower than E&W no deaths Local authorities with no deaths Bolsover City of London ;; ;; ; ; O f f i c e London ;; f o r N a t i o n a l S t a t i s t i c s 13 P o p u l a t i o n Table 26 Table Tr e n d s 9 3 | A u t u m n Age-standardised suicide rates per million population by local authority, men aged 15–44, England and Wales,1991–96 Local authorities with significantly high rates 1 Rate Confidence interval Number of Lower Upper suicides Manchester MCD Hastings CD Copeland CD Carmarthenshire UA Neath Port Talbot UA Denbighshire UA Barrow-in-Furness CD Calderdale MCD Pendle CD Tameside MCD Preston CD West Lindsey CD Lancaster CD Exeter CD Isle of Wight UA Lambeth LB Wirral MCD Bristol UA Birmingham MCD Bolton MCD Restormel CD Bournemouth UA 337 406 386 328 328 355 359 302 342 289 307 347 308 311 309 269 265 253 234 257 311 275 (290 (279 (261 (247 (241 (239 (238 (233 (230 (228 (227 (225 (223 (220 (216 (216 (214 (211 (208 (204 (203 (203 England and Wales 197 (194 - 200) 1 2 1 9 9 8 - 384) 532) 510) 409) 415) 471) 481) 370) 453) 351) 388) 470) 393) 402) 403) 322) 315) 294) 260) 311) 418) 348) 208 40 37 63 55 36 34 74 36 86 58 31 51 46 42 111 106 148 319 90 32 56 Local authorities with significantly low rates 2 South Herefordshire CD Tonbridge and Malling CD Mid Bedfordshire CD Purbeck CD Wokingham CD Bromley LB South Gloucestershire UA Fenland CD Hertsmere CD Bexley LB Merton LB Malvern Hills CD Epping Forest CD Sutton LB East Hertfordshire CD Braintree CD Thurrock CD Spelthorne CD Nuneaton and Bedworth CD Hinckley and Bosworth CD Derbyshire Dales CD Lichfield CD Harlow CD Cheltenham CD Redbridge LB Barnet LB South Northamptonshire CD The Wrekin CD Windsor and Maidenhead CD Kingston upon Thames LB Mid Devon CD Dudley MCD Havering LB Chester-le-Street CD Sevenoaks CD Reading CD Oswestry CD Rochford CD Rate 69 94 99 75 106 123 122 100 104 122 124 103 114 122 118 118 122 116 122 118 108 118 115 124 141 146 115 133 133 136 114 151 147 112 129 139 97 121 Confidence interval Number of Lower Upper suicides (1 (43 (50 (1 (61 (88 (84 (38 (44 (81 (81 (39 (60 (76 (66 (65 (70 (57 (67 (58 (37 (56 (49 (67 (99 (110 (46 (83 (81 (85 (39 (113 (103 (34 (68 (86 (2 (50 - 137) 145) 147) 148) 152) 159) 161) 162) 163) 163) 166) 168) 168) 168) 170) 170) 173) 175) 177) 177) 178) 179) 180) 181) 182) 183) 184) 184) 186) 187) 188) 190) 190) 191) 191) 191) 192) 193) 4 13 16 4 21 47 39 10 12 34 33 10 17 28 20 19 22 15 19 15 9 14 12 19 45 62 11 27 25 28 9 60 44 8 17 29 4 11 In descending order of lower confidence interval In ascending order of upper confidence interval aggregated for the years 1991-96 and analysed separately for men and women for the age-groups 15–44 and 45 and over. See Box 2 for an explanation of the shading of the maps. Tables 2-5 show the age-standardised suicide rates per million population for those authorities with rates which were significantly different from that for England and Wales as a whole. The rates are ranked by their confidence intervals to take into account the magnitude of their statistical variability. For example, for men aged 15–44, Manchester is at the top of the table with a rate of 337 per million and Hastings, with a rate of 406 per million, is ranked second. This is because over 200 deaths were registered in Manchester whereas the rate for Hastings was based on 40 deaths, making it less statistically significant. Looking at the four Figures or Tables together, the only authority to have a significantly high suicide rate in all four age/sex groups is Manchester. The highest rate in Manchester, of 337 suicides per million population, was for men aged 15–44. Among men aged 45 and over the rate was 278 suicides per million and for women the rates were 113 and 119 per million population for ages 15–44 and 45 and over, respectively. A recent article in the Health Service Journal9 reported that “one in 10 male Mancunians is clinically depressed” and that a free 24-hour phoneline CALM (Campaign Against Living Miserably), which is financied by the Department of Health, has received 1,000 phonecalls a week since its launch in December 1997. 14 O f f i c e f o r N a t i o n a l After analysing and mapping the data we used the ONS Area Classification10 to try to draw some common links between the characteristics of those local authorities which had suicide rates which were significantly different from those for England and Wales as a whole. Box 3 describes the Area Classification and gives definitions of some of the key terms. Because the classification is based on local authority boundaries as they existed in 1991, we have not been able to use it for the new unitary authorities in Wales, which all came into effect in April 1996, or the new English unitary authorities which have been established since April 1996. It is important to note that we are only using the Area Classification to describe the characteristics of those authorities which we found to have significantly high or low suicide rates. We are not suggesting that all of the local authorities which are classified to those Groups or Clusters mentioned have suicide rates which are significantly different from those for England and Wales. For men aged 15–44 (Figure 3a, Table 2), 22 local authorities had significantly high suicide rates. These were predominantly located in Wales and the North West of England (for example Manchester, Preston and Lancaster) where suicide rates were about 50 per cent higher than in England and Wales as a whole. Nineteen of these local authorities could be classified using the ONS Area Classification. Seven of these were classified to the Manufacturing Group, of which six (including Barrow-in-Furness and Pendle) were specifically classified to the Cluster Pennine Towns. At the S t a t i s t i c s 9 3 Table 36 Table Rate Manchester MCD Southampton UA Westminster, City of LB Blackpool CD Bolton MCD Lambeth LB Haringey LB Burnley CD 113 96 93 105 88 84 86 117 England and Wales 2 A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Age-standardised suicide rates per million population by local authority, women aged 15–44, England and Wales,1991–96 Local authorities with significantly high rates 1 1 | 50 Confidence interval Number of Lower Upper suicides (85 (59 (58 (57 (56 (54 (53 (53 - 141) 133) 129) 152) 121) 113) 119) 180) (48 - 52) 65 26 28 19 29 36 28 13 Local authorities with significantly low rates 2 Rate Stratford-on-Avon CD Hart CD Sedgemoor CD Monmouthshire UA Thurrock CD Castle Point CD Great Yarmouth CD Babergh CD Tewkesbury CD Forest Heath CD Waverley CD South Gloucestershire UA Epping Forest CD Oadby and Wigston CD Harrow LB Nuneaton and Bedworth CD Wokingham CD Broxtowe CD Wrexham UA Newbury CD Uttlesford CD Stafford CD Ashford CD Three Rivers CD Stevenage CD East Hampshire CD East Cambridgeshire CD East Riding of Yorkshire UA Ellesmere Port and Neston CD North Hertfordshire CD East Dorset CD Broxbourne CD South Somerset CD Bath and North East Somerset UA South Derbyshire CD Walsall MCD Fareham CD 8 8 9 9 12 10 10 10 11 11 13 20 16 13 22 19 21 19 20 21 14 20 18 18 18 21 15 28 19 21 19 19 23 25 20 28 22 Confidence interval Number of Lower Upper suicides (0 (0 (0 (0 (0 (0 (0 (0 (0 (0 (0 (4 (0 (0 (4 (0 (0 (0 (0 (0 (0 (0 (0 (0 (0 (0 (0 (10 (0 (0 (0 (0 (0 (3 (0 (10 (0 - 23) 25) 26) 27) 28) 29) 30) 31) 32) 32) 32) 35) 38) 38) 40) 41) 41) 41) 42) 42) 43) 43) 43) 44) 44) 44) 44) 45) 45) 46) 46) 46) 46) 47) 47) 47) 47) 1 1 1 1 2 1 1 1 1 1 2 6 2 1 6 3 4 3 3 4 1 3 2 2 2 3 1 10 2 3 2 2 4 5 2 9 3 In descending order of lower confidence interval In ascending order of upper confidence interval Box 3 ONS Area Classification The classification provides a general purpose summary indicator of the characteristics of each local authority in Great Britain. Using information collected at the 1991 Census it classifies each local authority into one of 6 Families, 12 Groups and 34 Clusters on the basis of their demographic and social characteristics. Two of the Clusters - Highlands and Islands and Uplands and Agriculture - form the Group Scotland and are therefore not applicable to this analysis of local authorities in England and Wales. Because the classification is based on authorities as they existed in 1991 we have not been able to use it to classify the new unitary authorities in Wales, which all came into effect in April 1996, or the new English unitary authorities which have been established since April 1996. The classification summarises local authorities in terms of the ‘scores’ for 37 separate socio-demographic variables obtained from the census. The term ‘deprivation’ is used as a general descriptive term to refer to the values for a group of five variables which form part of the classification and which characterise generally poor socio-economic circumstances. These variables, and their units of measurement, are: the standardised rate of limiting long-term illness; the percentage of children with a single parent; the percentage of dependents with a lone carer; the unemployment rate; and the percentage of people in households without a car. Local authorities which have high values for these variables are the more socio-economically deprived. The term ‘prosperous’ is a descriptive term which refers to a group of four variables which form part of the classification and characterise more affluent socio-economic circumstances. These variables, and their units of measurement, are: the percentage of households with two earners and no children (‘Dinkies’); the percentage of residents who are in social classes I or II; the percentage of households with 2 or more cars; and the percentage of dwellings with seven or more rooms. O f f i c e f o r N a t i o n a l S t a t i s t i c s 15 P o p u l a t i o n Table 46 Table Tr e n d s 9 3 | A u t u m n Age-standardised suicide rates per million population by local authority, men aged 45 and over, England and Wales,1991–96 Local authorities with significantly high rates 1 Rate Confidence interval Number of Lower Upper suicides Colchester CD Manchester MCD Brighton and Hove UA Kensington and Chelsea LB Camden LB Lambeth LB Leominster CD Westminster, City of LB Taunton Deane CD Southwark LB Powys UA Harrogate CD 319 278 285 309 295 284 368 284 315 277 284 274 (228 (221 (217 (216 (211 (209 (208 (207 (205 (199 (195 (190 England and Wales 181 (177 - 185) 1 2 1 9 9 8 - 409) 334) 354) 401) 379) 360) 527) 361) 425) 354) 373) 357) 48 96 72 43 48 56 22 53 33 51 41 42 Local authorities with significantly low rates 2 Knowsley MCD Ellesmere Port and Neston CD Hart CD Redbridge LB Derbyshire Dales CD Broxtowe CD Blaby CD Hinckley and Bosworth CD Dudley MCD Havering LB Sefton MCD Castle Point CD Greenwich LB Tameside MCD Rotherham MCD Tonbridge and Malling CD Basildon CD North West Leicestershire CD Walsall MCD Gravesham CD Dartford CD West Lancashire CD Wansbeck CD Sheffield MCD Kingston upon Thames LB Barnet LB Braintree CD Havant CD Rate 87 81 83 105 88 96 92 94 116 112 117 93 108 112 116 101 108 98 122 101 99 104 92 137 113 128 117 118 Confidence interval Number of Lower Upper suicides (37 (21 (20 (63 (26 (41 (31 (35 (80 (70 (79 (32 (60 (67 (74 (44 (58 (37 (80 (38 (34 (45 (17 (106 (57 (86 (59 (59 - 136) 141) 147) 147) 149) 151) 152) 152) 153) 154) 155) 155) 156) 157) 158) 158) 159) 160) 163) 164) 164) 164) 168) 169) 169) 170) 175) 176) 12 7 7 24 8 12 9 10 40 28 37 9 20 24 30 12 18 10 34 10 9 12 6 77 16 37 16 16 In descending order of lower confidence interval In ascending order of upper confidence interval 1991 Census, authorities in the Pennine Towns Cluster were characterised by higher than average levels of ‘deprivation’ and almost half of all dwellings were terraced and one quarter of households had no central heating. The Group Resorts and Retirement, and specifically the Cluster Traditional Seaside Towns (which includes Hastings and Bournemouth), accounted for a further 4 of the 19 local authorities with significantly high suicide rates. This Cluster was also characterised in 1991 as having higher than average levels of ‘deprivation’ and a high percentage of residents aged 65 and over. Of the 38 authorities which had significantly lower than average suicide rates for men aged 15–44, nearly one third were in the Group Growth Areas which lie predominantly in central and southern England (for example Mid Bedfordshire, East Hertfordshire and Tonbridge and Malling). In 1991 this Group had levels of ‘deprivation’ well below the national average and was characterised as prospering and aspiring. The Group had a high percentage of working women, a low unemployment rate and only one household in 10 had no central heating. Another 8 authorities (including Reading, Bromley and Kingston upon Thames) with significantly low suicide rates for men aged 15–44 were classified to the Group Services and Education, which was characterised by just below average levels of ‘deprivation’. This Group also had a high percentage of working women, residents who were students, residents who were highly qualified, residents in social classes I or II, and young single person households. This Group also had 21/2 to 3 times the national percentage of Asian and Black residents. For women aged 15–44 (Figure 3b, Table 3), there were just 8 local authorities which had suicide rates significantly higher than that for England and Wales as a whole. Four of these authorities were located in the North West of England, three were London Boroughs and the eighth was Southampton. In contrast to men, these authorities fall into a range of Groups and Clusters within the ONS Area Classification. 16 O f f i c e f o r N a t i o n a l There were 37 local authorities which had significantly low suicide rates for women aged 15–44, of which 32 could be classified using the ONS Area Classification. Nearly half of these authorities (including Stratford-on-Avon, Newbury and East Hampshire) belonged to the Group Growth Areas, which as we have mentioned above was characterised by very low levels of ‘deprivation’. For men aged 45 and over (Figure 3c, Table 4), 12 local authorities had significantly high suicide rates, of which 10 could be classified using the ONS Area Classification. Half of these belonged to the Group Inner London. Interestingly, these five authorities were split between two Clusters which have very different socio-demographic characteristics. Three (including Kensington and Chelsea) were classified as Central London and 2 (Southwark and Lambeth) as Inner City Boroughs. The Cluster Inner City Boroughs was characterised by high levels of ‘deprivation’, a high proportion of children in lone parent families and high unemployment. The Central London Cluster was characterised by a high percentage of young single person households and a high percentage of highly qualified residents. The population of this Cluster was highly mobile, with a high percentage of residents who had moved in the last year, and one in five dwellings were privately rented. However, it should be noted that these findings may reflect what is commonly known as the ‘ecological fallacy’. This refers to the fact that the characteristics of these areas may not reflect the actual characteristics of the individuals most at risk of committing suicide. There were 28 local authorities which had significantly lower suicide rates for men aged 45 and over than that for England and Wales as a whole. These fell into 10 different ONS Area Classification Groups. However, despite this apparent diversity, nearly half of the authorities were classified into just two Groups, Growth Areas (described above) and Mixed Urban and Rural. The Mixed Urban and Rural Group (including Dudley and West Lancashire) was characterised by stable, small scale communities, S t a t i s t i c s 9 3 Table 56 Table Camden LB Westminster, City of LB Brighton and Hove UA Cambridge CD Kensington and Chelsea LB Conwy UA Carrick CD Manchester MCD Restormel CD Scarborough CD 1 2 A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Age-standardised suicide rates per million population by local authority, women aged 45 and over, England and Wales,1991–96 Local authorities with significantly high rates 1 England and Wales | Rate 201 175 150 184 148 157 155 119 150 146 71 Confidence interval Number of Lower Upper suicides (135 (119 (101 (95 (88 (87 (83 (83 (81 (78 - 267) 231) 199) 273) 209) 226) 227) 156) 220) 214) (69 - 74) 43 44 45 18 26 22 23 46 21 20 Local authorities with significantly low rates 2 Rate Derbyshire Dales CD Torfaen UA Forest Heath CD Melton CD Broxtowe CD Havering LB Mid Devon CD Ryedale CD South Shropshire CD Durham CD Sefton MCD The Vale of Glamorgan UA Bridgend UA Staffordshire Moorlands CD Amber Valley CD North Shropshire CD Copeland CD Kennet CD Ceredigion UA Swale CD East Devon CD The Wrekin CD Havant CD South Gloucestershire UA Ipswich CD Tameside MCD West Lindsey CD Monmouthshire UA Congleton CD St Helens MCD North Somerset UA Mole Valley CD Luton UA Pendle CD Lewisham LB Barking and Dagenham LB High Peak CD Sunderland MCD Middlesbrough UA 11 14 16 13 20 26 21 19 15 23 33 29 27 25 28 18 28 30 25 29 37 32 32 38 32 39 33 32 30 38 39 32 38 33 42 39 33 45 36 Confidence interval Number of Lower Upper suicides (0 (0 (0 (0 (0 (7 (0 (0 (0 (0 (15 (7 (1 (0 (2 (0 (0 (3 (0 (0 (14 (5 (3 (15 (2 (16 (2 (1 (0 (11 (13 (0 (9 (0 (16 (11 (0 (22 (3 - 34) 34) 38) 39) 41) 45) 45) 45) 46) 50) 51) 52) 53) 53) 54) 54) 56) 57) 58) 58) 59) 60) 61) 62) 62) 62) 63) 63) 64) 64) 66) 66) 66) 67) 67) 67) 67) 68) 68) 1 2 2 1 4 8 3 2 1 3 16 7 5 3 5 1 4 5 3 4 15 6 5 11 5 12 5 5 3 8 9 4 7 5 12 9 4 16 5 In descending order of lower confidence interval In ascending order of upper confidence interval with below average levels of ‘deprivation’ and around average levels of ‘prosperity’. For women aged 45 and over (Figure 3d, Table 5), there were only 10 local authorities with significantly high suicide rates, of which 8 could be classified using the ONS Area Classification. These fell into 5 different Groups. Similarly to men aged 45 and over, three of the authorities were classified to the Group Inner London and specifically the Cluster Central London which, as we have mentioned above, was characterised by a highly qualified and mobile population. There were 39 local authorities which had significantly low suicide rates for women aged 45 and over, of which 32 could be classified by the ONS Area Classification. The Area Classification indicates a substantial diversity between the socio-demographic profiles of these authorities, although over half of them were classified to just three Groups: Growth Areas, Coast and Country and Mixed Urban and Rural. The Group Coast and Country (which we have not discussed above and includes Derbyshire Dales, Mid Devon and South Shropshire) had a high percentage of residents aged 45–64 and aged 65 and over. The Group had relatively low levels of ‘deprivation’. Overall, the only local authority with significantly high suicide rates in all four of the age/sex groups was Manchester, where rates were more than 50 per cent higher than those for England and Wales as a whole. With the exception of men aged 15–44, for whom significantly high rates were found in Wales and the North West, there was no obvious areal pattern. However, the ONS Area Classification can be used to draw out similarities in the sociodemographic profiles of these apparently disparate geographic locations. For men and women in both age bands the lowest suicide rates were in those local authorities which were classified by the ONS Area Classification into the Group Growth Areas. This Group had much lower than average levels of ‘deprivation’ and was also ‘prospering’. In addition, significantly low suicide rates for both men and women aged 45 and over were found in local authorities which were classified to the Group Mixed Urban and Rural. This Group also had below average levels of ‘deprivation’. The local authorities which had significantly high rates of suicide for both men and women aged 45 and over were found in the Group Inner London. Interestingly, all three of the authorities in this Group for women were specifically in the Cluster Central London, as were three of the five authorities for men. This Cluster had a highly educated population with the highest percentage of residents who were students, although the percentage of children with lone parents was twice the national average. O f f i c e f o r N a t i o n a l S t a t i s t i c s 17 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 CONCLUSIONS Key Findings Suicide rates have generally fallen across the United Kingdom over the last 15 years, except among men aged 15–44. For both men and women at ages 15–44, and 45 and over, rates in Scotland were considerably higher than those in the rest of the United Kingdom. Since 1982 these differentials have increased. • • Suicide rates in the Government Office Regions of England, and in Wales, diverged for men aged 15–44 between 1982-86 and 199296, and converged for men aged 45 and over. Among women in both age-groups there was no pattern of convergence or divergence. Regions with significantly high suicide rates in 199296 were the North West for men and women aged 15–44, Wales for men aged 15–44 and the South East for women aged 45 and over. At the local authority level only Manchester had significantly high suicide rates for both men and women at ages 15–44 and 45 and over, with rates more than 50 per cent higher than those for England and Wales as a whole. With the exception of men aged 15–44, where authorities with high suicide rates were concentrated in Wales and the North West, there was no overall areal pattern. However, local authorities in which suicide rates were significantly high tended to be those which were characterised as having high levels of ‘deprivation’. Conversely, those local authorities with significantly low suicide rates tended to be those characterised as having low levels of ‘deprivation’. Further work is planned to look at the extent to which differences in the recording of suicide verdicts vary across the constituent countries of the United Kingdom and between the regions of England. • • • Suicide rates have generally fallen across the United Kingdom over the last 15 years, except among men aged 15–44. Rates in Scotland were considerably higher than those in the rest of the United Kingdom. Regions with significantly high suicide rates in 199296 were the North West for men and women aged 15–44, Wales for men aged 15–44 and the South East for women aged 45 and over. Manchester was the only local authority which had significantly high suicide rates for both men and women at ages 15–44 and 45 and over, in 1991-96. Local authorities in which suicide rates were significantly high tended to be those which were characterised as having high levels of ‘deprivation’. 4 Kelly S and Bunting J. Trends in suicide in England and Wales, 1982-96. Population Trends 92, TSO (1998), 29-41. 5 World Health Organisation. Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, volume 1, (Ninth Revision). WHO (Geneva), 1977. 6 Office for National Statistics. Mortality statistics: injury and poisoning 1995. Series DH4 no.20. TSO (1997). 7 Waterhouse J, Muir C, Correa P and Powell J. (eds). Cancer incidence in five continents, vol. 3, 456. International Agency for Research on Cancer, (Lyon), 1976. 8 McLoone P. Suicide and deprivation in Scotland, British Medical Journal vol. 312, 543-4, (1995). 9 Gould M. News Focus, Health Service Journal 19th February 1998, 12-13, (1998). 10 Wallace M and Denham C. The ONS classification of local and health authorities of Great Britain. Series SMPS no. 59. HMSO, (1996). A C K N OW L E D G E M E N T S We gratefully acknowledge help and advice from colleagues in ONS and other government departments. We also thank Keith Hawton for his helpful comments and suggestions. References 1 Charlton J, Kelly S, Dunnell K, Evans B, Jenkins R, Wallis R. Trends in suicide deaths in England and Wales. Population Trends 69, HMSO (1992), 10-16. 2 Charlton J, Kelly S, Dunnell K, Evans B, Jenkins R. Suicide trends in England and Wales: trends in factors associated with suicide deaths. Population Trends 71, HMSO (1993), 34-42. 3 Kelly S, Charlton J, Jenkins R. Suicide deaths in England and Wales, 1982-92 : the contribution of occupation and geography. Population Trends 80, HMSO (1995), 16-25. 18 O f f i c e f o r N a t i o n a l S t a t i s t i c s 99 33 | | AA uu t t uum m nn 11 99 99 88 PPoo pp uu l l aa t t i i oo nn TTrr ee nn dd ss Teenage mothers and the health of their children Beverley Botting, Michael Rosato and Rebecca Wood Demography and Health ONS Teenage mothers continue to present challenges to social policy and remain of topical interest to the media. This article discusses trends in teenage conception rates, their outcomes and long term consequences. In 1996, 7 per cent of all births were to girls aged under 20. On average children born to teenage girls have lower birthweights, increased risk of infant mortality and an increased risk of some congenital anomalies. They are less likely to be breastfed and more likely to live in deprived INTRODUCTION ‘Teenage conceptions tend to be both a symptom and a cause of social inequality. They can become a cycle of deprivation’1 circumstances. These factors in turn influence their health and long term opportunities. The seriousness of teenage pregnancy as a health issue was reflected in the previous Government’s Health of the Nation initiative.2 The target was to reduce the conception rate for girls aged under 16 in England by at least 50 per cent from its 1989 base of 9.5 per 1,000 to 4.8 by the year 2000. The current Government is similarly concerned and has set up four Task Groups to address the problems of unwanted pregnancies, particularly among those aged under 16. The Green Paper ‘Our Healthier Nation’3 does not set national targets for reducing the conception rate, but recognises the need for local targets where this is a matter of local concern. Of course some teenage pregnancies are planned, and others, although not planned, result in wanted babies. It is in this age group, however, that there is the largest proportion of unplanned and unwanted pregnancies. These pregnancies can have long term implications on the health and socio-economic future of both the mother and child. RECENT DEMOGRAPHIC TRENDS Conceptions In official statistics, conceptions are defined as pregnancies resulting in live births, stillbirths or legal terminations. These data are available for the total population of England and Wales. Data on other pregnancy outcomes, mainly miscarriages, are excluded from this definition as they are only available for samples of the population and are known to be incomplete. O f f i c e f o r N a t i o n a l S t a t i s t i c s 19 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n Using this definition of ‘conception’, conception rates (per thousand girls aged 15–19) fell for all teenage girls from 69 in 1990 to 59 in 1995 and then rose again to 63 in 1996 (Figure 1). Nevertheless, these rates are still all below the teenage conception rates seen in the early 1970s. Figure 1 Conception rates by age of woman, England and Wales 1969-1996 140 Rate per 1,000 women in age group 120 100 19 18 80 17 <20 60 16 40 20 15 1 9 9 8 Births and abortions Since the introduction of the Abortion Act in April 1968, there has been an increase in the proportion of teenage conceptions terminated by abortion. The patterns of increase differed for different ages of teenagers. Figure 2 shows that, for girls aged 16 and under, during the 1970s there was a sharp increase in the proportions of conceptions ending in a termination. Since 1980 there has been only slight fluctuation in these proportions. For girls aged 17, 18 and 19, however, there was a sharp increase until 1972, followed by gradual but sustained increases thereafter. In 1996, 37 per cent of all teenage conceptions ended in an abortion, compared with 50 per cent of conceptions to girls aged under 16. Based on age at conception, in 1990-95 consistently 4 or 5 girls in every 1000 aged under 16 conceived and went on to have a registrable birth. For all teenagers the ‘conception leading to maternity’ rate was 44 in 1990, falling to 38 in 1994 and 1995, and then increasing to 40 in 1996. The teenage birth rate for England and Wales was 30 per 1000 girls aged 15–19 in 1996. This is lower than the ‘conception leading to maternity’ rate, because it is based on the girl’s age at the birth of the child rather than at conception: many girls who conceive when aged 19 are 20 when they give birth. In 1996, 7 per cent of all births were to girls aged under 20. <16 14 0 1969 1972 1975 1978 1981 1984 1987 1990 1993 1996 Marital status and number of children Year Source: ONS Series FM1 For girls aged under 16 there has been little variation in conception rates since 1969. Approximately 8 girls in every thousand become pregnant before their 16th birthday. The number of girls aged under 16 becoming pregnant rose slightly for the third year running in 1996. There were 8,800 conceptions to girls aged under 16 in 1996 compared with 8,000 in 1995. The underage conception rate in 1996 was 9.4 per thousand girls aged 13–15, 11 per cent higher than in 1995 (8.5). Therefore these rates have not yet fallen sufficiently to reach the Health of the Nation targets.2 A similar pattern was seen in Scotland, with rates falling until 1995 and then increasing again in 1996.4 Figure 2 Another major demographic change has been in the marital status of teenage mothers. Figure 3 shows the dramatic decrease in the number of teenage births taking place inside marriage. In 1981, 55 per cent of live births to teenagers took place inside marriage, compared with 17 per cent in 1991. In 1996, only 12 per cent of teenage live births took place inside marriage compared with 64 per cent of all births. Over the same 15 year period there has been a corresponding increase in the number of live births outside marriage registered by both parents. This reflects the rise in cohabitation since the 1980s. The number of births outside marriage to teenage girls who registered the birth alone remained fairly constant through the 1980s. The number fell between 1990 and 1995 and then rose slightly in Conceptions terminated by abortion by age of woman, England and Wales 1969-1996 Figure 3 Livebirths to teenagers by marital status and registration, England and Wales 1978-1996 40000 70 35000 60 14 50 <16 15 40 16 <20 18 19 17 30 Registered jointly outside marriage 25000 Number Percentage 30000 20 20000 Registered by the mother alone 15000 10000 10 5000 0 Registered inside marriage 0 1969 1972 1975 1978 1981 1984 1987 1990 1993 1996 1978 1981 Year O f f i c e Source: ONS Series FM1 f o r N a t i o n a l 1987 Year Source: ONS Series FM1 20 1984 S t a t i s t i c s 1990 1993 1996 9 3 1996. These are the girls most likely to be bringing up their child as a single parent. It is estimated that in Great Britain in 1996 there were approximately 44 thousand lone parents aged under 20.5 In February 1997 there were 38 thousand lone parents aged between 16 and 19 receiving income support. Therefore the majority of lone teenage mothers would appear to claim income support. It is not possible to identify the additional number of lone parents under this age who are receiving assistance from income support on their parents’ claim.6 In 1994-95, of girls who gave birth in NHS hospitals when aged 16, 4 per cent were recorded as having had a previous child. Corresponding proportions for older teenagers were 9 per cent of 17 year olds, 15 per cent of 18 year olds, and 25 per cent of those aged 19 who delivered in an NHS hospital.7 | A u t um n Table 1 1 9 9 8 Po p u l a t i o n T r e n d s Risk of teenage motherhood by indicators of socioeconomic status and family circumstances as determined at the 1981 Census Indicators of risk Hazard ratio Confidence intervals Family social class I II IIIN IIIM IV V Other 1.32+ 1.00 2.36 3.59 6.41 7.10 9.96 9.16 Housing tenure owner occupier rent: private rent: local authority 1.88+ 1.00 1.64 3.54 (1.81 - 1.96) Absence of father of LS teenager in 1.77 (1.61 - 1.94) 1.39+ 1.00 0.69 1.15 1.81 (1.34 - 2.45) (1.29 - 1.35) (1.64 - 3.39) (2.51 - 5.17) (4.51 - 9.12) (4.96 - 10.15) (6.83 - 14.53) (6.41 - 13.11) (1.38 - 1.94) (3.27 - 3.82) S O C I A L A N D G E O G R A P H I C VA R I AT I O N Family background Research has shown that certain social factors are associated with increasing chances of teenage pregnancy. The National Survey of Health and Development is a longitudinal study of a group of people born in March 1946. Analyses of these data found that teenage mothers were more likely to come from a lower socioeconomic background.8 They were also likely to have more siblings than their peers, and to have parents who showed little interest in their education. Similar results were found from the British National Child Development Study. This is another longitudinal study of a sample of the population born in 1958. Analyses of these data showed that living in a family with lower socio-economic status, living in a lone parent family, and coming from a larger family were associated with an increased risk of a birth through the teens and early 20s.9 These findings, however, are from groups of people who were in their late teens during the early 1960s and mid 1970s respectively. The demography of Britain is very different two and three decades later. Nevertheless, these research findings have been confirmed by recent analyses using the ONS Longitudinal Study. This is a follow-up study of 1 per cent of the population enumerated at the 1971 Census. Table 1 presents some results from these analyses. This shows that girls living in local authority rented accommodation were over three times more likely to become a teenage mother compared with girls living in owner occupied accommodation. If the girls’ fathers were absent from their households, or if the girls had three or more siblings, they were also at greater risk of becoming teenage mothers. household Number of siblings none (lone child) one two three or more Note: + result shows results for the main effects model. Source: ONS Longitudinal Study (LS). Fewer teenage births than average are born within marriage. In 1994-96 58 per cent of births to teenage mothers were outside marriage but registered by both parents (Table 2). If the teenage mother is married, or if her partner is present at their child’s birth registration, social class is available for the child’s father. Social class (based on the Registrar General’s classification) is derived from occupation information for 10 per cent of all live births. Based on the occupation of the baby’s father, only 6 per cent of births to teenage girls were in social classes I and II. This compares with 14 per cent of births in 1994-96 to women aged 20–24, and 36 per cent of women aged 25 and over. Therefore, a smaller proportion of babies born to teenage mothers have a father in higher social classes, compared with children of older mothers. Table 2 Percentage distribution of live births by social class, marital status, and mother’s age, England and Wales 1994-1996 Percentages (combined) Marital status Age of mother <20 All ages 20-24 25+ 13.3 58.1 46.6 41.2 76.0 19.6 65.9 26.5 28.6 12.2 4.4 7.5 Social class of father* All I, II IIIN IIIM IV V Other 71.4 6.0 5.2 25.5 16.7 9.1 9.5 87.8 14.2 7.9 33.4 17.8 7.7 6.6 95.6 36.3 10.3 29.0 12.2 4.1 3.8 92.5 29.8 9.5 29.7 13.6 5.2 4.8 Total 100 100 100 100 128,600 396,549 1,436,597 1,961,746 Using data from the 1958 Birth Cohort, it was found that girls who had experienced the divorce of their parents between the ages of 7 and 16 (the ages at which they were re-interviewed) were almost twice as likely to become teenage mothers compared to those whose parents remained married.10 Twenty five per cent of women whose parents had separated became teenage mothers, compared with 14 per cent of those whose parents stayed together. Also, girls from lone parent families where the mother did not work outside the home were much more likely to become teenage mothers than those with single mothers who worked outside the home. Inside marriage Outside marriage/ joint registration Sole Registration Social class Table 1 shows that the risk of becoming a teenage mother was almost ten times higher for girls whose family was in social class V compared with those in social class I. (0.61 - 0.79) (1.01 - 1.31) (1.59 - 2.06) Base numbers Source: ONS Series DH3. * Father’s social class is not available for sole registrations. O f f i c e f o r N a t i o n a l S t a t i s t i c s 21 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n Country of birth In 1996, 7 per cent of all births were to girls aged under 20. This varied, however, by the mother’s country of birth. As shown in Table 3, only women born in Bangladesh had a higher proportion of live births to girls aged under 20 (9 per cent). Less than 3 per cent of mothers from India, East Africa, Australia, Canada and New Zealand were aged under 20. These results will be confounded by differences in the age-structure of the population at risk. The Bangladeshi born population in England and Wales is still relatively young since they are more recent immigrants than other New Commonwealth immigrants. Table 3 Mother’s country of birth by mother’s age at childbirth, England and Wales 1996 Numbers, percentages and rates <20 All ages Percentage of Age-specific rates* births to by mother‘s country teenage mothers of birth <20 All ages 44,668 649,489 6.9 30 60 United Kingdom 41,757 Irish Republic 217 Rest of European Union 453 Australia, Canada, 62 New Zealand 1,618 New Commonwealth India 78 Pakistan 516 Bangladesh 637 East Africa 70 Caribbean 84 Other 561 566,356 4,968 8,604 3,182 7.4 4.4 5.3 1.9 30 .. .. .. 