Health Inequities in Manitoba: Is the Socioeconomic Gap

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Chapter 4: Child Health Figure 4.7: Teen Pregnancy Disparity Rate Ratios by Urban and Rural Income Quintile Adjusted by (2005/06-2007/08) Figure 4.7: age, Teen per Pregnancy 1,000 females Disparity aged Rate 15-19 Ratios by Urban and Rural Income Quintile Adjusted by (2005/06-2007/08) age, per 1,000 females aged 15-19 15 Figure 4.8: Teen Pregnancy Disparity Rate Differences by Urban and Rural Income Quintile Figure 4.8: Teen Pregnancy Disparity Rate Differences by Urban and Rural Income Quintile Adjusted by (2005/06-2007/08) age, per 1,000 females aged 15-19 Adjusted by (2005/06-2007/08) age, per 1,000 females aged 15-19 125 54 University of Manitoba Disparity Rate Ratios 10 5 0 T1: 1984/85- 1986/87 T2: 1987/88- 1989/90 T3: 1990/91- 1992/93 T4: 1993/94- 1995/96 T5: 1996/97- 1998/99 T6: 1999/00- 2001/02 T7: 2002/03- 2004/05 T8: 2005/06- 2007/08 Urban Disparity Rate Ratios 4.93 5.17 7.23 6.02 5.08 6.07 8.11 9.95 Rural Disparity Rate Ratios 2.21 2.67 3.10 2.73 2.90 3.63 4.16 3.98 Urban Disparity Rate Ratios T8 to T1: 2.02 (95% CI 1.66, 2.46 ) p< .001 Rural Disparity Rate Ratios T8 to T1: 1.80 (95% CI 1.54, 2.11 ) p< .001 Disparity Rate Differences 100 75 50 25 0 T1: 1984/85- 1986/87 T2: 1987/88- 1989/90 T3: 1990/91- 1992/93 Time Period (fiscal years) T4: 1993/94- 1995/96 T5: 1996/97- 1998/99 Source: Manitoba Centre for Health Policy, 2010 T6: 1999/00- 2001/02 T7: 2002/03- 2004/05 T8: 2005/06- 2007/08 Urban Disparity Rate Differences 76.44 94.00 112.67 115.24 113.84 109.02 100.74 94.96 Rural Disparity Rate Differences 60.53 68.31 82.15 77.15 75.39 82.54 78.83 80.58 Time Period (fiscal years) Urban Disparity Rate Differences T8 to T1: 1.25, p
Health Inequities in Manitoba: Is the Socioeconomic Gap in Health Widening or Narrowing Over Time? High School Completion (Graduation) Definition Level of educational attainment where the individual has completed high school (completed Grade 12). Graduated students are identified in the student record or if the student has earned 28 or more credits or if the student earned four or more Grade 12 credits during high school. In this report, individuals were followed from Grade 9 for six years to ensure that those graduating late are identified as high school graduates. Information on credits earned and enrolment is not complete for band–operated schools (missing for about 50% of students). When students in band–operated schools are included in the analyses, as in this chapter, rates of high school completion in areas with band–operated schools may under–estimate high school completion. 2 Rates of high school completion excluding students in band–operated schools can be found in Appendix 3. When students in band–operated schools are excluded, high school graduations rates increase by about 10%; and there is less disparity shown in rural areas and more disparity in urban areas, compared to when these students are included. Note: in the graphs, the year refers to the date of onset of the school year. For example, “1996” refers to the school year beginning September 1996 and ending June 1997. Time Periods High School Graduates (including Band–Operated schools) (%) T1: 1996 74.18 T2: 1997 75.90 T3: 1998 76.30 T4: 1999 77.01 T5: 2000 77.51 T6: 2001 77.30 T7: 2002 77.31 Key findings: High School Completion (Graduation) Manitoba overall rates: • From the first time period T1 (school year 1996/97) to the last time period T7 (school year 2002/03), high school completion increased from 74.2% to 77.3% provincially. Rates by neighbourhood income quintile over time: Rural: • From T1 to T7, the high school completion rates of rural neighbourhood income quintile groups R2, R4, and R5 fluctuated, but showed an overall increase. The high school completion rate of R3 showed little overall change; and R1, the lowest neighbourhood income quintile group, showed an initial increase and then a subsequent decrease. 2 For example, when a student in a band–operated school has only 16 credits within six years of entering Grade 9 and shows up in the enrolment data only in Grade 9 and 10 and then has four years with no enrolment and no credits earned, we do not know whether this is because they withdrew from school or whether their enrolment and credit information was not submitted to Manitoba Education. Manitoba Centre for Health Policy 55
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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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Page 49 and 50: Table 2.1: Neighbourhood Income Qui
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Page 59 and 60: Figure 3.2: Premature Mortality Rat
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Page 69 and 70: Cumulative Percent of Potential Yea
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Page 91 and 92: Figure 4.10: High School Completion
Page 99 and 100: Figure 4.18: Dental Extraction Rate
Page 107 and 108: Figure 4.26: Breastfeeding Initiati
Page 111 and 112: References: Health Inequities in Ma
Page 117 and 118: Figure 5.2: Diabetes Prevalence Ove
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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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