Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 6: Primary Care and Prevention Figure 6.23: Papanicolaou Figure Test 6.23: Disparity Papanicolaou Rate Ratios Test Disparity by Urban Rate Ratios and Rural by Urban Income and Rural Quintile Income Quintile Adjusted by (2005/06-2007/08) age, percent of women aged 18-69 with one or more Pap smears in a three-year period Figure 6.24: Papanicolaou Test Disparity Rate Differences by Urban and Rural Income Quintile Figure 6.24: Papanicolaou Test Disparity Rate Differences by Urban and Rural Income Quintile Adjusted by (2005/06-2007/08) age, percent of women aged 18-69 with one or more Pap smears in a three-year period 138 University of Manitoba Disparity Rate Ratios 1.50 1.25 1.00 0.75 0.50 0.25 0.00 Urban Disparity Rate Ratios Rural Disparity Rate Ratios 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 0.84 0.86 0.85 0.80 0.83 0.84 0.82 0.80 0.82 0.77 0.79 0.80 0.76 0.73 0.69 0.72 Urban Disparity Rate Ratios T8 to T1: 0.96 (95% CI 0.85, 1.08 ) NS Rural Disparity Rate Ratios T8 to T1: 0.88 (95% CI 0.78, 1.00 ) p< .05 Disparity Rate Differences 0.0 -5.0 -10.0 -15.0 -20.0 -25.0 Urban Disparity Rate Differences Rural Disparity Rate Differences T1: 1984/85-1 986/87 T2: 1987/88-1 989/90 T3: 1990/91-1 992/93 Time Period (fiscal years) T4: 1993/94-1 995/96 T5: 1996/97- 1998/99 Source: Manitoba Centre for Health Policy, 2010 T6: 1999/00- 2001/02 T7: 2002/03-2 004/05 T8: 2005/06-2 007/08 -11.55 -10.77 -11.17 -15.00 -12.25 -11.84 -13.55 -14.62 -12.03 -16.88 -14.23 -13.08 -15.87 -18.70 -20.94 -18.37 Time Period (fiscal years) Urban Disparity Rate Differences T8 to T1: 1.27, p< .001 Rural Disparity Rate Differences T8 to T1: 1.53, p< .001 Source: Manitoba Centre for Health Policy, 2010
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Chapter 7: Mental Health Cumulative Mental Illness Definition The grouping “Cumulative Mental Illness” was created to provide an overall indicator of the prevalence of mental illness, accounting for the co–occurrence among mental illnesses. Five–year period prevalence of cumulative mental illness was the proportion of the population aged 10 and older that had a diagnosis for any of the following over a five–year period: depression, anxiety, substance abuse, personality disorders, or schizophrenia. Refer to the Glossary for more details on the coding of each diagnosis. Note: Cumulative mental illness rates from previous recent findings are slightly higher than results in this report, due to the exclusion of drugs in the definitions for this report compared to the RHA Indicators Atlas 2009 (Fransoo et al., 2009). This is in an attempt to make the definition consistent across all time periods, as the drug data are only available after 1995. Time Periods Five–year period prevalence (%) T1: 1984/85–1988/89 15.99 T2: 1989/90–1993/94 17.66 T3: 1994/95–1998/99 19.40 T4: 1999/00–2003/04 23.24 T5: 2004/05–2008/09 23.56 Key findings: Cumulative Mental Illness Manitoba overall rates: • From the first time period T1 (1984/85–1988/89) to the last time period T5 (2004/05–2008/09), the provincial prevalence of cumulative mental illness increased from 15.99% to 23.56% of the population. Rates by neighbourhood income quintile over time: Rural: • From T1 to T5, the percent of the population aged 10 or older with cumulative mental illness increased steadily for all rural neighbourhood income quintiles. The increase was greatest in R1. • The disparity between R1 and R5 increased over time. The rate ratio of R1 compared to R5 was almost non–existent in the first time period at 0.98 (i.e., R1 and R5 are very similar, hence the ratio is close to 1). It increased to 1.10 in the last time period, for a statistically significant increase of 12%. The absolute difference gap of cumulative mental illness comparing R1 to R5 also statistically significantly increased over time, from 0.21 fewer people per 100 having cumulative mental illness in R1 compared to R5 in the first time period, to 1.83 more people with cumulative mental illness per 100 in R1 compared to R5 in the last time period. Although this difference is statistically significant, it represents a minimal change in disparity over time. Manitoba Centre for Health Policy 139
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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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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 3.18: Under Five Mortality R
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Figure 4.2: Teen Pregnancy Rates Ov
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Figure 4.10: High School Completion
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Figure 4.18: Dental Extraction Rate
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Figure 4.26: Breastfeeding Initiati
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References: Health Inequities in Ma
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Figure 5.2: Diabetes Prevalence Ove
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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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