Abstract
Objective
To provide an overview of child health indicators and health care utilization patterns in Manitoba by comparing child health outcomes for different income groups: a) children from two different community areas of Winnipeg (Fort Garry and Point Douglas), and b) adolescents from two different parts of Manitoba (the North, and Winnipeg).
Methods
Various child health indicators derived from population-based administrative data and national surveys are reported in the articles within this supplement. Childhood morbidity and mortality, health care utilization patterns, pharmaceutical use, and regional demographic information discussed in the research articles in this supplement are summarized here using comparisons of outcomes in “virtual classrooms” of 100 children.
Results
large gradients were observed in the comparison of the virtual classrooms of 100 high school students, including the following numbers of adolescents: females on birth control pills (Winnipeg 11, North 18); injury hospitalization annually (Winnipeg 1; North 4). Gradients are observed for some child outcomes of the virtual classroom of 100, but not for others. Examples include the following numbers of children: preterm at birth (FG 7, PD 7); breastfed at birth (FG 90, PD 66); hospitalized for lower respiratory tract infection in first year (FG 3, PD 8); parents having no high school (FG 11; PD 41).
Conclusion
Throughout Manitoba, child and adolescent health indicators and determinants of health show gradients by income as well as by geographical regions.
Résumé
Objectif
Donner un aperçu des indicateurs de la santé des enfants et des modes d’utilisation des soins de santé au Manitoba en comparant les résultats de santé d’enfants pour différentes catégories de revenu: a) les enfants de deux communautés de la région de Winnipeg (Fort Garry et Point Douglas) et b) les adolescents de deux régions du Manitoba (le Nord et Winnipeg).
Méthode
Divers indicateurs de santé des enfants, dérivés de données administratives et d’enquêtes nationales représentatives, sont décrits dans les articles du présent supplément. La morbidité et la mortalité des enfants, les modes d’utilisation des soins de santé, la consommation de produits pharmaceutiques et les données démographiques régionales dont il est question dans le supplément sont résumés ici en comparant les résultats obtenus dans des « classes virtuelles » de 100 enfants.
Résultats
De hauts gradients ont été observés en comparant les classes virtuelles de 100 élèves du secondaire, notamment dans le nombre d’adolescentes prenant la pilule anticonceptionnelle (Winnipeg 11, Nord 18) et le nombre annuel d’élèves hospitalisés en raison de blessures (Winnipeg 1; Nord 4). Dans les classes virtuelles de 100 enfants, on a observé des gradients pour certains résultats, mais pas pour d’autres. Par exemple: nombre d’enfants nés avant terme (FG 7, PD 7); enfants allaités à la naissance (FG 90, PD 66); enfants hospitalisés pour des infections des voies respiratoires inférieures avant l’âge d’un an (FG 3, PD 8); et enfants dont les parents n’ont pas terminé leurs études secondaires (FG 11; PD 41).
Conclusion
Partout au Manitoba, les indicateurs et les déterminants de la santé des enfants et des adolescents montrent des gradients selon le revenu et la zone géographique.
Footnotes
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 for Health Research and Dr. Martens was supported by a Community Alliances for Health Research Program grant from the Canadian Institutes of Health Research.
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