Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 9: Summary and Conclusion Table 9.1: Changes in Health inequalities Over Time: Summary of Results by indicator* Table E1: Changes in Health Inequalities Over Time: Summary of Results by Indicator* NS means not statistically significantly different NS means not statistically significantly different 176 University of Manitoba Comparison of inequality between rural and urban neighbourhood income quintile groups RURAL vs. URBAN Indicator Change in inequality over time (first to last time period “T”) by neighbourhood income quintile–DRR and DRD measure the inequality between the lowest and highest neighbourhood income quintile groups RURAL neighbourhood URBAN neighbourhood Most recent time period only: comparison of Gini Coefficients, rural vs. urban Trends in Disparity Rate difference (DRD) over time Trends in Disparity Rate ratio (DRR) over time income quintiles Disparity Gini Rate Coefficient difference DRD (% change over time) Disparity Rate ratio, DRR (% change over time) income quintiles Disparity Gini Rate Coefficient difference DRD (% change over time) Disparity Rate ratio, DRR (% change over time) Chapter 3: Mortality Greater inequality in urban Higher in urban � (38%) � (58%) � � (50%) � (27%) � Higher in urban T1: .131 T5: .205 T1: 1.91 T5: 2.88 T1: 0.058 T5: 0.119 T1: 1.35 T5: 1.86 T5 rural: 0.119 T1: 2.72 T5: 3.46 per 1,000 T1: 1.39 T5: 2.19 per 1,000 Premature Mortality Rate PMR (average annual number of people aged 0-74 who died, per 1,000 people aged 0-74) urban: 0.205 Greater inequality in urban NS Higher in urban (mostly) � � (19%) � (55%) � � (17%) NS T1: 0.169 T5: 0.255 T1: 2.32 T5: 3.59 T1: 0.103 T5: 0.168 T1: 1.77 T5: 2.29 Potential Years of Life Lost PYLL (average annual years of life lost per 1,000 aged 0- 74) T5 rural: 0.168 urban: 0.255 NS NS NS T1: 61.2 T5: 72.8 per 1,000 T1: 53.8 T5: 62.9 per 1,000 NS NS NS NS � (64%) NS T5 rural: 0.110 urban: 0.129 T1: 0.160 T5: 0.129 T1: 1.74 T5: 1.20 per 1,000 T1: 2.19 T5: 2.32 T1: 0.155 T5: 0.110 T1: 2.33 T5: 0.83 per 1,000 T1: 2.19 T5: 1.66 Under Age 5 Mortality Rate (average annual rate of deaths per 1,000 under age five)
Table 9.1: Continued Indicator RURAL change over time URBAN change over time RURAL vs. URBAN DRR DRD Gini DRR DRD Gini DRR DRD Gini R vs. U Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Chapter 4: Child Health Greater inequality in urban Higher in urban Higher in urban � � (25%) � (102%) � � (34%) � (80%) T1: 0.303 T8: 0.406 T1: 76.4 T8: 95.0 T1: 4.93 T8: 9.95 T1: 0.197 T8: 0.286 T1: 60.5 T8: 80.6 T1: 2.21 T8: 3.98 T8 rural: 0.286 Teenage Pregnancy (average annual rate of pregnancies per 1,000 females aged 15- 19) urban: 0.406 NS T2-T7 rural higher than urban; T1 NS T2-T5 rural higher than urban; T1, T6, NS � (18%) � (8%) NS � (19%) NS T7 rural: 0.079 urban: 0.098 T1: 0.089 T7: 0.098 T1: -34.67 T7: -41.07 T1: 0.61 T7: 0.56 T1: 0.069 T7: 0.079 T1: -28.50 T7: -33.97 T1: 0.63 T7: 0.60 High School Completion (% Grade 9 students graduating from Grade 12 within six years)** T7 NS NS (p=.064) NS All times, rural higher than urban NS (p=.053) � (146%) NS NS � (245%) NS T5 rural: 0.383 urban: 0.421 T1: 0.356 T5: 0.421 T1: 6.82 T5: 16.76 T1: 7.79 T5: 13.09 � (9%) T1: 0.363 T5: 0.383 T1: 14.58 T5: 50.28 T1: 4.15 T5: 6.45 Dental Extraction Rate (number of children aged 0-5 hospitalized for dental extractions per 1,000 children aged 0-5) Greater inequality in rural T1, T2 urban greater, T4 to T7 rural greater NS except T7 where rural is greater NS ��22%) � � (86%) � (14%) T1: 0.051 T7: 0.039 T1: -20.4 T7: -15.9 T1: 0.76 T7: 0.82 T1: 0.040 T7: 0.070 T1: 0.82 T7: 0.71 Breastfeeding Initiation Rate (% live born newborns being breastfed upon hospital discharge)** T7 rural: 0.070 urban: 0.039 T1: -13.8 T7: -25.8 Chapter 5: Adult Health Greater inequality in rural NS Higher in rural � � (173%) � (20%) � � (187%) � (25%) T1: 0.092 T8: 0.119 T1: 1.75 T8: 4.76 T1: 1.54 T8: 1.85 T1: 0.097 T8: 0.143 T1: 2.54 T8: 7.29 T1: 1.67 T8: 2.08 T8 rural: 0.143 urban: 0.119 Diabetes Prevalence (percentage of people aged 19+ having a diagnosis of diabetes over a three-year period) Manitoba Centre for Health Policy 177
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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 4.18: 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 A3.2: High School Appendix C
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Health Inequities in Manitoba: Is the Socioeconomic Gap

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