Health Inequities in Manitoba: Is the Socioeconomic Gap

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This report is produced and published by the Manitoba Centre for Health Policy (MCHP). It is also available in PDF format on our website at: http://mchp-appserv.cpe.umanitoba.ca/deliverablesList.html Information concerning this report or any other report produced by MCHP can be obtained by contacting: Manitoba Centre for Health Policy Dept. of Community Health Sciences Faculty of Medicine, University of Manitoba 4th Floor, Room 408 727 McDermot Avenue Winnipeg, Manitoba, Canada R3E 3P5 Email: reports@cpe.umanitoba.ca Phone: (204) 789-3819 Fax: (204) 789-3910 How to cite this report: Martens PJ, Brownell M, Au W, MacWilliam L, Prior H, Schultz J, Guenette W, Elliott L, Buchan S, Anderson M, Caetano P, Metge C, Santos R, Serwonka K. Health Inequities in Manitoba: Is the Socioeconomic Gap Widening or Narrowing Over Time? Winnipeg, MB: Manitoba Centre for Health Policy, September 2010. Legal Deposit: Manitoba Legislative Library National Library of Canada ISBN 1-896489-60-5 ©Manitoba Health This report may be reproduced, in whole or in part, provided the source is cited. 1st printing (September 2010) 2nd printing (June 2011) 3rd printing (November 2012) Note the following pages were edited after the 1st printing: 9-11, 123-130, 178, 182, 199, 223. Note the following page was edited after the 2nd printing: 5. This work was supported through funding provided by the Department of Health of the Province of Manitoba to the University of Manitoba. The results and conclusions are those of the authors and no official endorsement by Manitoba Health was intended or should be inferred. Data used in this study are from the Population Health Research Data Repository housed at the Manitoba Centre for Health Policy, University of Manitoba. Dr. Patricia Martens acknowledges the Canadian Institutes of Health Research’s (CIHR), Institute of Population & Public Health, in partnership with the Public Health Agency of Canada (PHAC for support through her CIHR/PHAC Applied Public Health Chair.
About the Manitoba Centre For Health Policy The Manitoba Centre for Health Policy (MCHP) is located within the Department of Community Health Sciences, Faculty of Medicine, University of Manitoba. The mission of MCHP is to provide accurate and timely information to health care decision-makers, analysts and providers, so they can offer services which are effective and efficient in maintaining and improving the health of Manitobans. Our researchers rely upon the unique Population Health Research Data Repository (Repository) to describe and explain patterns of care and profiles of illness, and to explore other factors that influence health, including income, education, employment and social status. This Repository is unique in terms of its comprehensiveness, degree of integration, and orientation around an anonymized population registry. Members of MCHP consult extensively with government officials, health care administrators, and clinicians to develop a research agenda that is topical and relevant. This strength, along with its rigorous academic standards, enables MCHP to contribute to the health policy process. MCHP undertakes several major research projects, such as this one, every year under contract to Manitoba Health (MB Health). In addition, our researchers secure external funding by competing for research grants. We are widely published and internationally recognized. Further, our researchers collaborate with a number of highly respected scientists from Canada, the United States, Europe and Australia. We thank the University of Manitoba, Faculty of Medicine, Health Research Ethics Board for their review of this project. MCHP complies with all legislative acts and regulations governing the protection and use of sensitive information. We implement strict policies and procedures to protect the privacy and security of anonymized data used to produce this report and we keep the provincial Health Information Privacy Committee informed of all work undertaken for MB Health. i
Page 1: HEALTH INEQUITIES IN MANITOBA: Is t
Page 5 and 6: Dr. Patricia Martens acknowledges t
Page 7 and 8: Key findings: High School Completio
Page 9 and 10: List of Figures Figure 1.1 Distribu
Page 11 and 12: Figure 4.27 Adjusted Lorenz Curve f
Page 13 and 14: Figure 6.15 Hospitalization Due to
Page 15 and 16: List of Tables Table E.1 Changes in
Page 17 and 18: Figure A3.6 Adjusted Lorenz Curve f
Page 19 and 20: Executive Summary Health status and
Page 21 and 22: (derived from Table E.1’s columns
Page 23 and 24: Table E.1: Continued Indicator RURA
Page 25 and 26: Table E.1: Continued Indicator RURA
Page 27 and 28: Table Table E.2: E.2: Is Is the the
Page 29 and 30: This page edited May 18, 2011. Tabl
Page 31 and 32: References Commission on Social Det
Page 33 and 34: Health Inequities in Manitoba: Is t
Page 49 and 50: Table 2.1: Neighbourhood Income Qui
Page 51 and 52: Table 2.3: Neighbourhood Table 2.3:
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Health Inequities in Manitoba: Is t
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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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Figure 5.26: Multiple Sclerosis Pre
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References: Health Inequities in Ma
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Figure 6.2: Continuity of Care Prev
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Figure 6.10: Hospitalization Due to
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CONFIDENTIAL -- NOT FOR DISTRIBUTIO
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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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