Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 5: Adult Health Figure 5.7: Diabetes Disparity Rate Ratios by Urban and Rural Income Quintile Adjusted by (2005/06-2007/08) Figure 5.7: age & Diabetes sex, percent Disparity of residents Rate aged Ratios 19+ by Urban and Rural Income Quintile Figure 5.8: Diabetes Disparity Rate Differences by Urban and Rural Income Quintile 88 University of Manitoba Disparity Rate Ratios 4 3 2 1 0 T1: 1984/85- 1986/87 Adjusted by (2005/06-2007/08) age & sex, percent of residents aged 19+ T2: 1987/88- 1989/90 T3: 1990/91- 1992/93 T4: 1993/94- 1995/96 T5: 1996/97- 1998/99 T6: 1999/00- 2001/02 T7: 2002/03- 2004/05 T8: 2005/06- 2007/08 Rural Disparity Rate Ratios 1.67 1.59 1.66 1.96 2.16 2.32 2.31 2.08 Urban Disparity Rate Ratios 1.54 1.67 1.73 1.63 1.92 1.91 1.91 1.85 Urban Disparity Rate Ratios T8 to T1: 1.20 (95% CI 1.04 , 1.38 ) p< .001 Rural Disparity Rate Ratios T8 to T1: 1.25 (95% CI 1.08 , 1.44 ) p< .001 Time Period (fiscal years) Source: Manitoba Centre for Health Policy, 2010 Adjusted by (2005/06-2007/08) Figure age 5.8: & sex, Diabetes percent Disparity of residents Rate aged Differences 19+ by Urban and Rural Income Quintile Adjusted by (2005/06-2007/08) age & sex, percent of residents aged 19+ 10 Disparity Rate Differences 8 6 4 2 0 T1: 1984/85- 1986/87 T2: 1987/88- 1989/90 T3: 1990/91- 1992/93 T4: 1993/94- 1995/96 T5: 1996/97- 1998/99 T6: 1999/00- 2001/02 T7: 2002/03- 2004/05 T8: 2005/06- 2007/08 Rural Disparity Rate Differences 2.54 2.61 2.98 4.23 5.75 7.47 8.06 7.29 Urban Disparity Rate Differences 1.75 2.18 2.49 2.43 3.49 4.03 4.59 4.76 Time Period (fiscal years) Urban Disparity Rate Differences T8 to T1: 2.73, p
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Amputations Among People with Diabetes Definition Prevalence of amputation was calculated for people with diabetes (aged 19 and older) who had a lower limb amputation (below or including the knee) in a three–year period. See the previous indicator for the definition of diabetes. Amputation was defined by ICD–9–CM procedure codes 84.1–84.17 (ICD–10–CCI codes: 1.VC.93, 1.VG.93, 1.VQ.93, 1.WA.93, 1.WE.93, 1.WJ.93, 1.WL.93, 1.WM.93) in any procedure field. Amputations associated with accidental injury were excluded (see below for codes). Average annual rates of amputation per 1,000 residents with diabetes were calculated for eight three–year periods, the first time period T1 being 1984/85–1986/87 to the last time period T8 being 2005/06–2007/08. Rates were age– and sex–adjusted to the Manitoba population age 19 and older in the last time period. Exclusions for accidental injury included ICD–9–CM diagnosis codes 895, 896, 897 or ICD–10–CA codes S78, S88, S98, T05.3, T05.4, T05.5, T13.6. Time Periods Average annual rate per 1,000 people with diabetes T1: 1984/85–1986/87 15.37 T2: 1987/88–1989/90 14.83 T3: 1990/91–1992/93 14.52 T4: 1993/94–1995/96 16.78 T5: 1996/97–1998/99 16.55 T6: 1999/00–2001/02 14.12 T7: 2002/03–2004/05 12.61 T8: 2005/06–2007/08 11.58 Key Findings: Amputations Among People With Diabetes Manitoba overall rates: • From the first time period T1 (1984/85–1986/87) to the last time period T8 (2005/06–2007/08), people with diabetes (aged 19 and older who had a lower limb amputation in a three–year period decreased from 15.37 to 11.58 per 1,000. However, amputation rates first increased to the mid–1990s (up to 16.78 in the mid–1990s), and then decreased to T8. Rates by neighbourhood income quintile over time: Rural: • Comparing only T1 to T8, the rate of amputations among rural residents with diabetes remained similar in most rural quintiles. However, rates in R1 increased substantially to the mid–1990s and then decreased again. • The disparity between R1 and R5 remained similar between the first time period and the last time period. The rate ratio of R1 compared to R5 was 2.00 in the first time period and 3.38 in the last time period, however this was not a statistically significantly increase. The absolute difference gap in amputations among residents with diabetes comparing R1 to R5 was 13.85 more amputations per 1,000 people with diabetes in T1 and 18.32 more per 1,000 in T8 and these gaps over time were not statistically significantly different (i.e., they are considered similar). Manitoba Centre for Health Policy 89
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HEALTH INEQUITIES IN MANITOBA: Is t
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About the Manitoba Centre For Healt
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Dr. Patricia Martens acknowledges t
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Key findings: High School Completio
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List of Figures Figure 1.1 Distribu
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Figure 4.27 Adjusted Lorenz Curve f
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Figure 6.15 Hospitalization Due to
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List of Tables Table E.1 Changes in
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Figure A3.6 Adjusted Lorenz Curve f
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Executive Summary Health status and
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(derived from Table E.1’s columns
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Table E.1: Continued Indicator RURA
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Table E.1: Continued Indicator RURA
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Table Table E.2: E.2: Is Is the the
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This page edited May 18, 2011. Tabl
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References Commission on Social Det
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Health Inequities in Manitoba: Is t
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Table 2.1: Neighbourhood Income Qui
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Table 2.3: Neighbourhood Table 2.3:
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Figure 3.2: Premature Mortality Rat
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Figure 3.10: Potential Years of Lif
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Page 75 and 76: Figure 3.18: Under Five Mortality R
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Figure 7.2: Prevalence of Cumulativ
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Dementia Health Inequities in Manit
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Figure 7.10: Dementia Prevalence Ov
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Figure 7.18: Prevalence of Complete
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Reference Health Inequities in Mani
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Figure 8.2: Post-AMI Care: Beta-Blo
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Reference Health Inequities in Mani
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Table 9.1: Continued Indicator RURA
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Table 9.1: Continued Health Inequit
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Table A2.3: Crude Numbers of Mortal
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Table A2.5: Crude Numbers for High
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Table A2.7: Crude Numbers for Denta
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Table A2.11: Crude Numbers for Isch
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Table A2.13: Crude Numbers for Cont
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CONFIDENTIAL ‐‐ NOT FOR DISTRIB
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Table A2.17: Crude Numbers for Cumu
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Figure A3.2: High School Appendix C
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Health Inequities in Manitoba: Is the Socioeconomic Gap

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