58 .. .. .. 47,104 6,608 12,319 6,930 5,114 2,754 19,275 3.4 1.2 4.2 9.2 1.4 3.1 2.9 47 23 86 90 18 62 .. 97 68 164 178 68 61 .. All 1 9 9 8 While 29 per cent of lone mothers aged 18 or 19 live in someone else’s household, this proportion rises to 80 per cent for lone mothers aged under 18. Thus the youngest lone mothers are mostly living in someone else’s household. Teenage lone mothers who head their own household are more likely to live in areas of social housing than the population as a whole. From the 1991 Census, lone teenage mothers were six times more likely than the general population to live in areas where more than 75 per cent of the housing was social housing. Almost one in four lone teenage mothers who are head of their household live in Local Authority areas with more than 50 per cent social housing, compared with only 8 per cent of heads of household in England as a whole. E d u c a t i o n l e ve l Despite the availability of home education to teenage girls, the effect of a teenage pregnancy in the UK has been that a girl is less likely to complete her education and training, thus restricting her job opportunities.11 Results from the 1958 birth cohort study 9 showed that staying in school past the minimum school leaving age, even after controlling for educational performance, was associated with postponing childbearing past the teenage years. Teenage mothers from the 1946 birth cohort study were, on average, the least able academically, unambitious and had left school at the minimal age.8 As a result they had fewer academic qualifications and on average these were of a lower level than their contemporaries. * Rates per 1,000 live births .. Not available Source: ONS Series DH3 and FM1. Geographical area Age-specific live birth rates help overcome the problems caused by differences in the age-structure of different populations. Women born in the UK had proportionately 6 times more births to teenage girls, yet their teenage birth rate was only 30 per cent higher than that of girls born in India. Women born in Pakistan, Bangladesh and the Caribbean Commonwealth all have teenage birth rates more than twice that of teenage mothers who were born in the United Kingdom. Women born in Pakistan and Bangladesh, however, also have much higher birth rates for all women. Teenage conception and live birth rates vary across England and Wales. In 1996 in England and Wales 63 girls in every 1,000 aged 15–19 became pregnant. This varied across England from 70 in the West Midlands and North West Regional Offices areas to 51 in Anglia and Oxford Regional Office area.13 Rates tended to be higher in the north of England and lower in the south. The rate in Wales was 70 per 1,000 girls aged 15–19. The same pattern in rates was seen for girls aged under 16. In 1994-96 the lowest conception leading to maternity rate for girls aged under 16 was for the Anglia and Oxford, and the South and West Regional Office areas (3.0 per 1,000 girls aged 13–15). The highest rate was for the Northern and Yorkshire Regional Office area (5.6). This variation in local rates was recognised in the Health Green Paper ‘Our Healthier Nation’.3 It was stated that ‘although nationally we are concerned that teenage conceptions are damaging the health and social well-being of young mothers and their babies, the incidence is not spread evenly across the country, so setting a national target in this area might be less relevant for some localities. For others it will be a high priority and they will want to target this problem locally.’ L i v i n g a rr a n g e m e n t s Table 4 shows the proportions of lone mothers who head their own household by the mother’s age. Overall 9 per cent of all lone mothers live in someone else’s household, but this proportion is much larger for teenage lone mothers. Lone mothers who remain unmarried do not become local authority or housing association tenants straight away; two fifths of those aged under 20 live as members of another household, most often with their parents.12 Table 4 Percentage of lone parents by age and residence, England 1996-1997 Age of lone parent < 18 20 Head of household 20 + 71 All lone parents 93 80 29 7 9 100 100 100 10,000 35,000 740,000 785,000 All Source: DETR unpublished data. 22 91 100 In someone else’s household Base numbers 18 or 19 O f f i c e f o r N a t i o n a l The geographical variation in teenage pregnancy rates is due, in part, to the different socio-economic characteristics of different parts of the country. ONS derived an area classification using characteristics from the 1991 Census. Using this classification, the teenage birth rate in 1994 varied between 11 per thousand girls aged 15–19 in Local Authority areas described as ‘most prosperous areas’ to 43 in ‘ports and industries’(Figure 4). Other types of areas with above average birth rates were areas characterised by ‘mixed economies’, ‘manufacturing’, ‘coalfields’ and ‘inner London’.14 The same pattern was seen for the under16s birth rates in 1994-96. S t a t i s t i c s 9 3 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Teenage birth rates for groups of local authorities in England and Wales, 1994 Figure 4 45 40 Rate per 1,000 women 35 30 25 20 15 10 5 0 England and Wales Coast Mixed urban Growth and and rural areas country Most Services Resort and Mixed prosperous and retirement economies areas education areas ManuPorts and facturing industry Coalfields Inner London Group Source: Population Trends 87 Other research in Tayside, Scotland in 1980-90 found similar results.15 There was a higher teenage pregnancy rate in more deprived areas. Also, in Scotland in 1990-92, it was found that teenage pregnancy rates increased with deprivation of the area.16 Figure 5 shows teenage births as a proportion of all births by level of deprivation. This Figure has used the Carstairs index to allocate a deprivation score to each enumeration district. It also shows that in 1994-96 the most deprived areas of England and Wales had high proportions of teenage births compared with the least deprived areas. In the most deprived areas 12 per cent of births were to teenage girls, compared with 2 per cent of births in the least deprived areas. reducing teenage pregnancy.19 A sample of students in Exeter in 1995 were asked about their sex education.20 Only a small amount of information had been derived from schools. Thirteen per cent of girls aged 15 gave school lessons or teachers as their main source of information about sex, yet 31 per cent of the same girls thought that school should be their main source of information. The number of teenagers visiting community family planning clinics in England increased by 59 per cent between 1990-91 and 1996-97.21 In 1996-97, 10 per cent of girls aged under 16 and 20 per cent of girls aged 16–19 visited these clinics. Teenage births as a proportion of all births by level of deprivation, England and Wales, 1994-1996 Figure 5 H E A LT H O F T H E W O M A N C o n t r a c e p t i o n u s a ge 14 The proportion of teenagers in Great Britain first having sex before age 16 has increased. Nearly one in five (19 per cent) of young women interviewed in 1990-91 reported having sex before the age of 16.18 Most teenage pregnancies are unplanned, yet around half of those first having sex before age 16 reported using no contraception compared with about one-third of those aged 16 and over at first intercourse. A review concluded that providing sex education in school before young people become sexually active, and increasing availability to family planning services, can be effective in 12 Teenage births as % of all births Britain has one of the highest rates of teenage pregnancy in Europe. There are wide variations in teenage fertility rates between countries in the European Union. In 1996 these varied between 4 per thousand girls aged 15–19 in the Netherlands, to 16 in Ireland.17 The only higher rate was for teenagers in England and Wales (30). These differences cannot be explained by differences in sexual activity or greater recourse to abortion. One difference could be the effectiveness with which teenagers use contraception. 10 8 6 4 2 0 Least deprived 2 3 4 Most deprived Level of deprivation (Carstairs index) Source: ONS birth statistics O f f i c e f o r N a t i o n a l S t a t i s t i c s 23 P o p u l a t i o n Figure 6a Tr e n d s 9 3 | A u t u m n 1 9 9 8 Prevalence of drinking before and during pregnancy, United Kingdom 1995 Before pregnancy Prevalence of smoking before and during pregnancy, England 1995 Figure 6b Before pregnancy During pregnancy During pregnancy 70 90 80 60 70 50 Percentage Percentage 60 50 40 40 30 30 20 20 10 10 0 0 < 20 20-24 25-29 30-34 35+ < 20 All mothers 20-24 Age of mother 25-29 30-34 35+ All mothers Age of mother Source: Infant feeding survey 1995 Source: Infant feeding survey 1995 Drinking alcohol and smoking Deliver y method In 1995, over 80 per cent of women in all age groups who had recently given birth drank alcohol before pregnancy.22 During pregnancy, however, far fewer of these women drank alcohol (Figure 6a). This proportion was lowest for teenage mothers, with 56 per cent drinking alcohol during pregnancy. Average levels of alcohol consumption during pregnancy was low, with over 70 per cent of the drinkers consuming less than one unit of alcohol per week on average. The rate of caesarean delivery is strongly associated with the age and parity of the woman. Teenage mothers experience a much lower proportion of elective caesarean deliveries compared with all women. In 1994-95, 7 per cent of teenage mothers had an emergency caesarean and 3 per cent an elective caesarean, compared with 9 per cent and 7 per cent respectively of all mothers7 (Table 5). As a result, 79 per cent of teenage mothers had a spontaneous delivery compared with 73 per cent of all women. In contrast, of all the recent mothers surveyed, two thirds of teenage mothers had smoked before pregnancy, and almost half of all teenage mothers smoked during pregnancy. As shown in Figure 6b, these proportions of women smoking were higher than for any other age group. H e a l t h d u r i n g p re g n a n c y A pregnant teenager is considered a high risk obstetric patient because she has a higher risk than normal of developing anaemia and pre-eclampsia.23 She also has a higher risk of maternal mortality. Her baby has an increased risk of infant mortality and of being low birthweight. There is some evidence that insufficient and inadequate prenatal care is related to complications in pregnancy. A study of teenage mothers in 1979 24 showed that more than one quarter had first consulted their GPs when they were more than three months pregnant. Nearly one fifth had not had their first ante-natal visit until after the 20th week of pregnancy. Nearly half the women who had delayed their first visit had done so because they had not realised that they were pregnant. Long term outcomes for the women Forty per cent of teenage mothers have episodes of depression within one year of childbirth.25 This is higher than for teenage girls in general. A study of young people living at home in 1993 showed that 19 per cent of girls aged 16–19 had a neurotic disorder.26 Teenage mothers are often socially isolated.27 They may not receive adequate help and support to enable them to cope with the responsibilities and adjustments to parenthood. Social support is associated in turn with the health and well-being of the mothers. Table 5 Percentage distribution of delivery method by mother’s age, England 1994-1996(combined) < 20 Spontaneous Forceps & Ventouse All Breech Elective caesarian Emergency caesarian Other Total Base numbers Source: DH HES Maternity Statistics. 24 O f f i c e f o r N a t i o n a l S t a t i s t i c s All ages 79 10 1 3 7 0 73 11 1 7 9 0 100 100 23,977 604,300 9 3 H E A LT H O F T H E C H I L D R E N Birthweight In 1994-96 the average birthweight of all live births was 3,321 grams. For children of teenage mothers, however, the average birthweight was 3,145 grams for births within marriage, and 3,224 grams for those babies born outside marriage whose parents were living together. Table 6 Birthweight (grams) <20 1 8 1 7 1 7 1 1 2 6 21 38 24 7 1 0 1 1 5 19 37 26 8 1 0 1 1 4 15 35 30 12 1 0 1 1 5 17 36 29 11 1 100 100 100 100 128,600 396,549 1,436,597 1,961,746 <1000 1000-1499 1500-1999 2000-2499 2500-2999 3000-3499 3500-3999 4000+ Not stated All Base numbers (Live births) 25+ 1 9 <1500 <2500 1 9 9 8 Po p u l a t i o n An interesting finding is for teenage girls who were lone mothers, both characteristics considered to be at risk. Despite both these risk factors, a smaller proportion of their babies are of low birthweight. Of teenage girls who register their babies alone, 8.5 per cent have a low birthweight baby compared with 9 per cent of all teenage mothers or 9.5 per cent of all lone mothers (Figure 7). As discussed earlier, however, many teenage lone parents (especially those aged under 18) live in someone else’s household, usually their parents. It is likely, therefore, that these women receive care and support during their pregnancy, resulting in fewer low birthweight babies. Mortality Source: ONS Series DH3. Table 6 shows the percentage distribution by birthweight for babies born in England and Wales in 1994-96 by different mother’s age groups. Overall, 7 per cent of all live births were of low birthweight (less than 2,500 grams). For teenage mothers this proportion was 9 per cent. Children of teenage mothers experience higher infant mortality rates. Figure 9 shows that infant mortality rates have been consistently higher for babies of teenage mothers since 1975. In 1996, 9 babies in every thousand born to teenage mothers died in the first year of life, compared with 6 babies in every thousand total births. Nevertheless, there have been similar improvements in rates for babies of teenage mothers as for all babies over the period. There are differences in infant mortality rates by the parents’ marital status, social class and the babies’ birthweights. In Figure 8 Incidence of breastfeeding by mother’s age for first babies only, Great Britain 1985, 1990 and 1995 Proportion of low birthweight babies, England and Wales 1996 Figure 7 1985 12 9.1 1995 90 9.5 80 8.5 70 7.3 Percentage Percentage 1990 100 10 8 T r e n d s There is a strong association between a mother’s age and whether she breastfeeds her child. This pattern has not changed during the last decade, as shown in Figure 8. Only 44 per cent of women aged under 20 breastfeed their first child at birth, compared to 64 per cent of those aged 20–24 and over 80 per cent of older women. Since breastfeeding is known to have a protective effect, these low levels of breastfeeding mitigate against these children having the best start in life. There are differences in levels of breastfeeding between the different countries of the United Kingdom. In England 46 per cent of teenage mothers breastfeed their first child, compared with only 25 per cent of teenage mothers in Scotland and 24 per cent in Northern Ireland. All ages 20-24 A u t um n Breastfeeding Percentage distribution of live births by birthweight and mother’s age, England and Wales 1994-1996 (combined) Mother’s age | 6 60 50 40 4 30 20 2 10 0 0 All live births Teenage mothers Sole registrations Teenage and sole registrations <20 20-24 25-29 30 and over Mother's age Source: Infant feeding survey 1995 Source: ONS birth statistics O f f i c e f o r N a t i o n a l S t a t i s t i c s 25 P o p u l a t i o n Figure 9 Tr e n d s 9 3 | A u t u m n Infant mortality rates by age of mother, England and Wales 1975-1996 1 9 9 8 teenagers more likely to be of low birthweight: these low birthweight babies have a poorer chance of survival compared with similar weight babies who have older mothers. 25 Table 8 Infant mortality by birthweight and mother’s age, England and Wales 1994-1996(combined) Rates per 1,000 live births 20 Age of mother All ages Rate per 1,000 live births <20 <20 15 20-24 25+ 9.6 7.1 5.4 6.0 <1500 <2500 262.0 59.1 235.3 50.3 215.0 47.0 223.2 48.8 <1000 1000-1499 1500-1999 2000-2499 2500-2999 3000-3499 3500-3999 4000+ Not stated 514.0 96.3 35.3 14.9 6.2 3.9 3.4 3.4 43.5 464.3 92.9 28.8 12.6 5.5 2.8 2.1 3.1 27.1 426.2 79.4 24.8 10.1 3.7 2.0 1.5 2.1 24.5 441.5 83.7 26.5 11.1 4.3 2.3 1.7 2.3 26.0 All 10 All ages 5 0 1975 1978 1981 1984 1987 1990 1993 1996 Year Source: ONS Linked infant mortality data Source: ONS Series DH3. Health 1994-96 there was little difference in infant mortality rates by the parents’ marital status for children of teenage mothers, whereas being married conferred some protection for babies overall (Table 7). For women aged 25 and over there is a clear social class gradient of increasing rates with lower social classes. This same pattern is seen for the children of teenage mothers, but they have higher rates in each social class. Thus teenage mothers have more births in the lower social classes, and these babies experience higher mortality than their counterparts with older mothers. Table 7 Infant mortality by social class and mother’s age, England and Wales 1994-1996 (combined) Rates per 1,000 live births Age of mother <20 All ages 20-24 25+ 9.6 7.1 5.4 6.0 Inside marriage Outside marriage/ joint registration 9.6 9.8 6.8 7.4 5.0 6.6 5.3 7.3 Sole Registration 9.1 7.4 7.5 7.9 9.8 6.1 9.2 8.9 8.9 10.3 12.2 7.1 5.9 6.3 6.3 7.6 8.6 10.0 5.3 4.5 5.1 5.5 5.9 7.4 7.3 5.9 4.6 5.4 5.9 6.6 8.1 8.7 Total Children of teenage mothers are more likely to have more accidents, especially poisoning and burns. In the first five years of life children of teenage mothers are twice as likely to be admitted to hospital as a result of an accident or gastro-enteritis.28 Research suggests that these increased risks are associated with factors such as poverty. Children of young mothers are also at an increased risk of some congenital anomalies. Table 9 shows numbers and rates of selected congenital anomalies notified by Health Authorities to the National Congenital Anomaly System. Although it is known that notifications are incomplete, there is no reason to assume differential reporting by the mother’s age. It is therefore likely that the variations shown in this table, if not the absolute measures, are a reflection of real differences. The risk of chromosomal anomalies is known to increase with advancing maternal age. It is not surprising, therefore, that Table 9 shows that young mothers have a lower risk of chromosomal anomalies. Source: ONS Series DH3. Births to teenage mothers have an increased risk, however, of central nervous system anomalies, alimentary anomalies, and anomalies of the musculoskeletal system. Research has shown that increasing the intake of folic acid can reduce the prevalence of neural tube defects. Results from the 1995 Infant Feeding Study showed that only 53 per cent of recent mothers aged under 20 knew that increasing intake of folic acid was good for them in early pregnancy.22 This compares with 67 per cent of those aged 20–24, 76 per cent of those aged 25–29 and over 80 per cent of recent mothers aged over 30. Most women who knew about the benefits of folic acid also said they had increased their intake of folic acid. Therefore if fewer teenagers are aware of the benefits of folic acid, their intake is likely to be lower than for older women. This lower intake of folic acid in teenage girls may account for some of the excess in central nervous system anomalies seen in this age group. Table 8 shows the usual gradient in infant mortality rates for birthweight, with decreasing mortality rates with increasing birthweight. For babies of teenage mothers, however, the rates are higher than those for all babies in each birthweight category. The biggest proportional excesses in rates are for babies weighing 2,500 grams or over at birth. Therefore, not only are the children of As seen in Table 9, gastroschisis (an abdominal wall defect) has a higher prevalence in young mothers. In 1995-96 the notification rate of gastroschisis was 5 times higher for teenage mothers compared with all mothers. These findings confirmed a study of earlier data from the ONS National Congenital Anomaly System. This study of notified cases of gastroschisis in 1987-93 found a notification rate of 5 Marital status Social class All I, II IIIN IIIM IV V Other 26 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 per 10,000 live births for teenage mothers. This was 3 times higher than the rate for mothers aged 20–24 and over 4 times higher than the rate for all women.29 A raised risk for teenage mothers was also found in a study of abdominal wall defects in Australia.30 In this study girls aged under 20 were 8 times more likely to have a baby with abdominal wall defects than mothers aged 25–29. Table 9 | A u t um n Table 10 Numbers and rates per 10,000 total births Rate Number Rate 11,017 84.5 847 97.2 Central nervous system anomalies 492 Anencephalus 59 All spina bifida 135 Eye 134 Cleft lip and palate 1,128 Other face, ear and neck 397 Heart and circulatory 940 Respiratory 125 Alimentary 613 Genital organs 1,208 Urinary system 776 Musculoskeletal 4,141 Gastroschisis 182 Skin and integument 403 Chromosomal anomalies 863 Down’s syndrome 634 Congenital metabolic disorders 159 3.8 0.5 1.0 1.0 8.7 3.0 7.2 1.0 4.7 9.3 6.0 31.8 1.4 3.1 6.6 4.9 1.2 49 10 10 10 76 24 68 9 50 84 55 364 65 22 46 32 16 5.6 1.1 1.1 1.1 8.7 2.8 7.8 1.0 5.7 9.6 6.3 41.8 7.5 2.5 5.3 3.7 1.8 All babies notified Total live and still births 1,303,910 Hazard ratio Confidence intervals Age of LS teenager’s mother at birth of eldest sibling in household Mother’s age at birth of the LS teenager to 19 20-24 25-29 30-34 35-39 40 plus < 20 T r e n d s Risk of teenage motherhood by indicators of family structure as determined at the 1981 census 20+ v to 19 Age of mother Number Po p u l a t i o n Indicators of risk Congenital anomalies - all babies notified, age of mother by condition, England and Wales 1995-1996 combined All ages 1 9 9 8 2.31 (2.12 - 2.52) 0.82+ 1.00 0.55 0.38 0.35 0.45 0.49 (0.79 - 0.85) (0.48 - 0.61) (0.33 - 0.43) (0.30 - 0.41) (0.37 - 0.53) (0.38 - 0.63) Note: + result shows results for the main effects model. Source: ONS Longitudinal Study (LS). CONCLUSIONS Teenage conception rates, although lower than in the 1970s, still cause concern. There are social inequalities in teenage conception rates and in the proportions that are terminated by abortion. Teenage girls who continue with the pregnancy are more likely to give birth to a low birthweight baby and have raised risks of some congenital anomalies and of infant death. Teenage mothers are more likely to live in deprived conditions, and their lack of education and training reduces their long term potential to improve their socio-economic conditions. Therefore all initiatives to reduce the incidence of unwanted and unplanned teenage conceptions could potentially improve the socio-economic conditions for these girls and their future children. 87,158 Source: Series MB3 no.11 Congenital anomaly statistics 1995 and 1996. Long term outcomes for the children References The chances of children experiencing the divorce or separation of their parents are highest for children born to teenage parents.31 This higher chance of disruption for teenage mothers is not just a consequence of these children being more likely to be born outside marriage. There is an inverse relationship between the age of the mother and the likelihood of a subsequent change in family circumstances for any type of birth registration. 1 Results from the 1958 Birth Cohort showed that daughters of teenage mothers were more likely to become teenage mothers themselves. It is important to note, however, that most daughters of these teenage mothers (80 per cent) did not have a birth while they were teenagers. These increased risks are also seen in analyses from the ONS Longitudinal Study. As seen in Table 10, the risk of becoming a teenage mother for daughters of women who were themselves teenage mothers was more than double that of girls with older mothers. There is little variation in the risks of teenage motherhood for daughters from the different age groups of older mothers. 5 2 3 4 6 7 8 9 10 11 12 13 O f f i c e Tessa Jowell - DoH press release Wednesday 26 November 1997. ‘Tessa Jowell announces action plan on teenage pregnancy’. The Department of Health Health of the Nation. London: HMSO (1992). Green paper Our Healthier Nation February 1998. Teenage Pregnancy in Scotland 1987-1996 ISD health briefing number 98/01 issued January 1998. John Haskey - personal communication. Department of Social Security. Income Support Quarterly Statistical Enquiry, February 1997. Department of Health Hospital Episode Statistics (Maternity) personal communication. Kiernan K. Teenage motherhood - associated factors and consequences - the experiences of a British birth cohort. Journal of Biosocial Science 1980, 12, 393-405. Manlove J. Early motherhood in an intergenerational perspective : the experiences of a British Cohort. Journal of marriage and the Family 1997, 59, 263-279. Kiernan K. Lone motherhood, employment and outcomes for children. International Journal of Law, Policy and the family, 1996 (10), 233-249. Hudson F, Ineichen B. Taking it lying down : sexuality and teenage motherhood. Basingstoke : Macmillan Publishing 1991. Holmans A. Lone parents and their housing in Green H, Hansbro J, (eds.) Housing in England 1993/94, London (HMSO) 1995. Population and Health Monitor ONS (FM1 98/1) 60 12 March 1998, Conceptions in England and Wales, 1996. f o r N a t i o n a l S t a t i s t i c s 27 P o p u l a t i o n 14 15 16 17 18 19 20 21 22 23 24 28 Tr e n d s 9 3 | A u t u m n Armitage B, Variations in fertility between different types of local area. Population Trends 87, 1997 London: The Stationary Office. Smith T. Influences of socioeconomic factors on attaining targets for reducing teenage pregnancies. BMJ, 1993: 306: 1232-5. Boulton-Jones C, McIlwaine G, McInneny K. Teenage pregnancy and deprivation. Letter. BMJ, 1995:310:398-9. Recent demographic developments in Europe 1997. Council of Europe Publishing 1997. Johnson A, Wadsworth J, Wellings K, Field J. Sexual attitudes and lifestyles Oxford: Blackwell 1994 Preventing and reducing the adverse effects on unintended teenage pregnancies. Effective Health care, vol.3, no. 1, February 1997. Balding J. Young people in 1995 Exeter Schools Health Education Unit. University of Exeter 1996 Department of Health. Family planning clinics services : summary information for 1996-97 England. DoH 1998. Foster K, Lader D, Cheeseborough S. Infant feeding survey 1995. TSO 1997 Irvine H, Bradley T, Cupples M, Boohan M. The implications of teenage pregnancy and motherhood for primary health care: unresolved issues, British Journal of General Practice, 1997, 47, 323-326. Simms M, Smith C. Teenage mothers: late attenders at medical and ante-natal care Midwife health Visitor & Community Nurse June 1984 vol. 20, 192-200. O f f i c e f o r N a t i o n a l 1 9 9 8 25 26 27 28 29 30 31 S t a t i s t i c s Wilson J. Maternity policy. Caroline: a case of a pregnant teenager, Professional care of mother and child, 1995 vol.5, 5, 139-142. Meltzer H et al. The prevalence of psychiatric morbidity among adults living in private households. OPCS Surveys of psychiatric morbidity in Great Britain Report 1 London HMSO (1995). Breakwell G. Psychological and social characteristics of teenagers who have children, in: Lawson A, Rhode DL (eds.) The politics of pregnancy, adolescent sexuality and public policy. New Haven. Yale University Press. 1993. Peckham S. Preventing unplanned teenage pregnancies. Public Health 1993, 107, 125-133. Tan KH, Kilby MD, Whittle MJ, Beattie BR, Booth IW, Botting BJ. Congenital anterior abdominal wall defects in England and Wales 1987-93 : retrospective analysis of OPCS data British Medical Journal 1996; 313: 903-6. Byron-Scott R, Haan E, Chan A, Bower C, Scott H, Clark K. A population-based study of abdominal wall defects in South Australia and Western Australia. Paediatric and Perinatal Epidemiology 1998, 12, 136-151. Clarke L, Joshi H, Di Salvo P, Wright J. Stability and instability in children’s family lives : longitudinal evidence from two British Sources. Centre for Population studies Research Paper 97-1. City University London 1997. 