GCHSCP Demographics and Needs Profile

Like the previous section on Health and Well-being, this section presents a selection of indicators from a wide range available online. These indicators focus on lifestyle and behaviours that are likely to impact on health, positively or negatively. Each individual indicator notes the age group it applies to, from school pupils (ranging from P5 to S6), young people, all adults (aged 16+) or all people (all ages including children). Indicators are grouped by lifestyle type covering diet and weight, physical activity, alcohol, drugs/substance use, smoking/vaping and other which includes pupils gambling, sleep, screen time, sexual activity and teenage pregnancies.

Table 22. Lifestyle - Diet & Weight by Area/HSCP Locality

Table 22 details the percentage of P5-S6 (excluding S4) school pupils who eat breakfast every weekday, or who usually eat fruit, vegetables or sweets at least once a day. It also shows the percentage of adults who consume the recommended 5+ portions of fruit and vegetables per day and adults (including pregnant women) who are overweight or obese for Glasgow. Some indicators are also available at locality and national level.

Table 22. Lifestyle - Diet & Weight by Area/HSCP Locality

^{_{Source: 1. Scottish Government (Schools) Health and Well-being Census 2021/22; 2. NHSGGC Adult Health and Well-being Survey - Glasgow City 2017/18; 3. Scottish Health Survey (SHeS) 2016/19; 4. Scottish Public Health Observatory (ScotPHO) - PHS Births & Maternity Statistics - Maternal BMI 2019/20 to 2021/22.}}

Key Points (Table 22)

1. More than half (53.5%) of Glasgow P5-S6 pupils (excl. S4) eat breakfast every weekday, with a higher percentage of boys (57.9%) than girls (49.4%) doing so. Scotland figures are higher for all pupils (56.9%), boys (62.3%) and girls (51.3%).
2. One third (33.2%) of Glasgow P5-S6 pupils (excl. S4) usually eat fruit at least once a day, with a higher percentage of girls (35.1%) than boys (31.3%) doing so. Scotland figures are higher for all pupils (36.3%), girls (38.2%) and boys (34.0%).
3. One quarter (24.7%) of Glasgow P5-S6 pupils (excl. S4) usually eat vegetables at least once a day, with a higher percentage of girls (26.2%) than boys (23.2%) doing so. Scotland figures are higher for all pupils (31.5%), girls (33.3%) and boys (29.5%).
4. One quarter (25.3%) of Glasgow P5-S6 pupils (excl. S4) usually eat sweets at least once a day, with a higher percentage of girls (27.0%) than boys (23.5%) doing so. Scotland figures are lower for all pupils (23.4%), girls (24.6%) and boys (22.2%).
5. Almost two-fifths (38.0%) of Glasgow adults consume the recommended 5+ portions of fruit/veg per day, with a far higher rate of 45.0% for females than the 32.0% for males. Locality rates vary from 34.3% in South to 40.9% in North East and 41.7% in North West.
6. The percentages of overweight (58.0%) and obese (22.0%) Glasgow adult males are lower than the equivalent percentages for Scotland males of 68.0% overweight and 28.0% obese. The percentage of overweight adult females is the same for Glasgow and Scotland (63.0%) whilst the percentage of obese adult females is higher in Glasgow (32.0%) than in Scotland (30.0%).
7. Glasgow has a slightly lower percentage of pregnant women who are obese (25.4%) than Scotland (26.1%). Maternal obesity rates within Glasgow range from 22.5% of pregnant women in North West locality to 25.0% in South and 28.8% in North East.

Table 23. Lifestyle - Physical Activity by Area

Table 23 details the percentage of Glasgow and Scotland P5-S6 (excluding S4) pupils who do vigorous physical activity every day and the percentage of adults meeting recommended activity levels, for Glasgow and the localities. There is also an indicator of sedentary behaviour in Glasgow adults.

