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PATHS Equity for Children: a program of research aimed at monitoring equity in children’s outcomes

PATHS Equity for Children: a program of research aimed at monitoring equity in children’s outcomes. Marni D. Brownell, PhD CPHA Annual Conference Toronto, ON: May 27, 2014. Manitoba Centre for Health Policy (MCHP).

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PATHS Equity for Children: a program of research aimed at monitoring equity in children’s outcomes

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  1. PATHS Equity for Children: a program of research aimed at monitoring equity in children’s outcomes Marni D. Brownell, PhD CPHA Annual Conference Toronto, ON: May 27, 2014

  2. Manitoba Centre for Health Policy (MCHP) • University of Manitoba, Faculty of Health Sciences, College of Medicine, Department of Community Health Sciences • Use a Repository of datasets to study health services, population and public health • support the development of evidence-informed policy, programs and services that maintain and improve the health and well-being of Manitobans.

  3. Using data in MCHP Repository to study child health and development Prenatal: FF screen Prenatal care Maternal serum screen (ages 11-13) Grade 7/8 assessments School enrolment Grade retention Special needs (age 8) Grade 3 assessment School enrolment Grade retention Special needs (ages 14-19) Grade 12 assessments High school marks Special needs High school completion At birth: Birth weight Gestational age Apgar scores Breastfeeding Complications FF screen Preschool: Child care School Entry: EDI School enrolment Special needs Birth/Health/Education Linkages At all stages: health status (hospitalizations, doctor visits, medications prescribed), immunization, residence (area-level measures; region, number of moves), family composition (marital status, number of siblings), family or youth receipt of income assistance, involvement with child welfare, clinical datasets (e.g., FASD)

  4. Grade 12 Performance by Socioeconomic Status (SES) Language Arts Standards Test Pass/Fail rates of test writers 17/18 year olds who should have written Brownell, Roos, Fransoo, et al., 2006

  5. PATHS Equity: PAthwaysTo Health and Social Equity • Multi-disciplinary, cross-sector collaboration • Integrated KT • Use Repository to evaluate programs in childhood • Did the program work? • Did the program reduce inequities? • 14 separate sub-projects; integrative projects This Programmatic Grant to Reduce Health Inequity was supported by the Canadian Institutes of Health Research (www.cihr-irsc.gc.ca) and the Heart & Stroke Foundation of Canada

  6. PATHS Projects

  7. Manitoba Healthy Baby Program: • Compared low income women receiving benefit to those not receiving • Propensity Scoring used to ensure comparability of groups Is receipt of the HB prenatal benefit associated with better outcomes? Has there been a change in equity?

  8. Decrease Receipt of Healthy Baby Benefit Increase

  9. Framework for Equities • From our data we can form three groups: • Group 1: ELIGIBLE to receive Healthy Baby Benefit (Q1 to Q3) and RECEIVED Benefit • Group 2: ELIGIBLE to receive Healthy Baby Benefit (Q1 to Q3) and DID NOT RECEIVE Benefit • Group 3: NOT ELIGIBLE to receive Healthy Baby Benefit (Q4 to Q5) DID NOT RECEIVE Benefit

  10. Framework for Equities • Test whether inequality in A is different from B

  11. Health Baby Impact on Health Equality Higher Risk Low Income vs. High Income Lower Risk Low Income vs. High Income Risk Difference

  12. Thank You / Questions • umanitoba.ca/centres/mchp • facebook.com/mchp.umanitoba • twitter.com/mchp_umanitoba (@mchp_umanitoba)

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