Health Inequities in Manitoba: Is the Socioeconomic Gap

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Appendix 1: Glossary 206 University of Manitoba Accidental poisoning ICD–9–CM diagnosis codes are as follows: • 965 poisoning by analgesics • 967 poisoning by sedatives and hypnotics • 969 poisoning by psychotropic agents • 977.9 poisoning by unspecified drug or medicinal substance • 986 toxic effects of carbon monoxide • E850 accidental poisoning by analgesics, antipyretics, antirheumatics • E851 accidental poisoning by barbiturates • E852 accidental poisoning by other sedatives and hypnotics • E853 accidental poisoning by tranquilizers • E854 accidental poisoning by other psychotropic agents • E858 a accidental poisoning by unspecified drug • E862 accidental poisoning by petroleum products and vapours • E868 accidental poisoning by other utility gas and carbon monoxide Psychiatric tariff codes are as follows: From the psychiatric schedule: • 8444 Psychotherapy—group of two to four patients • 8446 Psychotherapy—group of five or more patients • 8472 Child and Youth Management Conference • 8475 Psychiatry—Patient Care Family Conference • 8476 Psychiatric Social Interview • 8503 Complete history and psychiatric examination—adult • 8504 Complete history and psychiatric examination—child • 8553 Consultation—adult • 8554 Consultation—child • 8581 Psychotherapy—individual • 8584 Psychiatric care—individual • 8588 Electroshock therapy • 8596 Consultation—Unassigned patient—child From the general schedule: • 8580 Psychotherapy—individual • 8587 Electroshock therapy • 8589 Psychotherapy—Group Suppressed—see Data suppression Teenage Pregnancy Teenage pregnancy includes live births, stillbirths, abortions and ectopic pregnancies of women under the age of twenty. In this report, rates of teenage pregnancy are calculated for females aged 15–19 over 1984/85–2007/08. Age is calculated as of date of admission to hospital in the numerator and December 31 of each fiscal year in the denominator. Teenage pregnancy is defined as one hospitalization with one of diagnosis codes: V27 (live birth), 632 (missed abortion), 633 (ectopic pregnancy), 634 (spontaneous abortion), 635 (legally induced abortion), 636 (illegally induced abortion), 637 (unspecified abortion) or 656.4 (intrauterine death), or with one of procedure codes: 66.62 (salpingectomy with removal of tubal pregnancy), 69.01 (dilation and curettage for termination of pregnancy), 69.51 (aspiration curettage of uterus for termination of pregnancy), 74.3 (removal of extratubal ectopic pregnancy),74.91 (hysterotomy to terminate pregnancy) or 75.0 (intra–amniotic injection for abortion). Note that abortions performed in private clinics are not included in the count of teen pregnancies. The rate of pregnancies in teenagers
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? aged 10–14 was not analysed due to the small number of events. There is a possibility that there is missing data for this indicator because of an inability to pick up nurse practitioner, nursing station, and salaried physician work. Time Comparison of Disparity Rate Ratios (DRR) Measure of change in a socioeconomic gap over time. This is calculated using the difference between the lowest and highest neighbourhood income groups and measuring the change in these differences from the latest time period relative to the oldest time period. Tuberculosis (TB)—see Hospitalization due to Tuberculosis (TB) Under Age Five Mortality An indicator of death among infants and children under age five. This indicator is calculated by the number of deaths per 1,000 children under age five, in each time period. Rates of death under the age of five is seen as an indicator of health status, level of healthcare in an area, and the effectiveness of prenatal and child care. Urban Urban is an aggregate geography which includes the two urban centres in Manitoba, Winnipeg and Brandon. References Bonnefoy J, Morgan A, Kelly MP, Butt J, Bergman V. Constructing the evidence base on the social determinants of health: A guide. Measurement and Evidence Knowledge Network (MEKN) of the WHO Commission on Social Determinants of Heath. 2007. http://www.jenniferbutt.co.uk/images/ constructing_evidence_base_mekn.pdf. Accessed July 20, 2010. Dahlgren G, Whitehead M. Levelling up (part 2): A discussion paper on European strategies for tackling social inequities in health. WHO Regional Office for Europe. 2006. http://www.euro.who.int/__data/ assets/pdf_file/0018/103824/E89384.pdf. Accessed July 20, 2010. Fransoo R, Martens P, Burland E, The Need to Know Team, Prior H, Burchill C. Manitoba RHA Indicators Atlas 2009. Manitoba Centre for Health Policy. 2009. http://mchp–appserv.cpe.umanitoba.ca/reference/ RHA_Atlas_Report.pdf. Accessed July 20, 2010. Gini C. Variabilite mutabilita, 1912 (reprinted in Memorie di metodologica statistica, Pizetti E and. Salvemini, T. (Eds.)). Rome: Libreria Eredi Virgilio Veschi, 1955. Lorenz MC. Methods of measuring the concentration of wealth. Journal of the American Statistical Association. 1905;9:209–219. Statistics Canada Glossary. http://www12.statcan.gc.ca/census–recensement/2006/ref/dict/geo021– eng.cfm. Accessed July 20, 2010. Manitoba Centre for Health Policy 207
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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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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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Page 195 and 196: Reference Health Inequities in Mani
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Page 209 and 210: Table 9.1: Continued Indicator RURA
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Page 243 and 244: Table A2.3: Crude Numbers of Mortal
Page 245 and 246: Table A2.5: Crude Numbers for High
Page 247 and 248: Table A2.7: Crude Numbers for Denta
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Page 255 and 256: CONFIDENTIAL ‐‐ NOT FOR DISTRIB
Page 257 and 258: Table A2.17: Crude Numbers for Cumu
Page 263 and 264: Figure A3.2: High School Appendix C
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Health Inequities in Manitoba: Is the Socioeconomic Gap

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