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Saskatoon Health Region Rural Health Status

Saskatoon Health Region Rural Health Status. PHARE Symposium October 21, 2008 Josh Marko, MPH Dr. Cory Neudorf MHO, Tracy Creighton, Tanis Kershaw, Cristina Ugolini, MPA Saskatoon Public Health Observatory Saskatoon Health Region “Evidence, Action, Equity:

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Saskatoon Health Region Rural Health Status

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  1. Saskatoon Health RegionRural Health Status

  2. PHARE Symposium October 21, 2008 Josh Marko, MPH Dr. Cory Neudorf MHO, Tracy Creighton, Tanis Kershaw, Cristina Ugolini, MPA Saskatoon Public Health Observatory Saskatoon Health Region “Evidence, Action, Equity: Making Population Health Information Count”

  3. Purpose of our report • “a basic promise that the Health Region will be more aware of and address unique rural needs” • To provide an overview of common health indicators for rural residents of the Saskatoon Health Region • Compare these indicators to residents of urban areas pg. 17 Saskatoon Health Region Strategic Plan: January 2007 to March 2010

  4. Background – What have we read? “…rural areas generally showed a health disadvantage for many health related measures” CPHI, 2006 “…health indicators have consistently shown that the health status of people living in rural communities, especially northern communities, is not as good as the rest of the Canadian population” Romanow, 2002 “Overall, the health of rural residents is worse than their urban counterparts.” Kirby Panel Report, 2002

  5. What are our main findings? • Health status measures in rural SHR are not as discouraging as shown nationally. • Higher proportion of seniors in rural SHR • Poverty not as concentrated in rural SHR compared to urban, though there are pockets on First Nations Reserves. • Pregnancy outcomes for the most part better in rural. However life expectancy, infant mortality and teen pregnancy on Reserves worse. • Need to improve certain health behaviours (physical activity and fruit and vegetable consumption) for rural residents.

  6. How do we define rural? Rural and Small Town Definition • “…population living in towns and municipalities outside the commuting zone of larger urban centres…” DuPlessis V, Beshiri R, & Bollman RD. (2002)

  7. Rural and Small Town • Further defined as Metropolitan Influenced Zones (MIZ) • 4 zones for SHR (map) • 2007 Populations: CMA + Strong MIZ = 245,959 Moderate MIZ = 18,508 Weak MIZ = 18,117 No MIZ = 8,525 • First Nations Reserves = 2,859

  8. Population age groups, SHR, 2007

  9. Average annual personal income,15 years and older with income, SHR all MIZ areas, 2001 - 2006 Source: Census 2006

  10. Rural Poverty Source: 2006 census

  11. Health Behaviours • Canadian Community Health Survey 1.1-3.1 merged dataset • Rural sample n=668 • None of the results age sex standardized • Variance estimation procedure done using design effect not bootstrapped

  12. CCHS results, SHR, 2001-2005 combined

  13. Life expectancy at birth, SHR, 2004

  14. Pregnancy related outcomes, SHR, 1997-2006

  15. Major causes of mortality, SHR, 1995-2006

  16. All cause hospitalization - age sex standardized

  17. Implications • Health services in future needs to be sensitive of growing senior population in rural SHR. • First Nations Reserves are where pockets of disparity most acute. • Healthy eating and physical activity interventions should be explored in rural SHR.

  18. Challenges and Limitations • Small population sizes • Residence does not equate to where people have lived all their lives • How to change things, intervention literature not explored as yet

  19. Questions?Queries?Comments?

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