1. Trends in Mortality by Income in Urban Canada from 1971 to 1996. 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 29-31 March 2001

2. Russell Wilkins Health Analysis and Modeling Group Statistics Canada, RHC-24A Ottawa ON K1A OT6 Tel: 1-613-951-5305 Fax: 1-613-951-3959 Email: russell.wilkins@statcan.ca

3. 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

4. Perinatal Conditions ASMR x 100,000

5. Ischemic Heart Disease ASMR per 100,000

6. Ischemic Heart Disease, Males Per 100,000

7. Ischemic Heart Disease, Females ASMR per 100,000

8. Uterine Cancer ASMR x 100,000

9. Liver Cirrhosis, Females ASMR x 100,000

10. Liver Cirrhosis, Males ASMR x 100,000

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

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

13. Motor Vehicle Occupants, Both Sexes ASMR x 100,000

14. Lung Cancer, Males ASMR x 100,000

15. Breast Cancer, Females ASMR x 100,000

16. Prostate Cancer ASMR x 100,000

17. Suicide, Males ASMR x 100,000

18. Suicide, Females ASMR x 100,000

19. Lung Cancer, Females ASMR x 100,000

20. Mental Disorders, Both Sexes ASMR x 100,000

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

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

23. Diabetes, Males ASMR x 100,000

24. Diabetes, Females ASMR x 100,000

25. Conclusions: Trends 1971-1996 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

26. Conclusions: Trends 1971-1996 (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