Health Inequities in Manitoba: Is the Socioeconomic Gap

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iv Table of Contents Executive Summary ................................................................................................................................................ xvii Chapter 1: Introduction and Methods ................................................................................................................... 1 Background Literature on Health Inequity ....................................................................................................................................2 Objectives of this Report .......................................................................................................................................................................2 What’s in this Report: Neighbourhood Income Quintile Groupings versus Regional Areas .....................................3 Methods Used in this Report ...............................................................................................................................................................6 The Various Types of Graphs ................................................................................................................................................................9 Limitations of the Data ...........................................................................................................................................................................11 A Targeted Versus Population Approach: Interpreting the information ............................................................................12 Summary ......................................................................................................................................................................................................12 References ...................................................................................................................................................................................................13 Chapter 2: A Description of the Neighbourhood Income Quintiles using Census Data .................................. 15 Key findings ................................................................................................................................................................................................21 Chapter 3: Mortality ................................................................................................................................................ 23 Premature Mortality Rate (PMR) .........................................................................................................................................................23 Definition .............................................................................................................................................................................................23 Key findings: Premature Mortality Rate (PMR)......................................................................................................................23 Potential Years of Life Lost (PYLL) .......................................................................................................................................................31 Definition .............................................................................................................................................................................................31 Key findings: Potential Years of Life Lost (PYLL) ...................................................................................................................31 Under Age Five Mortality Rate ............................................................................................................................................................39 Definition .............................................................................................................................................................................................39 Key findings: Under Age Five Mortality Rate ........................................................................................................................39 Chapter 4: Child Health ........................................................................................................................................... 47 Teenage Pregnancy ................................................................................................................................................................................47 Definition ............................................................................................................................................................................................47 Key Findings: Teenage Pregnancy ............................................................................................................................................47 High School Completion (Graduation) ............................................................................................................................................55 Definition .............................................................................................................................................................................................55
Key findings: High School Completion (Graduation) ........................................................................................................55 Dental Extraction : Dental Extractions ..............................................................................................................................................63 Definition .............................................................................................................................................................................................63 Key Findings ........................................................................................................................................................................................63 Breastfeeding Initiation Rates ..............................................................................................................................................................71 Definition .............................................................................................................................................................................................71 Key findings: Breastfeeding Initiation Rates ..........................................................................................................................71 References ...........................................................................................................................................................................................79 Chapter 5: Adult Health .......................................................................................................................................... 81 Diabetes Prevalence ................................................................................................................................................................................81 Definition .............................................................................................................................................................................................81 Key Findings: Diabetes Prevalence ...........................................................................................................................................81 Amputations Among People with Diabetes..................................................................................................................................89 Definition .............................................................................................................................................................................................89 Key Findings: Amputations Among People With Diabetes ............................................................................................89 Ischemic Heart Disease ..........................................................................................................................................................................97 Definition .............................................................................................................................................................................................97 Key Findings: Ischemic Heart Disease ......................................................................................................................................97 Multiple Sclerosis (MS) ............................................................................................................................................................................105 Definition .............................................................................................................................................................................................105 Key Findings: Multiple Sclerosis (MS) .......................................................................................................................................105 References ...........................................................................................................................................................................................113 Chapter 6: Primary Care and Prevention .............................................................................................................. 115 Continuity of Care ....................................................................................................................................................................................115 Definition .............................................................................................................................................................................................115 Key Findings: Continuity of Care ................................................................................................................................................115 Hospitalization due to Tuberculosis ..................................................................................................................................................123 Definition .............................................................................................................................................................................................123 Key Findings: Hospitalization due to Tuberculosis .............................................................................................................123 Cervical Cancer Screening ....................................................................................................................................................................131 Definition ............................................................................................................................................................................................131 v
Page 1 and 2: HEALTH INEQUITIES IN MANITOBA: Is t
Page 3 and 4: About the Manitoba Centre For Healt
Page 5: Dr. Patricia Martens acknowledges t
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
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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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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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