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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2002 Nov 1;93(Suppl 2):S9–S14. doi: 10.1007/BF03403612

Using a Population-based Health Information System to Study Child Health

Marni Brownell 11,, Teresa Mayer 21, Patricia J Martens 11, Anita Kozyrskyj 11, Patricia Fergusson 31, Jennifer Bodnarchuk 11, Shelley Derksen 11, David Friesen, Randy Walld 11
PMCID: PMC6980005  PMID: 12580384

Abstract

Objective

This paper describes the population-based analyses of measures of child health status used throughout this supplement.

Methods

The articles in this supplement examine health-related data for children 0 to 19 years. Most analyses cover the period from April 1, 1994 to March 31, 1999. Administrative and survey data were used to assess child health and well-being. For regional comparisons, data were broken down by subregions of Manitoba, called Regional Health Authorities (RHAs), and neighbourhoods of Winnipeg, called Winnipeg Community Areas (Winnipeg CAs).

Methods

The premature mortality rate (PMR) was used as a proxy of the overall health of the population. All graphs comparing rates among RHAs and Winnipeg CAs rank these subregions in the same order, from lowest to highest PMR. Income was operationalized by dividing the province’s population into urban and rural quintiles based upon household income. Other aspects of methodology are discussed.

Results

Results are presented in the articles that follow this one.

Conclusion

The relationships between key child health indicators and geographic and socioeconomic factors for Manitoba children are discussed in the articles following this one.

Footnotes

Formerly from MCHP

Formerly of the Manitoba Centre for Health Policy

The full report “Assessing the Health of Children in Manitoba: A Population-Based Study” on which this article is based is available from the Manitoba Centre for Health Policy at the above address or online at: https://doi.org/www.umanitoba.ca/centres/mchp/reports.htm

Sources of support: This work was supported as part of a project on child health in Manitoba, one of several projects undertaken each year by the Manitoba Centre for Health Policy under contract to Manitoba Health. The results and conclusions are those of the authors and no official endorsement by Manitoba Health was intended or should be inferred. Dr. Brownell was also supported by a New Investigator Award from the Canadian Institutes of Health Research and Dr. Martens was supported by a Community Alliances for Health Research Program grant from the Canadian Institutes of Health Research.

