Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 3: Mortality Figure 3.15: Potential Years of Life Lost Disparity Rate Ratios by Urban and Rural Income Quintile 38 University of Manitoba Adjusted Figure by (2004-2007) 3.15: Potential age & Years sex, of per Life 1,000 Lost residents Disparity aged Rate 0-74 Ratios by Urban and Rural Income Quintile Adjusted by (2004-2007) age & sex, per 1,000 residents aged 0-74 6 Disparity Rate Ratios 5 4 3 2 1 0 T1: 1984- 1988 T2: 1989- 1993 T3: 1994- 1998 T4: 1999- 2003 T5: 2004- 2007 Urban Disparity Rate Ratios 2.32 2.34 2.68 2.96 3.59 Rural Disparity Rate Ratios 1.77 1.52 1.86 2.37 2.29 Urban Disparity Rate Ratios T5 to T1: 1.55 (95% CI 1.42, 2.12 ) p< .01 Rural Disparity Rate Ratios T5 to T1: 1.30 (95% CI 0.95, 1.78 ) NS Time Period (years) Source: Manitoba Centre for Health Policy, 2010 Figure 3.16: Potential Years of Life Lost Disparity Rate Differences by Urban and Rural Income Quintile Adjusted Figure by 3.16: (2004-2007) Potential Years age & of sex, Life per Lost 1,000 Disparity residents Rate aged Differences 0-74 by Urban and Rural Income Quintile Adjusted by (2004-2007) age & sex, per 1,000 residents aged 0-74 80 Disparity Rate Differences 70 60 50 40 30 20 10 0 T1: 1984- 1988 T2: 1989- 1993 T3: 1994- 1998 T4: 1999- 2003 T5: 2004- 2007 Urban Disparity Rate Differences 61.19 54.31 62.43 65.97 72.82 Rural Disparity Rate Differences 53.77 35.25 50.61 66.01 62.93 Urban Disparity Rate Differences T5 to T1: 1.19, p< .001 Rural Disparity Rate Differences T5 to T1: 1.17, p< .001 Time Period (years) Source: Manitoba Centre for Health Policy, 2010
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? Under Age Five Mortality Rate Definition An indicator of death among infants and children under age five. This indicator is the average annual number of deaths per 1,000 children under the age of 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. Time Periods Average annual rate per 1,000 T1: 1984–1988 2.50 T2: 1989–1993 1.80 T3: 1994–1998 1.83 T4: 1999–2003 1.80 T5: 2004–2007 1.58 Key findings: Under Age Five Mortality Rate Manitoba overall rates: • From the first time period T1 (1984–1988) to the last time period T5 (2004–2007), the under age five mortality rate (deaths among infants and children under age five) dropped from 2.50 to 1.58 deaths per 1,000 provincially. Much of this drop occurred between T1 and T2 and then again from T4 to T5 time periods. Rates by neighbourhood income quintile over time: Rural: • From T1 to T5, the under age five mortality rates of all rural neighbourhood income quintile groups decreased, with much of the decrease occurring between the first and second time periods. R1 demonstrated the greatest decrease from the first to the last time period, from 4.30 to 2.09 deaths per 1,000, and showed a similar rate to R2 in the last time period. • The disparity between R1 and R5 decreased somewhat over time. The rate ratio of R1 compared to R5 was 2.19 in the first time period and 1.66 in the last time period, for a decrease of 24%, which was not statistically significant. The absolute difference of R1 compared to R5 went from 2.33 more deaths per 1,000 in the first time period to 0.83 more deaths per 1,000 in the last time period, a statistically significant decrease of 64% over time. Urban: • From T1 to T5, the under age five mortality rates of all urban neighbourhood income quintile groups decreased. After an initial decrease between the first and second time period, most of the urban neighbourhood income quintiles showed plateauing or slightly rising rates. U2 demonstrated the greatest decrease from the first to last time period, from 2.47 to 0.80 deaths per 1,000. Manitoba Centre for Health Policy 39
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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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Health Inequities in Manitoba: Is t
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Figure 5.10: Amputations Among Figu
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Figure 5.18: Ischemic Heart Disease
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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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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 A2.17: 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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