[EQ] Health Inequities in Manitoba: Is the Socioeconomic Gap Widening or Narrowing Over Time?

Health Inequities in Manitoba:
Is the Socioeconomic Gap Widening or Narrowing Over Time?

Martens PJ, Brownell M, Au W, MacWilliam L, Prior H, Schultz J, Guenette W, Elliott L, Buchan S, Anderson M, Caetano P, Metge C, Santos R, Serwonka K.

Manitoba Centre for Health Policy (MCHP) Dept. of Community Health Sciences, Faculty of Medicine, University of Manitoba

Winnipeg, Manitoba, Canada - September 2010

Available online PDF [271p.] at: http://bit.ly/cyjFG9

 

“…….Health status and the use of health and social services are key indicators for studying patterns in population health. However, it is not only the actual rate or prevalence that is important, but the distribution of health or health services within the population itself.

 

Are there inequities in health status or the use of services by socioeconomic groups within Manitoba? Many previous MCHP reports have looked at disparity in health outcomes by neighbourhood income and by geographical areas, both cross–sectional and over time. But no report has focused on inequalities so specifically, nor has analysed how to measure these gaps in the most methodologically rigorous way.

 

This report is designed to focus on inequality, both the methodology used to quantify inequality and the analysis of existing inequality within Manitoba’s socioeconomic groups…..”

 

Table of Contents

Executive Summary

Chapter 1: Introduction and Methods

Chapter 2: A Description of the Neighbourhood Income Quintiles using Census Data

Chapter 3: Mortality

Premature Mortality Rate (PMR)

Potential Years of Life Lost (PYLL)

Under Age Five Mortality Rate

Chapter 4: Child Health

Teenage Pregnancy

High School Completion (Graduation)

Dental Extraction

Breastfeeding Initiation Rates

Chapter 5: Adult Health

Diabetes Prevalence

Amputations Among People with Diabetes

Ischemic Heart Disease

Multiple Sclerosis (MS)

Chapter 6: Primary Care and Prevention

Continuity of Care

Hospitalization due to Tuberculosis

Cervical Cancer Screening

Chapter 7: Mental Health

Cumulative Mental Illness

Dementia

Suicide Deaths and Suicide Attempts

Chapter 8: Pharmaceutical Use

Chapter 9: Summary and Conclusion: Closing the Gap

Appendix 1: Glossary

Appendix 2: Crude Rate Tables for Each Indicator

Appendix 3: Results for High School Completion Excluding Band-Operated Schools

 

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