99 33 | | AA uu t t uum m nn 11 99 99 88 PPoo pp uu l l aa t t i i oo nn TTrr ee nn dd ss Drug-related mortality: methods and trends Olivia Christophersen, Cleo Rooney and Sue Kelly Demography and Health ONS Drug-related deaths attract widespread concern and public interest and this is reflected in the number of queries ONS receives on this topic. This article sets out the processes involved in the collection and compilation of data on drug-related deaths in England and Wales to serve as a point of reference for users of ONS mortality data. It also documents recent trends in drug-related deaths, revealing INTRODUCTION considerable variation in mortality by age, sex and region. ONS frequently receives requests for information on the number of deaths due to drugs in general and due to specific drugs. However, problems associated with classifying and quantifying these deaths mean that the statistics produced need to be interpreted with caution. This article explains these problems by describing the procedures by which data on drug-related deaths are collected and compiled by ONS. Particular emphasis is given to the method by which the underlying cause of death is selected and coded according to the International Classification of Diseases (Ninth Revision), ICD9, as this is fundamental to understanding the mortality statistics produced by ONS. A general definition of drugrelated deaths, based on ICD9 codes, is suggested and used to illustrate trends in drug-related deaths for men and women between 1979 and 1996. ONS’s plans in relation to the future publication of drug-related death statistics are also outlined. One of the key difficulties surrounding this topic relates to the definition of drug-related deaths, since deaths involving drugs may occur under a range of different circumstances with varying social and policy implications. For example, the deceased may be a long term addict or an occasional recreational user; the drugs involved may be controlled drugs, prescribed substances or a mixture; the death may be due to direct, indirect or long term effects of drug use and it may be an accident, suicide or possibly homicide. Within this broad spectrum, different users of ONS mortality data tend to be interested in different types of drug deaths. However, it is not always possible to make these distinctions from the information available to ONS from death registrations. O f f i c e f o r N a t i o n a l S t a t i s t i c s 29 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n Additional complications arise when quantifying deaths due to specific drugs as many deaths involve more than one drug, often in combination with alcohol. Moreover, some users pursue complex patterns of drug use including addiction to or regular use of several drugs or switching between drugs. Similarly, an individual may be addicted to a particular drug, for example heroin, but die from an overdose of a different drug such as methadone. This article uses the term ‘drug-related deaths’ to refer to all deaths where drugs are involved in some way with the exception of deaths due to the adverse effect of drugs in therapeutic use; information on these is co-ordinated by the Medicines Control Agency. Deaths from substances of abuse which are not traditionally regarded as drugs, such as alcohol and tobacco, are also excluded from the definition used here. COLLECTING DATA ON DRUG-RELATED DEATHS All deaths in England and Wales which are sudden, unexpected or not ‘natural’ and those for which the cause is unknown must be referred to a coroner for further investigation. This is generally done by the doctor who attended the deceased in their last illness, the police or, occasionally, the registrar of births and deaths. The coroner’s primary function is to establish the circumstances and cause of death and to investigate the possibility of any criminal involvement. Collecting statistical data is a secondary concern. The coroner generally orders a post-mortem to be carried out by a pathologist. The post-mortem may, but does not necessarily, include a toxicological examination. Where a toxicological examination is carried out, there is still no guarantee that all substances present in the deceased’s body will be identified; only those drugs which are tested for will be detected. Similarly where several substances are detected, the post-mortem may not be sufficiently detailed to detect which was primarily responsible for the death. Where drugs are indirectly responsible for a death, for example in the case of traffic accidents where drug use contributed to the accident, the involvement of drugs may not be suspected and tests for drugs may therefore not be carried out. Following the post-mortem the coroner usually holds an inquest. The coroner takes into account the pathologist’s report and any additional information available, such as police reports, to decide the cause(s) of death and to give a verdict. The coroner then certifies the death. Where both a post-mortem and an inquest have been carried out, which is the case for virtually all deaths which are known to be drug-related (over 99 per cent between 1993 and 1996) the coroner certifies the death using Form 99 (Rev). Alternative forms are used if there is no post-mortem or no inquest or if the inquest is adjourned pending criminal proceedings 1. In addition to general details on the deceased such as name, age, sex, date of death, occupation, usual address, cause(s) of death and marital condition, the coroner’s certificate also contains information on whether a post-mortem was held and the coroner’s verdict. The Part V of Form 99 (Rev) requires the coroner to supply details of where and how the “accident” happened in the case of deaths by accident or misadventure. This section may also be completed for non-accidental deaths but this is not obligatory. In the cause of death section of the certificate, the coroner may mention any drugs identified but, where more than one substance is recorded, there is usually no indication of the relative quantities or which substance was likely to be responsible for the death. Often 30 O f f i c e f o r N a t i o n a l 1 9 9 8 only a general description, such as ‘drug overdose’, is recorded. Where the deceased was an addict this may or may not be stated and any drug(s) to which they were addicted but which were not detected at the time of death may not be recorded. The coroner’s certificate generally does not include any indication of whether a toxicological examination was carried out, how or where the drugs were obtained, where they were taken or the route of administration. The coroner’s certificate is sent to the registrar who registers the death using the information on the certificate (together with details from an informant where no inquest has been carried out). The registrar does not receive the reports by the pathologist or the police. Similarly, ONS only receives the information on the registration form together with Part V of the coroner’s certificate. Since 1993 the information on the death certificate has been stored electronically on the ONS mortality database 2. The text in Part V of the coroner’s certificate has been held electronically since 1997. The process of investigating a death and holding an inquest delays the registration of a death. Therefore a small number of deaths may not be registered in time to be included in the annual mortality statistics published by ONS 3. Coding cause of death All causes of death mentioned on the death registration form are coded by ONS according to the International Classification of Diseases (Ninth Revision), ICD9. Deaths subject to an inquest are coded clerically. There are five main groups of ICD9 codes which cover deaths directly due to drugs: 304 Drug dependence 305 Non-dependent abuse of drugs E850–E858 Accidental poisoning by drugs, medicaments and biologicals E950 Suicide and self-inflicted poisoning by solid or liquid substances E980 Poisoning by solid or liquid substances, undetermined whether accidentally or purposely inflicted In addition, a small number of deaths may be attributed to assault by poisoning (ICD9 E962) or drug psychoses (ICD9 292). Each death is assigned an underlying cause of death according to specific rules under ICD9 (Box 1). If the coroner’s verdict is homicide or suicide, the underlying cause of death must be coded to E962 or E950 respectively. If ‘drug dependence’ or ‘nondependent abuse of drugs’ or similar terms appear on the coroner’s certificate with no mention of suicide or homicide, the underlying cause of death is nearly always coded to 304 or 305 respectively. Most other deaths are coded to E850–858 or E980, depending on whether an accidental or open verdict is given. Where a death is given an external cause code (ie E850–858, E950, E980 or E962) as the underlying cause of death, it will also be assigned a secondary ‘nature of injury’ code in the range ICD9 960–979 covering ‘poisoning by drugs, medicaments and biological substances’. The wording on the coroner’s certificate is therefore crucial in determining how the cause of death is coded. However, in practice the use of particular terms such as ‘addiction’ or ‘abuse’ is determined by the amount of information available to the coroner and by what information the coroner records when certifying the S t a t i s t i c s North East 9 3 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Further complications arise from the way in which the five main three digit ICD9 codes are subdivided into more specific four digit codes. These four digit codes mostly cover groups of drugs and therefore cannot be used to derive the number of deaths from specific substances. Moreover, the subcategories are different within the main three digit code groups so they cannot be added together to give the number of deaths from particular types or groups of drugs (see Box 2). death. For example, where a drug addict dies as a result of an overdose this may be classified under accidental poisoning (E850– 858) rather than drug dependence (304) if there is no specific mention of dependence or addiction on the coroner’s certificate. Therefore the apparently marked distinction between different types of drug-related deaths in published statistics should not be interpreted too literally. Box 1 Coding underlying cause in overdose and drug poisoning deaths in England and Wales Cause of death certificate 1a. b. c. respiratory depression heroin poisoning Underlying cause code Ve r d i c t E962.0* Yes assault by poisoning with any drug murder, manslaughter? No Ve r d i c t s u i c i d e ? E950.0* Yes suicide by analgesic poisoning No Any mention “drug dependence / addiction” 304.0 Yes dependnce on morphine type drugs No Any mention “drug abuse” 305.5 Yes nondependent abuse morphine type drugs No Ve r d i c t o p e n E980.0* Yes poisoning with analgesics intent undetermined No Ve r d i c t a c c i d e n t , m i s a d v e n t u re , n a t u r a l c a u s e s o r n o ve r d i c t E850.0* Yes accidential poisoning with opiates and related narcotics * Secondary cause code 965.0 (poisoning with opiates and related narcotics) for deaths where the underlying cause is an E-code only. O f f i c e f o r N a t i o n a l S t a t i s t i c s 31 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 Box 2 A death attributable to temazepam could be classified under any of the following ICD9 codes, depending on the circumstances surrounding the death: 304.1 Drug dependence - barbiturate type 305.4 Non-dependent abuse of drugs - barbiturates and tranquillizers E852.8 Accidental poisoning - Other sedatives and hypnotics E950.2 Suicide - Other sedatives and hypnotics E980.2 Undetermined intent - Other sedatives and hypnotics If other drugs were involved, the death could be also be coded to: 304.7 Drug dependence - combinations of morphine type drug with any other 304.8 Drug dependence - combinations excluding morphine type drug 305.9 Non-dependent abuse of drugs - Other, mixed or unspecified E852.5 Accidental poisoning - Mixed sedatives, not elsewhere classified E858.8 Accidental poisoning - Other E950.4 Suicide - Other, mixed or unspecified E980.4 Undetermined intent - Other specified drugs and medicaments The four digit codes cover a broad range of legal and illegal substances, including some that would not be classified as drugs under most conventional definitions. In particular, 305.0 and 305.1, which account for a high proportion of deaths coded to 305, cover non-dependent abuse of alcohol and tobacco and E950.6–9 and E980.6–9 cover ‘Agricultural and horticultural chemical and pharmaceutical preparations, other than plant foods or fertilizers’; ‘Corrosive and caustic substances’; ‘Arsenic and its compounds’; ‘Other and unspecified solid and liquid substances’. Similarly the majority of deaths coded to 304.6 are due to volatile substance abuse (VSA); between 1993 and 1996 around one fifth of deaths attributed to drug dependence (304) were coded to 304.6. More comprehensive figures on deaths from VSAs are compiled by St Georges Hospital Medical School. 4 Deaths coded to these underlying causes should arguably be excluded from estimates of the number of drug-related deaths. It is worth noting that cocaine is coded to ‘local anaesthetic’ (ICD9 E855.2) under accidental poisoning but to ‘cocaine’ under the dependence and abuse codes (304.2 and 305.6). were to notified drug addicts 5. However, this information was not recorded on the coroner’s certificate and was therefore not available to ONS when the cause of death was coded. Additionally deaths to drug addicts who were not notified may also have been assigned to these underlying causes. Therefore estimates of the number of deaths to addicts cannot be produced using the data available to ONS. Acute poisonings Q UA N T I F Y I N G D I F F E R E N T C AT E G O R I E S O F D R U G - R E L AT E D D E AT H S All deaths coded to E850–E858, E950 and E980 are due to acute poisoning. In addition, over 90 per cent of the deaths with an underlying cause of death coded to 304 or 305.2–9 are due to drug overdoses. The remainder appear to be mostly due to chronic conditions such as septicaemia or hepatitis, or complications of drug abuse. Therefore when quantifying deaths from acute poisoning, it is important to take into account deaths classified under drug dependence and non-dependent abuse (304 and 305.2– 9). From 1998 these deaths will be included in the DH4 series on mortality statistics by injury and poisoning 1 which previously just contained information on deaths with an external cause code as the underlying cause of death. M e d i c i n a l v s re c r e a t i o n a l d r u g s Suicide vs accident There is no standard definition of ‘medicinal’ or ‘recreational’ drugs. Many drugs of abuse may also be prescribed for medicinal use and, conversely, many medicinal drugs are taken for recreational or other use. ONS generally receives no information on whether a substance implicated in a death was prescribed, bought over the counter or illegally obtained. Therefore it is not possible to quantify deaths due to, for example, ‘prescribed drugs’ or ‘drugs of abuse’. A verdict of suicide is only recorded if there is clear evidence that the deceased deliberately took their own life. It is likely that most deaths among adults from ‘injury and poisoning undetermined whether accidentally or purposely inflicted’ (open verdicts) are cases where the harm was self-inflicted but there was insufficient evidence to prove that the deceased deliberately intended to kill themselves 6. ONS therefore includes these deaths when estimating the number of suicides among adults. Addicts vs recreational users Homicides All deaths where drug addiction or dependence is stated on the coroner’s certificate are coded to 304, unless a verdict of suicide is given or there is no evidence that the underlying cause was related to drug use, for example where a drug addict dies in a fire. However, where the deceased was a dependent drug user this is not always known or recorded on the death certificate. For example, between 1993 and 1996 approximately one third of the deaths recorded as due to poisoning by accident or undetermined intent Only a very small number of deaths are coded to assault by poisoning – drugs and medicaments (ICD9 E962.0) (17 in 1996). These deaths have not traditionally been included in ONS estimates of drug-related deaths. However, from the information available to ONS it appears that some are deaths from poisoning with commonly abused drugs where there has been a successful prosecution of the supplier for manslaughter or unlawful killing. The number of these deaths appears to be increasing. Therefore, 32 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 although E962.0 also includes a few deaths from what would more generally be regarded as murder by poisoning, deaths coded to E962.0 may need to be taken into account when estimating the total number of drug-related deaths. Indirect effects Where drugs are indirectly responsible for a death, the direct cause, for example HIV infection or traffic accident, is generally selected as the underlying cause of death. The involvement of drugs is recorded on the ONS database if it is mentioned on the coroner’s certificate. However, where drug use contributed to a death this is often not known to or recorded by the certifier. For example, between 1993 and 1996 only three of the 2,122 deaths attributed to HIV infection in England and Wales mentioned drug abuse as a contributory cause on the death certificate. Widespread research (eg 7 ) and figures compiled by the Communicable Disease Surveillance Centre, CDSC, have shown that the proportion of individuals dying from HIV infection who contracted the disease as a result of intravenous drug use is much higher than this. Similarly, over the same period, only 22 of the 13,687 deaths due to transport accidents [ICD9 codes E800–E848] mentioned drug use as a contributory cause on the coroner’s certificate whereas a recent study for the Department of the Environment, Transport and the Regions found that 18 per cent of drivers killed in road accidents had traces of controlled drugs in their blood stream which may have contributed to the accident 8. At present drugs are not routinely tested for following violent accidents or deaths from other causes, such as HIV, where drug use may be indirectly responsible (although CDSC does collect data on deaths due to HIV infection contracted through intravenous drug use). Moreover, where it is known that drug use was indirectly involved in a death this may sometimes be omitted from the death certificate for the sake of the relatives who may be concerned about the stigma attached to drug abuse. Therefore it is currently not possible to compile comprehensive figures on deaths indirectly caused by drug use. Long term effects Considerable research has established links between alcohol and tobacco use and various diseases. Therefore, estimates of alcohol and smoking related deaths are based on the proportion of deaths certified as due to these specific diseases which are attributable to alcohol or tobacco 9. In the case of drugs, it is not yet known what diseases or proportion of diseases can be attributed to their use. Estimating the number of deaths due to the long term health effects of drug use is complicated by the diverse characteristics of drugs, which are often used in combination with tobacco and alcohol. Information on the population at risk is also less reliable for drug use compared with alcohol and tobacco use. The number of deaths which may be due to the long term effects of drug use cannot therefore be estimated given the information currently available. When comparing statistics on smoking, alcohol and drug-related deaths produced by ONS it is important to be aware that they are not calculated on the same basis. | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s in combination with alcohol. Where a number of drugs are mentioned on a death certificate, it is not always possible to tell which of them made a major contribution to the death. Therefore ONS’s estimates of the number of deaths due to specific drugs are based on the number of deaths where the drug is mentioned on the coroner’s certificate, regardless of whether it was primarily responsible for the death. Until 1992 ONS published a table of deaths due to poisonings which listed the number of deaths from specific drugs or combinations mentioned on the coroner’s certificate1. The data were extracted manually from the registration forms received by ONS. This table only included deaths coded to ICD9 E850–858, E950 and E980 and excluded 304 and 305. It was difficult to extract information from this table since drugs were listed exactly as they were recorded on the coroner’s certificate with no attempt to distinguish generic and trade names, single or compound preparations. The table was discontinued in 1993 when the system for collecting and processing mortality data was redeveloped. Since 1993, data from the registration forms has been stored electronically. In order to quantify the number of deaths due to specific drugs it is now possible to carry out a text search of the cause of death information transcribed from the registration form onto the database. The deaths which contain a mention of the particular drug are then counted manually. This process is complicated by the range of generic, colloquial and brand name terms used by coroners to describe specific drugs and by the presence of compound drugs. Moreover, the registrar is required to transcribe the precise wording from the coroner’s certificate, including spelling mistakes which are then entered onto the database. Some allowance is made for this when text searches are carried out but it is not possible to guarantee that every single case has been identified. When analysing figures on deaths due to specific drugs it is important to be aware of these limitations. ONS is currently investigating ways of classifying drug-related deaths which allow deaths from specific drugs to be extracted more easily and reliably. ONS definition of ‘Drug-related deaths’ Box 3 Definition of drug-related deaths Taking into account the constraints outlined above, ONS defines drug-related deaths using the following ICD9 codes: 292 304 305.2–9 E850–E858 E950.0–5 Deaths from specific drugs E980.0–5 Many users of ONS mortality statistics are interested in comparing deaths from specific drugs. As discussed above, ICD9 does not provide individual codes for most drugs; deaths involving a particular drug may be assigned various underlying cause codes depending on the circumstances and any other substances involved (see Box 2). Many deaths involve a mixture of drugs, often taken E962.0 O f f i c e f o r Drug psychoses Drug dependence Non-dependent abuse of drugs Accidental poisoning by drugs, medicaments and biologicals Suicide and self-inflicted poisoning by solid or liquid substances - drugs and medicaments Poisoning by solid or liquid substances, undetermined whether accidentally or purposely inflicted drugs and medicaments Assault by poisoning - drugs and medicaments N a t i o n a l S t a t i s t i c s 33 P o p u l a t i o n Figure 1 Tr e n d s 9 3 | A u t u m n 1 9 9 8 Drug-related deaths, for men and women, England and Wales, 1979-96 b) Female a) Male 70 70 Undetermined [E980.0–5] Suicide [E950.0–5] 60 60 Age-standardised rate per million Age-standardised rate per million Accidental poisoning [E850–858] 50 40 30 20 50 Nondependent Abuse [305.2–9] Dependence [304] 40 30 20 10 10 0 1979 1981 1983 1985 1987 1989 1991 1993 0 1979 1995 1981 1983 This definition gives a useful general figure which can be calculated easily from the routine mortality statistics published annually by ONS 2 . It covers a diverse mix of deaths including suicides and accidents from both legal and illegal substances and it excludes deaths due to the indirect or long term effects of drugs which are not identified in this range of underlying causes. For some purposes, for example when comparing drug-related deaths with deaths from volatile substance abuse, it may be desirable to exclude deaths coded to 304.6. T R E N D S I N D R U G - R E L AT E D D E AT H S Despite some of the problems outlined above, the data available can nevertheless be used to give a useful indication of the broad trends in drug-related deaths in England and Wales, the populations affected and the main drugs responsible. These are illustrated below. Va r i a t i o n s by A g e a n d S e x , 1 9 7 9 - 1 9 9 6 Figures 1a and 1b show age standardised mortality rates for men and women from 1979 to 1996 for the five main ICD9 codes covering drug-related deaths. Deaths coded to 292 and E962.0 are excluded as these have accounted for only a small number of deaths since 1979. The figures reveal striking differences between men and women. Drug-related mortality among men declined slightly in the early 1980s but has been increasing since then, while among women drug-related deaths declined more sharply throughout the 1980s before levelling off in the 1990s. Much of the recent increase among men is due to a rise in the number of accidental poisonings. There has also been a steady increase in mortality due to abuse of drugs without mention of dependence since the mid 1980s, which is probably partly related to the fact that since 1984 coroners have been able to return narrative verdicts of drug dependence or abuse. 34 O f f i c e f o r N a t i o n a l 1985 1987 1989 1991 1993 1995 Year Year For both men and women suicides and open verdicts accounted for the majority of the drug-related deaths in 1979 but throughout the 1980s the number of suicidal poisonings declined. This can be partly accounted for by a sharp fall in the number of suicides using barbiturates (ICD9 E950.1), reflecting a general decline in the prescription of barbiturates in favour of safer drugs, particularly benzodiazepines. Suicidal poisonings using painkillers (ICD9 E950.0) have also declined among both men and women. Age specific rates for men and women based on the set of ICD9 codes in Box 2 are shown in Figures 2a and 2b. Among adult men age specific mortality rates diverged during the 1990s with an increase in mortality among younger age groups and a decrease at older ages. The sharpest increase was observed among men aged 20–29 years, with a threefold increase in drug-related mortality within this age group over the last ten years. Drug-related mortality has been increasing among teenagers (15–19 year olds) since 1984. Female age specific mortality rates on the other hand converged during the 1980s as mortality among older ages declined, levelling off in the 1990s. There was a slight increase in mortality among younger ages. Age and Intent Figures 3a and 3b show the average of the age specific mortality rates aggregated for 1994-1996 for men and women for the five main groups of ICD9 codes. There is a sharp peak in drug-related deaths among young men in their 20s and early 30s which can largely be accounted for by high death rates from accidental overdoses (i.e. accidental poisoning, drug dependence and nondependent abuse). The mortality rates for suicides and open verdicts are more constant across the age groups although there is an increase in suicidal poisonings among men aged 80 and over. S t a t i s t i c s 9 3 Figure 2 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Age-specific rates of drug-related deaths, for men and women, England and Wales, 1979-96 a) Male b) Female 160 160 140 0-14 30-39 50-59 15-19 40-49 60-79 140 120 120 100 Rate per million Rate per million 20-29 80 100 80 60 60 40 40 20 20 0 0 1979 1981 1983 1985 1987 1989 1991 1993 1995 1979 1981 1983 1985 Year 1987 1989 1991 1993 1995 Year The age specific rates for women are much lower and more constant across the age groups. As for men, there is an increase in suicides among women in their 80s and deaths from dependence and non-dependent abuse occur almost exclusively among young adults although the peak at this age group among women is less pronounced. Age and drug type Although it is not possible to quantify deaths due to specific drugs using ICD9 codes, deaths from certain broad groups of drugs can be estimated using four digit ICD9 codes for dependence and abuse (ICD9 304 and 305.2–9) together with the nature of injury codes (ICD9 960–979) which provide a greater level of detail than the four digit E-codes for suicidal and undetermined poisonings. Using these combined codes to produce age specific rates averaged over 1994 to 1996 shows that nearly half the drug-related deaths among young men are attributed to opiates. It is likely that a substantial proportion of the deaths due to mixed, other or unspecified drugs also involved opiates. The rate of opiate deaths declines substantially at older ages. The proportion of deaths due to the other main drug types is fairly constant for men across the age groups, although among the elderly there is an increase in deaths due to barbiturates and tranquillizers (ICD9 304.1, 305.4, 967, 969.1–5) and a decline in antidepressants (ICD9 305.8, 969.0). (Figure 4a) Opiates account for a much lower proportion of the drug-related deaths among women. Painkillers excluding opiates (ICD9 965.1– 9) and antidepressants (ICD9 305.8, 969.0) combined account for approximately half the drug-related mortality among women at all ages. There is an increase in deaths from painkillers and a decrease in deaths from antidepressants among the elderly. Deaths from barbiturates and tranquillizers (ICD9 304.1, 305.4, 967, 969.1–5) increase steadily with age. (Figure 4b) Most of the deaths attributed to painkillers (ICD9 965 - ‘analgesics, antipyretics and antirheumatics’) excluding opiates (ICD9 965.0) involve paracetamol, either alone or in combination with other substances. Although they attract considerable media and political interest, deaths from drugs such as ecstasy, amphetamines and cocaine account for only a small number of deaths among both men and women and they are therefore included within ‘mixed, other and unspecified’. Regional variations Table 1 shows age standardised mortality rates for men and women averaged over two five year periods (1982-86 and 1992-96) for the English Government Office Regions and Wales. Ninety five per cent confidence intervals were used to test for significant differences both between regions and England and Wales as a whole and within regions over the two time periods, revealing considerable variation within and between regions. Among young adult men and women (aged 15–44 years) mortality compared with England and Wales as a whole was significantly higher in London and the North West and significantly lower in the West Midlands and Eastern regions during both time periods. Among men mortality was also below average in the South East and East Midlands in both 1982-6 and 1992-6. Between 1982-6 and 1992-6 there was a significant increase in mortality among men aged 15–44 years in all regions. The highest relative increase was in the South West where mortality increased nearly threefold. Among women in this age group, there was a significant increase in mortality over time in the East Midlands, North West and South West. Among older men, aged 45 years and over, mortality was particularly high in London during both time periods although there was a significant decline between 1982-6 and 1992-6 in this O f f i c e f o r N a t i o n a l S t a t i s t i c s 35 P o p u l a t i o n Figure 3 Tr e n d s 9 3 | A u t u m n 1 9 9 8 Drug-related deaths by age and intent, for men and women, England and Wales, 1994-96 a) Male b) Female 160 160 140 140 Undetermined [E980.0–5] 120 100 100 Rate per million Rate per million Suicide [E950.0–5] 120 80 Dependence [304] 60 40 40 20 20 0 0-4 10-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84 90 plus Non-dependent abuse [305.2–9] 80 60 0 0-4 Accidental poisoning [E850–E858] 10-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84 90 plus Age-group Figure 4 Age-group Drug-related deaths by age and drug type, for men and women, England and Wales, 1994-96 b) Female a) Male 160 160 140 140 120 120 Antidepressants [305.8, 969.0] 100 100 Barbiturates & tranquilizers [304.1, 305.4, 967, 969.1–5] Rate per million Rate per million Mixed, other, unspecified 80 60 60 40 40 20 20 0 0-4 10-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84 90 plus O f f i c e f o r N a t i o n a l 0 0-4 Opiates [304.0,305.2,965.0] 10-14 20-24 30-34 40-44 50-54 60-64 70-74 80-84 90 plus Age-group Age-group 36 80 Painkillers excluding opiates [965.1–9] S t a t i s t i c s 9 3 Table 1 | A u t um n 1 9 9 8 Po p u l a t i o n T r e n d s Age-standardised drug-related mortality rates per million population by age, sex and region, England and Wales, 1982-86 and 1992-96 Men Age 15–44 North East North West Merseyside Yorkshire and the Humber East Midlands West Midlands Eastern London South East South West Wales Women 1982–86 41 61 63 49 26 39 35 104 42 33 39 1992–96 † ~ ~ ~ † ~ ~ ~ 82 161 136 102 63 63 81 123 80 95 97 % change ~ † † ~ ~ ~ † ~ 1982–86 99 164 115 107 145 64 130 18 91 188 146 32 44 36 35 22 26 26 50 29 26 34 51 98 92 33 North East North West Merseyside Yorkshire and the Humber East Midlands West Midlands Eastern London South East South West Wales 62 54 53 58 37 41 39 82 51 40 49 52 51 59 45 38 41 45 55 41 41 30 -16 -5 11 -22 3 0 14 -33 -20 3 -40 72 86 51 88 59 53 73 91 69 63 66 England and Wales 52 -15 73 England and Wales 1992–96 † ~ ~ ~ † ~ 40 58 45 41 33 31 27 47 34 37 37 % change † ~ ~ † 39 24 30 25 19 51 18 3 -5 19 44 10 17 Age 45 and over ~ ~ ~ † ~ † ~ 45 † ~ † ~ ~ † 43 52 34 47 37 36 38 49 43 43 37 † 43 -40 -39 -34 -46 -38 -32 -48 -46 -38 -31 -43 -41 † Significantly higher than England and Wales. ~ Significantly lower than England and Wales. region and in Wales, where drug related mortality is now significantly lower than England and Wales as a whole. Mortality among women in this age-group declined significantly in all regions with the exception of Merseyside. Levels in the North West were significantly higher than in England and Wales as a whole in both time periods. References 1 2 3 CONCLUSION 4 There are many difficulties associated with classifying and quantifying deaths involving drugs. It is important to be aware of these problems when analysing and interpreting statistics on drugrelated deaths. Despite these difficulties clear trends can be observed from the data available. In particular, there are striking differences in drug-related deaths between men and women. Among men drug-related mortality has increased during the 1990s, with a sharp rise in deaths due to accidental poisoning. There is a pronounced peak in mortality rates among young adult men which can largely be attributed to poisoning by opiates. Among women drug-related mortality declined during the 1980s, mainly due to a decline in suicidal poisonings, particularly at older ages. There is considerable regional variation in drug-related mortality with high levels observed in London and the North West and lower levels in the Eastern region. 