Health Inequities in Manitoba: Is the Socioeconomic Gap

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.
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