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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:

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Trends in Mortality by Income in Urban Canada from 1971 to 1996.PART IIRussell Wilkins, Edward Ng and Jean-Marie BerthelotHealth 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

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
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
ischemic heart disease
Ischemic Heart Disease

ASMR per 100,000

uterine cancer
Uterine Cancer

ASMR x 100,000

lung cancer males
Lung Cancer, Males

ASMRx 100,000

prostate cancer
Prostate Cancer

ASMRx 100,000

suicide males
Suicide, Males

ASMRx 100,000

suicide females
Suicide, Females

ASMRx 100,000

infectious diseases both sexes
Infectious Diseases, Both Sexes

ASMRx 100,000

Includes 1986 AIDS recoded to Infectious Diseases

diabetes males
Diabetes, Males

ASMRx 100,000

diabetes females
Diabetes, Females

ASMRx 100,000

conclusions trends 1971 1996
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
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
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