Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 5: Adult Health 90 University of Manitoba Urban: • From T1 to T8, rates of amputations among residents with diabetes of all urban neighbourhood income quintile groups remained relatively stable over time. • The disparity between U1 and U5 remained similar between the first time period T1 and the last time period T8. The rate ratio of U1 compared to U5 was 2.53 in the first time period and 2.77 in the last time period; these are not statistically significantly different. The absolute difference gap in amputations among residents with diabetes comparing U1 to U5 also did not statistically change; 11.26 per 1,000 more amputations in U1 compared to U5 in the first time period and 9.92 more per 1,000 in the last time period. Lorenz Curves: Rural over time: • In T1, 40.2% of amputations in residents with diabetes were accounted for in the 25.4% of the rural population in the lowest neighbourhood income quintile group (R1), with the Gini coefficient of 0.138 indicating a statistically significant disparity. • In T8, 45.9% of amputations in residents with diabetes were accounted for in the 26.2% of the population in the lowest neighbourhood income quintile group (R1), with the Gini coefficient of 0.255 indicating a statistically significant disparity. • The Gini coefficient for rural areas showed a statistically significant increase from .138 to .255 (p
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? What is this telling us? • The socioeconomic gap in amputations among residents with diabetes is not widening over time, according to most measures. There is the exception of the Gini coefficients, which indicate increasing disparity in the urban neighbourhood income quintile groups over time. • The rate ratio in amputation rates by neighbourhood income quintile groups is similar in rural and urban and over time. However, the rate difference is much greater in rural neighbourhood income quintiles. • Most neighbourhood income groups in both rural and urban Manitoba show similar or decreasing amputation rates among residents with diabetes over time. The R1 pattern, however, show substantial and rapid increase to the mid–1990s and decrease thereafter to the last time period. • The largest socioeconomic gap in amputations among residents with diabetes is seen in the most recent time period 2005–2008 for both urban and rural Manitoba, where almost over 44% of amputations in residents with diabetes are experienced by the lowest neighbourhood income group representing 26% of both rural and urban populations. Where to from here? • Amputation rates among residents with diabetes have remained similar or have decreased in rural and urban Manitoba over time. People with diabetes who are in the lowest neighbourhood income quintile in both rural and urban areas experience an inordinate burden for amputation, indicating the need for continued surveillance and targeted diabetes care to prevent adverse outcomes of diabetes. Manitoba Centre for Health Policy 91
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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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Cumulative Percent of Potential Yea
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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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