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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

Marni D. Brownell, PhD

CPHA Annual Conference

Toronto, ON: May 27, 2014

manitoba centre for health policy mchp
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.
using data in mchp repository to study child health and development
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)

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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

paths equity pa thways t o h ealth and s ocial equity
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

manitoba healthy baby program
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?

framework for equities
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

framework for equities1
Framework for Equities
  • Test whether inequality in A is different from B
health baby impact on health equality
Health Baby Impact on Health Equality

Higher Risk

Low Income vs.

High Income

Lower Risk

Low Income vs.

High Income

Risk Difference

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Thank You / Questions

  • umanitoba.ca/centres/mchp
  • facebook.com/mchp.umanitoba
  • twitter.com/mchp_umanitoba (@mchp_umanitoba)
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