Table 23. Lifestyle - Physical Activity by Area

^{_{Source: 1. Scottish Government (Schools) Health and Well-being Census 2021/22; 2. NHSGGC Adult Health and Well-being Survey - Glasgow City 2017/18; 3. Scottish Health Survey (SHeS) 2017 to 2021.}}

Key Points (Table 23)

1. 3 in 10 Glasgow P5-S6 pupils (excl. S4) do vigorous physical activity every day, with a higher rate of boys (34.6%) than girls (27.2%) doing this. All rates are lower for Scotland with 26.7% of all P5-S6 pupils (excl. S4) pupils, 30.2% of boys and 23.3% of girls doing vigorous physical activity every day.
2. 64.8% of Glasgow adults meet the recommended target of at least 150 mins of moderately intensive physical activity per week with this rate ranging by locality from 62.9% in North East to 63.7% in North West and 67.4% in South. 68.0% of Glasgow adult males meet the recommended physical activity target, a higher rate than the 62.0% of adult females achieving this. Rates are higher for Glasgow younger people (age 16-24, 80.0%) than older people (age 75+, 33.0%).
3. On average, Glasgow adults are sedentary for an average of 5.4 hours per day, with this increasing to 6.8 hours for older people aged 75.

Table 24. Lifestyle - Alcohol by Area/HSCP Locality

Table 24 lists a number of indicators related to alcohol of S2 and S4 pupils and adults, including (harmful) consumption levels and hospital admissions, for Glasgow, the localities and Scotland (where available).

Table 24. Lifestyle - Alcohol by Area/HSCP Locality

^{_{Source: 1. Scottish Government (Schools) Health and Well-being Census 2021/22; 2. NHSGGC Adult Health and Well-being Survey - Glasgow City 2017/18; 3. Scottish Health Survey (SHeS) (a) 2021, (b) 2017 to 2021 excl. 2020; 4. Scottish Public Health Observatory (ScotPHO) (a)  2019/20 to 2021/22 (b) 2021/22.}}

_{Notes: AUDIT (Alcohol Use Disorders Identification Test) is a comprehensive 10 question alcohol harm screening tool developed by the World Health Organisation (WHO) and modified for use in the UK.}

Key Points (Table 24)

1. 7 in 10 (70.6%) Glasgow S2 and S4 pupils never drink alcohol. The Glasgow rate is far higher than the Scotland average of 56.1%. For Scotland, the percentage of S2 pupils (67.2%) who never drink alcohol is far higher than the S4 percentage (40.7%).
2. Fewer than 1 in 20 Glasgow S2 and S4 pupils (4.6%) drink alcohol once a week or more. This rate is higher for Scotland's S2 and S4 pupils (7.4%).
3. 17.0% of all Glasgow adults have an increased level of alcohol risk with the rate for Glasgow adult males (23.0%) being almost double that of Glasgow adult females (12.0%). This rate for all adults is lowest in North East locality, 14.0%, compared to 18.0% in South and 18.5% in North West localities.
4. The rates of adults with hazardous/harmful alcohol use are lower for Glasgow than Scotland. The Glasgow rate for males of 27.0% is almost double the rate for females of 15.0% and the Scotland rate for males of 32.0% is exactly double the 16.0% rate for adult females.
5. The rate of alcohol related hospital stays for young people aged 11-25 is higher for Glasgow (272.9 per 100,000 population) than Scotland (255.2 per 100,000) and the Glasgow rate of alcohol related hospital stays for all people (1,045.4 per 100,000 population) is more than 70% higher than the national rate (610.9). Within Glasgow this varies from 929.1 per 100,000 people in South to 1,052.5 in North West and 1,187.6 in North East.

Table 25. Lifestyle - Drugs/Substance Use by Area

Table 25 shows the percentage of S4 pupils who have ever taken drugs/substances and who take them regularly and rates of drug related hospital stays for young people aged 11-25 and all people, as well as the estimated prevalence of problem drug users at HSCP locality, Glasgow and Scotland level (where data is available).

