ArticleJournal of epidemiology and community health2007
Avoidable mortality by neighbourhood income in Canada: 25 years after the establishment of universal health insurance.
Article in Journal of epidemiology and community health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.
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Who cites it
55 citing papers in PubMed.
- The bio-psycho-social determinants of health: Reflections on the CIAR Population Health Program (1987-2003).Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Concentration of educational attainment and age-specific risk patterns of preventable avoidable mortality in Hungary, 2007-2023.Frontiers in public health · 2026Article
- How much do local health systems matter? Variations in amenable mortality across health districts in Aotearoa New Zealand.Public health in practice (Oxford, England) · 2024Article
- Multimorbidity at time of death among persons with type 2 diabetes: a population-based study in Ontario, Canada.BMC endocrine disorders · 2023Article
- Pharmacy location and medical need: regional evidence from Canada.BMC health services research · 2022Article
- Developing a Socioeconomic Status Index for Chronic Disease Prevention Research in Canada.International journal of environmental research and public health · 2022Article
- Inequity and the Interstitium: Pushing Back on Disparities in Fibrosing Lung Disease in the United States and Canada.American journal of respiratory and critical care medicine · 2022Article
- Association of obstructive sleep apnea and opioids use on adverse health outcomes: A population study of health administrative data.PloS one · 2022Article
- Neighbourhood Social Determinants of Health and Geographical Inequalities in Premature Mortality in Taiwan: A Spatiotemporal Approach.International journal of environmental research and public health · 2021Article
- Avoidable Mortality Rates Decrease but Inequity Gaps Widen for Marginalized Neighborhoods: A Population-Based Analysis in Ontario, Canada from 1993 to 2014.Journal of community health · 2020Article
- Neighbourhood-level marginalization and avoidable mortality in Ontario, Canada: a population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Association between household food insecurity and mortality in Canada: a population-based retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Composite health behaviour classifier as the basis for targeted interventions and global comparisons in men's health.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019Article
- Evaluating effects of recent changes in NHS resource allocation policy on inequalities in amenable mortality in England, 2007-2014: time-series analysis.Journal of epidemiology and community health · 2019Article
- Article
- Economic Crisis and Amenable Mortality in Spain.International journal of environmental research and public health · 2018Article
- Review
- Socioeconomic gradients in all-cause, premature and avoidable mortality among immigrants and long-term residents using linked death records in Ontario, Canada.Journal of epidemiology and community health · 2017Article
- Regional differences in use of endoscopic ultrasonography in Ontario: a population-based retrospective cohort study.CMAJ open · 2017Article
- Measuring Burden of Unhealthy Behaviours Using a Multivariable Predictive Approach: Life Expectancy Lost in Canada Attributable to Smoking, Alcohol, Physical Inactivity, and Diet.PLoS medicine · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo examine neighbourhood income differences in deaths amenable to medical care and public health over a 25-year period after the establishment of universal insurance for doctors and hospital services in Canada.
methodsData for census metropolitan areas were obtained from the Canadian Mortality Database and population censuses for the years 1971, 1986, 1991 and 1996. Deaths amenable to medical care, amenable to public health, from ischaemic heart disease and from other causes were considered. Data on deaths were grouped into neighbourhood income quintiles on the basis of the census tract percentage of population below Canada's low-income cut-offs.
resultsFrom 1971 to 1996, differences between the richest and poorest quintiles in age-standardised expected years of life lost amenable to medical care decreased 60% (p<0.001) in men and 78% (p<0.001) in women, those amenable to public health increased 0.7% (p = 0.94) in men and 20% (p = 0.55) in women, those lost from ischaemic heart disease decreased 58% in men and 38% in women, and from other causes decreased 15% in men and 9% in women. Changes in the age-standardised expected years of life lost difference for deaths amenable to medical care were significantly larger than those for deaths amenable to public health or other causes for both men and women (p<0.001).
conclusionsReductions in rates of deaths amenable to medical care made the largest contribution to narrowing socioeconomic mortality disparities. Continuing disparities in mortality from causes amenable to public health suggest that public health initiatives have a potentially important, but yet un-realized, role in further reducing mortality disparities in Canada.
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