Geographic Disparity in Premature Mortality in Ontario, 1992-1996
AbstractObjectives: This article examines the extent of geographic disparity in premature mortality in Ontario and considers factors that may underlie variations in premature mortality across geographic areas. Data Source: Mortality data for years 1992-1996 were obtained from Vital Statistics Records, Office of the Registrar General, Ontario Ministry of Consumer and Commercial Relations. Population data for years 1992-1996 were obtained from Statistics Canada intercensal population estimates (CANSIM database). Data are also presented from the household component of the 1996/97 National Population Health Survey and from the 1996 Statistics Canada Census. Analytical Techniques: All-cause, sex and disease chapter specific premature mortality in Ontario were analyzed at the regional, district health council and public health unit level to determine the extent of geographic disparity. We calculated standardized mortality ratios for persons aged 0-74 years to identify geographic areas with significantly higher or lower premature mortality than expected, using Ontario death rates as the basis for the calculation of expected deaths in the local population. Main Results: Results showed approximately 20% higher than expected all-cause premature mortality for males and females in the North region. However, disparity in all-cause premature mortality in Ontario was most pronounced at the public health unit level, ranging from 20% lower than expected to 30% higher than expected. Premature mortality disparities were largely influenced by neoplasms, circulatory diseases, injuries and poisoning, respiratory diseases and digestive diseases, which accounted for more than 80% of all premature deaths. Premature mortality disparities were also more pronounced for disease chapter specific mortality. Geographic disparities in premature mortality undoubtedly reflect the underlying distribution of population health determinants such as health related behaviours, social, economic and environmental influences.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada in its series Centre for Health Economics and Policy Analysis Working Paper Series with number 2003-02.
Length: 21 pages
Date of creation: 2003
Date of revision:
Contact details of provider:
Postal: CRL Building, 282, 1280 Main Street West, Hamilton, Ontario L8S 4K1
Phone: (905) 525-9140, extension 22122
Fax: (905) 546-5211
Web page: http://www.chepa.org/
More information through EDIRC
mortality; cause of death; epidemiology; Ontario;
You can help add them by filling out this form.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Lyn Sauberli).
If references are entirely missing, you can add them using this form.