References

  • 1.Power D, Manor O, Fox AJ, Fogelman K. Health in childhood and social inequalities in health in young adults. J R Statist Soc A. 1990;153(part1):17–28. doi: 10.2307/2983094. [DOI] [Google Scholar]
  • 2.Starfield B. Childhood morbidity: Comparisons, clusters, and trends. Pediatrics. 1991;88:519–26. [PubMed] [Google Scholar]
  • 3.Cyander MS. Mechanisms of brain development and their role in health and well-being. Daedalus. 1994;123:155–65. [Google Scholar]
  • 4.Hertzman C. The case for child development as a determinant of health. Can J Public Health. 1998;89(Suppl1):S14–S19. [PubMed] [Google Scholar]
  • 5.Hertzman C, Wiens M. Child development and long-term outcomes: A population health perspective and summary of successful interventions. Soc Sci Med. 1996;43:1083–95. doi: 10.1016/0277-9536(96)00028-7. [DOI] [PubMed] [Google Scholar]
  • 6.Aber JL, Bennet NG, Conley DC, Li J. The effects of poverty on child health and development. Annu Rev Public Health. 1997;18:463–83. doi: 10.1146/annurev.publhealth.18.1.463. [DOI] [PubMed] [Google Scholar]
  • 7.Gissler M, Rahkonen O, Jarvelin M, Hemminki E. Social class differences in health until the age of seven years among the Finnish 1987 birth cohort. Soc Sci Med. 1998;46:1543–52. doi: 10.1016/S0277-9536(98)00013-6. [DOI] [PubMed] [Google Scholar]
  • 8.Nelson M., Jr. Socioeconomic status and childhood mortality in North Carolina. Am J Public Health. 1992;82:1131. doi: 10.2105/AJPH.82.8.1131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Roberts I, Power C. Does the decline in child injury mortality vary by social class? A comparison of class specific mortality in 1981 and 1991. BMJ. 1996;313:784–86. doi: 10.1136/bmj.313.7060.784. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Lundberg O. The impact of childhood living conditions on illness and mortality in adulthood. Soc Sci Med. 1993;36:1047–52. doi: 10.1016/0277-9536(93)90122-K. [DOI] [PubMed] [Google Scholar]
  • 11.Marmot MG. Early life and adult disorder: Research themes. Br Med Bull. 1997;53:3–9. doi: 10.1093/oxfordjournals.bmb.a011604. [DOI] [PubMed] [Google Scholar]
  • 12.Rahkonen O, Laheima E, Huuhka M. Past or present? Childhood living conditions and current socioeconomic status as determinants of adult health. Soc Sci Med. 1997;44:327–36. doi: 10.1016/S0277-9536(96)00102-5. [DOI] [PubMed] [Google Scholar]
  • 13.Davey Smith G, Hart C, Blane D, Hole D. Adverse socioeconomic conditions in childhood and cause specific adult mortality: Prospective observational study. BMJ. 1998;316:1631–35. doi: 10.1136/bmj.316.7145.1631. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.van de Mheen H, Stronks K, van den Bos J, Mackenbach J. The contribution of childhood environment to the explanation of socioeconomic inequalities in health in adult life: A retrospective study. Soc Sci Med. 1997;44:13–24. doi: 10.1016/S0277-9536(96)00090-1. [DOI] [Google Scholar]
  • 15.Hertzman C. Population health and human development. In: Keating DP, Hertzman C, editors. Developmental Health and the Wealth of Nations. New York: The Guilford Press; 1999. [Google Scholar]
  • 16.Ross DP, Scott K, Smith P. The Canadian Fact Book on Poverty 2000. Ottawa: Canadian Council on Social Development; 2000. [Google Scholar]
  • 17.Canadian Council on Social Development. The Progress of Canada’s Children 2001. Ottawa: Renouf Publishing; 2001. [Google Scholar]
  • 18.Szilagyi PG, Schor El. The health of children. Health Serv Res. 1998;33:1001–39. [PMC free article] [PubMed] [Google Scholar]
  • 19.Roos NP, Black CD, Frohlich N, Decoster C, Cohen MM, Tataryn DJ, et al. A populationbased health information system. Med Care. 1995;33:DS13–DS20. doi: 10.1097/00005650-199512001-00005. [DOI] [PubMed] [Google Scholar]
  • 20.Roos NP. Establishing a population data-based policy unit. Med Care. 1999;37(suppl6):JS15–JS26. doi: 10.1097/00005650-199906001-00006. [DOI] [PubMed] [Google Scholar]
  • 21.MCHP’s Eighth Annual Rural and Northern Health Care Day. September 17th, 2001. St. Boniface Research Centre, Winnipeg.
  • 22.Carstairs V, Morris R. Deprivation and Health in Scotland. Aberdeen, Scotland: Aberdeen University Press; 1991. [Google Scholar]
  • 23.Eyles J, Birch S, Chambers S, Hurley J, Hutchison B. A needs-based methodology for allocating health care resources in Ontario: Development and an application. Soc Sci Med. 1991;33(4):489–500. doi: 10.1016/0277-9536(91)90331-6. [DOI] [PubMed] [Google Scholar]
  • 24.Eyles J, Birch S. A population needs-based approach to health care resource allocation and planning in Ontario: A link between policy goals and practice? Can J Public Health. 1993;84(2):112–17. [PubMed] [Google Scholar]
  • 25.Martens P, Bond R, Jebamani l, Burchill C, Roos N, Derksen S, et al. The Health and Health Care Use of Registered First Nations People living in Manitoba: A Population-Based Study. Winnipeg: Manitoba Centre for Health Policy; 2002. [Google Scholar]
  • 26.Roos LL, Nicol JP, Cageorge SM. Using administrative data for longitudinal research: Comparisons with primary data collection. J Chron Dis. 1987;40:41–49. doi: 10.1016/0021-9681(87)90095-6. [DOI] [PubMed] [Google Scholar]
  • 27.Roos NP, Roos LL, Mossey J, Havens B. Using administrative data to predict important health outcomes: Entry to hospital, nursing home, and death. Med Care. 1988;26:221–39. doi: 10.1097/00005650-198803000-00001. [DOI] [PubMed] [Google Scholar]
  • 28.Muhajarine N, Mustard CA, Roos LL, Young TK, Gelskey DE. Comparison of survey data and physician claims data for detecting hypertension. J Clin Epidemiol. 1997;50:711–18. doi: 10.1016/S0895-4356(97)00019-X. [DOI] [PubMed] [Google Scholar]
  • 29.Kozyrskyj AL, Mustard CA. Validation of an electronic, population-based prescription database. Ann Pharmacother. 1998;32:1152–57. doi: 10.1345/aph.18117. [DOI] [PubMed] [Google Scholar]
  • 30.Roos NP, Black C, Roos LL, Frohlich N, DeCoster C, Mustard CA, et al. Managing health services: How the population health information system (POPULIS) Works for Policymakers. Med Care. 1999;37(suppl6):JS27–JS41. doi: 10.1097/00005650-199906001-00007. [DOI] [PubMed] [Google Scholar]
  • 31.Statistics Canada. 1996 Census Profile Series [Computer file: Canada (ea)] Statistics Canada: Ottawa; 1998. [Google Scholar]
  • 32.Statistics Canada. 1996 Census Dictionary. Ottawa: Industry Canada; 1997. [Google Scholar]
  • 33.Statistics Canada. 1996 Census.https://doi.org/www.statcan.ca/english/census96/define.html
  • 34.Mustard CA, Derksen S, Berthelot JM, Wolfson M. Assessing ecologic proxies for household income: A comparison of household and neighbourhood level income measures in the study of population health status. Health and Place. 1999;5:157–71. doi: 10.1016/S1353-8292(99)00008-8. [DOI] [PubMed] [Google Scholar]
  • 35.Carriere K, Roos LL. A method of comparison for standardized rates of low-incidence events. Med Care. 1997;35(1):57–69. doi: 10.1097/00005650-199701000-00005. [DOI] [PubMed] [Google Scholar]
  • 36.Martens P, Frohlich N, Carriere K, Derksen S, Brownell M. Embedding child health within a framework of regional health: Population health status and sociodemographic indicators. Can J Public Health. 2002;93(Suppl.2):S15–S20. doi: 10.1007/BF03403613. [DOI] [PMC free article] [PubMed] [Google Scholar]

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