1. CPHA – Collaborator Session Measuring Health Inequality in Canada
Equity Indicators for Healthcare –
Examples from Linked Data
Claudia Sanmartin, PhD
Health Analysis Division
Statistics Canada
CPHA – Collaborator Session
Measuring Health Inequality in Canada
June 15, 2016, Toronto
Statistics Canada • Statistique Canada

2. Statistics Canada • Statistique Canada
Linked Health Data
1991 Census (long form) linked to Canadian Mortality Database (CMDB) and Canadian Cancer Registry (CCR) – in RDCs
Purpose: Cancer and mortality outcomes for key sub-populations – SES status, immigrant status, Aboriginal status….
2006 Census (long form) linked to Discharge Abstract Database (DAD) – moving to RDC in
Purpose: Hospital outcomes for key sub-populations – SES status, immigrant status, Aboriginal status….
Landing File to Discharge Abstract Database
Purpose: Hospital outcomes for recent immigrants by class – refugees, economic, family classes
Canadian Community Health Survey (CCHS) linked to Discharge Abstract Database (DAD) and Canadian Mortality Database (CMDB) – moving to RDC in
Purpose: To examine the impact of lifestyle factors on mortality and hospital outcomes
Statistics Canada • Statistique Canada

3. Income Quintile (Tjepkema et al. Health Reports – July 2013)
Age-standardized mortality rates (ASMRs) per 100,000 person-years at risk, all causes of death, by sex and income adequacy quintile, non-institutional cohort members aged 25 or older at baseline, Canada, 1991 to 2006
Source:
Data Source: 1991 to 2006 Canadian census mortality and cancer followup study
Statistics Canada • Statistique Canada

4. Statistics Canada • Statistique Canada
Aboriginal Status (Carriere G, Bougie E et al. Health Reports – forthcoming)
Age-standardized hospitalization rates per 100,000 , by Aboriginal identity and by diagnostic chapter, Canada (excluding Quebec), combined fiscal 2006/2007 through 2008/2009
Data Source: Census of Population 2006, Census-linked Discharge Abstract Database 2006/2007, 2007/2008, 2008/2009 pooled.
Statistics Canada • Statistique Canada

5. Statistics Canada • Statistique Canada
Immigrant and Generational Status (Ng E, Sanmartin C et al. Health Reports, October 2015)
Age standardized rate of circulatory disease related hospitalizations (per 10,000 pop) by immigrant and generation status, Canada (excluding Quebec),
Data Source: Census of Population 2006, Census-linked Discharge Abstract Database 2006/2007, 2007/2008, 2008/2009 pooled.
Statistics Canada • Statistique Canada

6. Statistics Canada • Statistique Canada
Immigrant Class
Age-standardized hospitalization rate† (per 10,000 population) for major immigrant classes for overall (excluding pregnancy) and leading causes of hospitalization, aged 30+, Canada (excluding Quebec),
Data Source: Immigrant Landing File-Discharge Abstract Database Linkage; Census-linked Discharge Abstract Database 2006/2007, 2007/2008, 2008/2009 pooled.
Statistics Canada • Statistique Canada

7. Social Data Linkage Environment (SDLE)
Statistics Canada • Statistique Canada