5 6 7 8 9 Office for National Statistics. Mortality Statistics: injury and poisoning. ONS Series DH4 Office for National Statistics. Mortality Statistics: cause. ONS Series DH2 Devis, T. and Rooney, C. The time taken to register a death. Population Trends 88 (1997), 48-55. Taylor et al. Trends in Deaths Associated With Abuse of Volatile Substances 1971-1995 Home Office Statistics of drug addicts notified to the Home Office, United Kingdom Kelly, S. and Bunting, J. ‘Trends in suicide in England and Wales, 1982-96’ Population Trends 92 (1998), 29-41 Shishodia, P. Robertson, J R and Milne, A Causes and Frequency of Deaths in Injecting Drug Users between 1981 and 1997 in a General Practice in Edinburgh Health Bulletin 56(2) March 1998 Department of the Environment, Transport and the Regions, (1998) Press Notice 94 Health Education Authority (1998) The UK Smoking Epidemic: Deaths in 1995 Following the termination of the Statistical Bulletin on Notified Addicts 5 which contained tables on drug deaths, ONS is planning to publish annual statistics on drug-related mortality. These are intended to include figures on the total number of drug-related deaths for the UK as a whole together with data by age, sex, region and for specific substances. We are also currently investigating systems of classifying drug-related deaths which will allow deaths from specific drugs to be extracted and quantified more easily. O f f i c e f o r N a t i o n a l S t a t i s t i c s 37 P o p u l a t i o n T r e n d s 9 3 | A u t u m 9 3n | 1 9A9 u8 t u m n 1 9 9 8 Po p u l a t i o n T r e n d s Marriages in‘Approved Premises’in England and Wales: the impact of the 1994 Marriage Act John Haskey Demography and Health This article considers the advent in 1995 of civil marriage in approved premises which was made possible by a new Marriage Act. The growth and characteristics of approved premises marriages which were solemnised in the first 1 3/4 years of the Act are analysed, comparing the patterns of marriage by age, previous marital status and day of the week with those of register office and religious marriages. Finally, an estimate is made of the extent to which the introduction of marriages in approved premises has drawn away marriages which might otherwise have been solemnised in register offices, or with religious ceremonies. INTRODUCTION In 1995, a new Marriage Act1 came into force. The first part of the Act, which enabled couples to marry by civil ceremony outside their district of residence, came into effect on 3rd January, and the second part, which introduced the ability to marry in “approved premises”, came into effect on 1st April. The Bill’s passage through Parliament had caught the public’s imagination on a number of occasions, especially when it was believed, wrongly in some cases, that couples would be able to marry in a variety of new – and somewhat theatrical – styles. In fact, the Act has made freely available, for the very first time, civil marriage in places other than in register offices. Although the form of civil marriage has remained unchanged, in extending the range of possible venues, so greatly increasing the number and variety of civil wedding locations, it has been an historically momentous change, second only to the advent of civil marriage in England and Wales in 1837.2,3 Furthermore, the Act has provided a civil marriage alternative to the previous sole option of marrying in a register office - perhaps comparable to the 1836 Marriage Act allowing religious marriages in denominations other than in the Established Church, the Jewish faith and the Society of Friends (the Quakers). The importance of these new – or, rather, additional – civil marriages, which will subsequently be termed ‘approved premises marriages’, can be appreciated from their steady and decisive growth in relative numbers. For example, they quadrupled in proportionate terms, from one in 71 to one in 18 of all marriages between 1995/96 and 1996/97.4 This article investigates the numbers and characteristics of approved premises marriages and attempts to assess how their advent has affected the numbers of traditional register office weddings and religious marriages. 38 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 BACKGROUND The Marriage Act 1994 made two important new provisions: civil marriages can be solemnised on premises approved for the purpose by local authorities; and couples may marry in registration districts in which neither marriage partner resides. As with register office weddings, approved premises marriages have to be solemnised in the presence of the Superintendent Registrar, and the Registrar of the registration district in which the premises is situated. Each such premises has to be approved by the local authority for the purpose, who have to ensure that a number of conditions are met. On receiving applications, local authorities check all the considerations which need to be taken into account – see Box 1 – and may refuse, impose conditions or grant approval for a 3-year period. The local authority must be satisfied that the approved premises is a readily identifiable marriage venue and that the premises – and its management – will support the dignity of marriage. Furthermore, the premises must have no recent or continuing connection with any religion, religious practice or religious persuasion which is incompatible with the secular nature of civil marriage. Consequently private chapels, or indeed buildings with contents or characteristics associated with a place of religious worship, such as stained glass windows depicting religious images, cannot be | A u t um n 1 9 9 8 P o p u l a t i o n T r e n d s approved for solemnising civil marriages. These requirements maintain the historic distinction between civil and religious marriages. In fact, the majority of the places approved have been hotels - a fairly logical extension of their business, since many wedding parties hold their receptions at hotels, following the marriage elsewhere. The entire proceedings, wedding and reception, can, therefore, take place under one roof. Furthermore, overnight accommodation is available for guests. Other types of approved premises include stately homes, historic houses, restaurants, sports and leisure clubs. These, too, are traditionally well equipped to hold receptions, as well as possessing large rooms in pleasant locations. It should be restated that civil marriage in approved premises is the exact equivalent of civil marriage in register offices – apart from the location – rather than a new form of marriage. The requirements to be met before premises can be approved, and the conditions for conducting marriages there subsequently, are designed to ensure that this equivalence is maintained in practice. These requirements and conditions are given in Boxes 1 and 2, respectively. As has been mentioned earlier, the 1994 Marriage Act has introduced two new provisions for civil marriage: couples are able to marry in a registration district in which neither resides, and also Box 1 Box 2 Requirements to be met for granting approval for premises to solemnise marriages Continuing conditions* which apply following the approval of the premises The local authority may grant approval only if: 1. The room in which a marriage is solemnised must be separate from any other activity on the premises at the time of the ceremony; 1. the premises are readily identifiable, and, in the opinion of the authority, a seemly and dignified venue for the solemnisation of marriages - as judged by their primary use, situation, construction, and state of repair; 2. the premises are to be regularly available to the public for use for solemnising marriages; 3. the premises possess adequate fire precautions and fulfil the health and safety requirements both for people working there and visiting; 4. the premises must have no recent or continuing connection with any religion, religious practice, or religious persuasion; 5. the room or rooms in which marriages are proposed to be solemnised must be identifiable by description as a distinct part of the premises; 6. the premises fulfil any other reasonable requirement specified by the local authority. 2. All marriage ceremonies must take place in a room which was identified as one for the purpose on the plan submitted with the original application; 3. Notice of approval of the premises for solemnising marriages must be displayed at each public entrance to the premises for one hour or prior to, and throughout, the ceremony. In addition, directions to the room in which the ceremony is to take place must be displayed; 4. The public must be allowed free access to any marriage solemnised on the premises; 5. No food or drink may be sold or consumed in the room in which a marriage ceremony takes place for one hour prior to, or during, that ceremony; 6. Any reading, music, words or performance which forms part of a marriage ceremony on the premises - including any introductory, concluding or interval material - must be secular in nature. Approvals are valid for a period of 3 years. (However the local authority and the Registrar General have powers to revoke approvals.) *Note: the above conditions, a subset of the total, have been summarised from the Regulations6, which should be taken as the complete and definitive guide. Note: the above requirements are summarised from the Regulations6, which should be taken as the definitive guide. O f f i c e f o r N a t i o n a l S t a t i s t i c s 39 P o p u l a t i o n T r e n d s 9 3 | A u t u m n to marry with a civil ceremony at approved premises. This article examines the impact of the latter provision. EARLY GROWTH IN THE NUMBERS OF APPROVED PREMISES AND APPROVED PREMISES MARRIAGES During April 1995, the first month in which premises could be approved for civil marriage by the new Act, ten were given approval by their local authority – see Table 1a. However, there was only one approved premises marriage solemnised in England and Wales that month, and only 14 in total in May – see Table 1b. It would just have been possible to marry with a Superintendent Registrar’s licence on the third day of the premises being approved Table 1a First twenty premises in England and Wales to receive local authority approval to solemnise approved premises marriages Approved premises Type 1 Under the Clock Tower, Wakefield, West Yorkshire Council Owned 23/4/1995 2. Peckforton Castle, Peckforton, Cheshire Historical Interest 27/4/1995 3. Combermere, Near Whitchurch, Cheshire Stately Home 27/4/1995 4. Arley Hall, Arley, Cheshire Stately Home 27/4/1995 5. Tatton Park, Knutsford, Cheshire Stately Home 28/4/1995 6. Green Lawns Hotel, Falmouth, Cornwall Hotel 30/4/1995 7. Polhawn Fort, Torpoint, Cornwall Historical Interest 8. The Saddleworth Hotel, Oldham, Greater Manchester 9. Alverton Manor, Truro, Cornwall 1 9 9 8 (and on the 21st day with a Superintendent Registrar’s certificate). Possibly in the very early days, couples did not know, or were uncertain about the new provisions; possibly, too, the premises which had received approval found they were already fully booked with traditional receptions and other standard business. Combinations of wedding-plus-reception only began to be accommodated later in 1995, probably in line with the usual time needed to plan ahead and make all the practical arrangements. Nevertheless, by the end of 1995, there were almost 800 approved premises; by the end of 1996, some 1,300; and, by May 1998, just over 2,000 (see Box 3). This latter set of approved premises is depicted in Figure 1a, which shows the geographical spread of Table 1b Date of approval First twenty marriages in approved premises in England and Wales, by date of marriage Approved premises Type 1. Under the Clock Tower, Wakefield, West Yorkshire Council Owned 2. The Saddleworth Hotel, Oldham, Greater Manchester Hotel 3/5/95 3. The Saddleworth Hotel, Oldham, Greater Manchester Hotel 3/5/95 4. Chiseldon House Hotel, Chiseldon, Swindon, Wiltshire Hotel 12/5/95 5. Haley’s Hotel and Restaurant, Leeds, Hotel West Yorkshire 13/5/95 6. Leez Priory, Chelmsford, Essex Stately Home 13/5/95 30/4/1995 7. Langley Castle Hotel, Hexham, Northumberland Hotel 19/5/95 Hotel 30/4/1995 8. The Royal Pavilion, Brighton, East Sussex Stately Home 20/5/95 Hotel 30/4/1995 9. The Royal Pavilion, Brighton, East Sussex Stately Home 20/5/95 Council Owned 30/4/1995 10. The Royal Pavilion, Brighton, East Sussex Stately Home 20/5/95 11. Mollington Banistree Hotel, Chester, Hotel Cheshire 1/5/1995 11. The Royal Pavilion, Brighton, East Sussex Stately Home 26/5/95 12. Willington Hall, Willington, Nr Tarporley, Cheshire Hotel 1/5/1995 12. The Royal Pavilion, Brighton, East Sussex Stately Home 26/5/95 13. Finney Green Cottage, Wilmslow, Cheshire Historical Interest 1/5/1995 13. Highfield Hall Hotel, Northop, Clwyd Hotel 28/5/95 14. Statham Lodge Hotel, Lymm, Cheshire Hotel 1/5/1995 14. Hambleton Hall, Oakham, Leicestershire Hotel 29/5/95 15. Walton Hall, Warrington, Cheshire Stately Home 1/5/1995 15. Eastwell Manor, Ashford, Kent Stately Home 30/5/95 16. Goodwood House, Chichester, West Sussex Stately Home 3/5/1995 16. Willington Hall, Willington, Near Tarporley, Cheshire Hotel 1/6/95 17. The Hunting Lodge, Adlington, Cheshire Hotel 4/5/1995 17. Makeney Hall Country House Hotel, Hotel Milford, Derbyshire 2/6/95 18. Municipal Buildings, Crewe, Cheshire Council Owned 4/5/1995 18. The Royal Pavilion, Brighton, East Sussex Stately Home 2/6/95 19. The Chester Grosvenor, Chester, Cheshire Hotel 5/5/1995 19. Leez Priory, Chelmsford, Essex Stately Home 2/6/95 20. The Pinewood Hotel, Wilmslow, Cheshire Hotel 5/5/1995 20. The Saddleworth Hotel, Oldham, Greater Manchester Hotel 3/6/95 10. Council Offices, Melton Mowbray, Leicestershire Date of marriage 29/4/95 Note: In all, there were 7 approved premises marriages on 3/6/1995, with the above one being recorded first on the database. The other 6 included one at Willington Hall, Cheshire, and another at the Chester Grosvenor, Chester, and yet another at Combermere, near Whitchurch. 40 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 Note concerning the growth in the number of approved premises The General Register Office maintains a computerised list of all approved premises in England and Wales updating the list daily. Almost invariably the updating involves adding new premises, but very occasionally an approved premises is deleted from the list, usually on their request. It is unlikely that the list is wholly accurate or complete, since it depends upon notifications being received from local authorities. A set of about 100 printed lists is produced for sale to the public and reprinted when the stock has run out. The monthly numbers of approved premises shown in Figure 3 and Table 3 have been estimated from one of several listings, preserved by the author, for January 1998. The first month that each approved premises was able to solemnise marriages was calculated as 3 years before the date of expiry of their approval. (All approvals are granted for 3 years.) Thus, this calculation gives the correct start date for the vast majority of premises which have continued to solemnise marriages, but obviously does not take account of the few who have not. However, using the list for January 1998, which is less than 3 years after the granting of the first approval, guaranteed that problems of undercounting because of non-renewal of approvals, were avoided. County/ Standard Region A u t um n 1 9 9 8 P o p u l a t i o n T r e n d s these approved premises, also distinguishing those premises which were approved before the end of 1996. As well as there being an expectedly large number in and around the major cities and towns, a number are also situated in the rural, or semi-rural, areas adjacent to centres of population. Such a finding is not surprising since an attractive location undoubtedly is a high priority for couples marrying in approved premises. Box 3 Table 2 | As a special exercise to investigate the geographical variations more thoroughly, the approved premises in the May 1998 list were categorised by type; the results are shown in Figures 1b, 1c and 1d. (Where a premises could be categorised according to more than one type – see column headings in Table 2 – the first column heading which applied was taken as the type. Thus if an approved premises was both a museum and council owned it was classed as a museum.) Overall, hotels, inns and restaurants, etc. tend to be located in and around the main centres of population, whilst the halls, sports and leisure clubs, etc. tend to be in the counties of the North West, in Greater London, Kent and Norfolk. Greater London and the counties to the south of London contain particularly large numbers of stately homes and places of historical interest, but other Metropolitan counties contain relatively few. The same set of data has also been used to derive the profile of approved premises by type for each of the numerically most important counties – see Table 2. Overall, just over one half of all approved premises are hotels, and two thirds are either hotels, inns, pubs, restaurants or suites. Roughly one in 16 approved premises are sports and leisure clubs, and similar proportions are stately homes and places of historical interest. Most of the counties with the largest number of approved premises have an above-average proportion of hotels, and a below-average proportion of stately homes or places of Profile of approved premises, by type, for counties with the largest numbers of approved premises, and for standard regions, May 1998, England and Wales Percentages Hotels Inns and Pubs Restaurants Halls & Suites Sport & Leisure Art & EducaMuseums tional estabs Stately Homes Historical Council Interest Owned Private homes Other Total Number % Kent Cheshire North Yorkshire 28 61 63 2 3 4 6 3 2 5 7 5 6 9 4 1 1 0 4 0 2 14 7 9 5 3 9 18 5 2 7 1 0 4 1 2 100 100 100 83 76 56 Cumbria Lancashire Hampshire 76 65 70 4 7 0 2 4 9 4 9 4 0 7 4 2 0 2 0 0 0 2 4 4 7 2 6 0 0 0 2 0 0 2 2 2 100 100 100 55 54 54 Hertfordshire Gloucestershire Devon 47 75 44 0 8 3 5 3 5 5 0 3 5 3 0 2 0 0 5 0 0 12 0 15 12 10 8 5 3 13 2 0 10 0 0 0 100 100 100 43 40 39 North Yorkshire and the Humber East Midlands 59 2 3 6 5 2 1 8 5 5 1 2 100 125 61 54 1 1 2 5 8 10 4 7 1 1 1 4 5 3 5 5 6 5 1 1 4 5 100 100 168 153 East Anglia South East - of which: Greater London 46 50 4 1 6 7 11 3 8 8 1 2 7 3 1 7 4 8 6 6 2 2 2 4 100 100 95 600 46 1 11 1 12 3 3 2 12 4 0 5 100 145 South West West Midlands North West 61 57 56 6 2 4 2 7 6 2 6 7 4 8 11 2 - 1 2 1 7 6 4 7 4 2 7 4 6 2 1 1 2 1 3 100 100 100 254 191 259 Wales 62 3 4 5 7 1 1 6 6 4 0 2 100 167 England and Wales 56 3 5 5 7 1 2 6 6 5 1 3 100 2,012 O f f i c e f o r N a t i o n a l S t a t i s t i c s 41 O f f i c e (a) All types of approved premises + + + ++ + + + + + +++ + + + + + ++ + + + + + ++ + + + + + ++ + + + + + + + ++ + + ++ ++ + + + + + + + + + + ++ + + + + + + + + ++ + + + + + + + + + + ++ + +++ + ++ + + + + + + + + + + ++ + + + + ++ + + +++ + + ++ + + + + + + + + + + ++ + + + + + + + ++ + + + + + + ++ ++ + + + + + +++ + + + + + + + + + ++ + ++ ++ + + + + + + + + ++ + + + + + + + + + + + + + + ++ + ++ + + + + + + + + + ++ + + + + ++ + + + + + + + + + + + + + + + ++ + + + ++++ + ++ + + + + + + + ++ + + + + +++ +++ + + + + +++ + + + + + + ++ ++ +++ + + + + + + + + + + + + +++ + + + + + + + + + + + ++ +++ + + + ++ + + + + + ++ + + + + + + + + + + + + + ++ + + ++ + + + + + + ++ + + ++ + + + + + + ++ + + ++++ + + ++ + + + + + + + + + + + + +++ + + ++ + + + + + + ++ ++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + ++++ + + + + ++ + + + + + ++ + + + + + 1 9 9 8 + + + + A u t u m n + + + + ++ + + ++ + + + + + + + ++ ++ + + + + + + + + + + + + + + ++ + + + + + + + + +++ ++ ++ + + + + + + + + + + + + + + +++ + + ++ + + + ++ ++ + + ++ + + + + + + ++ + + + + ++ + ++++ + + + ++ + ++ + ++ + +++++ ++ + + + + + + + + + + ++++++ + + + + + + ++ + + + + + + + + + + + ++ + + + + + + + + + + + ++ + + + + + + + + + +++ ++++ + ++ + + + + + + + ++ ++ ++ + + +++ + + + + +++ + + + + + + + + + + + + + + ++ + ++ +++ + + + + + + + + + +++ + + + + + + + + + ++ + + + + + + + + + ++ + + + + + + + ++ + + + + + + ++ + + + + + + + + + + ++ + ++ + ++ + + + + + + + + + + + + + + + + + + + ++ + + + + ++ + + ++ + + + + ++++ + + + + + ++ + + ++ + + + + + + + + + + ++ + + + + + ++++ +++ + + ++ + + + + + + + + + + + + + +++++++ ++++ + + ++ + + + + + + + + + ++ + + + + + + + + ++++ + ++++++ + + + + + + + ++ + + + +++ + + +++ +++++++ + + + + ++ + + + + + ++ + + + + + + + + + + + + + ++ + ++ + + ++ + + + + + + + + + + + + ++ ++ + + ++ ++ +++ + ++ + + ++ + + + + + ++ + + + + + + + ++ ++ + + ++ + + + + + + + + ++ + + +++++ + + + + ++ ++ + + + + + + + + ++ + + + + + + + ++ + + ++++ +++ +++ + ++ + + + ++ ++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++ + + ++ ++ ++++ +++ + +++ ++ + + ++ + + + + ++ + + | S t a t i s t i c s + + ++ + + + + + ++ + + ++++ + + ++ + 9 3 N a t i o n a l + + + + T r e n d s f o r (b) Hotels, inns, pubs, restaurants and suites . .. . . . ....... . . . ..... . . . . ... Period in which premises . . . . were approved : .. . . Apr 95 - Dec 96 .. ... ... . ...... ... . .. ... ... . .... .. . . .. . .. Jan 97 - May 98 . . .. . . .. .. . . . . .. . .. . . .. .. . .. . .. . . ... . . . .. . . . . .. . .. ... . ....... . . . ................ ............. . . .... . .. . . .. .................. ........... . . . ... ................. ........ .. . . . ..... .......... ........... . . ... . .... ........ .. . ... . . . . . . . . . . . . . . . . .. .. ....... ..... .... ........ ... . .. ... .. . . . .. ....... ....... ........... .. ... .. . . ... ... .. .. ... . .......... .. .. . . . . . . . ... . . ... .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . .... ... ..... . . . . .. . .. .... ... .. . . . . . . . . ...... .... .. . .. .. . .. . . . . . . . .. . .. . .. . . . . .. . . . ... . .. . .. . .. . ..... ........... ... ... . . . .. .. .. . . ...... .......... ... ... . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ...... . . .. . . . . . .. . .. .. ................. . . .. . . ..... .. . . . . .. .. . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . .. . . .. . . . .. .. . . . . ... . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .. .. . .. .. . . . . .. . .. ....... .. . .. . . ... . . . .. . .. . . .... . ..... .. . . . ..... ..... .. . . .. .. .. ... ................... ... .. . .... .... . . .. .. . ..... .. . ..... .. .. . . . . . . . . . . . . . . . . . . . . . .... .. . ... .. ..... ..... . .. .... ...... . . . . ... .... . . .. ......... .... . . . . ... . . . . .. ..... ... .... .. .. . . . .. . . .. . . . . . .. .. . . .... . . . .. .......... . . .. . . . . .. . .. . .. ..... ........... .. . . . ... .. . . . . .. .............. ........... . ............. . . .. .. . . .. ............. ...... . .. . ...... ... . . . . . . . .. . . . .. .... .. . . .. . .... .. . . .... . . .. .. . ... . .. .. .. ... . . . . . . . . . . . . .. ....... . . .. . .. . . ....... . . . .. .. .... . . . . . . .. .. . . . . . . . . . . . . . .. .. ....... .. .. . . .. . . . . + + P o p u l a t i o n 42 Geographical distribution of approved premises for solemnising marriages, England and Wales Figure 1 Figure 1 (continued) Geographical distribution of approved premises for solemnising marriages, England and Wales (c) Halls, sport and leisure, art establishments, museums, and educational establishments (d) Stately homes and buildings of historical interest . . . .. .. . . . Period in which premises were approved : . Apr 95 - Dec 96 + Jan 97 - May 98 + + + + + + + . + + ++ + ++ + + + + + f o r + + + + + + + + + ++ + + + + + + + + + + ++ + + + + + + + + + + ++ + ++ ++ + + ++ + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + ++ + + + + + + + + + + + ++ ++ + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + + . ... . ++ + + + .... . . . . + +++ + + + + + + + + + + + + + 43 T r e n d s S t a t i s t i c s + + + P o p u l a t i o n N a t i o n a l + + + + + 1 9 9 8 + + + + + A u t um n ++ +++ + . . . . . . ... . . . . . .. .. . .. . . . . . . .. . . . . . . . . . . . . . . . . .... . ... .. . . .. . . . .. . . . . . . . .. . ... . . .. .. . . . . . . .. . .. . . . . . ... . . ... . . . .. | O f f i c e + +++ + 9 3 + + ++ + + + + + . . . . . ... .. . . .. ... . .. ... . . . .. . ... . . . . . . . ..... .. .. . . . . . . .. .. ... . .. . . . . . . .. . . . . .. . . . . . . .. . . . . . . . . . . .. .. . . . .. . . . . . . .. ......... . . . . . . . . .. . . . . . . . .. .. + + + + + + . . . . ++ + + + + .. + P o p u l a t i o n T r e n d s 9 3 | A u t u m n 1 9 9 8 premises took place in the counties of: Kent (771), Essex (701), Cheshire (679), Hertfordshire (501), Lancashire (481), Cumbria (476), and Hampshire (452). (In addition, there were 957 marriages in approved premises in Greater London – although each London Borough acts independently with regard to approved premises, and so Greater London is not strictly comparable to the other county authorities. The two London Boroughs with the most approved premises marriages in the year up to 1 April 1997 were Westminster (185), and Richmond upon Thames (132).) This article will, however, concentrate on the first 13/4 years of the operation of the Act, that is from 1.4.95 to 31.12.96, since definitive statistical information derived from copies of marriage entries5 is available for that period, during which approved premises marriages had already become firmly established. historical interest. Three quarters of the approved premises in Cumbria and Gloucestershire are hotels, whilst almost one quarter of approved premises in Hertfordshire and Devon are either stately homes or places of historical interest. Kent and Devon have relatively high numbers of council-owned approved premises; some of which are former register offices which have been converted following the rationalisation and amalgamation of registration districts, but which still provide a marriage service to the public. To a large extent, the counties with the largest numbers of approved premises have also been the counties with the most marriages in approved premises - a not unexpected finding. In fact, evidence4 from Superintendent Registrars’ administrative returns has shown that, during the year up to 1 April 1997, that is, during the second year of the Act, the largest numbers of marriages in approved Percentage of marriages which were solemnised with a civil ceremony, distinguishing register office, RO, and approved premises, AP, marriages, 1986-96, England and Wales Percentage of all marriages which were civil marriages Figure 2 80 70 AP 60 AP 50 40 30 10 0 S D M J 1986 Percentage of all marriages which were civil marriages RO RO 20 M J 80 70 S D M J 1987 S D M J S D M J 1989 1988 S D M J 1990 S D M J S D M J 1992 1991 S D M J S D M J 1994 1993 S D M J 1995 S D 1996 (b) quarterly percentages for each of the four quarters March March ● ● ● 60 50 ● 40 June ● ● ● ● ● ● ● ● ● ● ● ● September ● ● ● December● ● ● ● December ● ● ● ● ● ● ● ● ● ● ● June ● September ● ● AP ● 30 20 RO 10 0 M J S D M J 1986 44 Marriage Act 1994 (marriages in approved premises) (a) annual and quarterly percentages O f f i c e S D M J 1987 f o r S D M J 1988 S D M J 1989 N a t i o n a l S D M J 1990 S D M J 1991 S t a t i s t i c s S D M J 1992 S D M J 1993 S D M J 1994 S D M J 1995 S D 1996 9 3 | A u t um n 1 9 9 8 P o p u l a t i o n T r e n d s number of premises which were granted approval for solemnising marriages grew fairly rapidly between April and August 1995; the pace slackened slightly thereafter, but there was nevertheless a uniform increase of between 40 and 50 new approved premises each month until the end of 1996. T R E N D S I N C I V I L M A R R I AG E OV E R T H E PA S T DECADE Before considering in detail the period when the Act was in operation, it is useful to review trends over the last decade, as background. Figures 2(a) and (b) illustrate the observed proportions of civil, register office, marriages - on a quarterly basis - over the period from 1986 up to the first quarter of 1995. Then, from June quarter 1995 up to the December quarter 1996, the additional proportion of civil marriages, due to approved premises marriages, is shown as the extra layer of increasing thickness. In Figure 2(a) the proportions are plotted for successive quarters, and the annual proportions as well, whilst in Figure 2(b) they are plotted separately for the March quarters, the June quarters, and so on. In distinct contrast, the monthly number of approved premises marriages varied considerably; after an initial and consistent monthly rise, they fell back in the latter part of 1995, and similarly fell more substantially in the final months of 1996 after a considerable and sustained increase in numbers during the first three quarters of 1996. The fact that a similar pattern of fall occurred in the last quarter of both years suggests that approved premises marriages varied seasonally – even during the very early stages of their introduction. To some extent this conclusion is substantiated from the trend in the proportion of all monthly marriages which were approved premises marriages – the growth was fairly uniform, suggesting that approved premises marriages grew linearly – with a superimposed seasonality which was approximately the same as that of all marriages. Several conclusions can be drawn. Civil marriages, as a proportion of all marriages, grew slightly over the years up to 1994. After 1994, the proportion of register office marriages - which of course corresponded to all civil marriages before 1995 - increased at a faster rate, and the extra proportion, due to approved premises marriages, caused the total proportion of civil marriages to rise yet further. However, during 1996, the proportion of marriages which were register office marriages fell back slightly, although civil marriages as a whole continued to increase as a proportion of all marriages. Civil marriages formed 52 per cent of all marriages in 1994, but 55 per cent in 1995, and 59 per cent in 1996. As was mentioned above, several counties have accounted for relatively large numbers of approved premises marriages; in fact, during the first 13/4 years of the Act, over one quarter of all approved premises marriages were solemnised in just seven counties. The proportions of all approved premises marriages which were solemnised in each of these counties, are shown at sixmonthly intervals in Table 3. TRENDS BETWEEN APRIL 1995 AND DECEMBER 1996 Although there were only 62 approved premises marriages in the whole of England and Wales during June 1995, Cheshire, Essex and Kent together accounted for 26 of them – that is, over two in every five. Evidently businesses in these three counties A closer examination of the trends in the numbers of approved premises, and marriages in them, during the period from April 1995 to December 1996 is made possible from Figure 3. The Trends in numbers of approved premises* and related marriages, 1995-96, England and Wales Figure 3 * estimated see Box 3 8 3200 3000 7 2800 2600 6 Number of approved premises marriages (l.h. scale) 2200 Number 2000 5 1800 Approved premises marriages as a percentage of all marriages (r.h. scale) 1600 1400 1200 4 Percentage 2400 3 Number of approved premises (l.h. scale) 1000 800 2 600 400 1 200 0 0 Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr 1995 May Jun Jul Aug Sep Oct Nov Dec 1996 O f f i c e f o r N a t i o n a l S t a t i s t i c s 45 P o p u l a t i o n Table 3 T r e n d s 9 3 | A u t u m n 1 9 9 8 Approved premises and approved premises marriages for the counties with the largest numbers*, percentages of the national total, selected months, 1995/96 Percentages County Approved premises marriages Jun-95 Kent Essex Cheshire Hertfordshire Lancashire Cumbria Hampshire Greater London** Remaining counties England & Wales % England & Wales - no. Dec-95 Approved premises Jun-96 Dec-96 Jun-95 Dec-95 Jun-96 Dec-96 10 15 18 7 4 3 5 5 4 4 5 3 5 2 14 5 2 7 4 2 6 3 2 5 2 0 5 2 2 4 5 3 3 4 4 3 1 0 2 2 3 3 2 4 3 3 3 3 0 0 52 3 6 70 3 6 67 3 5 68 1 1 73 2 8 69 2 9 68 3 8 70 100 62 100 525 100 1,599 100 834 100 271 100 781 100 1,085 100 1,315 * Ranked according to the estimated numbers of approved premises marriages in 1996/97 (1.4.96 to 31.3.97) ** Greater London, although technically a county, is not strictly equivalent to the others, since each London Borough is autonomous regarding approved premises. Note:numbers of marriages derived from copies of marriage entries; numbers of approved premises derived from list as at January 1998 (see Box 3) were particularly quick in applying and obtaining approval to solemnise marriages, perhaps encouraged by their county authorities who recognised early on the potential benefits of increased numbers of marriages in their areas. By the end of 1995, the picture had changed, primarily because the number of approved premises in the other counties which were to rank in the top set had begun to catch up in relative terms, with the early lead set by Cheshire, Essex and Kent. This was the case for Hampshire and Lancashire. By December 1996, the relative shares of the first seven counties had stabilised and together accounted for around one quarter of all marriages in approved premises. Table 3 also shows the corresponding percentage of all approved premises which were in the same set of counties. One in 7 of all the approved premises in June 95 was in Cheshire, but this proportion fell to one in 19 by December 96. In contrast, there were no approved premises in Lancashire in June 95, but by December 96 the proportion was one in 29 of all approved premises in England and Wales. ;; ;;; ;; ;; yy ;; yy ;;; ;; ;;; ; ;;;yy yyy ;; ;;; yyy ;; yy ;; yy ;; ;;; ; ;;;;;; yyyyyy ;; yy y ; ;;; yyy ;; yy ;; yy ;;;;;; yyyyyy ;; yy y ; ;; yy ;; ; ; ;;;;;; yyyyyy ;;; yyy ;; yy ;;; yyy ;;; yyy ;; yy ;;;;;; yyyyyy ;;; yyy ;; yy y ; ; ; yyy ;; ;;; yyy ;;; yyy ;; yy ;; ; ;; ;;;;;; yyyyyy ;;; yyy ;;; yy ;;; yyy y ; yy ;; y ; ;;; yyy ;;; yyy ;; yy ;; yy ;;;;;; yyyyyy y ; ;;; yyy ;; yy ;; yy y ; ;;; yyy ;;; yyy ;; yy ;; yy ;;; ;; ;; ; ;; ; ;;;;;yyy ;;; ;;; yyy ;;; yyy yyyyy ;;; yyy ;; yy ;;;;;yyy ;;; ;;;yyy yyy ;;; yyyyy ;;;;; yyyyy ;; ;; ; ;;;;; yyyyy Figure 4 Marriages in approved premises, as a percentage of all marriages, by county of England, and for Wales, 1995/6* * 1.4.95 –31.12.96 Percentage, p, for England and Wales = 3.35 0 < p < 2.35 2.35 < p < 4.35 4.35 < p Greater London 46 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 | A u t um n 1 9 9 8 P o p u l a t i o n T r e n d s NUMBERS AND CHARACTERISTICS OF APPROVED P R E M I S E S M A R R I AG E S C O M PA R I S O N W I T H R E G I S T E R O F F I C E A N D RELIGIOUS MARRIAGES There were just under 18 thousand approved premises marriages up to the end of 1996 in England and Wales. Overall, during the entire 21 month period, marriages in approved premises accounted for 3.4 per cent of all marriages in England and Wales – that is, about one in 30. This proportion varied considerably by county as Figure 4 demonstrates. Most of the more urban counties had below-average proportions of approved premises marriages, but the surrounding counties, mostly rural, had aboveaverage proportions. In general, there were comparatively few approved premises marriages in the counties of East Anglia and the East Midlands – a finding consistent with the small number of approved premises in those counties shown in Figure 1a. In general, couples marrying in approved premises were the eldest, followed by couples marrying in register offices, with couples marrying with a religious ceremony being the youngest of all (Table 5). Certainly, the largest difference between couples marrying in approved premises and those marrying in a register office or with a religious ceremony was in the proportion of brides who were in their early twenties: one in 9, very low, for approved premises; one in 5 for register offices; and a comparatively high proportion of one in 3 for religious marriages. Conversely, over one quarter of brides marrying in approved premises were in their early thirties, a larger proportion than for register office weddings or religious marriages. Of course, the age profile observed in the very early days of the new Act will not necessarily persist; for example, special factors associated with the introduction of the new provision which might have resulted in some groups marrying – or not marrying – in approved premises could subsequently disappear. However, it is unlikely that such an effect would radically alter the age profile. Table 4 considers further the proportion of all marriages which were solemnised in approved premises. The proportion amongst marriages in which the bride was aged 30 or over was above the national average, whereas for marriages where the bride was aged under 25 it was well below. The proportion was half the national average amongst marriages where the bride was in her early twenties, and 11/2 times the national average amongst marriages where the bride was in her early thirties. Possibly the greater expense of marrying at approved premises meant that it was a more realistic option for older couples who wished to marry with a civil ceremony but in an attractive setting; certainly a very small proportion of marriages of teenage brides were solemnised in approved premises. Another factor might be that certain couples who could not marry in church, because they were divorced, judged that a wedding in an approved premises offered the nearest equivalent to a church wedding. Some credence for this latter idea is given from the fact that the largest proportion marrying in approved premises occurred for couples in which a divorced man and a spinster were marrying (Table 4, rhs). In general, the proportions of couples in which one or other partner was remarrying after divorce were larger than the national average, whilst those involving partners both of whom were either single or widowed were smaller. Thus, the first impression of the couples who married in approved premises is that they were more likely to be in their thirties than the average couple who married, and one or other partner was more likely than average to be remarrying after divorce. Table 4 Characteristic of marriage Table 5 also shows that brides and bridegrooms who married in approved premises were not only generally older than those marrying at register offices, but also older than those marrying in each of the main denominations (Table 5). Couples marrying in the Non-conformist denominations were the closest in age profile largely reflecting the high proportions, in both groups, of couples in which at least one partner was remarrying after divorce (52 per cent of all approved premises marriages, and 58 per cent of all Non-conformist marriages.) Table 6 explores further the marital status of the spouses before their marriage. About one in 6 approved premises marriages involved the remarriage of a divorced bride with a divorced bridegroom, and there was a similar proportion amongst Nonconformist marriages. However, there were proportionately more such remarriages amongst register office marriages than those in approved premises. Possibly couples in which both bride and bridegroom were remarrying after divorce may not have wanted to celebrate with a large social occasion, so that a register office wedding was considered preferable, or more appropriate, than one in approved premises. In general, marriages in which both partners were marrying for the first time were relatively only half as numerous amongst civil Numbers of marriages in approved premises, 1995/96,* England and Wales Approved premises marriages All marriages Percentage Age of bride Characteristic of marriage Approved premises marriages All marriages Percentage Marital status before marriage Under 20 20–24 25–29 125 2,029 5,633 147,838 129,918 165,605 0.7 1.6 3.4 Bachelor/spinster Bachelor/divorced woman Bachelor/widow [B/S] [B/Dw] [B/Ww] 8,288 2,473 55 310,347 57,139 2,578 2.7 4.3 2.1 30–34 35–39 40–44 4,858 2,201 1,121 92,951 46,092 27,640 5.2 4.8 4.1 Divorced man/spinster Divorced man/divorced woman Divorced man/widow [Dm/S] [Dm/Dw] [Dm/Ww] 3,018 3,157 207 57,673 80,433 5,580 5.2 3.9 3.7 838 901 21,897 25,972 3.8 3.5 Widower/spinster Widower/divorced woman Widower/widow [Ww/S] [Wm/Dw] [Wm/Ww] 65 308 135 2,289 6,552 5,386 2.8 4.7 2.5 17,706 527,977 3.4 All combinations 17,706 527,977 3.4 45–49 50 and over All ages * April 95 to December 96; during this period 3.4 per cent, about 1 in 30, of all marriages were solemnised in approved premises. O f f i c e f o r N a t i o n a l S t a t i s t i c s 47 P o p u l a t i o n Table 5 T r e n d s 9 3 | A u t u m n 1 9 9 8 Profile of ages at marriage of brides and bridegrooms, by manner of solemnisation, 1995/96**, England and Wales Age at marriage Manner of solemnisation 16-19 20-24 25-29 30-34 35-39 40-44 45-49 50 and over All ages Brides Civil marriages 0.7 4 4 11 18 18 32 25 25 27 19 20 12 12 12 6 8 8 5 6 6 5 7 7 100 100 100 Church of England/ Church in Wales Roman Catholic Non-conformist*** All religious marriages 2 36 41 13 3 1 0.8 2 100 2 2 3 29 23 33 44 30 39 17 19 15 4 10 5 1 6 2 0.7 5 2 2 5 3 100 100 100 All marriages 3 25 31 18 9 5 4 5 100 0.1 1 1 6 12 12 26 25 25 28 21 22 15 14 14 9 9 9 7 7 7 9 11 11 100 100 100 Church of England/ Church in Wales Roman Catholic Non-conformist*** All religious marriages 0.4 21 46 21 6 2 1 2 100 0.7 0.4 0.6 17 13 19 45 29 42 25 23 22 7 13 8 2 7 3 1 6 2 2 8 4 100 100 100 All marriages 0.8 15 32 22 11 6 5 8 100 Approved premises Register office All civil marriages Religious marriages Bridegrooms Civil marriages Approved premises Register office All civil marriages Religious marriages ** April 95 to December 1996, inclusive. *** taken as Methodist, Calvinistic Methodist, United Reformed Church, Congregationalist (Independent), Baptist and Presbyterian. Table 6 Profile of marriages by previous marital status of the spouses, 1995/6+ , England and Wales Civil marriages Previous marital status in combination Approved premises Religious marriages Register office All civil C of E/ C in W* Roman Catholic Nonconformist** All religious All marriages Bachelor/Spinster Bachelor/Divorced woman Bachelor/Widow 47 14 0.3 41 15 0.6 42 15 0.5 89 3 0.4 91 3 0.5 39 16 0.4 80 5 0.4 59 11 0.5 Divorced man/Spinster Divorced man/Divorced woman Divorced man/Widow 17 18 1 14 24 2 14 24 2 4 2 0.2 3 0.7 0.1 22 17 2 7 5 0.5 11 15 1 Widower/Spinster Widower/Divorced woman Widower/Widow 0.4 2 0.8 0.4 2 1 0.4 2 1 0.4 0.3 0.9 0.5 0.3 1 0.4 2 1 0.4 0.6 1 0.4 1 1 100 17.7 100 275.6 100 293.3 100 154.3 100 28.1 100 38.8 100 234 100 528 All combinations - percentage All combinations - thousands + * ** April 95 - Dec 96, inclusive. Church of England/Church in Wales. taken as Methodist, Calvinistic Methodist, United Reformed Church, Congregationalist (Independent), Baptist and Presbyterian. 48 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 Table 7 | A u t um n 1 9 9 8 P o p u l a t i o n T r e n d s Marriages by day of the week, 1995/96*, England and Wales Percentages Manner of solemnisation Day marriage solemnised Sunday Monday Tuesday Wednesday Thursday Friday Saturday Total Civil marriages 10 0.7 3 6 6 2 6 6 2 7 7 4 8 8 22 23 23 56 50 51 100 100 100 Church of England/ Church in Wales Roman Catholic Non-conformist** All religious marriages 2 3 3 4 0.6 1 0.8 0.8 0.3 0.5 0.5 0.5 0.4 0.7 0.7 0.6 0.4 0.9 0.9 1 4 8 5 5 92 86 89 89 100 100 100 100 All marriages 2 4 3 4 5 15 68 100 Approved premises Register office All civil marriages Religious marriages * ** April 95-Dec 96, inclusive. taken as Methodist, Calvinistic Methodist, United Reformed Church, Congregationalist (Independent), Baptist and Presbyterian. marriages as those amongst marriages solemnised with a religious ceremony. However, almost one half of all approved premises marriages were such first marriages, a slightly larger proportion than that for register office marriages of two in every 5. Undoubtedly a number of couples, especially those marrying for the first time, might well have decided that approved premises offered an atmosphere and sense of occasion which formerly only marriages in church were able to provide. W E D D I N G D AY O F T H E W E E K One other feature sharply distinguishes approved premises marriages from register office and religious marriages; the profile by day of the week on which the weddings took place 7 (Table 7). In particular, Sunday weddings accounted for one in 10 of all marriages in approved premises, compared with a negligibly small proportion of register office marriages, and only one in 25 of all religious marriages. Register offices do not open on Sundays (and many do not open on Saturday afternoons), and Sundays are obviously particularly busy days for churches and chapels. In contrast, approved premises are often, by their very nature, as, for example, hotels or sports or leisure clubs, much more geared to be open on Sundays. Overall, two thirds of approved premises marriages took place on Saturdays or Sundays, compared with only one half of register office marriages. At first sight, this pattern suggests that approved premises have been chosen by couples who wished to celebrate their marriage with a social occasion and gathering – which is always easier to organise on Saturdays or Sundays. However, a more likely explanation is that couples wishing to marry at register offices on Saturdays have had a more limited choice because of fewer wedding ‘slots’; that is, the observed pattern reflects the ‘supply’, rather than the ‘demand’, for weekend marriages. The proportion of Sunday weddings amongst all marriages in approved premises, about one in 10, was the same for every age of bride – see Figure 5. The corresponding proportion for Friday weddings was also much the same for every age of bride, unlike the proportion for Friday weddings amongst all marriages, where it dipped for those in their late teens and early twenties. Overall the variation with bride’s age was most pronounced for Saturday marriages, although the proportion of Saturday marriages amongst all marriages peaked far more decisively for brides in their early twenties than did the corresponding proportion amongst marriages in approved premises. I D E N T I C A L A D D R E S S E S AT M A R R I A G E Couples who married in approved premises were more likely to have cohabited pre-maritally – as measured by the partners giving identical residential addresses just before their marriage – than couples marrying either in register offices or with religious ceremonies (Table 8). (Previous work 8 has indicated that identical addresses at marriage is a good overall proxy variable for premarital cohabitation.) Six in every 7 couples marrying in approved premises gave identical addresses, double the proportion for couples marrying with religious ceremonies and slightly higher than for couples marrying in register offices. Table 8 also indicates that, for every combination of the two spouses’ marital statuses before marriage, the proportion of couples marrying in approved premises who gave identical addresses was generally higher than the corresponding proportion amongst couples marrying in register offices. The differential was greatest amongst couples both of whom were marrying for the first time. Possibly couples marrying in approved premises were more likely to have bought a home before their marriage – and lived together in it – than their counterparts who married in register offices. M ARRIAGE S IN APPROVE D PRE M IS E S - AT TH E EXPENSE OF REGISTER OFFICE OR RELIGIOUS MARRIAGES? An obvious question arises as to which pre-existing form of marriage lost the marriages which were solemnised in approved premises during 1995/96. Of course, it is possible, indeed likely, that approved premises marriages were at the expense, to varying extents, of every existing type of marriage. It is also conceivable – just! – that the advent of approved premises might have generated some extra marriages – that is, ones which would not otherwise have taken place. (Whilst this latter possibility is fairly remote, especially when viewed against the overall long-term trend of declining numbers of marriages, a more plausible proposition is that certain marriages, which would have taken place anyway, were postponed until the imminent option of marrying in approved premises became a reality.) A further possibility is that some – or all of the approved premises marriages would have been solemnised abroad as part of a holiday-plus-wedding combination. The method adopted to estimate how the approved premises marriages would have been solemnised depends on three assumptions. The first is that the marriages would have taken place O f f i c e f o r N a t i o n a l S t a t i s t i c s 49 P o p u l a t i o n Figure 5 T r e n d s 9 3 | A u t u m n 1 9 9 8 Prcentages of marriages which were solemnised on Fridays, Saturdays and Sundays, for approved premises marriages (AP), and all marriages, 1995/96*, England and Wales *1.4.95 - 31.12.96 100 90 80 70 Sat marriages amongst all marriages Percentage 60 50 Sat marriages amongst AP marriages 40 30 Fri marriages amongst AP marriages 20 Fri marriages amongst all marriages Sun marriages amongst AP marriages 10 Sun marriages amongst all marriages 0 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 Age of bride Table 8 Percentage of marriages in which the spouses’ addresses before marriage were identical,* 1995/96,+ England and Wales Civil marriages Previous marital status in combination Approved premises Religious marriages Register office All civil C of E/ C in W** Roman Catholic Nonconformist++ All religious All marriages Bachelor/Spinster Bachelor/Divorced woman Bachelor/Widow 86 86 69 78 82 69 78 82 69 38 58 46 53 67 54 52 72 48 41 65 47 55 78 61 Divorced man/Spinster Divorced man/Divorced woman Divorced man/Widow 86 88 76 84 87 76 84 87 76 48 71 54 63 73 27 68 79 59 60 75 56 77 85 72 Widower/Spinster Widower/Divorced woman Widower/Widow 66 67 59 68 70 55 68 70 55 35 46 31 36 45 32 34 53 32 34 48 31 54 66 44 All combinations 86 81 81 39 54 63 45 65 * + ** ++ for marriages in each category in the Table, the proportion where the addresses were different was the complement of 100 per cent April 95-Dec 96, inclusive Church of England/Church in Wales taken as Methodist, Calvinistic Methodist, United Reformed Church, Congregationalist (Independent), Baptist and Presbyterian 50 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 Table 9 Age of bride | A u t um n P o p u l a t i o n T r e n d s Predicted numbers of marriages by type which the 1995/96 approved premises marriages would have been, had the option to marry in approved premises not been available, 1995/96, England and Wales * based on the distribution of marriages, by characteristics given below, during 1994 - see text Previous marital status Civil, RO, marriages All religious marriages All marriages Numbers of marriages** Civil, RO, marriages All religious marriages+ C of E/ C in W Roman Catholic NonConformist All marriages 0.6 10 0.3 2 0.1 12 Percentages** of all 17,706 approved premises marriages Under 25 B/S B/Dw Dm/S Dm/Dw Other Total 607 39 214 14 2 876 1,138 11 126 2 1 1,278 1,745 50 340 16 3 2,154 3 5 25–29 B/S B/Dw Dm/S Dm/Dw Other Total 1,242 374 660 194 17 2,487 2,554 139 409 35 10 3,147 3,796 513 1,069 229 26 5,633 7 4 30–34 B/S B/Dw Dm/S Dm/Dw Other Total 947 702 683 557 44 2,933 1,245 244 305 112 19 1,925 2,192 946 988 669 63 4,858 35–39 B/S B/Dw Dm/S Dm/Dw Other Total 250 418 309 606 54 1,637 207 124 97 114 22 564 457 542 406 720 76 2,201 40 & over B/S B/Dw B/Ww Dm/S Dm/Dw Dm/Ww Wm/S Wm/Dw Wm/Ww Total 66 347 20 178 1,300 123 11 197 68 2,310 32 76 12 37 223 36 13 57 65 551 98 422 32 215 1,523 159 24 254 133 2,860 B/S B/Dw B/Ww Dm/S Dm/Dw Dm/Ww Wm/S Wm/Dw Wm/Ww Total 3,112 1,880 34 2,044 2,671 160 34 239 69 10,243 5,176 594 21 974 486 47 31 70 66 7,465 8,288 2,473 55 3,018 3,157 207 65 308 135 17,706 All ages 1 9 9 8 6 5 0.7 7 5 0.7 1 14 11 2 1 2 0.8 0.1 1 14 18 12 2 3 5 4 4 7 1 2 5 0.4 0.6 1 0.1 0.1 0.6 0.8 0.9 17 11 6 1 3 12 5 6 4 0.4 27 1 3 3 2 4 0.4 12 9 3 1 0.4 7 1 0.3 - 0.8 13 3 1 0.2 2 18 11 29 3 21 1 4 0.2 2 2 12 15 6 3 2 0.6 0.3 - 3 2 58 42 25 5 9 21 3 6 1 0.1 32 0.6 2 0.2 1 9 0.9 0.1 1 0.8 16 47 14 0.3 17 18 1 0.4 2 0.8 100 + includes marriages in other religious denominations than shown. ** components may not sum to totals because of rounding; see Table 4 for abbreviations for previous marital status. in some form anyway (that is, no extra marriages were generated); and the second is that they would have been solemnised in England and Wales. The third assumption is that the age of the bride and the previous marital status of both the bride and the bridegroom can be used to predict the manner of solemnisation and denomination of the marriage they would have had, had they not married in approved premises. Details of the calculation are given in Box 4, and the results in Table 9. The results of this calculation indicate that 58 per cent – almost six in every 10 – of the approved premises marriages would have been register office marriages, and 42 per cent religious ceremony marriages. Comprising this 42 per cent, 26 per cent of all approved premises marriages would have been Anglican marriages (that is, those in the Church of England or Church in Wales); 9 per cent would have been in one of the Non-conformist denominations; 5 per cent in the Roman Catholic Church, and the remaining 2 per cent with other religious ceremonies. Hence, on the assumptions made, it is estimated that approved premises marriages would have taken place in register office and religious ceremony marriages in roughly the ratio 3 to 2. These findings appear quite plausible, although it should be remembered that in practice another factor came into play; the ability of couples to marry in any register office from 3 January 1995. This provision undoubtedly resulted in the growth in register office weddings – which perhaps more than offset the loss of register office marriages to those in approved premises – see Figure 2. In any event, the resultant effect was that the proportion of religious marriages was reduced, not only by the advent of new marriages in approved premises, but also by an increased popularity of register office weddings. O f f i c e f o r N a t i o n a l S t a t i s t i c s 51 P o p u l a t i o n T r e n d s 9 3 | A u t u m n 1 9 9 8 OVERALL CONCLUSIONS Box 4 Method used to estimate how the approved premises marriages would have been solemnised The method relies on disaggregating the total number of approved premises marriages by two demographic characteristics - the age of the bride, and the previous marital status of both the bride and the bridegroom in combination.To complete the calculation, a special tabulation was produced of marriages during 1994 by these same characteristics, plus another: the manner of solemnisation - that is, by whether the marriage was a civil (register office) one, or a religious marriage, and, if the latter, the denomination. Using this latter 1994 tabulation, the proportions of marriages which were civil (register office), and each of the different denominations were calculated for marriages in each age at marriage/marital status combination category. These same proportions were then applied to the 1995/96 number of approved premises marriages in the same category to give estimates of the numbers of the different kinds of marriage they most likely would have been, had they been solemnised in 1994. This procedure was repeated separately for each age at marriage/marital status combination category, and the total numbers of expected civil, register office, marriages and religious marriages by denomination subsequently obtained; the results are given in Table 9. Marriages in approved premises have become an important new element in the overall pattern of marriage, with the numbers growing quickly within the first 21 months of the implementation of the new Act. In addition, register office marriages have also grown as a proportion of all marriages since the advent of the new Act, mostly due to the provision of the Act allowing couples to marry in any register office, but also due to local authorities spending money to make their register offices more attractive places in which to marry. More generally, the advent of marriage in approved premises, and improvements in register offices, have evidently quickened the pace of the secularisation of marriage. References 1. 2. 3. 4. 5. 6. 7. 8. Marriage Act 1994 (1994 Chapter 34; 3rd November 1994) (steered through Parliament, with Government support, by Gyles Brandreth, MP and Baroness Seccombe.) (The law in Scotland already allowed couples to marry outside their district of residence.) Marriage Act 1836 and Registration Act 1836 (both came into effect on 30 June 1837). (The marriage laws of England and Wales have remained largely unchanged since the Marriage Act of 1836 which first introduced the concept of a civil marriage ceremony.) John Haskey. Trends in marriage and divorce in England and Wales: 1837-1987. Population Trends, 48, HMSO (1987), pp.11-19. First data for marriages at ‘approved premises’, First Release ONS (98)62 (12 March 1998). John Haskey. The Marriage Act 1994: implications regarding the routine collection of information on the newly provided arrangements for civil marriage. (Internal memorandum advocating the routine coding of approved premises marriages on the marriages computer database.) July 1995. Registration of births, deaths, marriages, etc. England and Wales; The Marriages (Approved Premises) Regulations 1995. (Statutory Instruments 1995 No 510). John Haskey. The day of the week on which couples marry. Population Trends, 85. The Stationery Office (1996) pp.45-52. John Haskey. Spouses with identical addresses before marriage: an indication of pre-marital cohabitation. Population Trends, 89. The Stationery Office (1997) pp.13-23. Acknowledgements Thanks are due to Registration Division – and to Selwyn Hughes and Isobel Macdonald Davies in particular – for their help and advice in writing this article. The author alone is responsible for the views expressed and the interpretations given in this article. 52 O f f i c e f o r N a t i o n a l S t a t i s t i c s 9 3 | Autumn 1 9 9 8 P o p u l a t i o n T r e n d s Tables table page 1 54 2 3 55 55 4 57 5 58 6 7 59 61 Constituent countries of United Kingdom 8 62 England and Wales 9 64 England and Wales 10 64 England and Wales 11 65 England and Wales 12 66 Constituent countries of United Kingdom 13 67 England and Wales England England and Wales 14 15 16 68 69 70 England and Wales 17 72 United Kingdom United Kingdom United Kingdom 18 19 20 73 74 75 United Kingdom 21 76 England and Wales 22 77 England and Wales England and Wales 23 24 78 79 Population To enlarge the view select the HAND tool and click in the area of the text when an arrow appears on the HAND. Continue clicking the arrowed hand tool to advance down the list. International National Subnational Subnational Components of population change Age and sex Age, sex and marital status Selected countries Constituent countries of United Kingdom Health regions of England Government Office Regions of England Constituent countries of United Kingdom Constituent countries of United Kingdom England and Wales Vital statistics Summary Live births Age of mother Outside marriage: age of mother and type of registration Inside marriage: age of mother and birth order Conceptions Age of women at conception Expectation of life (in years) at birth and selected ages Deaths Age and sex Subnational Selected causes and sex Abortions Marital status, age, and gestation weeks International migration Age and sex Country of last or next residence Citizenship Internal migration Movements within the United Kingdom Marriage and divorce First marriage: age and sex Remarriages: age, sex and previous marital status Divorce: age and sex O f f i c e f o r N a t i o n a l S t a t i s t i c s 53 P o p u l a t i o n Table 1 Year T r e n d s 9 3 | Autumn 1 9 9 8 Population and vital rates: international United Austria Kingdom (1) (2) Population** (thousands) 55,928 1971 1976 56,216 1981 56,352 1986 56,852 1991 57,808 Belgium (2) Denmark (2) Finland (2) France (2) Germany Germany (Fed. Rep) (2)* (2)† Greece (2) Irish Italy Republic (2) (2) Luxembourg (2) Netherlands (2) Portugal (2) 7,501 7,566 7,569 7,588 7,818 9,673 9,811 9,859 9,862 10,005 4,963 5,073 5,122 5,121 5,154 4,612 4,726 4,800 4,918 5,014 51,251 52,909 54,182 55,547 57,055 61,302 61,531 61,682 61,066 64,074 78,352 78,321 78,419 77,694 80,014 8,831 9,167 9,729 9,967 10,247 2,978 3,228 3,443 3,541 3,526 54,074 55,718 56,510 56,596 56,751 342 361 365 368 387 13,195 13,774 14,247 14,572 15,070 8,644 9,355 9,851 10,011 9,871 7,989 8,028 8,047 8,059 10,085 10,116 10,137 10,157 5,189 5,205 5,228 5,262 5,066 5,089 5,108 5,125 57,654 65,534 57,899 65,858 58,137‡ 66,715 58,374‡ 81,156 81,438 81,678 10,380 10,426 10,454 10,475 3,574 3,587‡ 3,605‡ 3,626‡ 57,049 57,204 57,301 57,397 398 404 410 416 15,290 15,383 15,459 15,531 9,881 9,902 9,917 9,927 Population changes (per 1,000 per annum) 1.0 1.7 2.9 1971–76 1976–81 0.5 0.1 1.0 1981–86 1.8 0.5 0.1 4.4 1.9 0.0 4.9 3.1 4.9 6.5 4.8 5.0 0.7 0.5 –2.0 -0.1 0.3 -1.8 7.6 12.3 4.9 6.1 2.8 0.3 10.7 2.5 1.8 8.8 6.9 4.6 16.5 10.6 3.2 4.1 3.9 3.1 2.1 1.9 3.2 3.7 3.0 4.4 6.4 5.6 4.8 4.4 3.7 3.3 5.6 4.9 4.2 4.1‡ 4.1‡ 12.3 10.3 4.9 13.0 7.6 6.6 3.5 2.9 7.3 5.6 4.5 2.7 2.0 1.9 3.4 2.7 1.7 1.7 13.9 14.3 14.3 14.6 14.4 7.6 7.0 6.1 4.9 4.6 –0.4 1.4 2.2 1.4 1.1 13.4 12.5 12.0 12.6 14.6 12.0 10.2 12.5 13.1 13.6 13.4 13.0 16.0 14.1 14.2 13.3 10.8 9.7 9.8 11.3 10.5 10.5 10.7 10.4 15.8 15.6 13.3 10.1 22.2 21.3 19.2 15.0 16.0 12.6 10.6 9.9 11.6 11.2 11.6 12.9 14.9 12.6 12.2 13.2 20.3 17.9 14.5 11.8 12.0‡ 11.5‡ 11.4‡ 11.4‡ 13.0 13.4 13.4 12.9‡ 12.8 12.8 12.3 11.8 12.3 12.3 12.5‡ 12.6‡ 11.0 10.5 10.2 10.6‡ 9.8 10.0 9.7 9.7‡ 13.8 13.4‡ 13.5‡ 13.9‡ 9.6 9.3 9.1‡ 9.2‡ 13.4 13.5 13.2 13.7 12.8 12.7 12.3 12.2‡ 11.5 11.0 10.8 11.1 12.1 11.6 11.4 10.5 10.1 10.5 11.1 11.6 9.5 9.3 9.3 9.8 10.7 10.2 10.1 9.2 11.9 11.7 11.6 11.1 12.3 12.2 12.0 11.4 8.6 8.8 9.0 9.3 11.0 10.2 9.4 8.9 9.8 9.7 9.5 9.7 12.2 11.5 11.2 9.7 8.3 8.1 8.3 8.6 11.0 10.1 9.6 10.5 10.7‡ 10.4‡ 10.5‡ 10.4‡ 12.1 11.7 12.1 11.6‡ 10.1 9.4 9.6 9.6 10.9 10.7 10.6 10.7‡ 11.1 10.9 10.8 10.8‡ 9.4 9.4 9.6 9.6‡ 9.7 9.6‡ 9.5‡ 9.5‡ 9.8 9.4 9.3 9.4 9.0 8.7 8.8 8.9‡ 10.7 10.0 10.4 10.8 1993 1994 1995 1996 1991–92 1992–93 1993–94 1994–95 1995–96 58,191 58,395 58,606 58,801 3.4 3.2 3.5 3.6 3.3 12.3 9.3 4.9 2.4 1.6 Live birth rate (per 1,000 per annum) 14.1 13.3 1971–75 1976–80 12.5 11.5 1981–85 12.9 12.0 1991 13.7 12.1 1993 1994 1995 1996 1997 13.1 12.9 12.5 12.5 12.3 11.9 11.5 11.0 11.0 Death rate (per 1,000 per annum) 11.8 12.6 1971–75 1976–80 11.9 12.3 1981–85 11.7 12.0 1991 11.3 10.7 1993 1994 1995 1996 1997 11.3 10.7 10.9 10.9 10.8 10.3 10.0 10.1 10.0 * Excluding former GDR throughout. † Including former GDR throughout. ** Populations estimated as follows. ‡ Provisional ≠ Estimates prepared by the Population Division of the United Nations + Rates are for 1990-95 54 O f f i c e f o r (1) (2) (3) (4) (5) (6) (7) 9.2 9.0 9.2‡ 9.2‡ 9.9 9.5 9.4 9.7‡ 16.8 13.3 5.7 8.8 4.8 3.9‡ 5.0‡ 5.8‡ 8.7 8.6‡ 8.8‡ 8.7‡ At 30 June. Average of populations at start and end of year as given in Council of Europe report. Recent demographic developments in Europe 1997. EU as constituted 1 January 1986 and including countries subsequently admitted. At 1 June. At 31 December. At 1 July for 1971, 1976 and 1987; at 1 March for 1981; UN estimates for 1983–5, data not comparable with other years. At 1 October. (rates for Japan are based on population of Japanese nationality only.) N a t i o n a l S t a t i s t i c s 8983 | | S Au umt u mme nr 11 99 9 7 8 PP oo pp uu l l aat ti io on n TT rr ee nndds s Table 1 continued Spain (2) Sweden (2) European Union (3) 34,190 35,937 37,742 38,537 38,920 8,098 8,222 8,321 8,370 8,617 342,631 350,384 356,511 359,543 366,256 39,086 39,150 39,210 39,270 8,719 8,781 8,827 8,841 369,706‡ 371,005‡ 372,122‡ 10.2 10.0 4.2 3.1 2.4 1.2 4.5 3.5 1.7 2.3 2.0 1.6 1.5 1.5 5.9 5.8 7.1 5.3 1.6 4.9‡ 4.5‡ 3.5‡ 3.0‡ 19.2 17.1 12.8 10.2 13.5 11.6 11.3 14.3 9.9 9.5 9.2‡ 9.0‡ Russian Australia Federation(2) (1) Canada (4) New Zealand (5) China (5) India (6) Japan (7) USA (1) Year Population** (thousands) 1971 1976 1981 1986 1991 139,422 144,475 148,624 13,067 14,033 14,923 16,018 17,284 22,026 23,517 24,900 26,204 28,120 2,899 3,163 3,195 3,317 3,450 852,290 943,033≠ 1,011,219≠ 1,086,733≠ 1,170,052≠ 551,311 617,248 676,218 767,199 851,661 105,145 113,094 117,902 121,672 123,102 207,661 218,035 230,138 240,680 252,177 148,520 148,336 148,141 147,739 17,667 17,855 18,072 18,311 28,947 29,256 29,615 29,964‡ 3,556 3,604 3,658 3,716 1,190,360≠ 1,208,841≠ 1,221,462≠ 833,910 918,570≠ 935,744≠ 123,788 124,069 124,299 124,709 257,783 260,341 262,755 265,284 7.2 14.8 12.7 14.7 13.5 11.8 10.5 18.2 2.0 7.6 19.9 15.2 15.5 23.9 18.8 27.3 0.4 -1.1 -1.2 -1.3 -2.7 12.2 9.9 10.6 12.2 13.2 15.0 14.2 10.7 12.3 11.8‡ 19.0 11.5 13.5 15.0 15.8 11.6 5.7 15.5 10.4 19.0 18.5 39.2 18.7 3.0 2.5 2.3 1.9 3.3 14.7 13.1 12.2 11.7 15.9 15.5 15.1 14.3 20.4 16.8 15.8 17.4 27.2 18.6 19.2 12.1 18.8 15.7 15.6 14.9 35.6 33.4 .. 29.5 18.6 14.9 12.6 9.9 13.5 12.8 11.7 10.8 11.2‡ 10.9‡ 10.7‡ 9.3 9.5 9.2 14.7 14.5 14.2 13.9 13.4 13.2 12.8 16.6 15.9 15.8 15.5 18.5+ 28.7 28.6 9.6 10.0 9.6 9.7 8.5 8.0 7.7 8.6 10.5 10.9 11.0 11.0 10.8 10.6 10.4 10.2 7.4 7.2 7.0 7.0 8.4 8.2 8.1 7.7 7.3 6.6 6.7 11.4 8.2 7.6 7.3 6.9 15.5 13.8 .. 9.8 6.4 6.1 6.1 6.7 8.7 8.6 8.7‡ 8.6‡ 11.1 10.5 10.6 10.6 10.2‡ 9.9‡ 10.0‡ 14.3 15.5 14.9 6.8 7.1 6.9 7.0 7.1 7.1 7.1 7.7 7.5 7.6 7.6 7.2+ 9.3 9.2 7.1 7.1 7.4 7.2 1993 1994 1995 1996 Population changes (per 1,000 per annum) 15.1 10.0 1971-76 8.5 10.9 1976-81 6.4 9.3 1981-86 11.5 10.6 9.9 9.3 9.6 1991-92 1992-93 1993-94 1994-95 1995-96 Live birth rate (per 1,000 per annum) 15.3 1971-75 15.2 1976-80 15.7 1981-85 16.3 1991 15.5 15.2 14.8 14.8‡ 1993 1994 1995 1996 1997 Death rate (per 1,000 per annum) 9.1 1971-75 8.7 1976-80 8.6 1981-85 8.6 1991 8.8 8.8 8.8 8.8‡ 1993 1994 1995 1996 1997 See notes opposite O f f i c e f o r N a t i o n a l S t a t i s t i c s 55 P o p u l a t i o n Table 2 T r e n d s 9 3 | Autumn 1 9 9 8 Population: national Constituent countries of the United Kingdom Mid-year thousands United Kingdom Great Britain England and Wales England Wales Scotland Northern Ireland Estimates 1971 1976 1981 1986 1991 55,928 56,216 56,352 56,852 57,808 54,388 54,693 54,815 55,285 56,207 49,152 49,459 49,634 50,162 51,100 46,412 46,660 46,821 47,342 48,208 2,740 2,799 2,813 2,820 2,891 5,236 5,233 5,180 5,123 5,107 1,540 1,524 1,538 1,567 1,601 1993 1994 1995 1996 58,191 58,395 58,606 58,801 56,559 56,753 56,957 57,138 51,439 51,621 51,820 52,010 48,533 48,707 48,903 49,089 2,906 2,913 2,917 2,921 5,120 5,132 5,137 5,128 1,632 1,642 1,649 1,663 6.4 14.2 41.0 20.3 11.0 7.1 6.4 14.1 41.0 20.4 11.1 7.2 6.4 14.1 40.9 20.4 11.0 7.2 6.4 14.1 41.0 20.3 11.0 7.2 6.1 14.5 38.5 21.0 12.2 7.8 6.1 13.9 41.8 20.3 11.3 6.5 7.5 17.5 42.1 18.0 9.6 5.4 59,618 60,287 60,929 61,605 62,244 57,924 58,576 59,209 59,880 60,519 52,818 53,492 54,151 54,849 55,526 49,871 50,526 51,161 51,832 52,484 2,947 2,966 2,989 3,017 3,043 5,106 5,084 5,059 5,031 4,993 1,694 1,711 1,720 1,725 1,724 5.6 12.2 35.7 27.3 10.6 8.6 5.6 12.1 35.7 27.3 10.6 8.6 5.6 12.2 35.8 27.2 10.6 8.7 5.6 12.2 35.8 27.3 10.5 8.6 5.6 12.4 35.2 26.2 11.3 9.4 5.3 11.8 34.6 28.7 11.1 8.5 5.8 13.1 36.7 27.0 9.6 7.7 of which (percentages) 0–4 5–15 16–44 45–64M/59F† 65M/60F–74† 75 and over Projections* 2001 2006 2011 2016 2021 of which (percentages) 0–4 5–15 16–44 45–64† 65–74† 75 and over * † These projections are based on the mid-1996 population estimates. Between 2010 and 2020, state retirement age will change from 65 years for men and 60 years for women, to 65 years for both sexes. Table 3 Population: subnational New health regions of England (Regional Offices)* Mid-year Estimates 1971 1976 1981 1986 1991 1993 1994 1995 1996 of which (percentages) 0–4 5–15 16–44 45–64M/59F 65M/60F–74 75 and over Projections* 2001 2006 2011 of which (percentages) 0–4 5–14 15–44 45–64M/59F 65M/60F–74 75 and over thousands Northern and Yorkshire + Trent + Anglia and Oxford North Thames South Thames South and West West Midlands North West 6,482 6,512 6,550 6,519 6,600 6,638 6,647 6,649 6,338 4,483 4,557 4,608 4,634 4,720 4,766 4,781 4,796 5,121 4,272 4,531 4,745 4,980 5,175 5,228 5,262 5,315 5,361 6,914 6,695 6,598 6,652 6,742 6,793 6,831 6,872 6,934 6,642 6,567 6,489 6,567 6,680 6,716 6,746 6,781 6,819 5,569 5,789 5,988 6,224 6,426 6,487 6,529 6,569 6,594 5,146 5,178 5,187 5,197 5,266 5,290 5,295 5,306 5,317 6,903 6,832 6,657 6,570 6,600 6,617 6,616 6,614 6,605 6.3 14.4 40.5 20.4 11.4 7.0 6.3 14.0 40.4 20.7 11.4 7.2 6.5 14.3 41.6 20.7 10.3 6.7 6.9 13.7 44.0 19.2 9.7 6.5 6.5 13.4 41.5 20.0 10.7 7.9 5.9 13.6 39.1 20.9 11.9 8.5 6.5 14.6 40.2 20.8 11.2 6.8 6.4 14.8 40.3 20.4 11.1 7.0 6,746 6,792 6,824 4,912 4,989 5,054 5,591 5,783 5,949 7,031 7,170 7,269 6,901 7,002 7,081 6,771 6,922 7,056 5,375 5,418 5,453 6,694 6,735 6,771 5.8 12.4 39.5 22.8 11.7 7.9 5.9 12.5 40.2 22.3 11.3 7.8 6.1 13.1 40.3 22.7 10.7 7.1 6.6 12.9 43.3 21.1 9.6 6.5 6.0 12.4 40.3 22.3 10.9 8.1 5.5 11.9 38.1 23.0 12.1 9.3 6.2 13.0 39.8 22.2 11.2 7.5 6.2 13.1 39.9 22.2 11.2 7.4 * + Areas as constituted in 1996. Population figures for years before 1981 may relate to different areas where boundaries have changed. From 1 April 1996 boundary changes due to local government reorganisation has led to changes in the constitution of the Northern and Yorkshire and Trent health regions. South Humber health authority with 311.3 thousand people - mid 1996 is now included in the Trent region rather than in the Northern and Yorkshire region. Note: Figures may not add exactly because of rounding. 