Canadian Public Health Association 2008 Annual Conference Halifax, Nova Scotia, May 31 – June 4, 2008 Does Province of Residence Matter to the Health and.

Slides:



Advertisements
Similar presentations
Socioeconomic Inequalities in Health Among Canadian Women with Heart Disease Arlene S. Bierman, M.D., M.S Ontario Womens Health Council Chair in Womens.
Advertisements

Demographics in Canada. Demographics – The study of population statistics Birth Rate – number of births per 1000 people in a population Death Rate – number.
By: Derek, Stefan, Serapio, and Jerry
Thu. 3 June An empirical study of the “healthy immigrant effect” with Canadian Community Health Survey Yimin (Gloria) Lou, M.A. Candidate University.
1 CADAC Canadian Arts Data / Données sur les Arts au Canada Where are we now? Statistical data national level provincial level Next steps - Update, June.
Canada. Provinces/Territories Nova Scotia Nova Scotia Newfoundland and Labrador Newfoundland and Labrador P.E.I P.E.I New Brunswick New Brunswick Ontario.
1. Canadian Results PISA PISA 2012 by the numbers 3.
Lower Canadian Prayer Walk June 15, 2014 Travel from Seattle, WA, USA to Victoria, British Columbia, Canada, prayer walk and continue to Vancouver Seattle.
Health Care and Patients’ Attitudes: Does the type of health care insurance matter? Joan Babcock University of Texas at San Antonio.
1 Canadian Institute for Health Information. Obesity in Canada A joint report from the Public Health Agency of Canada and the Canadian Institute for Health.
Canada Ingrid Juhásová 8.A.
British Columbia Immigration Source: Citizenship and Immigration Canada Facts and Figures Immigration Overview Annual Number of Immigrants to British.
12.3 Canada Today.

Bradley A. Corbett, PhD Associate Research Professor
Settlement Outcomes Survey Presentation to the National Metropolis Conference Sharon Springer, Senior Advisory Policy and Programs Citizenship and Immigration.
Canada. Physical Map of Canada Canada The ten provinces are : Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia,
National Health Expenditure Trends, 1975 to 2014 ChartbookOctober 2014.
 Health insurance is a significant part of the Vietnamese health care system.  The percentage of people who had health insurance in 2007 was 49% and.
Authors : P K D. 1.Flag of Canada 2.Map of Canada 3.Introduction 4.Big Cities 5.Interesting Places.
Unemployment When persons 15 years old and over are actively seeking work but do not have employment Working-age population the country’s total population,
CONFEDERATION of Canada.
Yukon Territory Northwest Territories British Columbia Alberta Pacific Ocean Beaufort Sea Arctic Ocean Saskatchewan Nunavut Manitoba OntarioQuebec Hudson.
An Atlantic & Manitoba Perspective Toward Building Public Health Capacity A Work in Progress Prepared for: Canadian Public Health Association Conference.
Canada. New Brunswick Newfoundland Northwest Ter Nunavut Ontario Prince Edward Is. Quebec Saskatchewan Yukon Alberta British Columbia Manitoba Nova.
Median Age. Lutheran Membership Lutheran population by mother tongue.
Canada By: Kiki Lochner, Meg Davies, and Chrissy dePenaloza Government.
Canada. -Capital: Ottawa -Population:32.8 million -Area: 2 nd largest country in the world.
Canada funnyv. What is Canada? Canada is a country in North America.
Canada Day By: Inderpreet Gill Inderpreet Gill1. Introduction  On Canada Day three colonies united into a single country called Canada within the British.
Canada. War  In the Canada there`s no war 10 provinces and 3 territories  Alberta  Manitoba  New-Brunswick  Newfoundland and Labrador  Nova Scotia.
By: Inderpreet Gill Inderpreet Gill 1. Introduction  Canada is a national holiday celebrating the anniversary on the July 1 st.  On Canada Day three.
Best Start Annual Conference 2006 BMO Institute for Learning Scarborough, Ontario January 18, 2006 Louise Hanvey, Project Director The Progress of Canada’s.
Kimberly Beers & John Finn. Financial Support – Family/AES/CYFS/ JOB.
Antibiotic Prescriptions for Children in Manitoba: The Changing Socio-Economic Gradient Canadian Public Health Association 2008 Annual Conference Halifax,
Instructions Step 1: Try to identify each of Canada’s province and territory. Click on the province to discover the answer Next.
Alexandre Lebel (CRAD) The Geography of Overweight in Québec Robert Pampalon (INSPQ) Denis Hamel (INSPQ) Marius Thériault (CRAD) Halifax June 2 nd, 2008.
OUTLINE What Nurses Do Skills Needed to Nurse Salary QUESTION/ANSWERS.
Socio-economic Status Related to Self-Injury Chantal Couris Manager, Indicator Research and Development 1.
An Evaluation of the Age and Sex Data from the Census Population of Canada, Provinces and Territories, 1971 to 2001 BY Shirley Loh, Ravi Verma and Margaret.
Canada Canada is the 2nd largest country in the world and has a population of about 35 million people. The capital of Canada is Ottawa, Ontario. Canada.
2011 Physiotherapist Provincial Reports 1. 2 The contents of this publication may be reproduced unaltered, in whole or in part and by any means, solely.
Membership Statistics ,000,000 Girls Have Grown Through Membership in Girl Guides of Canada.
Canada List three facts you know about Canada.. Government 3 levels of government, Federal, Provincial and Municipal Federal Headed by Prime Minister.
Regions of Canada.
Role of government policy in immigrant settlement and integration Ather H. Akbari Saint Mary’s University And Atlantic Research Group on Economics of Immigration,
National Health Expenditure Trends, 1975 to 2015
Percent & Probability Introduction to Percent. Percent Nova Scotia New Brunswick Newfoundland & Labrador Prince Edward Island Populations of Atlantic.
7 sec. 3 Subregions of Canada. Atlantic Provinces Prince Edward Island, New Brunswick, Nova Scotia, Newfoundland Very small population, logging and fishing.
Canada Oct.5, Missing Assignments - Sheet on continents Sheet on rivers and lakes Current events articles.
2011 Occupational Therapist Provincial Reports 1.
Property Tax Regressivity and Property Tax Relief Programs
Chapter 5 Section 1-WORKSHEET PAGE 80: Write the provinces in this order in the chart: Prince Edward Island New Brunswick Nova Scotia Newfoundland and.
Financial Incentives to Increase Canadian Organ Donation: Quick Fix or Fallacy?  John S. Gill, MD, MS, Scott Klarenbach, MD, Lianne Barnieh, PhD, Timothy.
National Health Expenditure Trends, 1975 to 2017
Health Expenditures in the Provinces and Territories, 2017
Canadian Agriculture & Food
What is the capital of British Columbia?
Canadian Immigration One half of recent immigrants come from Asia
Bradley A. Corbett, PhD Associate Research Professor
Canada Land and People.
Salut Goodbye: Last Five Years Saw increase in net loss of Quebecers owing to migration between the provinces Jack Jedwab Executive Vice President Association.
Financial Incentives to Increase Canadian Organ Donation: Quick Fix or Fallacy?  John S. Gill, MD, MS, Scott Klarenbach, MD, Lianne Barnieh, PhD, Timothy.
Post-War Technology Chapter 10.
Canada.
Quebec Conference 1864 By Isabel Cu.
In 2011, Alberta (62. 7%), Saskatchewan (60. 8%) and Manitoba (60
A NEEDS REPORT ON ACCESSIBLE TECHNOLOGY  and  A DISCUSSION ON ACCESSIBLE ASSISTIVE TECHNOLOGY: SUMMARY REPORT Provided to the Accessible Technology Program.
In 2006, 80% of Canadians lived in urban centres
Slide Deck 10: Federal Elections
Presentation transcript:

Canadian Public Health Association 2008 Annual Conference Halifax, Nova Scotia, May 31 – June 4, 2008 Does Province of Residence Matter to the Health and Wellness of Canadians in the Lowest Income Category? Raymond Fang, John Millar & Lydia Drasic Public & Population Health BC Provincial Health Services Authority

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, It is well known that socioeconomic status (SES) is a strong predictor of health. Better health is associated with having more income, more years of education, and a more prestigious job, living neighborhoods with residents at higher education and income levels and a healthier lifestyle as modifiable determinants. Within the low income populations, however, does the province of residence matter to people’s health? The objective of this study was to examine the geographic inequalities in health within the low income Canadian populations. Study Objective

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, █ Data: Population from 10 provinces in the lowest income quintile (1/5th population) and aged 45 and over according to the national household income distribution derived by income, size of household and community size based on the Canadian Community Health Survey 2005 Share Data. Data and Method █ Method: Adjusting for covariates such as age, gender, education level and immigration status, multivariate logistic regression was used to calculate odds ratios ( e.g. OR=1.5 indicates the event is 50% more likely to happen than the baseline ) for comparing provinces/regions on the risks of chronic diseases and poor self-perceived health.

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Background 1: Risk of Chronic Diseases Associates with Income - The socioeconomic dimension (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people aged 45 and over. Five income quintiles cover 20% of population each based on household income, number of household members and community size. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Life Expectancy at Birth (LE) MaleFemale Newfoundland & Labrador 77.0 (3) 82.1 (4) Prince Edward Island 75.6 (10) 80.8 (10) Nova Scotia 76.3 (6) 81.5 (9) New Brunswick 76.1 (8) 81.9 (7) Quebec 76.5 (5) 82.0 (6) Ontario 77.5 (2) 82.1 (4) Manitoba 75.7 (9) 81.6 (8) Saskatchewan 76.3 (6) 82.2 (3) Alberta 77.0 (3) 82.3 (2) British Columbia 78.0 (1) 82.9 (1) Canada (Data source: Statistics Canada) Background 2: Where to live if you want to live longer? - The geographic dimension

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Odds Ratios DiabetesHeart DiseaseArthritis Newfoundland & Labrador Prince Edward Islands Nova Scotia New Brunswick Atlantic Region Quebec Ontario Manitoba Saskatchewan Alberta Prairie Region BC Background (continued) Where to live if you want to lower your risk of chronic diseases? (population from all income categories) █ Worse (at 0.05 level) █ Worse (at 0.10 level) █ Better (at 0.05 level) █ Better (at 0.10 level) █ Not Significant (at 0.10 level) (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people in the lowest income quintile aged 45 and over. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.. Only elevated odds ratios were listed)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, What about Our Low-Income Population? Socioeconomic dimension Geographic dimension Do they have the same health status? Are they being cared equally across the country? Are there differences in their lifestyle across provinces?

