Trends in Mortality by Income in Urban Canada from 1971 to 1996.
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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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Session 65

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


Perinatal conditions

Perinatal Conditions

ASMRx 100,000


Ischemic heart disease

Ischemic Heart Disease

ASMR per 100,000


Ischemic heart disease males

Ischemic Heart Disease, Males

Per 100,000


Ischemic heart disease females

Ischemic Heart Disease, Females

ASMR per 100,000


Uterine cancer

Uterine Cancer

ASMR x 100,000


Liver cirrhosis females

Liver Cirrhosis, Females

ASMRx 100,000


Liver cirrhosis males

Liver Cirrhosis, Males

ASMRx 100,000


Injuries except mvta suicide both sexes

Injuries except MVTA+Suicide, Both Sexes

ASMRx 100,000


P edestrians h it by m otor v ehicles b oth s exes

Pedestrians Hit by Motor Vehicles, Both Sexes

ASMRx 100,000


Motor vehicle occupants both sexes

Motor Vehicle Occupants, Both Sexes

ASMRx 100,000


Lung cancer males

Lung Cancer, Males

ASMRx 100,000


Breast cancer females

Breast Cancer, Females

ASMRx 100,000


Prostate cancer

Prostate Cancer

ASMRx 100,000


Suicide males

Suicide, Males

ASMRx 100,000


Suicide females

Suicide, Females

ASMRx 100,000


Lung cancer females

Lung Cancer, Females

ASMRx 100,000


Mental disorders both sexes

Mental Disorders, Both Sexes

ASMRx 100,000


Infectious diseases both sexes

Infectious Diseases, Both Sexes

ASMRx 100,000

Includes 1986 AIDS recoded to Infectious Diseases


Ill defined conditions both sexes

Ill-Defined Conditions, Both Sexes

ASMRx 100,000


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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