56 O f f i c e f o r N a t i o n a l S t a t i s t i c s 8983 | | S Au umt u mme nr 11 99 9 7 8 Table 4 PP oo pp uu l l aat ti io on n TT rr ee nndds s Population: subnational Government Office Regions of England* Mid-year thousands North East North West and Merseyside North West Merseyside Yorkshire and the Humber East Midlands Estimates 1971 1976 1981 1986 1991 2,679 2,671 2,636 2,601 2,603 7,108 7,043 6,940 6,852 6,885 5,446 5,457 5,418 5,381 5,436 1,662 1,586 1,522 1,471 1,450 4,902 4,924 4,918 4,906 4,983 3,652 3,774 3,853 3,919 4,035 1993 1994 1995 1996 2,612 2,610 2,605 2,600 6,903 6,902 6,900 6,891 5,462 5,468 5,473 5,471 1,441 1,434 1,427 1,420 5,014 5,025 5,029 5,036 6.2 14.4 40.4 20.4 11.8 6.7 6.4 14.7 40.2 20.5 11.2 7.0 6.4 14.7 40.2 20.7 11.0 7.0 6.3 14.9 40.3 19.8 11.6 7.1 2,616 2,610 2,601 6,986 7,029 7,066 5,559 5,611 5,657 5.7 13.3 37.8 23.3 12.0 7.9 6.2 14.4 38.4 22.3 11.3 7.5 6.2 14.4 38.4 22.3 11.2 7.4 of which (percentages) 0–4 5–15 16–44 45–64M/59F 65M/60F–74 75 and over Projections† 2001 2006 2011 of which (percentages) 0–4 5–15 16–44 45–64M/59F 65M/60F–74 75 and over West Midlands Eastern London South East South West 5,146 5,178 5,187 5,197 5,265 4,454 4,672 4,854 5,012 5,150 7,529 7,089 6,806 6,803 6,890 6,830 7,029 7,245 7,492 7,679 4,112 4,280 4,381 4,560 4,718 4,083 4,102 4,124 4,141 5,290 5,295 5,306 5,317 5,193 5,223 5,257 5,293 6,933 6,968 7,007 7,074 7,737 7,784 7,847 7,895 4,768 4,798 4,827 4,842 6.4 14.3 40.7 20.2 11.2 7.2 6.2 14.1 40.4 20.9 11.2 7.1 6.5 14.6 40.2 20.8 11.2 6.8 6.4 13.9 40.3 21.0 11.1 7.3 7.1 13.4 46.1 18.1 9.1 6.2 6.3 13.9 40.4 20.9 10.9 7.7 5.8 13.5 38.5 21.0 12.3 8.9 1,427 1,418 1,409 5,116 5,165 5,205 4,270 4,372 4,459 5,375 5,417 5,453 5,448 5,583 5,700 7,170 7,313 7,407 8,035 8,189 8,320 5,006 5,135 5,248 6.1 14.2 38.6 22.0 11.3 7.7 6.0 13.9 38.7 22.3 11.3 7.8 6.0 14.0 39.0 22.4 11.1 7.5 6.2 14.4 38.5 22.2 11.2 7.5 5.9 13.9 38.1 22.7 11.4 7.9 6.8 14.3 44.0 20.4 8.6 5.9 5.7 13.6 37.6 23.2 11.6 8.3 5.5 13.1 36.7 22.9 12.2 9.6 * For a breakdown of Government Office Regions, see map on page xx. † These projections are based on the mid-1993 propulation estimates. Note: Figures may not add exactly because of rounding. O f f i c e f o r N a t i o n a l S t a t i s t i c s 57 P o p u l a t i o n Table 5 T r e n d s 9 3 | Autumn 1 9 9 8 Components of population change Constituent countries of the United Kingdom United Kingdom 1971–76 1976–81 1991–92 1992–93 1993–94 1994–95 1995–96 1996–97 Great Britain 1971–76 1976–81 1991–92 England and Wales 1971–76 1976–81 1991–92 1992–93 1993–94 1994–95 1995–96 1996–97 England 1971–76 1976–81 1991–92 1992–93 1993–94 1994–95 1995–96 1996–97 Wales 1971–76 1976–81 1991–92 Components of change (mid-year to mid-year or annual averages) Live Deaths Natural Net civilian migration births change Total To/from rest of UK 55,928 56,216 57,808 58,006 58,191 58,395 58,606 58,801 + 58 + 27 +199 +185 +203 +211 +196 766 705 793 764 763 738 723 670 662 639 635 652 632 646 + 96 + 42 + 154 + 130 + 111 + 106 + 77 – 55 – 33 + 45 + 43 + 74 + 108 + 110 54,388 54,693 56,207 56,388 56,559 56,753 56,957 57,138 + 61 + 24 +182 +171 +194 +204 +181 738 678 767 739 738 714 699 653 646 624 620 636 616 630 + 85 + 32 + 143 + 120 + 102 + 97 + 69 – 42 – 25 + 42 + 40 + 73 + 108 + 104 + + – – + + – 49,152 49,459 51,100 51,277 51,439 51,621 51,820 52,010 + 61 + 35 +177 +162 +181 +200 +190 644 612 700 675 675 653 640 588 582 563 558 574 557 569 + 76 + 30 + 137 + 117 + 102 + 96 + 71 – 28 – 9 + 41 + 35 + 63 + 104 + 110 + 10 + 11 – 12 – 8 – 6 + 1 + 3 – – – – + + – 9 3 6 2 1 1 1 46,412 46,660 48,208 48,378 48,533 48,707 48,903 49,089 + 50 + 32 +170 +154 +175 +196 +186 627 577 662 638 638 618 606 552 546 529 524 538 522 534 + 75 + 31 + 133 + 114 + 100 + 96 + 72 – 35 – 11 + 40 + 32 + 59 + 100 + 104 + 1 + 6 – 15 – 11 – 8 — + 1 – – – – + + – 2,740 2,799 2,891 2,899 2,906 2,913 2,917 2,921 + 12 + 3 + 7 + 8 + 7 + 4 + 4 37 35 38 37 37 35 34 36 36 34 34 36 34 35 + – + + + + – 1 1 4 3 1 1 1 + + + + + + + 7 2 2 3 4 4 6 + 10 + 5 + 4 + 3 + 3 + 1 + 1 5,236 5,233 5,107 5,111 5,120 5,132 5,137 5,128 — – 11 + 4 + 9 + 12 + 4 – 9 73 66 67 64 63 61 59 64 64 61 62 63 60 61 + + + + + + – 9 2 6 2 1 1 2 – 14 – 16 — + 5 + 10 + 4 – 6 – 4 – 7 + 10 + 7 + 7 — – 5 – – – – + + – 10 10 9 2 3 4 1 + + – + + 4 4 2 2 2 — – 1 5,233 5,180 5,111 5,120 5,132 5,137 5,128 1,540 1,524 1,601 1,618 1,632 1,642 1,649 1,663 – + + + + + + 28 27 26 25 25 24 24 17 17 15 15 16 15 15 + + + + + + + 11 10 11 10 9 9 9 – 14 – 8 + 4 + 3 + 1 + 1 + 6 – – + + – – + – – + + + + + 7 3 2 3 3 1 4 – 1,524 1,538 1,618 1,632 1,642 1,649 1,663 To/from Irish Republic Beyond British Isles Other changes Population at end of period — — — — — — — – 55 – 33 + 45 + 43 + 74 +108 + 110 + + – + + – + 16 18 1 12 18 3 8 56,216 56,352 58,006 58,191 58,395 58,606 58,801 7 4 2 1 2 1 3 – 48 – 29 + 44 + 40 + 72 +107 +107 + + – + + – + 17 18 3 12 18 1 8 54,693 54,815 56,388 56,559 56,753 56,957 57,138 – 29 – 17 + 58 + 45 + 68 +102 +108 + + – + + – + 13 14 1 10 16 1 9 49,459 49,634 51,277 51,439 51,621 51,820 52,010 9 3 5 2 1 1 1 – 27 – 15 + 60 + 45 + 67 + 99 +104 + 10 + 12 – 2 + 8 + 15 — + 9 46,660 46,821 48,378 48,533 48,707 48,903 49,089 — — — — — — — – 2 – 2 – 2 — + 2 + 2 + 5 + + + + + 2,799 2,813 2,899 2,906 2,913 2,917 2,921 3 2 1 2 1 — — 1992–93 1993–94 1994–95 1995–96 1996–97 Total annual change 1992–93 1993–94 1994–95 1995–96 1996–97 thousands Population at start of period Mid-year to mid-year Scotland 1971–76 1976–81 1991–92 1992–93 1993–94 1994–95 1995–96 1996–97 Northern Ireland 1971–76 1976–81 1991–92 1992–93 1993–94 1994–95 1995–96 1996–97 58 O f f i c e f o r 3 3 17 13 10 7 14 N a t i o n a l S t a t i s t i c s 7 4 2 1 2 1 3 1 — + 2 — — – 2 — 8983 | | S Au umt u mme nr 11 99 9 7 8 Table 6 Midyear Population: age and sex Constituent countries of the United Kingdom All ages Males 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 Great Britain Persons 1971 1981 1991 1994 1995 1996 Males 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 5–14 15–24 25–34 35–44 45–59 60–64 58,395 58,606 58,801 899 730 794 759 734 719 3,654 2,725 3,092 3,117 3,102 3,044 8,916 8,147 7,175 7,483 7,526 7,595 8,144 9,019 8,247 7,554 7,450 7,325 6,971 8,010 9,057 9,375 9,409 9,420 6,512 6,774 7,955 7,837 7,931 8,093 10,202 9,540 9,500 10,277 10,445 10,582 3,222 2,935 2,888 2,808 2,784 2,772 27,167 27,409 28,246 28,592 28,727 28,856 461 374 407 389 376 369 1,874 1,399 1,588 1,596 1,589 1,560 4,576 4,184 3,688 3,840 3,861 3,897 4,137 4,596 4,227 3,879 3,825 3,760 3,530 4,035 4,591 4,767 4,793 4,805 3,271 3,409 3,986 3,929 3,984 4,072 4,970 4,711 4,732 5,118 5,201 5,270 28,761 28,943 29,562 29,803 29,878 29,946 437 356 387 370 358 350 1,779 1,326 1,505 1,521 1,513 1,484 4,340 3,963 3,487 3,643 3,665 3,698 4,008 4,423 4,021 3,674 3,625 3,565 3,441 3,975 4,466 4,608 4,616 4,615 3,241 3,365 3,968 3,908 3,947 4,020 54,388 54,815 56,207 56,753 56,957 57,138 867 703 768 734 710 695 3,528 2,621 2,988 3,013 2,999 2,943 8,617 7,865 6,915 7,218 7,262 7,330 7,898 8,748 7,991 7,302 7,198 7,074 6,782 7,810 8,817 9,123 9,156 9,163 26,413 26,655 27,465 27,790 27,922 28,043 446 360 394 377 364 357 1,810 1,346 1,534 1,543 1,536 1,509 4,424 4,039 3,555 3,704 3,726 3,761 4,009 4,455 4,095 3,749 3,694 3,630 27,975 28,160 28,742 28,963 29,035 29,095 422 343 374 357 346 338 1,718 1,275 1,454 1,470 1,463 1,435 4,193 3,827 3,360 3,514 3,536 3,569 51,621 51,820 52,010 782 634 702 671 649 636 3,170 2,372 2,728 2,752 2,739 2,688 23,897 24,160 24,995 25,304 25,433 25,557 402 324 360 344 333 327 25,256 25,474 26,104 26,317 26,385 26,453 380 310 342 327 316 310 England and Wales Persons 49,152 1971 1981 49,634 1991 51,100 1994 1995 1996 Males 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 thousands Age-group Under 1 1–4 United Kingdom Persons 55,928 1971 1981 56,352 1991 57,808 1994 1995 1996 PP oo pp uu l l aat ti io on n TT rr ee nndds s 75–84 85 and over Under 16 16– 64/59 65/60 and over 4,764 5,195 5,067 5,223 5,127 5,058 2,160 2,675 3,136 2,952 3,054 3,125 485 602 896 1,011 1,044 1,067 14,257 12,541 11,741 12,075 12,106 12,098 32,548 33,780 35,469 35,689 35,848 36,035 9,123 10,031 10,597 10,630 10,652 10,668 1,507 1,376 1,390 1,363 1,358 1,355 1,999 2,264 2,272 2,363 2,330 2,310 716 921 1,151 1,096 1,147 1,185 126 141 214 251 263 273 7,318 6,438 6,033 6,194 6,208 6,205 17,008 17,646 18,576 18,687 18,779 18,882 2,841 3,325 3,637 3,710 3,740 3,768 5,232 4,829 4,769 5,159 5,244 5,312 1,715 1,559 1,498 1,444 1,427 1,418 2,765 2,931 2,795 2,861 2,797 2,748 1,443 1,755 1,986 1,856 1,907 1,940 359 461 682 759 781 794 6,938 6,103 5,708 5,881 5,898 5,893 15,540 16,134 16,893 17,002 17,069 17,153 6,282 6,706 6,961 6,920 6,911 6,900 6,348 6,599 7,755 7,628 7,718 7,875 9,959 9,313 9,259 10,020 10,184 10,316 3,148 2,867 2,818 2,738 2,716 2,703 4,658 5,079 4,948 5,100 5,004 4,936 2,109 2,620 3,070 2,884 2,985 3,054 476 589 878 992 1,026 1,048 13,774 12,099 11,326 11,656 11,689 11,683 31,695 32,906 34,525 34,713 34,864 35,036 8,918 9,810 10,356 10,384 10,405 10,420 3,435 3,934 4,473 4,642 4,668 4,677 3,190 3,322 3,887 3,825 3,879 3,965 4,854 4,602 4,614 4,992 5,073 5,139 1,471 1,345 1,358 1,331 1,325 1,322 1,954 2,214 2,219 2,309 2,276 2,257 697 901 1,127 1,072 1,122 1,159 123 137 210 247 259 268 7,072 6,211 5,820 5,980 5,994 5,992 16,567 17,192 18,089 18,183 18,272 18,367 2,774 3,252 3,556 3,627 3,656 3,683 3,889 4,293 3,896 3,553 3,503 3,444 3,346 3,877 4,344 4,481 4,488 4,485 3,158 3,277 3,868 3,803 3,839 3,910 5,105 4,711 4,645 5,028 5,111 5,177 1,676 1,522 1,460 1,407 1,390 1,381 2,704 2,865 2,728 2,791 2,728 2,679 1,412 1,719 1,943 1,813 1,863 1,896 353 452 668 745 767 780 6,702 5,888 5,506 5,676 5,694 5,690 15,129 15,714 16,436 16,529 16,592 16,669 6,145 6,558 6,800 6,757 6,748 6,736 7,705 7,085 6,281 6,568 6,613 6,683 7,117 7,873 7,237 6,612 6,521 6,411 6,164 7,086 8,008 8,293 8,329 8,342 5,736 5,996 7,056 6,925 7,003 7,146 9,034 8,433 8,407 9,118 9,272 9,397 2,853 2,607 2,553 2,478 2,458 2,447 4,228 4,619 4,506 4,644 4,554 4,490 1,926 2,388 2,810 2,642 2,734 2,800 438 541 810 917 948 970 12,334 10,910 10,303 10,618 10,653 10,655 28,710 29,796 31,351 31,530 31,676 31,851 8,108 8,928 9,446 9,473 9,491 9,505 1,626 1,218 1,401 1,410 1,403 1,378 3,957 3,639 3,231 3,371 3,394 3,430 3,615 4,011 3,710 3,396 3,348 3,291 3,129 3,569 4,065 4,225 4,252 4,265 2,891 3,024 3,539 3,475 3,523 3,602 4,414 4,178 4,199 4,551 4,626 4,689 1,337 1,227 1,234 1,209 1,204 1,201 1,778 2,020 2,027 2,109 2,078 2,059 637 825 1,035 985 1,032 1,066 112 126 194 229 240 249 6,334 5,601 5,296 5,448 5,465 5,466 15,036 15,589 16,442 16,533 16,619 16,716 2,527 2,970 3,257 3,323 3,349 3,375 1,544 1,154 1,328 1,342 1,335 1,310 3,749 3,446 3,050 3,197 3,219 3,253 3,502 3,863 3,527 3,216 3,172 3,120 3,036 3,517 3,943 4,069 4,076 4,077 2,845 2,972 3,517 3,449 3,480 3,544 4,620 4,255 4,208 4,567 4,646 4,709 1,516 1,380 1,319 1,270 1,254 1,246 2,450 2,599 2,479 2,536 2,477 2,430 1,289 1,564 1,775 1,656 1,702 1,733 325 415 616 688 708 721 6,000 5,309 5,007 5,170 5,188 5,188 13,673 14,207 14,908 14,997 15,058 15,134 5,581 5,958 6,189 6,150 6,141 6,130 O f f i c e f o r 65–74 N a t i o n a l S t a t i s t i c s 59 P o p u l a t i o n Table 6 continued Midyear England Males 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 Wales Males 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 Scotland Males 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 Females 1971 1981 1991 1994 1995 1996 60 9 3 | Autumn 1 9 9 8 Population: age and sex Constituent countries of the United Kingdom All ages thousands Age-group Under 1 1–4 5–14 15–24 25–34 35–44 45–59 60–64 22,569 22,795 23,588 23,882 24,008 24,129 380 306 340 326 315 309 1,537 1,147 1,322 1,332 1,327 1,304 3,734 3,430 3,043 3,175 3,198 3,233 3,421 3,790 3,507 3,207 3,160 3,106 2,965 3,377 3,859 4,012 4,039 4,051 2,733 2,856 3,344 3,286 3,333 3,410 4,161 3,938 3,957 4,289 4,360 4,420 1,261 1,154 1,159 1,136 1,132 1,129 23,843 24,026 24,620 24,825 24,896 24,960 359 292 324 309 300 293 1,459 1,088 1,253 1,268 1,262 1,239 3,538 3,248 2,873 3,010 3,033 3,065 3,310 3,650 3,333 3,039 2,998 2,948 2,875 3,327 3,739 3,862 3,871 3,872 2,688 2,807 3,322 3,259 3,289 3,351 4,354 4,009 3,964 4,304 4,378 4,437 1,329 1,365 1,407 1,422 1,425 1,428 22 18 20 19 18 17 89 70 79 77 76 74 222 209 188 196 196 197 194 221 203 190 188 185 164 193 206 213 214 214 158 168 195 189 190 192 1,412 1,448 1,484 1,491 1,491 1,493 21 18 19 18 17 16 85 66 75 74 73 71 211 199 177 186 187 188 191 213 194 177 175 172 161 190 203 207 206 206 2,516 2,495 2,470 2,486 2,489 2,486 44 35 34 32 31 30 184 128 133 133 133 130 467 400 325 333 332 331 394 445 385 353 346 339 2,720 2,685 2,637 2,646 2,647 2,642 42 33 32 31 30 29 174 121 126 128 128 125 445 380 309 318 317 316 802 805 812 16 14 13 12 12 12 64 53 54 53 52 51 786 783 820 840 844 851 16 13 13 12 12 12 62 51 51 51 50 49 Northern Ireland Males 755 1971 1981 754 1991 781 1994 1995 1996 T r e n d s O f f i c e f o r 75–84 85 and over 1,671 1,902 1,900 1,977 1,948 1,931 599 777 975 926 969 1,002 107 119 183 216 227 235 1,429 1,295 1,239 1,193 1,178 1,170 2,305 2,445 2,323 2,378 2,322 2,279 1,217 1,472 1,670 1,555 1,598 1,627 253 240 242 262 266 269 76 73 74 72 72 72 107 118 128 131 130 128 157 165 195 190 190 193 265 246 244 263 268 272 88 85 80 77 76 76 306 364 407 418 416 413 299 298 348 350 356 362 440 424 415 441 446 450 387 430 369 337 331 324 311 359 402 412 411 408 313 305 351 353 359 366 152 145 133 136 135 136 127 140 132 130 130 129 95 102 119 125 125 127 147 137 127 129 129 129 119 130 125 121 122 121 95 98 121 128 128 130 N a t i o n a l 16– 64/59 65/60 and over 5,982 5,280 4,991 5,137 5,155 5,158 14,209 14,717 15,539 15,626 15,709 15,803 2,377 2,798 3,058 3,119 3,144 3,167 309 392 580 648 667 678 5,666 5,004 4,720 4,874 4,893 4,894 12,918 13,416 14,088 14,177 14,237 14,311 5,259 5,605 5,812 5,774 5,765 5,755 38 48 60 60 62 65 6 7 11 13 14 14 352 321 305 311 310 308 827 871 904 907 910 913 150 173 199 204 206 207 146 154 156 158 154 151 73 91 105 101 104 106 16 22 36 40 41 42 335 305 288 295 295 294 755 791 820 820 820 824 322 352 377 376 376 375 134 118 124 122 121 121 176 194 192 200 198 197 60 77 91 86 90 92 11 11 16 18 19 19 738 610 524 531 530 526 1,530 1,603 1,646 1,651 1,653 1,651 247 282 299 304 307 309 485 456 437 461 465 469 160 142 141 138 136 135 254 265 249 256 252 249 122 155 168 157 160 163 27 38 53 57 59 59 701 579 499 507 506 502 1,455 1,506 1,528 1,532 1,534 1,534 563 600 611 607 607 606 81 87 100 104 105 108 116 109 118 126 128 131 36 32 32 33 32 33 45 50 52 54 54 54 19 20 24 25 26 26 3 4 4 4 5 5 246 227 213 214 214 213 441 454 487 504 508 515 67 73 81 83 84 85 84 88 100 105 107 111 126 118 123 131 133 135 39 37 38 37 36 36 61 66 67 69 69 69 32 36 43 43 44 45 6 9 13 14 14 14 237 215 203 205 203 203 411 420 457 472 477 484 138 148 160 163 163 164 S t a t i s t i c s 65–74 Under 16 8983 | | S Au umt u mme nr 11 99 9 7 8 Table 7 Mid-year Population: age, sex, and marital status England and Wales 16–24 Married Divorced 4,173 5,013 6,024 6,089 6,147 6,221 6,345 6,482 12,522 12,238 11,745 11,663 11,580 11,492 11,415 11,339 187 611 1,200 1,269 1,342 1,413 1,480 1,543 1991 1992 1993 1994 1995 1996 3,583 4,114 4,822 4,871 4,906 4,958 5,058 5,171 12,566 12,284 11,838 11,749 11,661 11,583 11,488 11,406 296 828 1,459 1,533 1,610 1,684 1,754 1,819 Mid-year 35–44 1991 1992 1993 1994 1995 1996 Females 1971 1981 Males 1971 1981 1991 1992 1993 1994 1995 1996 Females 1971 1981 1991 1992 1993 1994 1995 1996 thousands All ages 16 and over Single Males 1971 1981 PP oo pp uu l l aat ti io on n TT rr ee nndds s Widowed 25–34 Single Married Divorced 682 698 731 732 732 730 729 728 2,539 3,095 3,136 3,060 2,984 2,911 2,878 2,848 724 485 257 220 186 155 129 107 3 10 12 10 8 7 6 5 2,810 2,939 2,978 2,963 2,946 2,922 2,898 2,870 1,907 2,530 2,688 2,643 2,589 2,547 2,543 2,539 1,255 904 522 458 400 344 294 250 9 27 30 26 23 20 17 15 Widowed Single Married — 1 — — — — — — 637 906 1,718 1,829 1,925 2,025 2,125 2,223 2,450 2,508 2,100 2,055 2,001 1,941 1,873 1,794 38 151 245 251 254 255 252 244 4 4 2 3 3 3 3 3 2 2 1 1 1 1 — — 326 496 1,135 1,222 1,298 1,375 1,454 1,537 2,635 2,791 2,488 2,449 2,400 2,351 2,280 2,203 63 218 312 322 330 335 335 330 12 13 8 7 8 7 7 7 45–64 Single Married Divorced 317 316 482 497 522 556 601 657 2,513 2,519 2,658 2,561 2,500 2,463 2,446 2,449 48 178 388 403 423 444 464 483 201 170 280 295 316 343 374 414 2,529 2,540 2,760 2,669 2,612 2,587 2,568 2,575 66 222 444 456 473 491 509 527 Widowed Divorced Widowed 65 and over Single Married Divorced 13 12 12 11 12 12 12 13 502 480 456 468 479 489 500 512 4,995 4,560 4,394 4,479 4,532 4,564 4,581 4,587 81 218 456 499 544 587 630 673 48 41 34 32 31 29 29 28 569 386 292 295 297 300 305 310 4,709 4,358 4,211 4,308 4,376 4,422 4,452 4,473 125 271 521 568 615 659 703 746 O f f i c e f o r Widowed Single Married 173 147 127 125 122 120 119 118 179 216 231 235 237 239 241 242 1,840 2,167 2,337 2,349 2,360 2,368 2,385 2,401 17 54 99 106 113 121 128 137 492 534 589 593 596 595 595 594 733 620 503 487 471 456 440 425 580 533 427 416 405 393 382 370 1,437 1,692 1,858 1,866 1,873 1,879 1,893 1,904 32 90 153 161 170 179 190 201 2,016 2,263 2,433 2,436 2,436 2,429 2,422 1,904 N a t i o n a l Divorced Widowed S t a t i s t i c s 61 P o p u l a t i o n Table 8 T r e n d s 9 3 | Autumn 1 9 9 8 Vital statistics summary Constituent countries of the United Kingdom Year and quarter thousands All live births Live births outside marriage Marriages Divorces Deaths Infant mortality*** Neonatal mortality††† Perinatal mortality**** Number Rate* Number Rate† Number Rate** Number Rate†† Number Rate* Number Rate† Number Rate† Number Rate†††† 976.6 901.6 675.5 730.8 755.0 792.5 732.0 733.4 725.8‡ 17.9 16.1 12.0 13.0 13.3 13.7 12.5 12.5 12.3‡ 74.2 73.9 61.1 91.3 158.5 236.1 245.7 260.4 266.7‡ 76 82 90 125 210 298 336 355 367‡ 437.1 459.4 406.0 397.8 393.9 349.7 322.3 317.5‡ .. .. .. 49.4 43.5 36.0 .. .. 42.8 .. 79.6 .. 135.4 .. 156.4 11.3 168.2 12.5 173.5 13.0 170.0 .. 168.9‡ .. 643.8 645.1 680.8 658.0 660.7 646.2 641.7 638.9 632.5‡ 618.4‡ 11.8 19.2 11.5 16.2 12.1 9.79 11.7 8.16 11.6 7.18 11.3 5.82 10.9 4.52 10.9 4.50 10.7‡ 10.5‡ 19.6 17.9 14.5 11.2 9.5 7.4 6.2 6.1 13.0 10.8 6.68 4.93 4.00 3.46 3.05 3.00 13.2 12.0 9.9 6.7 5.3 4.4 4.2 4.1 26.6 20.7 12.3 8.79 7.31 6.45 6.52‡‡ 6.41‡‡ 26.7 22.6 18.0 12.0 9.6 8.1 8.9 8.7 178.0 178.3 191.4 185.6 178.7‡ 184.2‡ 186.0‡ 176.8‡ 12.2 12.2 13.0 12.6 12.3‡ 12.5‡ 12.5‡ 11.9‡ 61.8 61.3 68.8 68.6 65.6‡ 66.0‡ 68.7‡ 66.4‡ 347 344 359 369 367‡ 358‡ 370‡ 375‡ 41.0‡ 91.4‡ 129.4‡ 55.8‡ .. .. .. .. 181.0 149.7 144.1 164.1 180.8‡ 151.3‡ 141.5‡ 158.9‡ 166.7‡ 151.2‡ 12.4 10.2 9.7 11.1 12.4‡ 10.3‡ 9.5‡ 10.7‡ 11.5‡ 10.3‡ 1.19 1.07 1.13 1.12 1.10 1.10 1.01 1.08 6.7 6.0 5.9 6.0 6.1 6.0 5.4 6.1 0.74 0.74 0.80 0.72 0.70 0.73 0.69 0.71 4.2 4.1 4.2 3.9 3.9 4.0 3.7 4.0 1.58‡‡ 1.61‡‡ 1.66‡‡ 1.55‡‡ 1.53‡‡ 1.53‡‡ 1.49‡‡ 1.53‡‡ 8.8 9.0 8.6 8.3 8.5 8.2 8.0 8.6 946.4 869.9 649.2 703.5 726.8 766.2 708.2 708.8 701.5‡ 17.8 16.0 11.9 12.8 13.2 13.6 12.4 12.4 12.2‡ 73.2 72.7 59.8 89.4 154.9 230.8 240.2 254.0 260.3‡ 77 84 92 127 213 301 339 358 371‡ 426.3 447.2 396.1 388.2 383.7 340.5 313.7 309.2‡ .. 68.5 57.3 49.4 43.4 35.9 31.2 30.2‡ 627.3 628.9 663.8 641.7 644.7 631.1 626.4 623.7 617.5‡ 603.5‡ 11.8 18.4 11.6 15.4 12.1 9.30 11.7 7.80 11.7 6.89 11.3 5.63 11.0 4.35 10.9 4.36 10.8‡ 10.5‡ 19.4 17.8 14.3 11.1 9.5 7.3 6.1 6.1 12.4 10.3 6.33 4.70 3.83 3.34 2.92 2.91 13.1 11.8 9.7 6.7 5.3 4.4 4.1 4.1 25.6 19.8 11.7 8.37 7.04 6.23 6.27‡‡ 6.18‡‡ 26.6 22.5 17.8 11.8 9.6 8.1 8.8 8.7 171.8 172.3 185.1 179.6 172.7‡ 177.9‡ 179.7‡ 171.2‡ 12.1 12.1 12.9 12.5 12.2‡ 12.4‡ 12.4‡ 11.8‡ 60.2 59.8 67.2 66.9 63.9‡ 64.4‡ 67.1‡ 64.9‡ 350 347 363 373 370‡ 362‡ 373‡ 379‡ 40.0‡ 89.2‡ 125.7‡ 54.3‡ 37.9‡ 15.7‡ 35.1‡ 48.9‡ 21.1‡ 15.0‡ 176.6 146.1 140.6 160.3 176.6‡ 147.6‡ 138.1‡ 155.2‡ 162.7‡ 147.6‡ 12.4 10.3 9.8 11.2 12.5‡ 10.3‡ 9.6‡ 10.7‡ 11.5‡ 10.3‡ 1.15 1.03 1.09 1.08 1.08 1.07 0.97 1.03 6.7 6.0 5.9 6.0 6.2 6.0 5.4 6.0 0.71 0.72 0.78 0.70 0.70 0.71 0.67 0.68 4.1 4.1 4.2 3.9 3.9 4.0 3.7 3.9 1.50‡‡ 1.56‡‡ 1.61‡‡ 1.51‡‡ 1.48‡‡ 1.47‡‡ 1.44‡‡ 1.48‡‡ 8.7 9.0 8.6 8.3 8.5 8.2 8.0 8.6 849.8 783.2 584.3 634.5 661.0 699.2 1995 648.1 1996 649.5 1997 642.1 Year ending June 1998 639.4‡ 17.7 15.9 11.8 12.8 13.2 13.7 12.5 12.5 12.3 12.2‡ 67.1 65.7 53.8 81.0 141.3 211.3 219.9 232.7 237.9‡ 237.7‡ 79 84 92 128 214 302 339 358 370 372‡ 384.5 404.7 358.6 352.0 347.9 306.8 283.0 279.0‡ 65.1 69.0 57.7 49.6 43.5 35.6 31.0 30.0‡ 39.1 74.4 126.7 145.7 153.9 158.7 155.5 154.3‡ 142.4‡ 3.2 5.9 10.1 11.9 12.9 13.5 13.6 13.6‡ 12.5‡ 563.6 567.3 598.5 577.9 581.2 570.0 565.9 563.0 558.1 545.0‡ 11.8 16.1 11.5 13.7 12.1 8.34 11.6 7.02 11.6 6.31 11.2 5.16 10.9 3.98 10.8 3.99 10.7‡ 3.83 10.4‡ 3.83 19.0 17.5 14.3 11.1 9.6 7.4 6.1 6.1 6.0 6.0 10.9 9.11 5.66 4.23 3.49 3.05 2.68 2.68 2.54 2.54 12.9 11.6 9.7 6.7 5.3 4.4 4.1 4.1 3.9 3.9 22.7 17.6 10.5 7.56 6.37 5.65 5.69‡‡ 5.62‡‡ 5.40‡‡ 5.40‡‡ 26.3 22.3 17.7 11.8 9.6 8.0 8.7 8.6 8.4 8.4 157.3 158.1 169.9 164.2 158.1 162.9 164.4 156.7 155.4‡ 12.2 12.2 13.0 12.6 12.3 12.5‡ 12.5 11.9 12.1‡ 55.0 54.8 61.6 61.2 58.5 58.8 61.3 59.3‡ 58.3‡ 350 346 363 373 370 361 373 378‡ 375‡ 36.5‡ 80.7‡ 114.1‡ 47.9‡ 34.5‡ 15.8‡ 34.9‡ 48.8‡ 20.5‡ 15.0‡ 40.3‡ 39.1‡ 40.1‡ 34.8‡ 34.8‡ 39.6‡ 37.0‡ 31.0‡ 14.2‡ 13.8‡ 14.1‡ 12.2‡ 12.4‡ 14.0‡ 12.9‡ 10.8‡ 159.6 131.8 126.8 144.8 160.0 133.2 124.7 140.1 146.9‡ 133.3‡ 12.3 10.2 9.7 11.1 12.4‡ 10.2‡ 9.5‡ 10.6‡ 11.4‡ 10.2‡ 6.7 5.9 5.9 6.1 6.2 6.0 5.5 6.1 0.66 0.66 0.72 0.65 0.63 0.65 0.62 0.64 4.2 4.1 4.2 3.9 4.0 4.0 3.8 4.1 1.37‡‡ 1.41‡‡ 1.48‡‡ 1.37‡‡ 1.36‡‡ 1.36‡‡ 1.32‡‡ 1.36‡‡ 8.6 8.9 8.7 8.3 8.6 8.3 8.0 8.6 United Kingdom 1966 1971 1976 1981 1986 1991 1995 1996 1997 Year ending June 1998 1996 March June Sept Dec 1997 March June Sept Dec 1998 March June Great Britain 1966 1971 1976 1981 1986 1991 1995 1996 1997 Year ending June 1998 1996 March June Sept Dec 1997 March June Sept Dec 42.6 79.2 134.8 155.6 166.7 171.1 167.7 166.6‡ 154.6‡ .. 5.8 9.8 11.5 12.7 13.2 13.3 13.3‡ 12.4‡ 1998 March June England and Wales 1966 1971 1976 1981 1986 1991 1996 March June Sept Dec 1997 March June Sept Dec 1998 March June 1.05 0.94 1.01 1.00 0.98 0.99 0.91 0.96 * Per 1,000 population of all ages. † Per 1,000 live births. ** Persons marrying per 1,000 unmarried population 16 and over. †† Per 1,000 married population. *** Deaths under 1 year per 1,000 live births. ††† Deaths under 4 weeks per 1,000 live births. **** Stillbirths and deaths under 1 week per 1,000 live births. †††† Per 1,000 live and still births. ‡ Provisional. ‡‡ Figures given include stillbirths of 24–27 weeks gestation (see Notes to tables). 62 O f f i c e f o r N a t i o n a l S t a t i s t i c s 8983 | | S Au umt u mme nr 11 99 9 7 8 Table 8 continued PP oo pp uu l l aat ti io on n TT rr ee nndds s Vital statistics summary Constituent countries of the United Kingdom Year and quarter thousands All live births Live births outside marriage Marriages Divorces Deaths Infant mortality Neonatal mortality Perinatal mortality Number Rate* Number Rate† Number Rate** Number Rate††† Number Rate* Number Rate† Number Rate† Number Rate†† 18.9 17.5 14.2 10.9 9.5 7.3 6.1 6.1 5.9 10.3 8.58 5.32 3.93 3.27 2.87 2.56 2.53 2.39 12.8 11.6 9.7 6.6 5.2 4.3 4.2 4.1 3.9 21.3 16.6 9.81 7.04 5.98 5.33 5.41‡‡ 5.36‡‡ 5.11‡‡ 26.1 22.1 17.6 11.7 9.5 8.0 8.8 8.7 8.4 England 1966 1971 1976 1981 1986 1991 805.0 740.1 550.4 598.2 623.6 660.8 1995 613.2 1996 614.2 1997 607.2 Year ending June 1998 605.0‡ 17.8 15.9 11.8 12.8 13.2 13.7 12.5 12.5 12.3 12.3‡ 64.2 62.6 50.8 76.9 133.5 198.9 206.8 218.2 223.0 222.9‡ 80 85 92 129 214 301 337 355 367 368‡ 363.8 382.3 339.0 332.2 328.4 290.1 268.3 .. .. .. .. .. .. .. .. .. .. .. 146.0 150.1 147.5‡ 145.9‡ 134.5‡ .. .. .. .. .. .. .. .. .. 529.0 532.4 560.3 541.0 544.5 534.0 529.0 526.7 521.6 509.8‡ 11.7 15.2 11.5 12.9 12.0 7.83 11.6 6.50 11.5 5.92 11.2 4.86 10.8 3.74 10.7 3.74 10.6‡ 3.60 10.2‡ 148.8 149.7 160.7 155.1 149.3 154.2 155.5 148.2 147.2‡ 12.2 12.3 13.0 12.6 12.3 12.6 12.5 11.9 12.1‡ 51.5 51.4 57.8 57.4 54.8 55.1 57.6 55.5 54.8‡ 346 344 360 370 367 358 370 374 372‡ 34.6‡ 76.4‡ 108.0‡ 45.3‡ 32.7‡ .. .. .. .. .. 38.2‡ 36.9‡ 38.0‡ 32.8‡ 33.0‡ 37.5‡ 34.9‡ 29.1‡ .. .. .. .. .. .. .. .. 149.4 123.4 118.4 135.5 149.7 124.5 116.5 131.0 137.6‡ 124.7‡ 12.2 10.1 9.6 11.0 12.3‡ 10.1‡ 9.4‡ 10.5‡ 11.3‡ 9.6‡ 0.99 0.88 0.94 0.94 0.91 0.91 0.86 0.91 6.7 5.9 5.8 6.0 6.1 5.9 5.5 6.1 0.62 0.62 0.68 0.62 0.58 0.61 0.60 0.61 4.2 4.1 4.2 4.0 3.9 3.9 3.8 4.1 1.30‡‡ 1.34‡‡ 1.42‡‡ 1.31‡‡ 5.40‡‡ 1.28‡‡ 1.26‡‡ 1.28‡‡ 8.7 8.9 8.8 8.4 8.6 8.2 8.0 8.6 44.9 43.1 33.4 35.8 37.0 38.1 1995 34.5 1996 34.9 1997 34.5 Year ending June 1998 34.1‡ 16.6 15.7 11.9 12.7 13.1 13.2 11.8 11.9 11.8 11.7‡ 2.8 3.1 2.9 4.0 7.8 12.3 13.1 14.4 14.8 14.7‡ 63 71 86 112 211 323 381 412 428 430‡ 20.7 22.4 19.5 19.8 19.5 16.6 14.7 .. .. .. .. .. .. .. .. .. .. .. 7.9 8.6 8.0 8.3 7.9 .. .. .. .. .. .. .. .. .. 34.6 34.8 36.3 35.0 34.7 34.1 35.3 34.8 34.9 33.7‡ 12.8 12.7 13.0 12.4 12.3 11.8 12.1 11.9 11.9‡ 11.5‡ 0.91 0.79 0.46 0.45 0.35 0.25 0.20 0.20 0.20 20.3 18.4 13.7 12.6 9.5 6.6 5.8 5.6 5.9 0.62 0.53 0.32 0.29 0.21 0.16 0.13 0.13 0.14 13.8 12.3 9.6 8.1 5.6 4.1 3.8 3.6 3.9 1.38 1.07 0.64 0.51 0.38 0.30 0.27‡‡ 0.26‡‡ 0.28‡‡ 30.1 24.4 19.0 14.1 10.3 7.9 7.8 7.5 7.9 8.4 8.3 9.1 9.0 8.7 8.6 8.8 8.4 8.3‡ 11.6 11.4 12.4 12.3 12.0 11.8 12.0 11.4 11.4‡ 3.5 3.3 3.8 3.8 3.7 3.6 3.7 3.7 3.6‡ 412 396 413 425 427 422 420 446 435‡ 1.9‡ 4.3‡ 6.1‡ 2.5‡ 1.8‡ .. .. .. .. .. 2.1‡ 2.2‡ 2.1‡ 2.0‡ 1.9‡ 2.1‡ 2.0‡ 1.8‡ .. .. .. .. .. .. .. .. 9.9 8.1 8.0 8.9 10.0 8.4 7.8 8.7 9.0‡ 8.2‡ 13.6 11.1 10.9 12.1 13.8‡ 11.5‡ 10.6‡ 11.8‡ 12.5‡ 11.2‡ 0.05 0.05 0.06 0.04 0.06 0.06 0.04 0.04 5.7 5.7 6.4 4.7 6.8 7.4 4.9 4.5 0.03 0.04 0.04 0.02 0.04 0.05 0.02 0.03 3.9 4.2 3.8 2.6 4.6 5.2 2.5 3.3 0.07‡‡ 0.07‡‡ 0.06‡‡ 0.06‡‡ 0.06‡‡ 0.08‡‡ 0.06‡‡ 0.07‡‡ 8.1 8.4 7.0 6.7 7.4 9.4 7.2 7.7 96.5 86.7 64.9 69.1 65.8 67.0 60.1 59.3 59.4‡ 18.6 16.6 12.5 13.4 12.9 13.1 11.7 11.6 11.6‡ 6.2 7.0 6.0 8.5 13.6 19.5 20.3 21.4 22.4‡ 64 81 93 122 206 291 337 360 377‡ 41.9 42.5 37.5 36.2 35.8 33.8 30.7 30.2 29.6‡ 29.7‡ .. 64.1 53.8 47.5 42.8 38.7 33.7 32.8 32.1‡ 32.2‡ 3.6 4.8 8.1 9.9 12.8 12.4 12.2 12.4‡ 12.2‡ .. 3.9 6.5 8.0 10.7 10.6 10.7 10.9‡ 10.8‡ 63.7 61.6 65.3 63.8 63.5 61.0 60.5 60.7 59.5‡ 58.5‡ 12.3 11.8 12.5 12.4 12.4 12.0 11.8 11.8 11.6‡ 11.4‡ 2.24 1.72 0.96 0.78 0.58 0.47 0.38 0.37 23.2 19.9 14.8 11.3 8.8 7.1 6.2 6.2 1.47 1.17 0.67 0.47 0.34 0.29 0.24 0.23 15.2 13.5 10.3 6.9 5.2 4.4 4.0 3.9 2.87 2.15 1.20 0.81 0.67 0.58 0.58‡‡ 0.55‡‡ 29.3 24.5 18.3 11.6 10.2 8.6 9.6 9.2 14.5 14.2 15.1 15.4 14.6 15.0‡ 15.3‡ 14.6‡ 11.4 11.2 11.7 12.0 11.6‡ 11.7‡ 11.8‡ 11.3‡ 5.1 5.0 5.5 5.7 5.4‡ 5.6‡ 5.8‡ 5.6‡ 354 352 366 368 371‡ 371‡ 378‡ 386‡ 3.5 8.5 11.7 6.5 3.4‡ 8.3‡ 12.1‡ 5.8‡ 3.5‡ 15.3 36.9 50.6 28.2 14.9‡ 36.1‡ 52.2‡ 25.0‡ 15.2‡ 17.0 14.3 13.8 15.5 16.6‡ 14.4‡ 13.4‡ 15.1‡ 15.7‡ 14.3‡ 13.3 11.2 10.7 12.1 13.1‡ 11.3‡ 10.4‡ 11.7‡ 12.5‡ 11.2‡ 0.10 0.09 0.09 0.09 0.10 0.09 0.06 0.07 6.7 6.5 5.8 5.6 6.7 5.7 4.0 4.9 0.06 0.06 0.06 0.06 0.06 0.05 0.04 0.04 3.8 4.2 3.9 3.8 3.9 3.4 2.8 2.6 0.14‡‡ 0.15‡‡ 0.13‡‡ 0.14‡‡ 0.12‡‡ 0.11‡‡ 0.11‡‡ 0.12‡‡ 9.4 10.3 8.2 9.1 8.4 7.3 7.4 8.1 1996 March June Sept Dec 1997 March June Sept Dec 1998 March June Wales 1966 1971 1976 1981 1986 1991 1996 March June Sept Dec 1997 March June Sept Dec 1998 March June Scotland 1966 1971 1976 1981 1986 1991 1995 1996 1997 Year ending June 1998 1996 March June Sept Dec 1997 March June Sept Dec 1998 March June Notes: 1. Rates for the most recent quarters will be particularly subject to revision, even when standard detail is given, as they are based on provisional numbers or on estimates derived from events registered in the period. 2. Deaths for England and Wales represent the number of deaths registered in each year, except for 1993 and 1994 figures which represent the numbers of deaths occurring each year. 3. The marriage and divorce rates for 1991 onwards differ in part from those previously published because of a revision of the denominators. 4. From 1972 births for England and Wales are excluded if the mother was usually resident outside England and Wales, but included in the totals for Great Britain and the United Kingdom. 5. From 1972 deaths for England and for Wales separately exclude deaths to persons usually resident outside England and Wales, but these deaths are included in the totals for England and Wales combined, Great Britain and the United Kingdom. O f f i c e f o r N a t i o n a l S t a t i s t i c s 63 P o p u l a t i o n Table 9 T r e n d s 9 3 | Autumn 1 9 9 8 Live births: age of mother England and Wales Year and quarter Age of mother at birth All ages Under 20 20–24 Age of mother at birth 25–29 30–34 35–39 40 and over Total live births (thousands) 1961 1964(max)† 1966 1971 1976 1977(min)† 1981 1991 1993 1994 1995 1996 1997‡‡ Year ending March 1998 ‡ 1996 March June Sept Dec 1997 March June Sept‡‡ Dec‡‡ 1998 March‡ All ages Under 20 20–24 Mean age (years) TPFR† 25–29 30–34 35–39 40 and over 176.9 187.3 174.0 153.2 118.7 117.5 129.1 119.4 114.1 112.1 108.6 106.9 107.6 .. 103.1 107.7 97.3 77.1 57.2 58.6 68.6 86.7 87.0 88.7 87.3 88.6 89.3 .. 48.1 49.8 45.3 32.8 18.6 18.2 21.7 32.1 34.1 35.8 36.2 37.2 37.8 .. 15.0 13.7 12.5 8.7 4.8 4.4 4.9 5.3 6.2 6.4 6.8 7.2 7.5 .. 27.6 27.2 26.8 26.2 26.4 26.5 26.8 27.7 28.1 28.4 28.5 28.6 28.8 28.9 2.77 2.93 2.75 2.37 1.71 1.66 1.80 1.82 1.76 1.75 1.72 1.73 1.73 .. 7 7 7 8 8 8 7 8 8 28.6 28.7 28.6 28.6 28.7 28.9 28.8 28.8 28.9 1.71 1.68 1.77 1.79 1.75 1.74 1.71 1.71 1.73 Age-specific fertility rates* 811.3 876.0 849.8 783.2 584.3 569.3 634.5 699.2 673.5 664.7 648.1 649.5 642.1 639.4 59.8 76.7 86.7 82.6 57.9 54.5 56.6 52.4 45.1 42.0 41.9 44.7 46.3 46.6 249.8 276.1 285.8 285.7 182.2 174.5 194.5 173.4 152.0 140.2 130.7 125.7 118.4 116.4 248.5 270.7 253.7 247.2 220.7 207.9 215.8 248.7 236.0 229.1 217.4 211.1 202.5 199.9 152.3 153.5 136.4 109.6 90.8 100.8 126.6 161.3 171.1 179.6 181.2 186.4 187.2 187.7 77.5 75.4 67.0 45.2 26.1 25.5 34.2 53.6 58.8 63.1 65.5 69.5 74.8 75.9 23.3 23.6 20.1 12.7 6.5 6.0 6.9 9.8 10.5 10.7 11.3 12.1 12.9 13.1 89.2 92.9 90.5 83.5 60.4 58.1 61.3 63.6 62.6 61.9 60.4 60.5 59.7 .. 37.3 42.5 47.7 50.6 32.2 29.4 28.1 33.0 31.0 29.0 28.5 29.8 29.5 .. 157.3 158.1 169.9 164.2 158.1 162.9 164.4 156.7 155.4 10.6 10.4 11.6 12.0 11.5 11.3 11.8 11.8 11.7 30.8 29.8 33.1 32.1 29.8 29.5 30.3 29.0 27.7 51.4 51.7 55.4 52.6 50.4 51.5 51.9 48.7 47.8 44.7 46.3 48.8 46.6 45.6 48.3 48.0 45.3 46.1 16.9 17.0 17.9 17.7 17.7 19.2 19.2 18.7 18.8 3.0 2.9 3.1 3.2 3.1 3.3 3.3 3.2 3.3 59.8 58.7 61.5 61.9 60.6 60.4 59.1 58.7 59.4 29 28 30 32 31 29 30 31 31 172.6 181.6 176.0 152.9 109.3 103.7 105.3 89.3 82.7 79.4 76.8 77.5 78.7 .. 76 73 80 82 78 75 76 76 75 106 104 109 109 107 106 104 102 103 87 88 90 90 89 91 88 87 90 37 36 37 38 38 40 38 39 39 * † Births per 1,000 women in the age-group; all quarterly rates and total period fertility rates (TPFRs) are seasonally adjusted. TPFR is the average number of children which would be born if women experienced the age-specific fertility rates of the period in question throughout their childbearing lifespan. During the post Second World War period the TPFR reached a maximum in 1964 and a minimum in 1977. ‡ Provisional. ‡‡ Provisional-rates only. Note: The rates for women of all ages, under 20, and 40 and over are based upon the populations of women aged 15–44, 15–19, and 40–44 respectively. Table 10 Live births outside marriage: age of mother and type of registration England and Wales Age of mother at birth All ages Under 20 20–24 Age of mother at birth 25–29 30–34 35 and over Mean All age ages (years) Thousands 1993 1994 1995 1996 1997 Year ending March 1998 ‡ 1996 March June Sept Dec 1997 March June Sept Dec 1998 March‡ * † ‡ O f f i c e 25–29 30–34 35 and over 11.9 20.6 21.6 19.8 26.4 43.4 38.2 35.9 36.3 39.3 41.1 41.3 15.5 22.0 22.0 16.6 28.8 77.8 75.0 71.0 69.7 71.1 69.4 68.5 9.3 11.9 11.5 9.7 14.3 52.4 57.5 58.5 59.6 62.3 63.3 62.9 6.2 6.9 6.2 4.7 7.9 25.7 31.4 34.0 37.0 40.5 42.2 42.6 5.6 5.8 4.3 2.9 3.6 11.9 14.4 16.1 17.4 19.4 21.9 22.3 25.40 24.33 23.78 23.34 23.47 24.84 25.46 25.80 25.98 26.08 26.22 26.26 6.0 7.9 8.4 9.2 12.8 30.2 32.2 32.4 33.9 35.8 37.0 37.2 19.9 23.7 26.1 34.2 46.7 82.9 84.8 85.5 86.6 88.0 88.7 88.8 6.2 7.7 7.7 9.1 14.8 44.9 49.4 50.6 53.3 56.5 58.6 58.9 3.7 4.7 4.7 4.4 6.6 21.1 24.4 25.5 27.4 29.5 31.3 31.5 4.1 5.0 5.7 5.2 6.2 16.0 18.4 18.9 20.4 21.7 22.5 22.7 5.5 6.6 7.4 8.9 8.7 18.8 20.7 21.8 22.6 23.9 25.0 25.1 55.0 54.8 61.6 61.3 58.5 58.8 61.3 59.3 58.3 9.3 9.2 10.3 10.6 10.2 10.0 10.5 10.4 10.4 17.0 16.6 18.8 18.7 17.4 17.1 17.8 17.1 16.5 14.7 14.6 16.6 16.4 15.7 15.5 16.5 15.7 15.3 9.5 9.7 10.8 10.5 10.2 10.6 10.9 10.4 10.6 4.5 4.7 5.1 5.1 5.1 5.6 5.6 5.6 5.6 26.04 26.15 26.11 26.02 26.13 26.29 26.24 26.22 26.27 35.0 34.6 36.3 37.3 37.0 36.1 37.3 37.8 37.5 87.7 88.2 88.1 87.9 88.7 89.1 88.8 88.3 89.0 55.2 55.6 57.0 58.2 58.4 58.0 58.9 59.2 59.4 28.7 28.2 29.9 31.2 31.0 30.1 31.8 32.2 31.9 21.2 20.9 22.1 22.6 22.4 22.0 22.7 23.0 23.1 22.8 23.8 24.4 24.3 24.6 24.9 24.9 25.5 25.2 N a t i o n a l S t a t i s t i c s Sole As a percentage of all births outside marriage 48.5 67.1 65.7 53.8 81.0 211.3 216.5 215.5 219.9 232.7 237.9 237.7 f o r Joint Same Different address† address† Percentage of total births Births outside marriage can be registered by both the mother and father (joint) or by the mother alone (sole). Usual address of parents. Provisional. 