Table 25. Lifestyle - Drugs/Substance Use by Area

^{_{Source: 1. Scottish Government (Schools) Health and Well-being Census 2021/22; 2. Scottish Public Health Observatory (ScotPHO) 2019/20 to 2021/22; 3. Adapted from Public Health Scotland (PHS) - Prevalence of Problem Drug Use in Scotland 2015/16; Public Health Scotland data licensed under the Open Government Licence.}}

_{Notes: * Estimated prevalence of problem drug users compiled from 3 sources - clients registering with specialist drug treatment services, drug related hospital admissions and Criminal Justice Social Work reports. 3 definitions used depending on types of drugs used by individual:
Definition 1: Opioids (including illicit and prescribed methadone use) and/or the illicit use of benzodiazepines.
Definition 2: As definition 1, plus illicit use of cocaine and amphetamines / amphetamine type substances.
Definition 3: As definition 2, plus illicit use of cannabis / synthetic cannabinoids.}

Key Points (Table 25)

1. 6.4% of Glasgow S4 pupils have ever taken 'drugs' (illegal drugs, drugs formerly known as legal highs, solvents or prescription drugs not prescribed to them). The Scotland rate for all S4 pupils is 50% higher at 9.6% with a far higher percentage of Scotland's male S4 pupils (11.3%) having taken 'drugs' than Scotland's female S4 pupils (7.7%).
2. 42.2% of Glasgow S4 pupils who have ever taken 'drugs' take them 'once or twice a month' or 'once a week or more' compared to 36.0% of Scotland's S4 pupils who have ever taken drugs.
3. The rate of drug related hospital stays for young people aged 11-25 is higher for Glasgow (178.3 per 100,000 population) than Scotland (167.7).
4. Depending on the definition used, it is estimated that there are between 11,869 and 18,060 problem drug users (aged 15-64) in Glasgow. Whichever definition is used, the number of Glasgow problem drug users represents 20% of the Scottish total. This is disproportionately high when compared to Glasgow's 12.8% share of Scotland's 15-64 population.
5. The Glasgow rate of drug related hospital stays for all people of 387.1 per 100,000 population is 70% higher than the Scotland rate of 228.3 per 100,000 population. This varies between localities, ranging from 324.1 per 100,000 population in South to 403.5 in North West and 456.3 per 100,000 in North East.

Table 26. Lifestyle - Smoking/Vaping by Area/HSCP Locality

Table 26 shows the percentage of S2 and S4 pupils who are regular smokers or vapers as well as the percentage of adults that smoke and the percentage of pregnant women smoking during pregnancy, at HSCP locality and Glasgow level. Rates of smoking attributed hospital admissions for Glasgow and Scotland are also noted.

Table 26. Lifestyle - Smoking/Vaping by Area/HSCP Locality

^{_{Source: 1. Scottish Government (Schools) Health and Well-being Census 2021/22; 2. NHSGGC Adult Health and Well-being Survey - Glasgow City 2017/18; 3. Scottish Public Health Observatory (ScotPHO) (a) ISD 2017 to 18 and SHS (b) 2019/20 to 2021/22; 4. Scottish Surveys Core Questions (SSCQ) 2019.}}

Key Points (Table 26)

1. 2.1% of Glasgow S2 and S4 pupils are regular smokers. The percentage for Scotland is higher at 2.7%, with a higher percentage of Scotland's S4 (4.3%) than S2 (1.6%) pupils smoking and a higher percentage of Scotland's male (2.9%) than female (2.5%) S2 and S4 pupils smoking.
2. 5.4% of Glasgow S2 and S4 pupils are regular vapers. The percentage for Scotland is higher at 6.7%, with a higher percentage of Scotland's S4 (10.1%) than S2 (4.3%) pupils vaping and a higher percentage of Scotland's female (7.7%) than male (5.8%) S2 and S4 pupils vaping.
3. 24.0% of all Glasgow adults smoke, with a far higher rate of Glasgow adult males (30.0%) smoking compared to Glasgow adult females (19.0%). Adult smoking rates vary between the Glasgow localities, ranging from 22.0% in South to 24.0% in North West and 28.0% in North East.
4. The Glasgow rate of smoking attributed hospital admissions for adults aged 35+ of 2,961.5 per 100,000 population is more than 70% higher than the Scotland rate of 1,723.6 per 100,000.
5. Glasgow has a lower rate (10.6%) of women smoking during pregnancy than Scotland (12.9%). All three Glasgow locality percentages are also lower than the Scotland average: North East 12.1%; North West (9.5%); South (10.2%).

