de Berthelot / Bartelott / Barrtelott / Bartellot de Stopham family lineage
Trends in Mortality by Income in Urban Canada from 1971 to 1996. PART II Russell Wilkins, Edward Ng...
-
Upload
calvin-bond -
Category
Documents
-
view
218 -
download
0
Transcript of Trends in Mortality by Income in Urban Canada from 1971 to 1996. PART II Russell Wilkins, Edward Ng...
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 GroupStatistics 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
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: [email protected]
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
0123456789
10111213141516
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Ischemic Heart Disease
020406080
100120140160180200220240260280300320340360380400420
1971 1976 1981 1986 1991 1996
Q1-M RichestQ2-MQ3-MQ4-MQ5-M PoorestQ1-F RichestQ2-FQ3-FQ4-FQ5-F Poorest
ASMR per 100,000
Ischemic Heart Disease, Males
100120140160180200220240260280300320340360380400420
1971 1976 1981 1986 1991 1996
Q1-M Richest
Q2-M
Q3-M
Q4-M
Q5-M Poorest
Per 100,000
Ischemic Heart Disease, Females
50
60
70
80
90
100
110
120
130
140
150
160
170
1971 1976 1981 1986 1991 1996
Q1-F Richest
Q2-F
Q3-F
Q4-F
Q5-F Poorest
ASMR per 100,000
Uterine Cancer
0123456789
1011121314
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Liver Cirrhosis, Females
0
1
2
3
4
5
6
7
8
9
10
11
12
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Liver Cirrhosis, Males
02468
1012141618202224262830
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Injuries except MVTA+Suicide, Both Sexes
0
5
10
15
20
25
30
35
40
45
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Pedestrians Hit by Motor Vehicles, Both Sexes
0
1
2
3
4
5
6
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Motor Vehicle Occupants, Both Sexes
0
2
4
6
8
10
12
14
16
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Lung Cancer, Males
05
101520253035404550556065707580859095
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Breast Cancer, Females
02468
101214161820222426283032
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Prostate Cancer
02468
101214161820222426
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Suicide, Males
02468
10121416182022242628303234
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Suicide, Females
0
1
2
3
4
5
6
7
8
9
10
11
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Lung Cancer, Females
0
5
10
15
20
25
30
35
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Mental Disorders, Both Sexes
0
1
2
3
4
5
6
7
8
9
10
11
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Infectious Diseases, Both Sexes
0
2
4
6
8
10
12
14
16
18
20
22
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Includes 1986 AIDS recoded to Infectious Diseases
Ill-Defined Conditions, Both Sexes
0
2
4
6
8
10
12
14
16
18
20
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Diabetes, Males
0
2
4
6
8
10
12
14
16
18
20
22
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
Diabetes, Females
0
2
4
6
8
10
12
14
16
18
20
22
1971 1976 1981 1986 1991 1996
Q1 - Richest
Q2
Q3
Q4
Q5 - Poorest
ASMR x 100,000
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
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