64 20–24 .. .. 38.3 45.5 51.0 58.2 54.6 19.8 54.8 22.0 57.5 19.8 58.1 20.1 58.1 19.9 59.6 19.3 60.1 19.0 .. 61.7 54.5 49.0 41.8 25.6 23.2 22.7 21.8 21.9 21.3 21.1 58.1 58.1 58.2 58.2 58.4 59.6 59.9 60.0 60.5 22.2 22.0 21.7 21.8 22.0 21.0 21.2 20.7 21.1 1961 1966 1971 1976 1981 1991 Under 20 Registration* Year and quarter 19.8 19.9 20.1 19.9 19.5 19.5 18.9 19.2 18.4 8983 | | S Au umt u mme nr 11 99 9 7 8 Table 11 PP oo pp uu l l aat ti io on n TT rr ee nndds s Live births within marriage: age of mother, and birth order* England and Wales Year and quarter thousands Age of mother at birth All ages Under 20 20–24 Mean age (years) Age of mother at birth 25–29 30–34 35–39 40 and over 293.2 241.9 235.7 211.0 201.5 196.3 146.1 129.5 103.4 86.1 118.7 135.5 73.5 62.9 42.1 23.9 31.5 43.8 21.7 18.4 11.6 5.8 6.0 7.7 27.69 26.99 26.41 26.69 27.28 28.89 16.3 16.8 19.4 26.7 38.8 39.4 0.0 0.0 0.1 0.1 0.1 0.0 0.8 1.2 2.1 2.9 3.6 1.6 3.4 4.7 6.6 10.5 13.4 10.8 Live births within marriage All ages Under 20 20–24 25–29 30–34 Mean age (years) 35–39 40 and over 5.0 5.2 6.1 8.7 14.1 15.8 4.8 3.8 3.4 3.6 6.2 9.1 2.4 1.8 1.1 1.0 1.4 2.1 33.93 32.61 33.16 30.48 30.98 32.49 Live births within marriage to remarried women 1961 1966 1971 1976 1981 1991 762.8 782.8 717.5 530.5 553.5 487.9 47.9 66.2 61.1 38.1 30.1 8.9 234.3 263.8 263.7 165.6 165.7 95.6 1995 1996 1997 428.2 416.8 404.2 5.6 5.4 5.2 67.0 54.7 49.0 157.0 144.2 148.8 145.9 139.2 145.1 51.1 53.3 56.6 8.4 8.9 9.2 29.86 30.09 30.33 33.3 32.6 31.4 0.0 0.0 0.0 0.8 0.7 0.6 7.2 6.4 5.8 14.0 13.9 13.0 9.1 9.3 9.5 2.1 2.2 2.4 33.26 33.52 33.74 Year ending March 1998‡ 401.7 5.2 47.9 137.0 145.1 57.3 9.3 30.39 30.9 0.0 0.6 5.6 12.9 9.5 2.4 33.81 1996 March June Sept Dec 102.3 103.3 108.3 102.9 99.5 104.1 103.1 97.4 97.1 1.3 1.2 1.4 1.5 1.3 1.2 1.3 1.4 1.3 13.8 13.2 14.2 13.4 12.4 12.4 12.4 11.8 11.2 36.7 37.1 38.8 36.1 34.8 36.0 35.4 33.0 32.5 35.2 36.6 38.0 36.1 35.4 37.7 37.1 34.9 35.5 13.1 13.1 13.7 13.5 13.5 14.5 14.5 14.1 14.2 2.3 2.1 2.2 2.3 2.2 2.3 2.4 2.3 2.3 30.06 30.11 30.07 30.14 30.25 30.36 30.35 30.37 30.47 8.1 7.9 8.4 8.1 7.8 8.0 8.0 7.6 7.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.1 0.1 1.6 1.6 1.6 1.6 1.6 1.5 1.4 1.3 1.3 3.4 3.4 3.6 3.4 3.2 3.3 3.4 3.2 3.0 2.3 2.3 2.4 2.3 2.4 2.4 2.4 2.4 2.3 0.6 0.5 0.6 0.6 0.6 0.6 0.6 0.6 0.6 33.51 33.47 33.48 33.62 33.63 33.71 33.73 33.90 33.92 1997 March June Sept Dec 1998 March‡ First live births Second live births 1961 1966 1971 1976 1981 1991 280.5 287.4 283.6 217.2 224.3 193.7 40.3 52.2 49.5 30.2 23.6 6.7 129.2 138.1 135.8 85.4 89.5 51.2 73.7 67.7 74.8 77.2 77.2 84.5 26.4 20.7 17.2 19.7 27.8 40.2 8.9 7.1 5.1 3.9 5.4 9.7 1.9 1.5 1.2 0.7 0.7 1.3 24.66 24.02 23.99 24.87 25.37 27.48 232.7 246.3 240.8 203.6 205.7 178.3 6.9 12.6 10.7 7.4 6.1 2.0 74.0 88.5 93.6 62.5 59.0 32.8 88.2 92.2 94.1 91.8 82.7 73.9 44.7 38.0 31.8 34.7 47.7 53.0 15.8 12.6 8.9 6.2 9.1 14.7 3.0 2.5 1.7 1.0 1.1 1.9 27.44 26.64 26.28 26.87 27.46 28.95 1995 1996 1997 168.1 163.0 156.8 4.3 4.2 4.1 32.3 28.9 25.9 71.0 67.2 63.0 46.6 47.7 48.0 12.1 13.1 13.8 1.8 1.9 2.0 28.56 28.81 29.03 158.1 153.8 150.1 1.2 1.0 1.0 20.6 18.5 16.5 57.3 53.4 49.9 58.5 59.1 59.3 18.1 19.2 20.7 2.4 2.6 2.7 30.02 30.28 30.53 Year ending March 1998‡ 155.8 4.1 25.2 62.3 48.1 14.0 2.0 29.08 149.5 1.0 16.2 49.0 59.6 21.1 2.7 30.59 39.7 39.1 42.7 41.5 38.3 39.3 40.2 39.0 37.3 1.0 0.9 1.1 1.2 1.0 1.0 1.1 1.1 1.0 7.1 7.0 7.7 7.2 6.4 6.5 6.6 6.4 5.8 16.3 16.4 17.7 16.8 15.5 15.9 16.2 15.4 14.8 11.6 11.3 12.5 12.4 11.7 12.0 12.3 12.1 11.8 3.2 3.0 3.4 3.5 3.2 3.5 3.6 3.5 3.5 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.5 0.5 28.84 28.76 28.77 28.87 28.97 29.05 29.03 29.07 29.18 38.0 39.5 39.6 36.8 36.9 39.9 38.2 35.1 36.3 0.3 0.3 0.3 0.3 0.2 0.3 0.3 0.3 0.3 4.8 4.5 4.7 4.5 4.3 4.2 4.1 3.9 4.0 13.4 13.7 13.9 12.3 12.6 13.4 12.6 11.4 11.6 14.2 15.4 15.2 14.3 14.3 16.0 15.2 13.9 14.6 4.7 4.9 4.8 4.8 4.8 5.5 5.3 5.0 5.3 0.6 0.6 0.7 0.7 0.7 0.7 0.7 0.7 0.6 30.17 30.31 30.26 30.36 30.40 30.56 30.56 30.59 30.63 1996 March June Sept Dec 1997 March June Sept Dec 1998 March‡ Third live births Fourth and higher order live births† 1961 1966 1971 1976 1981 1991 124.8 129.7 111.7 71.0 82.4 76.1 0.6 1.2 0.9 0.5 0.4 0.2 23.3 27.8 26.6 14.4 14.1 9.4 45.0 49.0 43.6 29.8 29.5 26.8 34.5 33.2 27.9 19.5 28.7 27.5 17.2 14.9 10.4 5.8 8.7 10.5 4.3 3.6 2.2 1.1 1.0 1.8 29.78 29.19 28.74 28.89 29.59 30.44 124.8 119.4 81.4 38.8 41.1 39.8 0.0 0.1 0.1 0.0 0.0 0.0 7.9 9.4 7.6 3.3 3.1 2.3 32.3 33.0 23.2 12.2 12.0 11.1 40.5 37.7 26.5 12.1 14.5 14.8 31.7 28.3 17.6 8.0 8.3 8.9 12.4 10.8 6.5 3.1 3.2 2.7 31.56 31.10 30.72 30.70 31.14 31.62 1995 1996 1997 66.7 65.3 63.1 0.1 0.1 0.1 6.5 5.8 5.3 20.5 19.6 18.1 26.1 26.0 25.1 11.7 12.0 12.7 1.8 1.8 2.0 31.16 31.34 31.58 35.3 34.7 34.2 0.0 0.0 0.0 1.6 1.5 1.4 9.0 8.6 8.1 13.1 13.1 12.7 9.2 9.0 9.4 2.4 2.6 2.6 32.09 32.28 32.45 Year ending March 1998‡ 62.6 0.1 5.1 17.8 24.9 12.8 2.0 31.64 33.8 0.0 1.3 7.9 12.5 9.4 2.6 32.52 1996 March June Sept Dec 15.9 16.3 17.0 16.0 15.7 16.4 16.2 14.8 15.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.5 1.4 1.5 1.4 1.3 1.3 1.4 1.2 1.2 4.8 4.8 5.1 4.9 4.6 4.7 4.6 4.2 4.3 6.2 6.7 6.8 6.2 6.2 6.6 6.5 5.8 6.0 3.0 3.0 3.1 3.0 3.0 3.3 3.3 3.1 3.1 0.5 0.4 0.5 0.5 0.5 0.5 0.5 0.5 0.5 31.30 31.38 31.34 31.32 31.47 31.56 31.63 31.65 31.7 8.7 8.4 9.0 8.6 8.6 8.5 8.5 8.5 8.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.4 0.3 0.4 0.3 0.4 0.4 0.3 0.3 0.3 2.2 2.1 2.2 2.1 2.1 2.0 2.0 2.0 1.9 3.2 3.2 3.5 3.2 3.2 3.2 3.2 3.1 3.1 2.2 2.2 2.3 2.2 2.3 2.3 2.3 2.5 2.3 0.6 0.6 0.7 0.7 0.6 0.7 0.7 0.6 0.7 32.09 32.27 32.37 32.39 32.33 32.44 32.49 32.55 32.61 1997 March June Sept Dec 1998 March‡ * † ‡ Birth order is based on all live births within marriage to the mother by her present or any former husband. Mean age at birth refers to fourth births only. Provisional. O f f i c e f o r N a t i o n a l S t a t i s t i c s 65 P o p u l a t i o n Table 12 9 3 | 1993 1994 1995 1996‡ 1995 March June Sept Dec 1996 March June Sept Dec March‡ June‡ All ages Under 16 Under 20 20–24 25–29 30–34 35–39 40 and over 871.5 853.6 828.0 819.0 801.6 790.3 816.0 8.6 7.8 7.3 7.2 7.8 8.0 8.8 115.1 103.3 93.0 86.7 85.0 86.2 94.4 245.2 234.1 215.0 202.9 189.6 180.4 179.1 283.8 281.1 274.8 271.4 261.5 249.9 251.9 160.2 166.3 172.9 181.9 185.9 191.2 200.5 55.4 56.9 60.1 63.5 66.7 69.2 75.9 11.8 11.9 12.2 12.6 12.9 13.3 14.2 193.2 194.1 195.2 207.8 206.3 200.7 202.3 206.6 194.0 193.4 1.9 2.0 2.1 2.0 2.3 2.3 2.1 2.1 2.0 2.2 20.9 21.3 21.0 23.0 24.1 23.7 22.5 24.1 23.1 23.7 45.2 44.7 43.3 47.2 47.2 44.4 42.9 44.7 41.4 41.5 61.4 61.1 62.0 65.4 63.8 61.9 63.0 63.2 59.4 59.6 45.8 46.4 48.4 50.6 49.4 48.9 51.0 51.2 47.8 49.9 16.6 17.2 17.2 18.2 18.4 18.4 19.3 19.8 18.7 19.6 3.3 3.4 3.3 3.4 3.4 3.6 3.6 3.6 3.6 3.8 124.4 120.6 113.5 110.4 107.3 105.9 110.4 137.8 135.0 131.7 131.2 128.0 124.8 127.5 89.1 89.4 90.4 92.5 91.8 92.1 95.3 33.2 34.0 35.4 36.8 37.8 38.2 40.6 6.4 6.4 7.0 7.4 7.7 8.0 8.5 (b) rates (conceptions per thousand women in age-group) 79.2 10.1 1990 1991 77.7 9.3 1992 76.3 8.5 1993 1994 1995 1996‡ 1995 March June Sept Dec 1996 March June Sept Dec March‡ June‡ 76.1 74.7 73.7 76.0 8.1 8.3 8.5 9.4 69.1 65.1 61.7 59.6 58.6 58.7 63.0 73.0 72.6 72.2 76.8 77.3 75.2 74.9 76.5 73.2 72.2 8.2 8.7 8.7 8.6 9.9 9.8 9.1 9.0 8.7 9.4 58.0 58.2 56.5 61.7 65.2 63.7 59.6 63.3 61.5 62.1 106.0 104.9 101.5 112.0 114.9 109.3 105.8 111.4 106.6 106.8 123.5 122.1 123.1 130.2 129.4 125.8 127.3 128.6 123.9 123.8 90.3 89.9 92.5 96.2 94.9 93.7 96.4 96.9 92.1 95.1 37.6 38.2 37.5 39.5 40.1 39.7 41.0 41.7 40.0 41.0 8.0 8.1 7.8 8.0 8.1 8.6 8.6 8.5 8.6 8.9 19.2 19.5 19.7 20.8 50.6 51.0 51.0 52.1 52.8 49.8 51.5 35.6 34.4 34.5 34.9 35.3 35.2 36.8 22.2 22.1 22.4 22.9 23.5 24.3 25.9 13.5 13.4 13.9 13.8 14.3 14.8 15.6 13.8 13.7 13.7 13.4 13.4 13.4 14.0 23.3 22.0 21.8 21.2 20.8 20.3 20.9 43.3 41.8 40.6 39.4 40.0 37.2 36.7 19.8 20.2 19.3 19.6 21.0 21.3 19.8 21.1 21.4 22.2 48.7 48.8 52.1 49.3 49.4 51.6 52.9 52.5 50.8 51.9 35.3 35.4 35.1 34.8 36.7 37.2 35.8 37.7 36.6 37.2 23.8 24.7 24.1 24.5 25.6 26.6 24.8 26.4 26.7 27.2 14.9 15.4 14.4 14.5 15.8 16.0 14.9 15.9 16.6 16.7 13.8 13.8 12.9 13.4 14.3 14.3 13.2 14.2 14.4 14.5 20.6 20.8 19.6 20.3 21.5 21.6 20.0 20.7 20.7 21.6 38.0 37.4 38.1 35.3 36.1 37.2 36.4 37.1 37.7 38.1 (c) percentage terminated by abortion 19.9 1990 1991 19.3 1992 19.3 1993 1994 1995 1996 1995 March June Sept Dec 1996 March June Sept Dec March‡ June‡ 1997 ‡ Notes: 1. 2. 3. 66 1 9 9 8 Age of woman at conception (a) numbers (thousands) 1990 1991 1992 1997 Autumn Conceptions by age of woman at conception England and Wales (residents) Year and quarter 1997 T r e n d s Provisional Conceptions are estimates derived from birth registrations and abortion notifications. Rates for women of all ages, under 20 and 40 and over are based on the population of women aged 15-44, 15-19 and 40-44 respectively. Some rates for September 1995 onwards have been amended. These rates use mid-1996 population estimates which were previously unavailable. Numbers of conceptions in the June 1996 quarter have been amended. Quarterly rates have changed from those in previous volumes due to a more precise method of calculation. O f f i c e f o r N a t i o n a l S t a t i s t i c s 89 83 | | S Au umt umme nr 1 9 9 87 Table 13 Year Expectation of life (in years) at birth and selected age Constituent countries of the United Kingdom Males At birth 1991 1992 1993 1994 1995 1991 1992 1993 1994 1995 Scotland 1961 1971 1981 1986 1991 1992 1993 1994 1995 50 60 70 80 64.9 65.3 66.9 67.8 68.9 69.1 69.3 69.5 69.7 50.4 50.9 52.3 53.2 54.2 54.4 54.6 54.8 55.0 40.9 41.3 42.7 43.6 44.7 44.8 45.1 45.2 45.5 22.6 23.0 24.1 24.9 26.0 26.1 26.4 26.5 26.8 15.0 15.3 16.3 16.8 17.7 17.8 18.0 18.1 18.4 9.3 9.5 10.1 10.5 11.1 11.1 11.3 11.3 11.5 5.2 5.5 5.7 6.0 6.4 6.4 6.5 6.5 6.6 1961 1971 50.6 51.1 52.5 53.4 54.5 54.6 54.9 55.0 55.2 41.1 41.5 42.9 43.8 44.9 45.0 45.3 45.4 45.7 22.7 23.1 24.3 25.0 26.2 26.3 26.5 26.7 26.9 15.1 15.4 16.4 16.9 17.9 17.9 18.2 18.3 18.5 9.3 9.5 10.1 10.6 11.2 11.2 11.4 11.4 11.6 5.2 5.5 5.8 6.1 6.4 6.4 6.5 6.5 6.6 1961 1971 71.0 72.1 73.4 73.6 74.0 74.1 74.4 65.1 65.6 67.1 68.0 69.1 69.3 69.6 69.7 70.0 66.3 67.3 69.1 70.2 71.4 71.5 71.7 71.9 72.1 63.6 64.0 65.2 66.0 67.1 67.2 67.3 67.5 67.7 49.1 49.5 50.6 51.4 52.5 52.5 52.7 52.8 53.1 39.6 40.1 41.1 41.9 43.0 43.1 43.2 43.4 43.6 21.6 22.0 22.9 23.5 24.6 24.6 24.8 24.9 25.2 14.4 14.6 15.4 15.8 16.6 16.6 16.8 16.9 17.2 9.0 9.1 9.5 9.9 10.4 10.4 10.5 10.6 10.8 5.1 5.4 5.5 5.7 6.1 6.0 6.0 6.1 6.2 1961 1971 65.0 64.6 65.3 66.4 67.9 68.2 68.4 68.6 68.9 50.5 50.1 50.8 51.8 53.3 53.6 53.8 54.0 54.3 41.0 40.7 41.4 42.4 43.8 44.1 44.4 44.5 44.8 22.8 22.6 23.1 23.9 25.2 25.5 25.6 25.8 26.1 15.3 15.0 15.5 16.0 17.0 17.2 17.4 17.5 17.7 9.5 9.4 9.6 10.0 10.6 10.7 10.8 10.9 11.0 5.4 5.3 5.5 5.7 6.0 6.0 6.1 6.1 6.0 1961 1971 70.8 71.9 73.2 73.4 73.7 73.9 74.1 1991 1992 1993 1994 1995 69.1 70.6 72.3 72.5 72.8 72.9 73.3 Females At birth 30 Northern Ireland 67.6 1961 1971 67.6 1981 1986 At age 20 England and Wales 68.1 1961 1971 69.0 1981 1986 Year 5 United Kingdom 67.9 1961 1971 68.8 1981 1986 PP oo pp uu l la at ti io on n TTr reen nd ds s 1981 1986 1991 1992 1993 1994 1995 1981 1986 1991 1992 1993 1994 1995 1981 1986 1991 1992 1993 1994 1995 1981 1986 1991 1992 1993 1994 1995 At age 5 20 30 50 60 70 80 73.8 75.0 76.8 77.7 78.8 78.9 79.1 79.2 79.4 70.4 71.4 72.7 73.5 74.4 74.4 74.6 74.7 74.9 55.7 56.7 57.9 58.7 59.6 59.6 59.8 59.9 60.1 46.0 47.0 48.1 48.9 49.7 49.8 50.0 50.0 50.2 27.4 28.3 29.2 29.8 30.7 30.7 30.9 31.0 31.2 19.0 19.8 20.8 21.2 21.9 21.9 22.1 22.2 22.4 11.7 12.5 13.3 13.8 14.4 14.4 14.5 14.5 14.6 6.3 6.9 7.5 7.9 8.3 8.3 8.4 8.4 8.5 74.0 75.2 77.0 77.9 79.0 79.1 79.3 79.4 79.6 70.7 71.6 72.9 73.6 74.6 74.6 74.8 74.9 75.1 56.0 56.9 58.1 58.9 59.8 59.8 60.0 60.1 60.3 46.2 47.1 48.3 49.0 49.9 50.0 50.2 50.3 50.4 27.6 28.4 29.4 30.0 30.8 30.9 31.1 31.2 31.3 19.1 20.0 20.9 21.4 22.1 22.1 22.3 22.3 22.5 11.8 12.6 13.4 13.9 14.5 14.5 14.6 14.6 14.7 6.4 7.0 7.5 7.9 8.4 8.4 8.5 8.5 8.6 72.0 73.7 75.3 76.2 77.1 77.1 77.3 77.4 77.6 68.9 70.1 71.2 71.9 72.6 72.6 72.8 72.9 73.2 54.2 55.4 56.4 57.1 57.8 57.8 58.0 58.1 58.3 44.5 45.6 46.7 47.3 48.1 48.1 48.2 48.3 48.6 26.1 27.2 27.9 28.4 29.1 29.1 29.3 29.4 29.6 17.9 19.0 19.7 20.1 20.6 20.6 20.7 20.8 21.0 10.9 11.9 12.7 13.0 13.4 13.4 13.4 13.5 13.7 5.9 6.7 7.2 7.5 7.8 7.7 7.8 7.8 7.9 72.4 73.7 75.4 76.7 78.1 78.3 78.4 78.4 78.7 69.5 70.4 71.4 72.5 73.7 73.9 74.0 74.0 74.2 54.8 55.6 56.7 57.7 58.9 59.1 59.2 59.2 59.4 45.1 45.9 47.0 47.9 49.1 49.3 49.4 49.4 49.6 26.5 27.3 28.1 28.9 30.0 30.2 30.3 30.3 30.5 18.1 18.9 19.9 20.4 21.3 21.5 21.6 21.6 21.7 11.0 11.7 12.6 13.0 13.8 13.9 14.0 14.0 14.0 6.0 6.5 7.1 7.2 7.8 8.0 7.9 7.9 7.9 Figures from 1981 are calculated from the population estimates revised in the light of the 1991 Census. All figures are based on a three-year period, see Notes on Tables for further information. O f f i c e f o r N a t i o n a l S t a t i s t i c s 67 P o p u l a t i o n Table 14 Tr e n d s 9 3 | Autumn 1 9 9 8 Deaths: age and sex England and Wales Year and quarter All ages Age-group Under 1* 1–4 5–9 10–14 15–19 20–24 25–34 35–44 45–54 55–64 65–74 75–84 85 and over 288.4 300.1 289.0 287.9 277.6 279.6 267.6 272.7 269.8 266.2 7.97 4.88 4.12 3.72 2.97 2.41 2.37 2.29 2.29 2.16 1.23 0.88 0.65 0.57 0.55 0.51 0.43 0.40 0.44 0.42 0.92 0.68 0.45 0.32 0.34 0.28 0.28 0.28 0.24 0.27 0.69 0.64 0.57 0.38 0.35 0.34 0.33 0.33 0.31 0.33 1.54 1.66 1.73 1.43 1.21 0.91 0.84 0.89 0.91 0.97 1.77 1.66 1.58 1.75 1.76 1.60 1.55 1.56 1.41 1.47 3.05 3.24 3.18 3.10 3.69 3.81 4.07 4.10 4.03 3.92 6.68 5.93 5.54 5.77 6.16 5.78 5.77 5.86 5.86 5.72 21.0 20.4 16.9 14.4 13.3 13.4 12.9 13.4 13.5 13.6 55.7 52.0 46.9 43.6 34.9 33.3 31.3 30.8 30.1 29.1 89.8 98.7 92.2 84.4 77.2 78.9 76.3 74.5 71.5 68.3 71.9 80.3 86.8 96.2 95.8 93.8 88.2 91.6 91.2 90.7 26.1 29.0 28.5 32.2 39.3 44.5 43.2 46.6 48.1 49.3 278.9 298.5 288.9 293.3 292.5 299.2 285.6 293.2 293.2 291.9 5.75 3.46 2.90 2.59 2.19 1.84 1.75 1.68 1.70 1.67 0.98 0.59 0.53 0.49 0.44 0.37 0.36 0.34 0.33 0.30 0.57 0.45 0.30 0.25 0.25 0.19 0.19 0.19 0.18 0.18 0.42 0.42 0.37 0.27 0.22 0.25 0.20 0.23 0.19 0.21 0.63 0.62 0.65 0.56 0.46 0.39 0.36 0.39 0.43 0.43 0.79 0.67 0.64 0.67 0.64 0.58 0.54 0.52 0.52 0.50 1.84 1.94 1.82 1.65 1.73 1.80 1.77 1.84 1.88 1.71 4.53 4.04 3.74 3.83 3.70 3.63 3.67 3.64 3.67 3.73 13.3 12.8 10.5 8.8 8.4 8.6 8.7 8.9 8.8 9.1 30.8 29.6 27.2 25.8 21.3 20.4 19.0 18.8 18.3 18.1 64.0 67.1 62.8 58.4 54.2 55.2 53.9 52.7 50.5 48.6 95.0 104.7 103.6 106.5 103.3 100.9 94.2 96.4 97.3 96.0 60.4 72.1 73.9 83.6 95.7 105.0 101.0 107.5 109.3 111.5 Numbers (thousands) Males 1971 1976 1981 1986 1991 1993 1994 1995 1996 1997 Females 1971 1976 1981 1986 1991 1993 1994 1995 1996 1997 Rates (deaths per 1,000 population in each age-group) Males 1971 1976 1981 1986 1991 1993 1994 1995 1996 1997‡ Year ending June 1998‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Dec‡ 1998 March‡ June‡ Females 1971 1976 1981 1986 1991 1993 1994 1995 1996 1997‡ Year ending June 1998‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Dec‡ 1998 March‡ June‡ 12.1 12.5 12.0 11.8 11.2 11.1 10.6 10.7 10.6 10.4 10.2 11.9 10.0 9.5 10.8 11.7 10.0 9.3 10.4 11.0 10.0 19.8 16.2 12.6 11.0 8.3 7.0 6.9 6.9 6.9 6.6 6.5 7.6 6.6 6.3 6.9 6.8 6.8 6.1 6.7 6.5 7.0 0.76 0.65 0.53 0.44 0.40 0.36 0.31 0.28 0.32 0.31 0.32 0.34 0.30 0.25 0.38 0.32 0.30 0.26 0.36 0.38 0.27 0.44 0.34 0.27 0.21 0.21 0.16 0.16 0.16 0.13 0.15 0.15 0.13 0.11 0.13 0.17 0.16 0.15 0.14 0.16 0.17 0.14 0.37 0.31 0.29 0.23 0.23 0.21 0.20 0.20 0.19 0.19 0.20 0.21 0.19 0.19 0.15 0.21 0.17 0.20 0.20 0.19 0.21 0.90 0.88 0.82 0.71 0.69 0.59 0.55 0.57 0.57 0.60 0.58 0.63 0.49 0.55 0.63 0.66 0.62 0.47 0.64 0.60 0.62 0.93 0.96 0.83 0.82 0.86 0.83 0.83 0.87 0.82 0.90 0.90 0.83 0.78 0.79 0.89 0.86 0.92 0.87 0.95 0.93 0.83 0.97 0.92 0.89 0.87 0.94 0.91 0.96 0.96 0.94 0.92 0.94 0.98 0.85 0.95 0.99 0.93 0.90 0.89 0.97 1.02 0.87 2.31 2.09 1.83 1.67 1.76 1.67 1.66 1.66 1.63 1.56 1.57 1.68 1.61 1.55 1.67 1.54 1.51 1.46 1.67 1.64 1.51 7.07 6.97 6.11 5.27 4.62 4.24 3.99 4.05 4.01 3.96 3.95 4.12 3.96 3.84 4.11 4.11 3.94 3.77 4.04 4.13 3.86 20.1 19.6 17.7 16.6 13.8 13.3 12.4 12.2 12.0 11.5 11.5 13.1 11.7 11.2 12.0 12.2 11.4 10.8 11.7 12.1 11.2 50.5 50.3 45.6 42.9 38.5 37.9 36.2 35.9 34.7 33.3 32.4 38.5 33.6 31.6 35.2 36.5 33.3 30.6 33.0 34.7 31.4 113.0 116.4 105.2 101.1 93.6 93.3 89.5 88.8 85.5 82.9 81.0 97.6 80.4 76.1 87.8 97.1 79.2 72.9 82.7 88.0 80.6 231.8 243.2 226.5 214.8 197.1 202.3 188.6 194.3 193.2 191.3 187.9 230.7 177.7 166.3 198.3 233.4 177.1 162.0 193.3 210.9 186.1 11.0 11.8 11.3 11.4 11.3 11.4 10.9 11.1 11.1 11.0 10.7 12.8 10.3 9.9 11.4 13.1 10.4 9.7 10.9 11.8 10.5 15.1 12.2 9.4 8.0 6.4 5.6 5.4 5.3 5.4 5.3 5.3 5.6 5.3 5.5 5.2 5.6 5.3 4.9 5.6 5.4 5.2 0.63 0.46 0.46 0.40 0.33 0.28 0.27 0.25 0.25 0.23 0.22 0.26 0.26 0.19 0.30 0.29 0.23 0.16 0.25 0.25 0.20 0.29 0.24 0.19 0.17 0.16 0.12 0.11 0.12 0.11 0.11 0.11 0.11 0.10 0.11 0.11 0.13 0.10 0.08 0.11 0.12 0.11 0.24 0.21 0.19 0.17 0.15 0.16 0.13 0.14 0.12 0.13 0.14 0.12 0.09 0.13 0.14 0.11 0.13 0.13 0.14 0.18 0.09 0.39 0.35 0.32 0.29 0.28 0.27 0.25 0.27 0.28 0.28 0.28 0.30 0.26 0.27 0.31 0.31 0.27 0.24 0.29 0.30 0.28 0.42 0.40 0.35 0.33 0.33 0.31 0.30 0.31 0.32 0.32 0.32 0.32 0.31 0.30 0.34 0.26 0.37 0.32 0.35 0.31 0.28 0.60 0.56 0.52 0.47 0.45 0.45 0.44 0.45 0.46 0.42 0.42 0.47 0.46 0.45 0.46 0.44 0.42 0.39 0.45 0.41 0.43 1.59 1.46 1.26 1.12 1.06 1.06 1.06 1.05 1.04 1.03 1.01 1.08 1.03 1.00 1.03 1.07 1.04 1.00 1.01 1.03 0.99 4.32 4.30 3.80 3.23 2.91 2.73 2.68 2.72 2.62 2.64 2.62 2.71 2.46 2.58 2.71 2.70 2.66 2.58 2.63 2.64 2.66 10.0 10.1 9.5 9.2 8.1 7.9 7.3 7.3 7.1 7.0 6.8 7.6 6.9 6.7 7.2 7.7 6.8 6.5 6.9 7.1 6.7 26.1 26.0 24.1 23.4 22.0 22.0 21.3 21.3 20.8 20.3 19.7 23.4 19.7 19.0 20.9 22.9 19.8 18.4 20.2 21.3 18.9 73.6 74.6 66.2 62.5 58.6 59.4 56.9 56.6 56.1 54.9 53.2 64.6 52.4 49.9 57.7 64.8 52.5 48.4 53.9 58.5 52.3 185.7 196.6 178.2 171.0 163.8 156.5 146.6 151.8 151.7 152.5 148.3 182.2 138.9 129.7 156.4 193.4 139.1 128.0 150.3 169.3 146.1 * Rates per 1,000 live births. Some minor amendments have been made to the data from 1994 onwards as an incorrect denominator was previously used. Provisional. .. Data not available Note: Deaths for England and Wales represent the number of deaths registered in each year, except for 1993 and 1994 figures which represent the numbers of deaths occurring in each year. ‡ 68 O f f i c e f o r N a t i o n a l S t a t i s t i c s 8 8 9 | 3 S| u A mum r n1 91 99 79 8 P P o op pu ul la at ti ioonn T Tr re en nd ds s t ue m Table 15 Deaths: subnational New health regions of England (Regional Offices) * Year and quarter Northern and Yorkshire Total deaths (deaths per 1,000 population of all ages) 11.8 1991 1993 11.8 Trent Anglia and Oxford North Thames South Thames South and West West Midlands North West 1994 1995 1996 1997‡ Year ending June 1998‡ 11.2 11.3 11.3 11.1 11.0 11.2 11.4 10.8 11.0 10.9 10.9 10.8 1996 March June Sept Dec 12.8 10.6 10.1 11.6 12.2 10.5 9.9 11.1 10.9 9.1 8.5 9.9 10.8 8.9 8.4 9.8 12.7 10.3 9.7 11.0 12.9 10.6 10.2 11.4 12.2 9.9 9.5 10.9 13.1 10.8 10.4 12.0 1997 March‡ June‡ Sept‡ Dec‡ 12.6 10.8 9.8 11.1 12.6 10.4 9.6 11.1 11.1 9.0 8.4 9.4 11.0 8.8 8.3 9.1 13.0 10.2 9.5 10.5 13.4 10.9 9.9 11.3 12.2 10.1 9.4 10.5 12.9 11.0 10.3 11.6 1998 March‡ June‡ 12.4 10.9 11.7 10.7 10.1 9.2 9.9 8.6 11.4 10.1 12.0 11.0 11.2 10.1 12.1 11.1 8.0 7.0 7.2 6.5 6.3 6.0 6.7 6.1 6.1 6.3 6.6 6.4 5.8 5.2 6.8 5.3 5.6 5.2 5.8 5.0 5.8 5.8 5.8 5.7 4.5 5.3 4.4 6.0 6.5 6.2 6.1 5.6 5.6 5.4 6.7 4.9 4.9 5.9 5.3 5.1 5.0 5.9 6.5 6.4 5.2 5.8 6.1 5.3 6.6 5.9 5.8 6.3 5.8 5.1 5.8 4.5 6.4 5.6 5.0 5.6 5.5 5.8 5.6 5.1 6.0 5.2 6.5 5.8 5.1 6.0 8.7 7.0 7.2 7.1 6.8 7.1 6.3 7.2 7.1 6.8 7.5 7.2 5.8 8.0 7.5 6.5 6.2 6.6 6.4 6.8 8.2 6.5 5.2 5.6 6.7 6.8 5.9 7.8 3.8 3.6 3.8 3.4 3.7 3.3 3.2 4.3 3.9 3.4 3.1 3.8 2.6 3.8 4.2 4.4 3.9 3.9 3.9 3.5 4.4 3.5 3.8 4.0 3.7 3.3 3.5 3.4 3.8 4.2 3.7 3.9 4.1 3.6 3.9 4.2 4.0 4.2 3.7 3.5 4.1 3.2 3.6 3.6 3.1 3.9 3.9 3.9 3.6 3.5 4.7 3.6 3.9 3.7 3.6 4.3 5.9 4.8 5.4 5.3 5.0 5.0 4.6 5.6 5.2 4.7 4.5 5.6 4.3 5.6 4.0 4.0 3.9 4.2 4.1 4.3 5.2 4.4 3.4 3.5 3.8 4.0 3.9 5.5 7.2 8.5 7.9 7.2 7.7 7.5 6.8 9.0 7.6 7.5 8.6 7.4 6.5 7.6 8.0 9.2 9.1 9.0 9.0 8.5 10.5 8.5 8.0 9.2 9.0 8.1 8.0 8.8 7.4 8.9 8.1 8.6 8.6 7.9 8.0 9.1 9.2 8.0 8.7 7.5 7.9 7.3 7.0 7.8 7.8 7.7 7.5 8.4 7.4 7.0 8.0 7.4 8.8 8.4 7.3 9.4 9.9 9.9 10.6 10.2 10.2 9.7 9.1 10.7 10.9 10.1 9.5 9.7 8.5 11.1 7.8 8.9 9.2 8.6 8.7 8.8 9.2 9.6 7.8 8.3 8.0 9.1 9.1 9.1 Infant mortality (deaths under 1 year per 1,000 live births) 8.5 1991 1993 6.9 1994 6.8 1995 6.6 1996 6.4 1997 6.3 1996 March June Sept Dec 1997 March June Sept Dec 7.1 5.8 6.0 6.7 6.3 6.2 6.5 6.0 Neonatal mortality (deaths under 4 weeks per 1,000 live births) 4.9 4.7 1991 1993 4.3 4.7 1994 4.4 5.1 1995 4.5 4.6 1996 4.1 4.2 1997 4.1 4.0 1996 March June Sept Dec 1997 March June Sept Dec 4.4 3.7 4.4 4.0 4.3 3.9 4.5 3.8 3.7 3.9 4.6 4.6 4.2 4.3 4.2 3.5 Perinatal mortality (stillbirths and deaths under 1 week per 1,000 total births) 8.7 8.6 1991† 1993 9.4 8.6 1994 9.1 9.1 1995 9.4 9.5 1996 8.6 8.7 1997 8.2 7.9 1996 March June Sept Dec 1997 March June Sept Dec * † ‡ 1. 8.9 8.8 9.1 7.6 8.0 8.0 8.6 8.4 8.1 8.7 9.4 8.5 8.0 7.8 8.4 7.5 9.7 9.8 9.4 9.6 9.6 9.5 9.3 10.0 9.9 9.5 9.7 9.5 9.3 9.0 11.3 11.4 10.9 11.1 10.9 10.8 10.4 11.5 11.6 11.1 11.5 11.3 11.4 11.0 10.8 11.0 10.5 10.9 10.6 10.5 10.3 12.0 12.1 11.5 11.6 11.6 11.4 11.3 As constituted on 1 April 1996 Figures given are based on stillbirths of 28 completed weeks gestation or more (see Notes to tables). Provisional Death figures represent the number of deaths registered in each year, except for 1993 and 1994 figures which represent the number of deaths which occurred in each year. O f f i c e f o r N a t i o n a l S t a t i s t i c s 69 P o p u l a t i o n Table 16 Tr e n d s 9 3 | Autumn 1 9 9 8 Deaths: selected causes (International Classification)* and sex England and Wales Year and quarter All deaths Cancer Number (thousands) Rate† Males 1961 1966 1971 1976 1981 1991 1994 1995 1996 1997‡ Year ending June 1998‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Dec‡ 1998 March‡ June‡ Diabetes mellitus disease Hypertensive disease Stomach Intestines Pancreas Lung Breast Uterus Prostate (151) (152–3) (157) (162) (174–5) (179–82) (185) (250) (401–5) 280.8 288.6 288.4 300.1 289.0 277.6 267.6 272.7 269.8 266.2 283.4 1,256 1,239 1,207 1,246 1,196 1,121 1,057 1,072 1,056 1,036 1,017 .. .. 30.3 28.7 26.1 20.7 18.4 16.9 16.6 15.8 15.5 17.0 16.9 17.6 19.0 18.8 21.9 20.7 20.8 20.0 20.3 20.0 9.3 10.6 11.5 11.8 12.4 11.9 11.0 10.9 11.1 10.9 11.0 86.9 96.9 105.2 110.3 108.8 94.2 83.9 80.2 77.8 74.4 73.9 0.3 0.4 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.3 0.2 : : : : : : : : : : : 16.4 16.8 16.9 19.1 21.3 34.6 34.5 34.8 34.4 33.2 33.5 5.9 6.5 7.9 8.5 8.3 14.4 10.9 11.2 11.1 10.8 10.5 31.7 21.5 17.5 14.1 10.2 6.1 5.0 5.0 5.1 5.2 5.1 75.6 63.8 61.2 69.3 74.3 64.3 60.2 67.4 69.7 64.0 1,189 1,003 953 1,078 1,173 1,005 929 1,041 1,100 999 16.5 16.7 16.8 16.5 15.7 15.6 15.8 16.2 15.3 14.9 20.7 18.8 19.9 20.8 20.8 20.6 20.0 19.8 21.0 19.2 10.5 11.3 11.2 11.3 10.7 11.0 10.2 11.6 11.5 10.9 79.3 76.9 77.4 77.4 74.2 75.0 72.4 76.0 75.9 71.3 0.3 0.1 0.3 0.2 0.2 0.4 0.2 0.2 0.2 0.2 : : : : : : : : : : 34.2 33.3 33.6 36.3 32.0 33.2 33.5 34.2 33.2 33.2 12.4 10.7 10.1 11.3 12.4 10.3 9.7 10.7 11.4 10.2 6.0 4.9 4.4 4.8 5.9 5.6 4.5 4.9 6.0 5.2 271.0 275.0 278.9 298.5 288.9 292.5 285.6 293.2 293.2 291.9 283.9 1,136 1,115 1,104 1,176 1,134 1,127 1,085 1,114 1,108 1,103 1,070 .. .. 20.5 19.5 17.1 12.7 11.2 10.5 9.5 9.7 9.7 23.2 22.3 23.9 25.3 23.7 24.0 22.4 21.6 21.3 20.5 19.9 8.0 9.0 9.7 10.9 10.8 11.8 11.5 11.6 11.5 11.3 11.5 13.9 17.8 22.2 27.4 33.1 42.0 42.0 42.0 42.0 41.2 41.5 38.9 39.7 44.3 46.4 49.1 53.2 48.9 47.4 46.2 45.4 44.6 16.7 16.0 15.3 14.6 13.9 12.2 10.0 10.1 10.0 9.5 9.3 : : : : : : : : : : : 10.6 11.3 13.0 11.9 10.3 17.5 12.2 12.7 12.0 11.9 11.9 40.5 27.6 20.3 16.7 11.6 7.1 5.9 6.2 6.6 6.6 6.5 84.1 68.0 65.6 75.5 85.7 68.9 64.6 72.7 77.3 69.3 1,278 1,035 986 1,136 1,311 1,042 966 1,087 1,181 1,049 9.3 9.5 9.6 9.8 9.3 9.8 9.6 10.1 9.0 10.0 21.3 21.3 21.0 21.5 19.4 21.7 20.1 20.7 19.4 19.3 11.5 11.3 11.9 11.3 11.5 10.9 11.3 11.5 11.6 11.4 42.2 39.5 42.5 43.5 40.1 40.4 42.4 41.5 42.8 39.2 48.2 44.9 45.2 46.7 44.1 45.5 45.3 46.0 44.7 42.5 10.2 9.9 9.7 10.0 9.1 10.2 9.7 9.0 9.5 9.2 : : : : : : : : : : 13.2 11.8 10.9 12.2 12.7 11.1 11.4 12.3 12.6 11.2 7.6 6.0 5.2 7.4 7.8 6.2 5.7 6.8 7.2 6.2 Females 1961 1966 1971 1976 1981 1991 1994 1995 1996 1997‡ Year ending June 1998‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Dec‡ 1998 March‡ June‡ * The Ninth Revision of the International Classification of Diseases, 1975, came into operation in England and Wales on 1 January 1979. ONS has produced a publication containing details of the effect of this Revision (Mortality statistics: comparison of 8th and 9th revision of the International Classification of Diseases, 1978 (sample), Series DH1 no.10). † Per 100,000 population. ‡ Provisional. Notes: 1. Between 1 January 1984 and 31 December 1992, ONS applied the International Classification of Diseases Selection Rule 3 in the coding of deaths where terminal events and other ‘modes of dying’, such as cardiac arrest, cardiac failure, certain thromboembolic disorders, and unspecified pneumonia and bronchopneumonia, were stated by the certifier to be the underlying cause of death and other major pathology appeared on the certificate. In these cases Rule 3 allows the terminal event to be considered a direct sequel to the major pathology and that primary condition was selected as the underlying cause of death. Prior to 1984 and from 1993 onwards, such certificates are coded to the terminal event. Further details may be found in the annual volumes Mortality statistics: cause 1984, Series DH2 no. 11, and Mortality statistics: cause 1993 (revised) and 1994, Series DH2 no 21. 2. On 1 January 1986 a new certificate for deaths within the first 28 days of life was introduced. It is not possible to assign one underlying cause of death from this certificate. The ‘cause’ figures for 1986 onwards therefore exclude deaths at ages under 28 days. 3. Figures represent the numbers of deaths registered in each year, except for 1993 and 1994, which represent the numbers of deaths occurring in each year. 70 O f f i c e f o r N a t i o n a l S t a t i s t i c s 8 8 9 | 3 S| u A mum r n1 91 99 79 8 P P o op pu ul la at ti ioonn T Tr re en nd ds s t ue m Table 16 continued Rates per 100,000 Ischaemic heart disease Cerebrovascular Pneumonia Influenza Bronchitis and allied conditions Chronic liver disease and cirrhosis Congenital anomalies Road vehicle accidents** Accidental falls** Suicide (410–14) (430–8) (480–6) (487) (490–6) (571) (740–59) (E810–29) (E880–8) (E950–9) 297.3 323.1 347.5 371.1 368.8 329.9 292.2 285.8 276.9 262.2 255.4 .. .. 129.9 119.3 110.1 104.6 86.2 86.9 87.2 84.6 82.8 63.4 68.9 72.7 98.8 90.3 39.6 75.5 83.8 83.8 87.1 80.6 15.5 7.0 1.3 10.5 0.9 0.3 0.1 0.3 0.2 0.5 0.1 105.2 106.8 91.6 85.3 72.8 73.6 61.3 64.5 60.8 60.9 56.7 3.3 3.1 3.4 4.3 4.8 7.1 7.5 8.5 8.8 9.7 10.3 12.2 11.1 10.2 7.7 6.9 3.5 2.7 2.5 2.6 2.5 2.5 21.5 22.8 20.0 17.4 .. 12.8 9.2 8.9 9.1 9.6 9.4 8.2 7.9 7.6 6.8 .. 5.4 5.5 5.2 5.7 6.0 5.9 13.3 11.9 9.5 9.7 11.4 12.2 11.2 11.0 10.4 10.0 10.5 313.8 267.8 244.3 282.0 298.7 259.1 228.8 262.9 278.8 251.4 99.8 85.9 75.4 87.6 95.5 82.3 75.2 85.5 89.2 81.3 115.0 70.9 61.7 87.7 131.7 72.9 61.7 82.7 97.8 80.5 0.6 0.0 0.0 0.1 1.7 0.0 0.0 0.1 0.3 0.1 82.2 54.3 45.9 61.0 88.4 53.0 45.4 57.1 70.1 54.6 8.8 8.5 8.4 9.4 9.6 9.3 9.1 10.6 10.8 10.8 3.1 2.5 2.3 2.7 3.0 2.3 2.5 2.5 2.9 2.2 9.4 8.5 8.5 9.8 9.6 9.6 8.8 10.4 9.9 8.7 6.0 5.2 5.1 6.3 6.3 6.1 5.7 5.9 6.4 5.7 10.7 9.8 10.2 10.9 9.9 10.0 9.2 11.0 11.2 10.5 210.1 222.3 237.9 266.6 259.4 264.1 235.5 228.6 222.7 210.5 204.6 .. .. 193.5 184.1 169.0 165.1 141.2 142.3 142.7 136.5 133.3 63.7 78.1 88.0 125.6 126.5 72.2 113.9 125.9 125.1 131.7 118.7 15.0 8.2 1.5 16.4 1.6 0.7 0.1 0.6 0.5 0.9 0.2 39.0 38.8 31.8 32.3 28.7 41.8 40.1 43.7 43.6 44.6 42.8 2.7 2.6 3.0 3.4 4.1 5.2 5.1 5.5 5.7 6.3 6.3 10.8 9.2 8.3 6.4 5.4 3.0 2.4 2.5 2.1 2.4 2.2 8.0 8.8 9.1 7.6 .. 5.2 3.8 3.8 3.6 3.5 3.4 14.4 14.3 14.7 13.0 .. 7.9 7.7 8.3 8.3 9.2 8.6 9.0 8.7 6.7 5.9 6.5 3.4 3.0 2.9 3.0 2.9 2.9 257.7 210.1 195.9 227.5 244.4 207.3 184.6 206.4 225.6 202.0 162.4 137.3 126.5 144.8 158.6 132.3 119.7 135.7 146.9 131.3 178.4 103.3 88.1 130.9 216.6 102.8 87.5 121.3 151.7 115.0 1.6 0.1 0.0 0.4 3.6 0.0 0.0 0.2 0.2 0.2 61.0 37.2 30.4 45.7 66.8 36.0 31.9 44.2 55.6 39.9 6.3 5.6 5.5 5.6 6.3 6.3 6.0 6.5 6.5 6.0 2.2 2.0 1.9 2.4 2.6 2.6 2.0 2.3 2.5 2.1 4.2 3.4 3.4 3.5 3.6 3.6 3.6 3.1 3.3 3.6 9.1 8.5 7.5 8.2 11.1 9.0 7.9 8.9 9.4 8.1 2.9 3.0 3.1 3.0 2.6 3.1 2.5 3.4 3.1 2.8 ** Year and quarter Males 1961 1966 1971 1976 1981 1991 1994 1995 1996 1997‡ Year ending June1998‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Dec‡ 1998 March‡ June‡ Females 1961 1966 1971 1976 1981 1991 1994 1995 1996 1997‡ Year ending June1998‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Dec‡ 1998 March‡ June‡ Industrial action by registration officers in 1981 meant that information normally supplied by coroners about violent deaths is not available, and therefore no comparable figures can be compiled for these categories for 1981. O f f i c e f o r N a t i o n a l S t a t i s t i c s 71 P o p u l a t i o n Table 17 T r e n d s 9 3 | Autumn 1 9 9 8 Abortions: marital status, age, and gestation/weeks (residents only) England and Wales Year and quarter All ages All women All women Single women 1997 94.6 101.9 128.6 167.4 157.8 156.0 153.1 166.4 167.8 44.3 50.9 70.0 110.9 103.8 102.2 101.5 113.1 114.9 Year ending Dec 1997‡ 167.8 114.9 40.7 38.4 39.2 37.6 40.3 37.4 38.4 37.0 43.0 42.7 41.2 39.5 42.5 42.4 42.2 40.7 26.7 25.2 25.6 24.7 26.7 24.7 25.5 24.6 29.2 29.1 28.0 26.9 29.2 28.0 28.8 27.9 9.14 8.46 8.73 8.16 8.65 8.12 8.14 7.81 8.76 8.58 8.45 8.08 8.47 8.53 8.59 8.00 13.8 14.8 17.2 23.6 22.2 20.5 23.2 22.7 23.1 21.8 20.3 20.4 19.7 21.7 20.0 20.3 19.6 23.6 23.5 22.4 21.5 23.8 23.4 23.0 22.2 5.3 5.3 5.9 5.5 5.2 5.1 5.0 5.1 5.3 5.5 5.1 5.2 4.8 5.2 4.9 4.8 4.6 5.6 5.5 5.3 5.1 5.5 5.4 5.4 5.0 Numbers (thousands) 1971 1976 1981 1991 1993 1994 1995 1996 1994 March June Sept Dec 1995 March June Sept Dec 1996 March June Sept Dec 1997 March June Sept Dec Rates (per thousand women 14–49) 1971 8.4 1976 8.9 1981 10.6 1991 13.1 1993 1994 1995 1996 1997 1994 March June Sept Dec 1995 March June Sept Dec 1996 March June Sept Dec 1997 March June Sept Dec 12.3 12.1 12.7 12.9 13.1 12.8 12.0 12.1 11.6 12.7 11.7 11.9 11.4 13.4 13.4 12.7 12.2 13.4 13.2 13.0 12.6 Married women Gestation (weeks) Other* Under 16 16–19 20–34 41.5 40.3 42.4 37.8 35.4 34.5 32.7 33.9 33.6 8.7 10.7 16.1 18.7 18.7 19.3 18.9 19.4 19.3 2.30 3.43 3.53 3.16 3.08 3.22 3.24 3.60 3.35 18.2 24.0 31.4 31.1 25.8 25.1 24.7 28.5 29.5 56.0 57.5 74.9 114.7 109.7 108.1 105.7 112.9 112.5 33.6 19.3 3.35 29.5 112.5 4.90 4.72 4.94 4.76 4.98 4.59 4.80 4.52 5.07 5.04 4.75 4.54 4.82 4.84 4.80 4.83 28.7 23.6 18.3 15.1 14.0 13.9 14.8 13.9 12.5 14.3 13.6 14.1 13.6 14.5 13.2 13.7 12.9 13.2 13.1 12.2 11.7 12.7 12.6 12.3 12.4 0.80 0.77 0.81 0.85 0.86 0.76 0.80 0.82 0.88 0.91 0.92 0.89 0.84 0.83 0.87 0.82 3.5 4.4 4.5 5.6 5.3 5.2 5.8 5.8 5.4 5.2 5.0 5.2 5.4 5.6 4.9 5.1 5.2 5.7 5.9 5.9 5.7 5.5 5.3 5.6 5.2 6.69 6.14 6.27 6.02 6.45 5.98 6.26 6.04 7.33 7.27 7.06 6.89 7.47 7.30 7.43 7.35 13.9 16.9 19.4 24.0 22.0 21.9 22.3 24.9 25.8 23.7 21.5 21.7 20.9 22.8 20.9 21.7 20.9 25.7 25.5 24.5 23.9 26.4 25.6 25.7 25.5 35–44 45 and over Age not stated Under 13 15.9 14.7 17.6 17.9 18.8 19.1 19.1 21.0 21.9 0.45 0.48 0.56 0.41 0.49 0.44 0.45 0.42 0.48 1.80 1.79 0.56 0.01 0.01 0.01 0.00 0.01 0.00 70.4 82.1 108.5 147.5 140.4 138.9 136.7 147.5 149.7 21.9 0.48 0.00 149.7 35.9 34.1 35.0 33.9 35.7 33.5 34.2 33.3 38.1 37.7 36.4 35.4 37.3 37.9 37.7 36.9 28.4 26.6 27.1 26.0 27.9 25.9 26.4 25.4 29.6 29.1 27.7 26.5 28.7 28.6 28.1 27.1 4.71 4.79 4.97 4.63 4.97 4.68 4.87 4.54 5.13 5.43 5.35 5.11 5.40 5.53 5.68 5.32 0.11 0.11 0.11 0.11 0.12 0.11 0.12 0.11 0.11 0.10 0.10 0.12 0.10 0.14 0.12 0.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11.4 11.2 14.0 19.6 18.7 18.7 19.1 19.3 19.3 19.7 18.3 18.4 17.7 19.4 17.8 17.9 17.3 20.4 20.0 18.9 18.1 19.9 19.7 19.1 18.4 5.6 5.3 5.9 5.1 5.5 5.5 5.9 6.1 6.4 5.5 5.6 5.7 5.3 5.8 5.4 5.6 5.2 6.0 6.3 6.2 5.9 6.3 6.4 6.5 6.1 0.3 0.3 0.4 0.3 0.3 0.2 0.3 0.2 0.3 0.3 0.2 0.2 0.2 0.3 0.2 0.3 0.2 0.2 0.2 0.2 0.3 0.2 0.3 0.3 0.3 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. * Other women includes divorced, widowed, separated, and not stated. ‡ Provisional Notes: 1. In calculating rates, the population of separated women has been estimated using Labour Force Survey data. 2. The rates differ from those previously published due to a revision of the denominators which remain provisional and may be subject to further revision. 72 O f f i c e f o r N a t i o n a l S t a t i s t i c s .