Health Inequities in Manitoba: Is the Socioeconomic Gap

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T8 rural: 0.295 urban: 0.305 similar in rural and urban; after mid- 1990s, higher in rural 1990s, higher in urban; after mid- 1990s similar in urban and rural T1: 0.273 T8: 0.305 T1: 0.68 T8: 0.99 T1: 4.40 T8: 4.85 T1: 0.181 T8: 0.295 T1: 0.55 T8: 1.53 T1: 2.01 T8: 5.01 Suicide Deaths and Suicide attempts (number of persons per 1,000 aged 10+ who either completed or attempted suicide at least once in a three-year period) Table E.1: Continued NS � (80%) NS NS NS xxiv University of Manitoba NS NS NS T4 rural: 0.018, NS urban: 0.005, NS T1: 0.028, NS T4: 0.005, NS T1: -10.04 T4: -1.99 T1: 0.86 T4: 0.98 T1: 0.041 T4: 0.018, NS T1: -11.60 T4: -7.37 Chapter 8: Pharmaceutical Use Post-Acute Myocardial NS Infarction (AMI) Care: Beta- Blocker Prescribing (% AMI T1: 0.83 patients aged 20+ with T4: 0.91 prescription within four months of the AMI)** *Note: if there is no statistically significant difference between the comparative numbers, then NS indicates this (i.e., rates are similar). Arrows increasing or decreasing are only shown if the change is statistically significant (p
Table Table E.2: E.2: Is Is the the socioeconomic gap gap widening widening or narrowing or narrowing over over time? time? Trends in inequality in inequality over time for over the health time and for social the health indicatorsand social indicators Socioeconomic gap is widening over time Premature Mortality Rate Potential Years of Life Lost Teen pregnancy Breastfeeding (rural only) High school completion (urban mainly) Diabetes Ischemic heart disease Continuity of care (rural only) Hospitalizations for TB (rural only) Cervical cancer screening Cumulative mental illness (rural only) Suicide deaths and suicide attempts (rural only) Socioeconomic gap is similar over time Under age 5 mortality High school completion (rural mainly) Dental Extractions (NS or possible increase) Amputation due to diabetes Multiple Sclerosis Continuity of care (urban only) Hospitalizations for TB (urban only—NS or possible decrease) Cumulative mental illness (urban only) Dementia Post–AMI beta–blocker prescription use Socioeconomic gap is narrowing over time Breastfeeding (urban only) Source: Manitoba Centre for Health Policy, 2010 Table E.3: Is the socioeconomic gap wider or narrower in rural or urban neighbourhood income Table E.3: groups? Is the socioeconomic gap wider or narrower in rural or urban neighbourhood income groups? Trends for rural and urban income groupings for the health and social indicators Trends for rural and urban income groupings for the health and social indicators Socioeconomic gap (inequality) is wider in rural Socioeconomic gap (inequality) is similar between rural and urban Socioeconomic gap (inequality) is wider in urban Comparing rural and urban inequality over time (using DRR and DRD trends over time)* High school completion (higher or similar) Breastfeeding Dental extractions Diabetes Amputation due to diabetes IHD (most recent time periods) Continuity of care Cervical cancer screening Under age 5 mortality Hospitalizations for TB MS Post-AMI beta-blocker prescription use PMR PYLL Teen pregnancy Cumulative mental illness Dementia Comparing rural to urban in the most recent time period only (using Gini Coefficients only) Breastfeeding Diabetes Continuity of care Cervical cancer screening Under age 5 mortality High school completion Dental extraction (though a trend to higher in urban) Amputation due to diabetes IHD MS Hospitalizations for TB Suicide deaths/suicide attempts Post-AMI beta-blocker prescription use PMR PYLL Teen pregnancy Cumulative mental illness Dementia *Mixed results were seen for suicide deaths/suicide attempts over time, depending upon the measure. Source: Manitoba Centre for Health Policy, 2010 Manitoba Centre for Health Policy xxv
Page 1 and 2: HEALTH INEQUITIES IN MANITOBA: Is t
Page 3 and 4: About the Manitoba Centre For Healt
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: Table E.1: Continued Indicator RURA
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:
Page 59 and 60: Figure 3.2: Premature Mortality Rat
Page 67 and 68: Figure 3.10: Potential Years of Lif
Page 69 and 70: Cumulative Percent of Potential Yea
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Health Inequities in Manitoba: Is t
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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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