Tables 27a-b. Lifestyle - School Pupils, Other - Gambling, Sleep, Screen Time and Sexual Activity; Teenage Pregnancies

Table 27a. shows the percentage of Glasgow and Scotland school pupils who spent their own money on gambling in the last month (S3,S5 and S6), who have 9+ hours sleep on a school night (P5-S6) and who spend 6+ hours on screens on weekdays in their free time (S1-6). The percentage of S4-6 pupils who have had sexual intercourse and the percentage of these pupils who did not use a condom or contraception the last time they had intercourse, is also shown.

Table 27a. Lifestyle - School Pupils, Other - Gambling, Sleep, Screen Time and Sexual Activity by Area

^{_{Source: Scottish Government (Schools) Health and Well-being Census 2021/22}}

Key Points (Table 27a)

1. 17.1% of Glasgow S3, S5 & S6 pupils spent their own money on gambling, in the last month, compared to 18.0% of Scotland's pupils. This percentage for Scotland's male pupils of 23.4% is more than 80% higher than the percentage for female pupils of 13.3%.
2. Just under a third (31.7%) of Glasgow's P5-S6 pupils have (the recommended) nine hours or more of sleep on a school night, slightly more than Scotland's 29.6% pupils. The percentage for Glasgow decreases by (increasing) school stage, from 60.0% at P5 to 5.0% at S6.
3. Just under a third of Glasgow S1-6 pupils (32.1%) spend 6 hours or more on electronic devices in their free time, out of school, on weekdays, with 36.3% of female pupils doing this compared to 27.5% of male pupils. The figures for Scotland are lower (All 26.7%, females 28.9%, males 24.6%).
4. 1 in 10 of Glasgow's S4-6 pupils (10.0%) have had sexual intercourse - 11.7% of male pupils and 8.7% of female pupils. This compares to 14.0% of Scotland's pupils - 14.7% of male pupils and 13.5% of female pupils. The percentage for Glasgow almost doubles at each increase in school year from 6.4% at S4 to 11.5% at S5 and 19.2% at S6.
5. Of the Glasgow and Scotland S4-6 pupils who have had sexual intercourse, around half did not use a condom the last time they had intercourse (Glasgow 52.4%, Scotland 49.8%).
6. Of the Glasgow S4-6 pupils who have had sexual intercourse, just under a third (31.0%) did not use contraception the last time they had intercourse. This is higher than the quarter (25.0%) of Scotland's pupils who did not use contraception the last time they had intercourse.

Table 27b. Lifestyle - Teenage Pregnancies by Area/HSCP Locality

^{_{Source: 1. Scottish Public Health Observatory (ScotPHO) - NRS 2018 to 2020; 2. Adapted from Public Health Scotland (PHS) Births & Maternity 2022 - Teenage Pregnancies, Year of Conception ending 31 Dec 2020; Public Health Scotland data licensed under the  Open Government Licence.}}

Key Points (Table 27b)

1. The Glasgow rate of teenage pregnancies of 32.3 per 1,000 population is higher than the Scotland rate of 27.1 per 1,000. Teenage pregnancy rates within Glasgow are variable with the North West rate (26.5) being lower than both the Glasgow and Scotland rates, and far lower than the North East (33.5) and South (37.2) locality rates per 1,000 population.