Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 7: Mental Health Figure 7.15: Dementia Disparity Rate Ratios by Urban and Rural Income Quintile Figure 7.15: Dementia Disparity Rate Ratios by Urban and Rural Income Quintile Adjusted by (2004/05-2008/09) age & sex, percent of residents aged 55+ in a five-year period Figure 7.16: Dementia Disparity Figure 7.16: Rate Dementia Differences Disparity by Rate Urban Differences and Rural by Urban Income and Quintile Rural Income Quintile Adjusted by (2004/05-2008/09) age & sex, percent of residents aged 55+ in a five-year period 154 University of Manitoba Disparity Rate Ratios 2.0 1.5 1.0 0.5 0.0 T1: 1984/85- 1988/89 T2: 1989/90- 1993/94 T3: 1994/95- 1998/99 T4: 1999/00- 2003/04 T5: 2004/05- 2008/09 Urban Disparity Rate Ratios 1.25 1.26 1.36 1.20 1.28 Rural Disparity Rate Ratios 1.08 1.11 1.03 Time Period (fiscal years) 1.07 1.03 Urban Disparity Rate Ratios T5 to T1: 1.03 (95% CI 0.81, 1.30 ) NS Rural Disparity Rate Ratios T5 to T1: 0.95 (95% CI 0.74, 1.23 ) NS Disparity Rate Differences 4 3 2 1 0 -1 -2 T1: 1984/85- 1988/89 T2: 1989/90- 1993/94 T3: 1994/95- 1998/99 Source: Manitoba Centre for Health Policy, 2010 T4: 1999/00- 2003/04 T5: 2004/05- 2008/09 Urban Disparity Rate Differences 1.39 1.36 2.47 1.93 2.73 Rural Disparity Rate Differences 0.48 0.62 0.21 0.50 0.23 Urban Disparity Rate Differences T5 to T1: 1.96, p< .001 Rural Disparity Rate Differences T5 to T1: 0.48, NS Time Period (fiscal years) Source: Manitoba Centre for Health Policy, 2010
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Suicide Deaths and Suicide Attempts Definition Suicide is the act of intentionally killing oneself. Suicide attempt, also known as “self–inflicted injury” or para–suicide, does not result in death. The three–year prevalence of suicide or suicide attempts is the rate per 1,000 of the population age 10 or older who attempted or completed suicide at least once in a three–year period. The most recent event (suicide or suicide attempt) in each calendar year is counted, adjusted by age at the time of the event. The total number of events over each three–year period is used as the numerator. The denominator is the December 31 population age 10 or older summed over each three–year period. The definition of suicide deaths and suicide attempts can be found in the Glossary. Time Period Three–year period prevalence per 1,000 T1: 1984–1986 0.57 T2: 1987–1989 0.63 T3: 1990–1992 0.64 T4: 1993–1995 0.64 T5: 1996–1998 0.64 T6: 1999–2001 0.56 T7: 2002–2004 0.57 T8: 2005–2007 0.71 Key Findings: Suicide Deaths and Suicide Attempts Manitoba overall rates: • From the first time period T1 (1984–1986) to the last time period T8 (2005–2007), the prevalence of suicide deaths and suicide attempts rose from 0.57 to 0.71 per 1,000 Manitoba residents aged 10 and older. The increase was greatest in T8 compared to the previous time periods. Rates by neighbourhood income quintile over time: Rural: • Comparing T1 to T8, the prevalence of suicide deaths and suicide attempts increased for R1, R3, and R4 and decreased for R2 and R5; the increase in R1 was the most dramatic, showing a steady increase across the study period. • The disparity between R1 and R5 increased substantially. The rate ratio of R1 compared to R5 was 2.01 in the first time period and 5.01 in the last time period, a statistically significant increase of 149%. The absolute difference gap in prevalence of suicide deaths and suicide attempts comparing R1 to R5 also statistically significantly increased by 181% over time, from 0.55 more persons per 1,000 residents completing or attempting suicide in the first time period (T1) to 1.53 more persons per 1,000 residents completing or attempting suicide in the last time period (T8). Manitoba Centre for Health Policy 155
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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 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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Figure 5.10: Amputations Among Figu
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Figure 5.18: Ischemic Heart Disease
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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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