Trends in Mortality by Income in Urban Canada from 1971 to PART II Russell Wilkins, Edward Ng and Jean-Marie Berthelot Health Analysis and Modeling Group Statistics Canada, Ottawa Session 65: Causes of Death Analyses, Differentials and Trends Population Association of America (PAA) 2001 Annual Meeting, Washington DC March 2001

Russell Wilkins Health Analysis and Modeling Group Statistics Canada, RHC-24A Ottawa ON K1A OT6 Tel: Fax:

Trends by Cause, ASMR -All Ages Progress towards the goal of Health for All –Lower mortality –Less inequality Lack of progress –Little change in mortality –Less inequality but higher mortality Worsening –Higher mortality –Greater inequality

Perinatal Conditions ASMR x 100,000

Ischemic Heart Disease ASMR per 100,000

Ischemic Heart Disease, Males Per 100,000

Ischemic Heart Disease, Females ASMR per 100,000

Uterine Cancer ASMR x 100,000

Liver Cirrhosis, Females ASMR x 100,000

Liver Cirrhosis, Males ASMR x 100,000

Injuries except MVTA+Suicide, Both Sexes ASMR x 100,000

P edestrians H it by M otor V ehicles, B oth S exes ASMR x 100,000

Motor Vehicle Occupants, Both Sexes ASMR x 100,000

Lung Cancer, Males ASMR x 100,000

Breast Cancer, Females ASMR x 100,000

Prostate Cancer ASMR x 100,000

Suicide, Males ASMR x 100,000

Suicide, Females ASMR x 100,000

Lung Cancer, Females ASMR x 100,000

Mental Disorders, Both Sexes ASMR x 100,000

Infectious Diseases, Both Sexes ASMR x 100,000 Includes 1986 AIDS recoded to Infectious Diseases

Ill-Defined Conditions, Both Sexes ASMR x 100,000

Diabetes, Males ASMR x 100,000

Diabetes, Females ASMR x 100,000

Conclusions: Trends Lower mortality for all income quintiles, both sexes, and for most causes Persistence of an income gradient, though less steep than formerly affects females as well as males, though less sharply highest relative risks in working ages (25-64) Elimination of the remaining disparities would result in gains in potential years of life equivalent to eradicating one of the three leading causes of death

Conclusions: Trends (cont.) Throughout this period, there were substantially diminished differences across the income quintiles, overall and for most causes of death many causes showed remarkable progress: reduced mortality and diminished differences a few causes showed higher mortality and greater inequality timing of the changes varied by cause