Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 2: A Description of the Neighbourhood Income Quintiles using Census Data Figure 2.1: Mean Household Income Over Time by Urban and Rural Income Quintiles Weighted average Figure household 2.1: Mean incomes Household for urban and rural Income residents Over Time by Urban and Rural Income Quintiles Weighted average household incomes for urban and rural residents $140,000 U1 U2 U3 U4 U5 20 University of Manitoba R1 R2 R3 R4 R5 $120,000 $100,000 $80,000 $60,000 Mean Household Income $40,000 $20,000 $0 1986 1996 2006 Source: Manitoba Centre for Health Policy, 2010 Census Year
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Key findings: Trends in average household income over time, by neighbourhood income quintile Table 2.4: Table Average 2.4: Average Household Income Income Changes Changes over over Census Census Years Years 1986, 1986, 1996, 1996, 2006 2006 Area Measure Rural Urban Average Household Income for R1 and R5 Disparity Rate Ratio (R5/R1) Disparity Rate Difference (R5-R1) Average Household Income for U1 and U5 Disparity Rate Ratio (U5/U1) Disparity Rate Difference (U5-U1) Census Date* T1: 1986 T2: 1996 T3: 2006 R1: $17,647 R5: $39,437 R1: $27,306 R5: $58,645 R1: $34,331 R5: $81,336 Comparison over time: T3 to T1 (T3/T1) (2006 to 1986) R1: 1.95 R5: 2.06 2.23 2.15 2.37 1.06 $21,790 $31,339 $47,005 2.16 U1: $18,724 U5: $55,556 U1: $24,687 U5: $78,249 U1: $34,371 U5: $114,331 U1: 1.84 U5: 2.06 2.97 3.17 3.33 1.12 $36,832 $53,562 $79,960 2.17 *T1=time 1 (1986); T2=time 2 (1996); T3=time 3 (2006) Source: Manitoba Centre for Health Policy, 2010 By both relative and absolute measures, the neighbourhood income inequality is increasing over time between the lowest and the highest neighbourhood income groups. In the rural neighbourhood income quintiles, the disparity rate ratio is over 2 for all time periods, meaning that the relative neighbourhood income of R5 is 2.23 times (1986), 2.15 times (1996), and 2.37 times (2006) that of R1. Not only is there over twice the neighbourhood income in R5, but the disparity in 2006 is 6% higher than in 1986 (as indicated by the last column, 1.06, or 6% increase from a DRR of 2.23 in T1 to 2.37 in T3). As well, the rate difference goes from $21,790 more per household in R5 compared to R1 in 1986 to $47,005 more in 2006, which is over double (2.16 times). In urban areas, the rate ratio (DRR) goes from 2.97 in 1986 to 3.33 in 2006, so those in U5 have an average household income around three times that of U1. This disparity is increasing over time by about 12% from T1 to T3. As well, the rate difference goes from $36,832 in 1986 to $79,960 in 2006, which is over double (2.17 times). The disparity at each time period, both in relative and rate differences, is substantially greater in urban compared to rural areas. Comparing these over time, disparity is also increasing on every measure, with rate ratios increasing more in urban (12% increase) compared to rural (6% increase) from 1986 to 2006. Interestingly, in both the rural and urban highest neighbourhood income quintile, the actual dollar amounts increased by similar amounts from 1986 to 2006 (2.06 times), whereas the lowest neighbourhood income quintile groups in both rural and urban increased by less than two times (1.95 times for R1, and only 1.84 times for U1). So the highest neighbourhood income quintile group appears Manitoba Centre for Health Policy 21
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 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: Table 2.3: Neighbourhood Table 2.3:
Page 59 and 60: Figure 3.2: Premature Mortality Rat
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Health Inequities in Manitoba: Is t
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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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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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