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Each Province/Region versus Other Provinces/Regions

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Prairie Region Atlantic Region Ontario BC Alberta Saskatchewan Manitoba Quebec New Brunswick Nova Scotia Prince Edward Islands Newfoundland & Labrador Self-Perceived mental health as poor Self- Perceived health as poor Mood DisorderArthritisCancerHeartDiabetesHypertension Chronic Condition Odds Ratios Comparasons with the other provinces in the lowest income quintile nationally █ Significantly worse (at 0.05 level) █ Significantly worse (at 0.10 level) █ Significantly better (at 0.05 level) █ Significantly better (at 0.10 level) (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people in the lowest income quintile aged 45 and over. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Compared with British Columbia – the overall healthiest province

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Odds Ratios Chronic ConditionHypertensionDiabetesHeartCancerArthritis Mood Disorder SP-health as poor SP-mental health as/poor Newfoundland & Labrador Prince Edward Islands Nova Scotia New Brunswick Atlantic Region Quebec Ontario Manitoba Saskatchewan 0.52 Alberta 1.26 Prairie Region0.73 BCBaseline (1.00) Comparasons with BC in the Lowest Income Quintile █ Significantly worse (at 0.05 level) █ Significantly worse (at 0.10 level) █ Significantly better (at 0.05 level) █ Significantly better (at 0.10 level) (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people in the lowest income quintile aged 45 and over. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Compared with Quebec – the healthiest province for low-income population

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Odds Ratios Chronic ConditionHypertensionDiabetesHeartCancerArthritis Mood Disorder SP-health as poor SP-mental health as/poor Newfoundland & Labrador Prince Edward Islands Nova Scotia New Brunswick Atlantic Region QuebecBaseline (1.00) Ontario Manitoba Saskatchewan Alberta Prairie Region BC Comparasons with Quebec in the Lowest Income Quintile █ Significantly worse (at 0.05 level) █ Significantly worse (at 0.10 level) █ Significantly better (at 0.05 level) █ Significantly better (at 0.10 level) (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people in the lowest income quintile aged 45 and over. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Each Province or Region in the Second Lowest Income Quintile versus The Lowest Income Quintile – Quebec

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Odds Ratios Chronic ConditionHypertensionDiabetesHeartCancerArthritis Mood Disorder Newfoundland & Labrador Prince Edward Islands Nova Scotia New Brunswick Atlantic Region QuebecBaseline (1.00) Ontario Manitoba Saskatchewan Alberta Prairie Region BC Elevated Risk in the 2 nd Lowest Income Quintiles of Other Provinces vs that in the Lowest Income Quintile in Quebec █ Significantly worse (at 0.05 level) █ Significantly worse (at 0.10 level) █ Significantly better (at 0.05 level) █ Significantly better (at 0.10 level) (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people in the lowest income quintile aged 45 and over. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.. Only elevated odds ratios were listed)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, A Snapshot of Lifestyle Determinants of Health in the Lowest Income Quintile across Regions in Canada (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people aged 45 and over. Five income quintiles cover 20% of population each based on household income, number of household members and community size.)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, Distribution and Characteristics of Populations Aged 45 and Over within National Lowest Income Quintile (Data source: Statistics Canada Canadian Community Health Survey Cycle 3.1 (2005); Study population consist of people aged 45 and over. Five income quintiles cover 20% of population each based on household income, number of household members and community size. Odds ratios were obtained from multivariate logistic regression models adjusting for age, sex, education and immigration status.)

Does Province of Residence Matter to the Health of Canadians in the Lowest Income Category? Canadian Public Health Association 2008 Annual Conference, Halifax, Nova Scotia, May 31 – June 4, █ Conclusions: We studied Canadian populations aged 45 and over from the lowest income quintile and identified the province of residence does matter to the health and wellness of Canadians in this income group. Health and wellness were determined not only by the level of income but also by the province to live. █ Results: Low income people in Quebec enjoyed the lowest rates of chronic disease and were least likely to feel their health conditions as poor. Provinces in Atlantic Region and Ontario were worse in most if not all chronic health conditions. Manitoba and Saskatchewan had lower chance of heart disease and diabetes, respectively. BC was better in hypertension but worse in mood disorder. No significant difference was found between Alberta and other provinces. Results and Future Work █ Future Work: Our results emphasize the importance of understanding the role of places on health for reducing the geographic inequities in health. Further analysis will be performed in this area to model health inequities in at neighbourhood level with more sophisticated data on social policy, environment and nwighbourhood economic level from the new Census data.