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 13–19 20 and over Not stated 20.6 15.3 17.4 17.8 15.6 15.4 14.6 16.7 16.1 0.85 0.98 1.72 2.07 1.84 1.85 1.81 2.14 2.02 2.69 3.56 1.02 0.00 0.00 0.00 0.00 0.00 0.00 16.1 2.02 0.00 4.38 3.76 3.89 3.35 4.16 3.52 3.73 3.23 4.38 4.45 4.21 3.65 4.68 4.00 4.02 3.37 0.47 0.50 0.48 0.40 0.42 0.43 0.50 0.46 0.53 0.57 0.55 0.50 0.52 0.53 0.50 0.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 89 83 | | S Au umt umme nr 1 9 9 87 Table 18 Year and quarter International migration: age and sex United Kingdom All ages thousands 0-14 15-24 25-44 Persons Males Females Persons Males Females Persons Males 1993 1994 1995 1996 200 191 153 250 267 213 253 245 272 103 100 83 120 122 101 126 130 130 97 91 71 130 144 112 127 115 143 33 32 30 45 48 34 36 28 32 17 16 16 22 20 17 22 20 13 17 17 14 23 28 17 14 9 19 65 64 48 79 83 73 76 88 97 28 32 24 34 36 28 30 40 40 37 32 24 45 47 44 47 48 57 Year ending Sept 1997‡ 289 143 146 39 16 23 121 52 1996 March June Sept Dec 52 56 109 55 26 24 55 25 26 32 54 30 8 3 13 8 3 1 6 3 5 1 7 5 13 15 50 18 1997 March‡ June‡ Sept‡ 50 48 136 26 25 66 24 23 69 10 10 12 6 4 3 4 5 8 1993 1994 1995 1996 240 210 233 213 239 216 191 192 216 124 118 133 107 120 113 92 102 105 116 93 100 106 119 103 98 90 111 51 40 49 37 39 32 26 29 33 26 20 25 17 17 20 15 14 13 Year ending Sept 1997‡ 210 105 105 23 1996 March June Sept Dec 45 45 78 48 22 25 37 21 22 20 41 27 1997 March‡ June‡ Sept‡ 38 40 83 22 22 40 Inflow 1971 1976 1981 1986 1991 Outflow 1971 1976 1981 1986 1991 Balance 1971 1976 1981 1986 1991 PP oo pp uu l la at ti io on n TTr reen nd ds s Males Females Males Females 81 77 60 101 109 87 117 107 117 48 43 34 49 54 44 60 57 61 33 34 26 51 55 43 57 50 56 21 18 15 25 27 20 24 22 26 10 9 9 16 12 12 15 14 15 11 9 7 10 15 8 9 8 11 69 104 60 44 26 16 10 5 4 25 7 9 12 25 12 26 30 41 21 17 13 20 11 9 16 20 10 5 8 5 8 2 5 3 5 3 3 2 3 12 11 80 4 6 35 8 5 45 23 22 38 13 12 23 10 10 15 5 6 6 3 3 5 3 3 1 24 21 24 20 22 11 11 15 20 64 52 51 47 59 49 48 54 49 28 26 29 19 31 20 19 24 17 36 25 22 28 29 30 29 31 32 99 97 108 98 113 106 95 85 117 57 59 64 55 58 56 49 52 64 42 38 44 43 55 51 46 33 53 27 21 25 32 28 28 23 24 18 12 12 14 17 15 17 10 13 11 15 9 11 15 13 11 13 11 6 10 13 58 27 31 111 56 54 18 11 7 7 9 12 4 4 5 3 1 3 4 9 3 6 9 22 12 3 3 6 5 3 6 16 7 26 24 36 30 13 16 22 14 14 9 15 16 5 2 8 3 3 1 6 2 2 1 2 1 16 19 43 6 5 9 4 1 5 2 3 4 6 13 28 2 8 13 4 5 15 21 19 41 12 9 21 9 9 20 5 4 6 4 3 3 1 1 3 2 3 5 1 3 6 5 1 4 – 4 — – 4 – 6 + 2 – 3 – 4 – 2 + 5 1993 1994 1995 1996 – 40 – 19 – 79 + 37 + 28 – 2 + 62 + 54 + 56 – – – + + – + + + 22 18 50 13 2 12 34 28 24 – 19 – 1 – 29 + 24 + 26 + 10 + 28 + 26 + 32 – 17 – 8 – 19 + 8 + 8 + 2 + 10 — – 1 – 10 – 4 – 9 + 5 + 3 – 3 + 6 + 6 — – 8 – 4 + 10 + 3 + 5 + 6 + 3 – 6 – 1 + + – + + + + + + Year ending Sept 1997‡ + 79 + 38 + 41 + 15 + 6 + 10 + 63 1996 March June Sept Dec + 7 + 11 + 31 + 7 + – + + 3 1 17 4 + 4 + 12 + 14 + 2 + – + + – – + + + – – + + + + + 1997 March‡ June‡ Sept‡ + 12 + 8 + 52 + 4 + 4 + 26 + 8 + 4 + 26 + 4 + 5 + 3 1 7 1 4 1 4 3 2 + 2 + 3 – 1 2 3 2 2 + 2 + 2 + 4 1 12 2 32 24 23 29 34 48 + + + + + + + + + Persons Persons 1 7 2 18 18 15 17 17 25 – – – + – – + + 18 20 48 3 3 20 22 22 — – 10 – 16 – 31 – 5 – 4 – 11 + 11 + 5 – 3 – 9 – 4 – 18 + 8 + 1 – 8 + 11 + 17 + 3 – – – – – – + – + + 24 + 39 – 7 + 3 – 10 + 8 + 5 + 3 7 6 28 7 + 2 + 1 + 19 + 2 + 6 + 6 + 10 + 4 – + + – 1 5 4 9 + – – – 4 2 1 3 – + + – 5 8 6 6 — + 6 – 3 + 5 – + – + 1 5 3 3 + 1 + 2 — + 2 + 6 – 2 + 52 + 2 – 2 + 22 + 4 + 1 + 30 + + – 2 3 3 + 1 + 3 + 3 + 1 — – 6 — + 2 — – 1 + 1 + 2 + 1 + 1 – 2 + – + + + + + + — 6 5 15 6 8 11 16 23 Females 45 and over 6 3 10 7 1 9 2 1 8 – – – – – – + + + ‡ Provisional Note: Figures in this table are derived from the International Passenger Survey and exclude migration between the UK and the Irish Republic. It is highly likely that they also exclude persons seeking asylum after entering the country and other short-term visitors granted extensions of stay. For adjustment required, see Notes to tables. O f f i c e f o r N a t i o n a l S t a t i s t i c s 73 P o p u l a t i o n Table 19 Tr e n d s 9 3 | Autumn 1 9 9 8 International migration: country of last or next residence United Kingdom Year and quarter All countries Inflow 1971 1976 1981 1986 1991 European Union* thousands Commonwealth countries Other foreign countries Australia, New Zealand, Canada South Africa India†, Bangladesh, Sri Lanka Pakistan† Caribbean 52 40 20 30 47 36 34 39 40 8 9 3 18 8 9 8 4 11 24 ................ 15 18 16 12 13 10 11 12 : 12 9 10 12 7 6 5 9 USA Middle** East Other** 5 4 3 5 3 2 1 2 3 36 36 26 29 39 25 36 37 32 22 16 17 26 25 23 30 27 33 : : 11 15 8 9 11 11 12 31 27 21 32 41 36 43 37 37 1993 1994 1995 1996 200 191 153 250 267 213 253 245 272 Year ending Sept 1997‡ 289 104 36 12 15 9 4 34 22 13 40 52 56 109 55 50 48 136 18 11 29 25 20 10 50 6 16 13 5 8 12 12 2 4 5 1 6 3 2 2 4 3 3 1 3 8 2 2 3 2 1 2 3 — 2 — — — — 3 5 3 18 5 3 3 23 6 5 18 5 4 4 9 2 3 4 2 2 4 5 9 7 15 7 6 8 20 240 210 233 213 ................ 239 216 191 192 216 31 38 32 58 72 65 52 55 72 99 63 79 50 53 48 38 44 50 21 21 23 2 ................ 6 3 4 5 5 8 4 2 4 5 4 2 2 4 : 2 1 2 3 2 3 2 1 8 3 3 2 2 3 3 2 1 23 21 23 19 27 22 21 19 27 17 21 25 34 32 33 24 28 23 : : 23 16 13 9 11 9 6 34 37 21 ................ 26 27 27 33 27 27 210 64 50 7 3 2 3 23 22 10 26 45 45 78 48 38 40 83 14 16 30 13 9 13 30 11 9 12 18 10 9 13 1 1 1 3 1 2 2 1 1 1 — 1 1 1 — — — — — — 1 — — — — — — 2 4 6 14 3 4 4 12 5 5 8 5 3 7 7 2 2 2 1 2 2 4 7 4 11 5 8 2 11 40 19 79 37 28 2 62 54 56 – 10 ................ – 6 – 8 + 1 — – 12 +24 +16 +10 46 23 58 21 6 12 5 4 10 – 13 – 12 – 20 + 16 + 2 + 6 + 4 – 1 + 7 : + 10 + 8 + 8 + 8 + 5 + 3 + 4 + 8 – 3 — + 1 + 3 + 2 – 1 – 3 – 1 + 2 + + + + + + + + + 14 15 3 10 13 3 15 18 5 + 6 – 4 – 8 – 8 – 7 – 10 + 6 — + 10 + + : : 12 — 5 1 — 3 5 — + 4 1 3 4 3 + 1 – 1 + 10 — + + + 1 2 2 — + + + + – 2 – 1 + 11 + 1 – 3 + 2 — 2 1 – 2 + 6 + 9 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Outflow 1971 1976 1981 1986 1991 1993 1994 1995 1996 Year ending Sept 1997‡ 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Balance 1971 1976 1981 1986 1991 21 ................ 32 25 69 72 53 76 71 82 Other 1993 1994 1995 1996 – – – + + – + + + – – – – – – – – – Year ending Sept 1997‡ + 79 +40 – 13 + 4 + 12 + 7 + 1 + 11 1996 March June Sept Dec + + + + 7 11 31 7 + 4 – 5 — +12 – + + – + + + – + + + + + + + + 2 1 3 2 — + 2 — — + – + + 1997 March‡ June‡ Sept‡ + 12 + 8 + 52 +11 – 4 +21 – 2 + 3 – 1 + 1 + 2 + 2 — — — 5 7 2 13 2 3 4 2 + 5 + 1 — + 16 ................ + 12 + 16 + 12 + 8 + 9 + 8 + 9 + 8 1 3 2 2 — + 2 + 7 * – – – + + – 3 – 10 ................ – 1 + 7 + 14 + 9 + 10 + 10 + 10 + 14 2 3 4 2 From 1995 onwards figures for the European Union include estimates for Austria, Finland and Sweden. The figures for the years 1976–1994 show the European Community as it is was constituted before 1st January 1995 (including the former German Democratic Republic). For 1971 the EC figures are for the original six countries only. † Pakistan is included with India, Bangladesh, and Sri Lanka in 1971. ** Middle East is included in the Other category in 1971 and 1976. ‡ Provisional. Note: Figures in this table are derived from the International Passenger Survey and exclude migration between the UK and the Irish Republic. It is highly likely that they also exclude persons seeking asylum after entering the country and other short-term visitors granted extensions of stay. For adjustment required, see Notes to tables. 74 O f f i c e f o r N a t i o n a l S t a t i s t i c s 8 8 9 | 3 S| u A mum r n1 91 99 79 8 P P o op pu ul la at ti ioonn T Tr re en nd ds s t ue m Table 20 Year and quarter International migration: citizenship United Kingdom thousands Citizenship (number in thousands) All citizenship British Non-British European Union* Commonwealth+† All Inflow 1971 1976 1981 1986 1991 Other foreign*+ Old+ British citizens as percentage of all citizens New† 1993 1994 1995 1996 200 191 153 250 267 213 253 245 272 92 87 60 120 117 92 118 91 104 108 104 93 130 150 122 135 154 168 .. 18 11 35 31 24 29 41 54 53 58 47 50 67 51 ................ 52 63 64 17 16 11 16 25 21 ................ 20 28 30 36 42 36 34 42 29 32 35 34 54 ................ 29 36 46 52 48 ................ 55 50 50 46 45 39 48 44 43 47 37 38 Year ending Sept 1997‡ 289 97 192 69 75 29 46 48 33 52 56 109 55 50 48 136 22 24 37 21 23 22 31 30 32 72 34 27 26 105 7 9 25 13 8 5 43 12 16 25 12 11 14 39 6 11 9 4 7 9 9 6 5 15 8 3 4 30 11 7 22 10 8 8 22 42 42 34 38 46 45 23 1993 1994 1995 1996 240 210 233 213 239 216 191 192 216 171 137 164 132 137 127 108 118 139 69 73 69 81 102 89 82 74 77 .. 18 15 10 32 21 22 20 24 29 29 29 31 ................ 34 31 29 27 29 13 15 13 19 17 15 12 16 16 16 14 16 13 18 15 16 11 14 40 ................ 27 25 40 36 37 32 27 24 71 65 71 62 57 59 57 62 64 Year ending Sept 1997 ‡ 210 126 84 25 34 18 16 25 60 45 45 78 48 38 40 83 32 29 50 29 25 23 48 13 16 29 19 13 17 35 6 7 6 5 4 5 11 4 5 12 8 6 5 15 2 4 3 6 4 4 5 2 2 8 2 2 2 10 3 4 11 6 3 6 10 70 64 64 61 66 58 58 40 19 79 37 28 2 62 54 56 – 79 – 51 –104 – 12 – 20 – 35 + 10 – 27 – 36 + + + + + + + + + 39 31 25 49 47 33 53 81 92 .. — 4 25 1 3 7 21 30 + 24 + 29 + 18 + 19 + 32 + 20 ................ + 23 + 36 + 35 + 4 + 2 – 2 – 3 + 8 + 6 ................ + 7 + 11 + 14 20 28 20 21 24 14 16 25 21 + 14 ................ + 2 + 11 + 5 + 16 + 10 ................ + 23 + 23 + 27 + 79 – 29 +108 + 44 + 41 + 11 + 30 + 23 : 1996 March June Sept Dec + + + + – – – – + + + + + + + + 2 1 19 8 + 7 + 11 + 13 + 4 + + + – + + + + 4 4 7 6 + 8 + 4 + 11 + 4 : : : : 1997 March‡ June‡ Sept‡ + 12 + 8 + 52 + 5 – 1 + 32 + 5 + 8 + 24 + 4 + 6 + 4 + 1 + 3 + 20 + 5 + 2 + 13 : : : 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Outflow 1971 1976 1981 1986 1991 1996 March June Sept Dec 1997 March‡ June‡ Sept‡ Balance 1971 1976 1981 1986 1991 1993 1994 1995 1996 Year ending Sept 1997‡ – – – + + – + + + 7 11 31 7 9 5 13 8 – 2 – 2 – 17 17 16 43 15 + 14 + 10 + 69 – + – + + + + 3 7 6 2 + + + + + + + + + : : : : : : : : * From 1995 onwards figures for European Union citizenship includes estimates for Austrian, Finnish and Swedish citizenship. The figures for the years 1976–1994 show the European Community as it was constituted before 1st January 1995 (including citizens of the former German Democratic Republic). For 1971 citizens of the EC are included in the Other foreign category. + Figures for South African citizenship are included in Old Commonwealth and excluded from the Other foreign category with effect from 1994. † For all years Pakistani citizens have been included with the New Commonwealth and excluded from the Other foreign category. ‡ Provisional. Note: Figures in this table are derived from the International Passenger Survey and exclude migration between the UK and the Irish Republic. It is highly likely that they also exclude persons seeking asylum after entering the country and other short-term visitors granted extensions of stay. For adjustment required, see Notes to tables. O f f i c e f o r N a t i o n a l S t a t i s t i c s 75 P o p u l a t i o n Table 21 Tr e n d s 9 3 | Autumn 1 9 9 8 Internal migration: recorded movements between England, Wales, Scotland, Northern Ireland and Government Office Regions of England Year and quarter England Wales Scotland Northern Ireland thousands Government Office Regions of England North East Yorkshire and the Humber East Midlands Eastern South East London South West West (GOR) Midlands North West (GOR) and Merseyside Inflow 1976 1981 1986 1991 105.4 94.3 115.6 95.8 52.0 44.6 55.2 51.5 50.4 46.9 43.9 55.8 9.7 7.2 8.8 12.5 39.2 31.1 36.5 40.2 78.2 68.3 78.6 85.0 84.0 76.6 101.9 89.6 146.3 121.4 144.6 122.1 215.4 201.8 243.3 197.6 .. 155.2 182.8 148.8 123.8 108.4 148.8 120.7 75.7 66.9 87.1 82.7 93.0 79.3 90.0 96.1 1993 1994 1995 1996 98.6 103.4 108.1 111.1 51.5 52.0 54.7 55.3 54.1 51.7 48.5 47.0 10.7 10.9 14.1 11.4 38.3 37.1 37.9 38.6 87.8 87.6 90.8 90.8 93.3 96.4 101.3 102.1 123.3 130.6 134.6 139.5 206.3 215.5 218.6 228.0 150.5 160.4 170.7 168.0 121.1 127.7 131.6 138.5 83.0 84.8 90.0 90.6 97.1 99.7 103.7 105.0 Year ending Sept 1997‡ 111.6 58.9 50.4 10.7 38.6 93.7 106.9 144.3 231.9 168.1 144.8 92.5 106.3 1996 March June Sept Dec 23.0 23.8 36.9 27.4 10.7 11.4 19.4 13.9 12.2 10.3 13.2 11.3 2.7 3.5 2.2 3.0 7.4 7.7 14.4 9.1 16.5 17.0 35.8 21.5 19.4 20.2 37.9 24.4 28.4 31.2 45.4 34.4 46.2 49.1 75.7 57.0 37.1 35.8 52.6 42.5 27.2 29.5 47.6 34.3 17.9 18.5 31.1 23.1 21.0 22.0 35.9 26.0 1997 March June‡ Sept‡ 23.1 24.6 36.6 11.6 12.0 21.4 12.2 12.8 14.0 2.6 2.5 2.5 7.3 7.4 14.8 17.3 17.7 37.2 20.3 22.0 40.1 30.3 32.5 47.1 46.3 50.9 77.7 36.7 36.7 52.2 28.6 32.0 49.9 18.4 19.7 31.3 21.3 22.0 36.9 Outflow 1976 1981 1986 1991 104.8 92.8 100.7 112.2 43.9 41.9 49.8 47.4 54.5 48.2 57.9 46.7 14.2 10.1 15.1 9.3 40.2 39.1 45.6 40.9 78.5 73.4 90.5 85.4 77.2 71.8 84.8 81.4 115.6 104.4 128.1 113.0 181.7 166.0 204.1 184.6 .. 187.1 232.4 202.1 94.7 88.1 102.5 98.9 89.5 78.5 94.8 87.9 102.9 98.6 115.8 104.9 1993 1994 1995 1996 108.2 106.3 107.9 105.3 48.3 50.4 53.1 53.3 46.9 49.0 52.0 54.5 11.5 12.2 12.3 11.8 41.7 43.5 45.6 44.5 87.5 91.9 97.6 98.2 83.2 86.2 91.9 94.3 113.1 115.5 118.7 121.1 183.1 190.4 195.8 198.9 203.4 206.3 207.6 213.4 100.6 103.9 108.0 109.8 92.2 95.1 98.1 101.0 105.7 109.8 115.8 114.0 Year ending Sept 1997‡ 111.6 54.5 53.5 12.0 44.4 100.1 97.4 125.0 205.2 220.9 112.7 103.9 117.6 1996 March June Sept Dec 23.8 23.4 32.0 26.1 10.8 11.5 17.8 13.2 12.0 12.2 16.9 13.4 2.0 1.9 4.9 3.0 9.0 9.9 15.1 10.5 19.7 21.2 33.6 23.7 18.7 20.1 32.4 23.1 24.3 24.6 42.0 30.3 40.4 40.9 68.0 49.7 45.1 46.4 67.4 54.5 22.2 22.3 38.0 27.4 19.8 21.1 35.7 24.5 22.8 24.3 39.4 27.5 1997 March June‡ Sept‡ 24.6 25.5 35.4 10.9 12.0 18.4 11.6 12.1 16.3 2.4 2.3 4.4 8.7 9.9 15.2 20.0 22.4 34.0 19.5 21.3 33.5 25.0 25.8 43.9 41.6 43.0 70.9 46.9 48.5 71.0 22.4 23.2 39.8 20.6 22.3 36.6 23.4 25.6 41.0 Balance 1976 1981 1986 1991 + 0.6 + 1.5 +14.9 - 16.4 + + + + 8.1 2.7 5.4 4.0 - 4.1 - 1.3 - 14.1 + 9.2 + 4.5 2.9 6.3 3.2 - 1.0 8.0 9.1 0.7 - 0.3 - 5.1 - 11.9 - 0.4 + 6.8 + 4.8 +17.1 + 8.1 +30.7 +17.0 +16.5 + 9.1 + 33.7 + 35.8 + 39.2 + 13.0 .. - 32.0 - 49.6 - 53.3 +29.1 +20.2 +46.4 +21.8 - 13.8 - 11.6 - 7.8 - 5.2 - 9.8 - 19.3 - 25.8 - 8.8 1993 1994 1995 1996 + + + + + + 3.2 1.5 1.6 2.0 + + - + - 0.8 1.2 1.8 0.4 - 3.4 6.4 7.7 5.9 + - 0.3 4.4 6.8 7.4 +10.1 +10.2 + 9.4 + 7.8 +10.2 +15.1 +15.9 +18.3 + 23.3 + 25.1 + 22.7 + 29.1 - 52.9 - 45.9 - 36.9 - 45.4 +20.5 +23.8 +23.6 +28.7 - 9.2 - 10.3 - 8.1 - 10.4 - 8.6 - 10.1 - 12.1 - 9.0 Year ending Sept 1997‡ + 0.0 + 4.4 - 3.1 - 1.4 - 5.7 - 6.4 + 9.5 +19.3 + 26.7 - 52.8 +32.2 - 11.3 - 11.3 1996March June Sept Dec + + + + + + - + + + - + - + + + + + + + + + + + + 5.8 8.2 7.7 7.3 - 8.0 - 10.6 - 14.8 - 12.0 + + + + - - 1997March June‡ Sept‡ - 1.5 - 0.9 + 1.1 + 4.7 + 7.9 + 6.8 - 10.2 - 11.9 - 18.8 + 6.2 + 8.9 +10.2 9.7 2.9 0.2 5.8 0.8 0.4 4.9 1.3 0.2 0.1 1.6 0.7 + 0.7 + 0.0 + 3.0 7.2 2.6 3.5 7.5 0.2 1.8 3.8 2.1 + 0.6 + 0.7 - 2.3 0.7 1.5 2.7 0.1 + 0.2 + 0.2 - 1.8 1.7 2.2 0.7 1.4 - 1.5 - 2.5 - 0.4 3.2 4.2 2.2 2.2 - 2.6 - 4.7 + 3.1 0.8 0.1 5.5 1.3 + 0.9 + 0.8 + 6.5 ‡ Provisional. Note: Figures are derived from re-registrations recorded at the National Health Service Central Register. See Notes to table for effects of computerisation of National Health Service Central Register at Southport on time series data. 76 O f f i c e f o r N a t i o n a l S t a t i s t i c s 4.1 6.7 3.5 4.1 + 5.3 + 6.7 + 3.2 5.1 7.2 9.6 6.9 2.0 2.6 4.7 1.4 - 2.2 - 2.6 - 5.3 1.9 2.2 3.5 1.5 - 2.1 - 3.6 - 4.1 8 8 9 | 3 S| u A mum r n1 91 99 79 8 P P o op pu ul la at ti ioonn T Tr re en nd ds s t ue m Table 22 Year and quarter First marriages*: age and sex England and Wales All ages Persons marrying per 1,000 single population at ages Per cent aged under 20 Mean age (years) Median age (years) Number (thousands) Rate† 16–19 20–24 25–29 30–34 35–44 308.8 339.1 343.6 274.4 259.1 253.0 222.8 224.2 213.5 206.1 198.5 74.9 78.9 82.3 62.8 51.7 44.6 37.0 36.7 35.5 33.1 31.8 16.6 22.1 26.1 18.5 11.1 6.0 3.4 3.0 2.5 2.2 2.0 159.1 168.6 167.7 123.7 94.1 63.5 42.5 39.4 35.2 30.5 26.5 182.8 185.4 167.3 132.5 120.8 104.3 76.5 75.1 73.5 68.7 65.2 91.9 91.1 84.6 78.7 70.3 73.7 64.5 62.0 62.4 56.6 59.6 39.8 36.4 33.8 32.0 31.1 30.9 31.5 32.0 32.9 30.3 32.7 6.9 9.9 10.1 9.8 7.2 3.8 2.1 1.7 1.5 1.3 1.2 25.6 24.9 24.6 25.1 25.4 26.3 27.5 27.9 28.2 28.5 28.9 24.0 23.4 23.4 23.7 24.1 25.1 26.5 26.8 27.2 27.5 27.9 23.3 60.2 89.0 33.5 21.5 57.4 88.9 30.4 22.9 56.1 84.0 30.4 21.5 15.2 38.7 56.6 21.3 13.7 36.3 55.6 19.0 14.2 34.8 51.5 18.7 13.5 1.7 2.3 2.7 2.0 1.6‡ 1.9‡ 2.6‡ 1.8‡ 1.4 1.8 2.4 1.5 1.4 14.8 35.1 53.3 18.6 12.9 31.1 48.6 15.9 13.0 28.3 41.4 14.6 11.2 28.5 82.3 122.5 40.6 24.8 75.6 119.0 35.7 25.5 71.5 109.0 34.1 24.0 25.4 66.6 94.5 39.0 23.7 63.7 96.7 34.9 25.2 62.0 92.5 35.8 24.4 16.5 34.0 45.8 24.7 15.7 34.7 47.6 22.8 16.5 34.8 47.6 23.1 16.8 2.1 1.2 0.9 1.9 2.2 1.0 0.9 1.8 1.9 1.0 0.9 1.6 2.0 28.7 28.5 28.3 29.0 29.1 28.9 28.7 29.5 29.4 29.2 29.0 29.7 29.7 27.6 27.5 27.4 27.9 28.0 27.9 27.8 28.3 28.3 28.2 28.2 28.7 28.6 312.3 342.7 347.4 276.5 263.4 256.8 224.8 225.6 215.0 206.3 198.5 83.0 89.3 97.0 76.9 64.0 55.7 46.9 46.8 45.5 41.7 40.1 77.0 82.6 92.9 66.7 41.5 24.1 14.0 12.5 10.7 9.5 9.0 261.1 263.7 246.5 185.4 140.8 102.4 74.0 71.0 66.0 56.4 50.2 162.8 153.4 167.0 140.7 120.2 108.8 89.4 90.4 92.2 84.7 83.4 74.6 74.1 75.7 77.6 67.0 67.1 62.8 63.3 64.5 58.3 62.2 29.8 30.2 30.3 31.6 28.7 28.6 30.4 30.2 31.5 28.7 31.3 28.7 32.5 31.1 31.1 24.0 13.9 7.9 6.6 5.7 6.2 5.1 23.1 22.5 22.6 22.8 23.1 24.1 25.5 25.9 26.2 26.5 26.9 21.6 21.2 21.4 21.5 21.9 23.1 24.6 25.0 25.3 25.7 26.0 1996 March‡ June‡ Sept‡ Dec‡ 23.1 60.6 89.7 33.0 21.0 57.7 89.8 30.0 22.5 56.3 84.1 29.9 18.9 49.1 71.9 26.5 16.8 45.8 70.4 23.5 17.5 43.8 64.7 23.0 7.0 10.0 13.1 8.0 6.2 9.1 12.9 7.4 6.1 8.2 11.2 6.5 24.1 66.8 102.2 31.8 21.0 59.5 94.4 26.6 21.1 54.7 81.4 24.7 34.3 102.6 149.9 51.3 30.2 95.1 150.0 46.1 31.9 91.7 140.2 45.0 28.6 66.8 95.4 42.0 25.2 65.1 95.7 38.2 26.3 65.1 94.5 39.2 17.0 32.0 40.3 25.3 15.3 32.8 42.9 22.7 16.6 33.0 41.9 23.3 8.5 4.6 4.2 6.9 8.3 4.5 4.1 7.0 7.9 4.2 3.9 6.4 26.7 26.5 26.3 27.0 27.0 27.0 26.7 27.5 27.3 27.2 27.0 27.7 25.6 25.7 25.5 26.0 25.9 26.0 25.9 26.4 26.3 26.3 26.3 26.8 1997 March‡ 21.1 16.5 5.6 19.1 30.1 27.0 16.8 7.6 27.4 26.5 Males 1961 1966 1971 1976 1981 1986 1991 1992 1993 1994‡ 1995‡ 1994 March‡ June‡ Sept‡ Dec‡ 1995 March‡ June‡ Sept‡ Dec‡ 1996 March‡ June‡ Sept‡ Dec‡ 1997 March‡ Females 1961 1966 1971 1976 1981 1986 1991 1992 1993 1994‡ 1995‡ 1994 March‡ June‡ Sept‡ Dec‡ 1995 March‡ June‡ Sept‡ Dec‡ * † ‡ See also Table 8. Per 1,000 single persons aged 16 and over. Provisional. O f f i c e f o r N a t i o n a l S t a t i s t i c s 77 P o p u l a t i o n Table 23 Tr e n d s 9 3 | Autumn 1 9 9 8 Remarriages*: age, sex, and previous marital status England and Wales Year and quarter Remarriages of divorced persons All ages Remarriages of widowed persons Persons remarrying per 1,000 divorced population at ages Per cent aged under 35 Mean age (years) Median age (years) Number (thousands) Rate** Number Rate† (thousands) 16–24 25–29 30–34 35–44 18.8 26.7 42.4 67.2 79.1 83.4 74.9 78.5 77.0 76.6 77.0 162.9 192.2 227.3 178.8 129.5 90.8 61.6 61.0 59.1 55.8 56.1 478.6 737.8 525.2 656.8 240.7 138.6 79.9 89.8 81.2 100.8 96.9 473.6 522.5 509.0 359.7 260.9 157.8 108.4 105.5 96.1 100.1 89.9 351.6 403.1 390.7 266.8 205.8 141.0 99.5 99.6 94.3 92.5 92.0 198.3 244.4 251.3 187.9 141.9 105.8 72.4 72.2 70.3 67.3 68.8 33.9 40.8 42.8 46.7 46.1 38.5 34.3 37.6 32.4 31.5 30.2 40.5 39.3 39.8 38.4 38.1 39.1 40.3 40.6 40.8 41.1 41.3 39.2 37.4 37.0 36.0 35.9 37.7 39.0 39.2 39.4 39.6 39.8 19.1 18.7 18.7 16.9 13.8 11.6 9.1 8.9 8.7 8.4 7.8 28.8 28.3 27.5 24.7 19.7 16.7 13.1 13.1 12.6 11.9 11.0 12.0 21.2 26.8 16.7 11.3 21.7 28.3 15.6 12.2 22.4 27.8 15.7 11.8 35.5 62.0 77.5 48.3 31.0 58.8 75.9 41.8 31.8 58.4 71.7 40.5 31.0 74.4 110.3 124.8 93.4 86.1 109.5 165.8 101.0 95.6 112.0 159.2 84.0 97.2 61.1 113.2 144.9 80.6 56.6 107.6 147.2 70.8 65.0 112.0 141.8 67.9 58.3 54.6 101.4 139.1 74.3 48.0 98.3 137.1 65.4 50.8 99.3 127.3 61.3 47.6 41.3 75.4 95.1 57.0 35.0 70.0 91.3 49.4 36.9 69.7 88.2 48.1 35.2 29.9 31.4 33.6 29.5 28.8 29.9 32.2 28.2 28.2 28.5 29.7 25.3 26.8 41.7 41.1 40.4 41.7 42.0 41.3 40.8 41.9 42.0 41.7 41.1 42.5 42.4 40.3 39.7 38.8 40.4 40.6 39.8 39.1 40.4 40.4 40.2 39.6 41.2 41.1 1.5 2.4 2.6 1.9 1.3 2.3 2.6 1.7 1.4 2.2 2.4 1.7 1.3 8.6 13.6 14.6 10.7 7.2 12.7 14.1 9.2 7.7 12.2 13.1 9.3 7.2 18.0 25.1 39.6 65.1 75.1 80.0 73.4 77.5 75.9 76.9 76.9 97.1 114.7 134.0 122.2 90.7 68.7 49.0 49.5 48.0 45.4 45.4 542.2 567.8 464.4 458.9 257.5 190.6 113.0 123.2 106.4 130.5 111.9 409.6 411.2 359.0 272.3 202.1 156.2 118.5 118.8 109.7 106.8 97.7 250.2 254.8 232.7 188.0 142.9 111.7 90.1 93.1 89.3 85.0 86.2 111.5 135.9 139.8 124.0 95.5 75.5 55.3 56.5 56.3 53.1 54.9 46.8 52.4 57.0 59.8 57.9 51.2 47.4 46.4 44.9 44.4 42.8 37.2 36.2 35.7 34.9 35.1 36.0 37.1 37.4 37.7 37.9 38.4 35.9 34.3 33.0 32.4 33.4 34.7 35.6 35.9 36.2 36.3 36.6 16.5 16.8 17.7 17.0 13.5 11.2 8.5 8.4 8.3 7.9 7.5 6.5 6.3 6.3 5.9 4.6 3.8 2.9 2.9 2.8 2.7 2.6 1996 March‡ June‡ Sept‡ Dec‡ 12.3 21.1 26.2 17.2 11.7 21.6 27.4 16.2 12.8 22.2 27.7 16.3 29.4 49.9 61.3 40.2 27.1 49.4 62.0 36.6 28.3 49.1 60.6 35.7 91.6 132.0 172.7 125.0 94.9 141.0 171.6 116.1 119.1 156.4 191.3 120.5 72.6 115.5 148.4 90.1 66.6 114.7 148.8 81.3 71.7 114.8 148.3 76.6 53.6 93.3 119.9 72.7 51.5 96.7 124.4 68.1 52.9 96.9 123.5 67.3 33.6 59.1 71.4 48.0 31.1 58.7 74.5 43.8 33.2 59.5 74.0 44.6 44.7 43.7 45.9 42.8 43.5 42.6 43.6 41.1 41.4 40.6 42.0 38.5 37.9 38.0 37.5 38.2 38.4 38.4 38.3 38.9 38.5 38.7 38.3 39.0 36.3 36.5 35.9 36.8 36.5 36.7 36.4 37.0 37.0 37.3 36.8 37.6 1.3 2.2 2.5 1.9 1.3 2.1 2.5 1.6 1.2 2.2 2.3 1.6 1.8 3.0 3.4 2.6 1.8 2.9 3.4 2.2 1.7 3.1 3.2 2.2 1997 March‡ 12.2 27.2 108.2 60.6 50.8 33.1 39.3 38.9 37.5 1.2 1.7 Males 1961 1966 1971 1976 1981 1986 1991 1992 1993 1994‡ 1995‡ 1994 March‡ June‡ Sept‡ Dec‡ 1995 March‡ June‡ Sept‡ Dec‡ 1996 March‡ June‡ Sept‡ Dec‡ 1997 March‡ Females 1961 1966 1971 1976 1981 1986 1991 1992 1993 1994‡ 1995‡ 1994 March‡ June‡ Sept‡ Dec‡ 1995 March‡ June‡ Sept‡ Dec‡ * † ** ‡ See also Table 8. Per 1,000 divorced persons aged 16 and over. Per 1,000 widowed persons aged 16 and over. Provisional. 78 O f f i c e f o r N a t i o n a l S t a t i s t i c s 89 83 | | S Au umt umme nr 1 9 9 87 Table 24 Year and quarter Divorces: age and sex England and Wales Number (thousands) All divorces Petitions filed* Decrees made absolute All divorces Males 1961 1966 1971 1976 1981 1986 1991 PP oo pp uu l la at ti io on n TTr reen nd ds s Divorce decrees per 1,000 married population 1st marriage 2nd or later marriage Per cent aged under 35 16 and over 16–24 25–29 30–34 35–44 45 and over Mean age Median at divorce age at divorce 13.7 18.3 44.2 43.3 46.7 49.7 .. .. .. .. 25.4 39.1 74.4 126.7 145.7 153.9 158.7 165.0 158.2 155.5 23.5 36.4 69.3 115.7 127.6 128.0 129.8 133.5 127.5 125.1 1.9 2.7 5.2 11.0 18.1 25.9 29.0 31.5 30.7 30.4 2.1 3.2 5.9 10.1 11.9 12.9 13.6 14.0 13.4 13.2 1.4 2.6 5.0 13.6 17.7 30.9 25.9 23.5 20.0 17.1 3.9 6.8 12.5 21.4 27.6 31.2 32.9 31.6 28.5 26.6 4.1 6.8 11.8 18.9 22.8 25.1 28.5 29.3 28.3 27.9 3.1 4.5 7.9 14.1 17.0 18.0 20.1 21.6 20.7 20.4 1.1 1.5 3.1 4.5 4.8 5.2 5.6 6.1 6.1 6.2 38.3 44.2 44.8 48.6 48.6 45.6 42.7 40.8 39.7 38.7 .. 38.6 39.4 38.0 37.7 37.8 38.6 39.0 39.3 39.6 .. 36.4 36.6 35.4 35.4 36.2 37.0 37.3 37.6 37.9 1996 March‡ June‡ Sept‡ Dec‡ .. .. .. .. .. .. .. .. 40.6 39.2 39.3 36.4 40.3 39.1 40.1 34.8 32.7 31.5 31.6 29.2 32.3 31.2 32.1 27.9 7.9 7.6 7.7 7.2 8.0 7.9 8.0 6.9 14.0 13.3 13.2 12.3 14.0 13.6 13.8 12.0 18.6 17.7 16.4 15.8 23.9 22.8 21.6 19.3 28.1 27.3 26.0 25.1 29.2 28.4 29.2 24.5 29.6 27.9 28.4 25.7 30.3 28.5 29.2 24.9 21.8 20.7 20.5 18.7 22.1 21.5 22.0 19.1 6.5 6.2 6.3 5.9 6.5 6.5 6.4 5.7 38.7 38.8 38.5 38.7 38.0 37.3 37.6 36.9 39.5 39.5 39.6 39.6 37.2 37.3 37.3 37.4 37.8 37.9 37.9 37.9 .. .. .. .. 1997 March‡ June‡ Sept‡ Dec‡ .. .. .. .. 34.8 39.6 7.0 31.0 28.0 31.6 29.6 24.6 6.8 8.0 7.4 6.3 12.5 14.0 12.9 10.8 24.6 28.6 24.7 21.2 27.2 31.2 28.2 23.8 26.7 29.9 27.3 22.9 20.0 22.7 21.3 17.4 5.9 6.5 6.1 5.2 36.0 36.2 35.6 35.7 37.5 37.5 37.5 37.5 .. .. .. .. 18.2 28.3 66.7 101.5 123.5 130.7 .. .. .. 25.4 39.1 74.4 126.7 145.7 153.9 158.7 165.0 158.2 155.5 23.4 36.2 69.3 115.9 127.7 128.8 130.9 134.9 128.9 126.0 2.0 2.8 5.1 10.8 18.0 25.1 27.8 30.2 29.3 29.5 2.1 3.2 5.9 10.1 11.9 12.9 13.4 13.9 13.3 13.1 2.4 4.1 7.5 14.5 22.3 30.7 27.7 26.2 22.2 19.9 4.5 7.6 13.0 20.4 26.7 28.6 31.3 32.1 29.6 27.7 3.8 6.1 10.5 18.3 20.2 22.0 25.1 26.5 26.1 25.9 2.7 3.9 6.7 12.6 14.9 15.8 17.2 18.8 18.0 18.1 0.9 1.2 2.8 4.0 3.9 4.1 4.5 4.8 4.9 5.0 49.3 54.7 54.4 56.6 58.0 55.0 52.8 51.3 50.2 48.8 .. 35.8 36.8 36.0 35.2 35.3 36.0 36.4 36.7 37.0 .. 33.6 33.6 33.1 33.2 33.6 34.3 34.7 35.0 35.3 1996 March‡ June‡ Sept‡ Dec‡ .. .. .. .. .. .. .. .. 40.6 39.2 39.3 36.4 40.3 39.1 40.1 34.8 32.9 31.8 31.8 29.5 32.6 31.5 32.4 28.1 7.7 7.4 7.5 6.9 7.6 7.6 7.7 6.6 13.8 13.2 13.1 12.1 14.1 13.5 13.9 11.9 21.6 20.1 18.9 18.9 26.4 25.1 24.9 21.7 29.5 28.1 27.9 25.3 30.7 29.3 31.3 25.6 27.1 26.0 26.3 24.0 28.4 27.2 27.6 23.7 19.3 18.4 18.2 16.7 19.5 19.1 19.6 17.0 5.2 5.0 5.0 4.7 5.2 5.2 5.3 4.6 48.9 48.9 48.8 48.7 48.3 47.5 47.9 47.1 36.9 37.0 37.1 37.1 35.4 35.5 35.4 37.4 35.3 35.3 35.3 35.4 .. .. .. .. 1997 March‡ June‡ Sept‡ Dec‡ .. .. .. .. 34.8 39.6 37.0 31.0 28.3 31.9 29.7 24.8 6.5 7.7 7.2 6.2 12.4 13.9 12.9 10.8 26.9 30.7 26.7 22.4 28.7 32.6 30.1 24.5 24.8 28.0 25.8 21.6 17.8 20.2 18.6 15.6 4.8 5.2 4.9 4.2 41.2 46.2 45.9 45.4 35.8 35.7 35.8 35.9 .. .. .. .. 1993‡ 1994‡ 1995‡ 1995 March‡ June‡ Sept‡ Dec‡ Females 1961 1966 1971 1976 1981 1986 1991 1993‡ 1994‡ 1995‡ 1995 March‡ June‡ Sept‡ Dec‡ Note: The Divorce Reform Act 1969 became operative on 1 January 1971 – the Matrimonial and Family Proceedings Act came into effect on 12 October 1984. * The figures shown relate to the party who filed the petition. Petitions filed by quarter are not analysed by sex of petitioner – total figures are as follows Number (thousands) Number (thousands) Year March Qtr June Qtr Sept Qtr Dec Qtr Year March Qtr June Qtr Sept Qtr Dec Qtr 1989 1990 1991 45.1 50.2 45.7 44.5 45.3 46.8 45.0 47.7 48.2 42.1 46.0 38.4 1992 1993 1994 1995 48.8 49.6 46.2 46.7 45.5 43.4 43.1 41.7 48.3 47.5 44.9 45.3 46.8 44.1 42.0 40.3 ‡ Provisional. O f f i c e f o r N a t i o n a l S t a t i s t i c s 79 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 Notes to Tables Changes to tables A number of changes to the tables were introduced in Population Trends 61 (see page 73 of that issue for details).Table 20 was changed in Population Trends 70 (see page 61 of that issue for details) Population The estimated and projected populations of an area include all those usually resident in the area, whatever their nationality. Members of HM forces stationed outside the United Kingdom are excluded. Students are taken to be resident at their term-time addresses. Figures for the United Kingdom do not include the population of the Channel Islands or the Isle of Man. The population estimated for mid-1991 onwards are final figures based on the 1991 Census of Population with allowance for subsequent births, deaths and migration. Population estimates for the years 1982-1990 have been revised, to give a smooth series consistent with both 1981 and 1991 Census results. Due to definitional changes, there are minor discontinuities for Scotland and Northern Ireland between the figures for 1971 and earlier years. At the United Kingdom and Great Britain levels these discontinuities are negligible. Live births For England and Wales, figures relate to numbers occurring in a period; for Scotland and Northern Ireland, figures relate to those registered in a period. See also Note on page 63 of Population Trends 67. Perinatal mortality On October 1992 the legal definition of a stillbirth was changed, from baby born dead after 28 completed weeks gestation or more, to one born dead after 24 completed weeks of gestation or more. Expectation of life The life tables on which these expectations are based use current death rates to describe mortality levels for each year. Each individual year shown is based on a three year period, so that for instance 1986 represents 1985-87. More details may be found in Population Trends 60, page 23. Pensionable ages Age analyses of the form 45-64/59 or 65/60-74 indicate age groups terminating at or beginning with the state pensionable age, 65 for men, 60 for women. Deaths for England and Wales Figures represent the numbers of deaths registered in each year, except for 1993 and 1994, which represent the numbers of deaths occurring in each year. See also Note on page 63 of Population Trends 67. From Population Trends 91 onwards, deaths data for Tables 8 and 1416, include figures for the most recent quarter, three months earlier than was previously the case. Data will be less complete for this quarter than for earlier ones. 80 O f f i c e f o r N a t i o n a l S t a t i s t i c s Abortions Figures relate to numbers occurring in a period. Migration Figures in Tables 18-20 are derived from the International Passenger Survey (IPS), a sample survey of all passengers travelling through major air and seaports of the United Kingdom. Routes to and from the Irish Republic are excluded. Migration between the Channel Islands or the Isle of Man and the rest of the world was previously included in the total migration to the United Kingdom. From 1988 this has been excluded. It is highly likely that the IPS data also exclude persons seeking asylum after entering the country and short-term visitors granted extensions of stay, for example as students or on the basis of marriage. After taking account of persons leaving the UK for a short-term period who stayed overseas for periods longer that originally intended, the adjustment needed to net migration ranges from about 10 thousand in 1981 to 50 thousand in the latest year available. A migrant into the United Kingdom is defined in these tables as a passenger entering the United Kingdom with the declared intention of residing here for at least a year having lived abroad for at least a year; and vice versa for a migrant from the United Kingdom. Old Commonwealth is defined as Australia, Canada, New Zealand and South Africa, New Commonwealth is defined as all other Commonwealth countries. Middle East is defined as Bahrain, Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, Syria, the United Arab Emirates, and Yemen. Figures in Table 21 are based on the movement of NHS doctors’ patients between Family Health Services Authorities (FHSAs) in England and Wales, and Area Health Boards in Scotland, and Northern Ireland.Yearly and quarterly figures have been adjusted to take account of differences in recorded cross-border flows between England and Wales, Scotland and Northern Ireland. The NHS Central Register (NHSCR) at Southport was computerised in early 1991, prior to which a three month time lag was assumed between a person moving and their re-registration with an NHS doctor being processed onto the NHSCR. Since computerisation, estimates of internal migration are based on the date of acceptance of the new patient by the FHSA (not previously available), and a one month time lag assumed. Marriages and divorces Marriages are tabulated according to date of solemnisation. Divorces are tabulated according to date of decree absolute, and the term ‘divorces’ includes decrees of nullity. 9 3 | A u t um n 1 9 9 8 P o p u l a t i o n T r e n d s Notes to Tables continued decimal places are given. Figures which are provisional or estimated are given in less detail (eg. 123 or 7.6 respectively) if their reliability does not justify giving the standard amount of detail. Where, for some other reason, figures need to be treated with particular caution, an explanation is given as a footnote. Government Office Regions Figures refer to Government Office Regions (GORs) of England which were adopted as the primary classification for the presentation of regional statistics from April 1997. A map showing the GORs is included on page 81. Health regions Figures refer to new health regions of England which are Regional Offices and are as constituted on 1 April 1996. Latest figures Figures for the latest quarters and years may be provisional (see note above on rounding) and will be updated in future issues when later information becomes available. Where figures are not yet available, cells are left blank. Population estimates and rates based on them may be revised in the light of results from future censuses of populations. Sources Figures for Scotland and Northern Ireland shown in these tables (or included in totals for the United Kingdom or Great Britain) have been provided by their respective General Register Offices, except for the projections in Table 2 which are provided by the Government Actuary. The International Passenger Survey (Tables 18-20) is conducted by the Social Survey Division of ONS. Symbols .. not available : not applicable - nil or less than half the final digit shown. Rounding All figures are rounded independently; constituent parts may not add to totals. Generally numbers and rates per 1,000 population are rounded to 1 decimal place (eg. 123.4); where appropriate, for small figures (below 10.0), 2 O f f i c e f o r N a t i o n a l S t a t i s t i c s 81 P o p u l a t i o n Tr e n d s 9 3 | A u t u m n 1 9 9 8 Contact points at ONS People with enquires about the statistics published regularly in Population Trends can contact the following enquiry points. Topic Abortion statistics – 0171-533 5208 Fertility statistics – 0171-533 5113 Migration statistics – 01329-81 3255/3889 Mortality statistics – 0171-533 5251/5246 Population estimates – 01329 813233 Population projections – National – 0171-211 2622* Subnational – 01329 813403 Tel 0171-533 6262 Editorial enquires for Population Trends Population Trends ONS B7/05 1 Drummond Gate London SW1V 2QQ Tel 0171-533 5101 * Government Actuary’s Department 82 O f f i c e f o r N a t i o n a l General enquiries National Statistics Information and Library Service, 1 Drummond Gate, London SW1V 2QQ S t a t i s t i c s