LocalHealthAreaProfile

Transkript

1 VANCOUVERISLANDNORTH LocalHealthAreaProfile (VINorth)LocalHealthArea(LHA)isoneof14LHAsinandis locatedin snorthservicedeliveryarea(hsda).situatedatthenorthern tipofthenorthhsda,vinorthencompasses21,157squarekilometresandincludesthe communitiesofporthardy,portalice,portmcneil,alertbay,kingcomeandzebalos.vinorth borderstwootherlhas:vancouverwestandgreatercampbelriver.vinorthissituated alonghighway19,approximatelyathreehourdrivefrom CampbelRiver.Manyofitscommunities aremoreaccessiblebyboatorplanethanbyroad.transitrunssevenbuslinesinthevinorth area,primarilybetweenporthardyandportmcneil.handydartservicesarealsoofferedinport HardyandPortMcNeil.ThereareFerriesservicesfrom PortHardytoBelaCoola,PrinceRupert, andhaidagwai,aswelasbetweenportmcneil,sointulaandalertbay. July218 AnaccompanyingInterpretationGuidehasbeencreatedtoassistwiththeinterpretationofindicators. TheInterpretationGuideshouldbereadwiththeprofiles. Theseprofilesarenotintendedtobeusedfordetailedplanningoranalysis.Astheyareupdatedonanannualbasis,theremaybemorecurrent dataavailable.ifyouareintendingtousetheseprofilesforhealthplanningpurposes,orifyouhavequestionsornoticeadiscrepancy,please 1of22

2 PopulationandDemographics Asof,theLHArepresented1.4% (11,325people)of stotalpopulationof793,18. Accordingtothe216Census,31.2% ofpeoplelivinginvancouver NorthidentifiedthemselvesasAboriginalcomparedto 7.6% acrossand5.9% in.additionaly,4.3% of peoplelivingintheareaidentified themselvesasavisibleminority,comparedto9.6% across Healthand3.3% in. Onaverage,thepopulationoftheLHAis olderthanthatofbutyoungerthanoveral,with anaverageageof41.8years.the75+agegroupmakesuparound 5.5% ofthepopulationwhichislowerthan(1%) and(8%).currentlythelargestpopulationgroupisbetween theages45and64years. TheLHApopulationisexpectedtoincreaseby6.72% to12,141overthenext1years;thisislowerthanthe growthexpectedfor(8.7%)and(1.8%).thegreatestgrowthisexpectedinthe75+agegroupwhichisexpectedto morethantriple(from 628to2,237)overthenext2years.The65-74yearagegroupisexpectedtoincreaseovertheshortterm and thendeclinewhilethe45-64agegroupisexpectedtodeclinesteadily.the-19yearagegroupisexpectedtoremainstablewhilethe 2-44yearagegroupisexpectedinincreasesteadily.SeethePopulationandDemographicssummaryonpage1formore information. AverageAge() EstimatedTotalPopulation - 4K Population 3K 2K PopulationPyramid-- 1K < % Diff inpopulationfrom K EstimatedPopulationChange - 2% 1% % MalePopulation FemalePopulation of22

3 DeterminantsofHealth Accesstoadequateincome,affordablehousing,healthyfood,education,healthyenvironmentsandrecreationalopportunities influenceourhealthandwelbeing.peoplewhoarelesswel-off generalyhavepoorerhealthandshorterlifeexpectanciesthanthose whoarewel-off.byworkingupstream toimprovetheconditionsinwhichalpeoplelive,workandplay,wecandecreasethesegaps andimprovethehealthandwelbeingofourpopulation. IncomeandEmployment ThemedianhouseholdincomefortheLHA was$57,685in216,lowerthanthemedianhouseholdincome of$69,979and s$65,735.theproportionofpersonswhoaremembersofalow incomehouseholdishigheracrossalage groupscomparedtoandoveral.unemploymentratesinarehigherincomparisonto Healthand(seepage11). PercentofPopulationwithLow Incomein215basedonafter-taxlow-incomemeasure(216Census) Low IncomeChildren(<6years) Low IncomeChildrenandYouth (<18) Low IncomeAdults(18to64) Low IncomeSeniors(65+) PercentofSelectedPopulation Education HighschoolcompletionratesintheLHAare lowerthantheratesfor.also,accordingtothe216 Census,andasmalerproportionofthe adultpopulationhavecompletedpost-secondaryeducation. PopulationAged25to64withPost-SecondaryCertificate,Diploma ordegree(%) 216 PercentofStudents HighSchoolCompletionRatewithin6yearsofGrade8 Enrolment of22

4 Housing Onewaytomeasureaffordabilityofhousingistolookat how muchofahousehold sincomeisspentonshelter.the proportioninislowerthanin andforhomeownersandforrenters;both groupshavingasmalerpercentageofthepopulation spendingmorethan3% oftheirincomesonhousing. Thereisalowerpercentageofcrowdedfamilyhouseholds incomparedtobuthigherthan (seepage11).thepercentageofhouseholds inneedofmajorrepairs(e.g.,defectiveelectricalwiring) ishigherthantheandrates. EarlyChildhoodDevelopmentand DeterminantsofChildandYouthHealth Creatingsupportiveandhealthyenvironmentsinan equitablewaysothatalchildrenandyouthcangrow and thriveiscriticaltothehealthofthepopulation.this includessupportingmothersduringthepre-and post-natalperiod,supportingfamiliesduringearly developmentyears,andsupportingchildrenandyouthto grow,learn,andtransitionintoadulthood. hasthesamepercentageof lone-parentfamiliesincomparisontoandhigherthan.however,lone-parentfamiliesinvancouver Northalsohavealowermedianhouseholdincome thanlone-parentfamiliesinand. DwelingsNeeding MajorRepairs(%) HousingAffordability Owners(% spending >3% ofincome) HousingAffordability Renters(% spending >3% ofincome) PercentofPopulation SelectedHouseholdIndicators % KindergartenChildren EarlyChildhoodDevelopmentInstrument(EDI) PercentofPreschoolChildrenVulnerableon EDI:Vulnerableon>1Domains Medianhousehold totalincome($) Medianlone-parent familyincome($) K 1K 2K 3K 4K 5K 6K 7K 215Dolars 7.K 65.7K 57.7K 5.9K 48.4K 41.9K TheEarlyDevelopmentInstrument(EDI)isusedtomeasure vulnerabilityinkindergartenchildrenacrossfivedomains(social, physical,emotional,language,andcommunication).increasesinthe EDIrateareanegativeindicatorofchildhealthanddecreasesarea positiveindicator.foroveral,vulnerabilityhas increasedbetween27/29and214/216;however,vancouver Northhadhigherlevelsofvulnerabilityascomparedto Healthandandhasshownanincreaseovertimeintherateof vulnerability. Lone-parent Families(%) Health Vancouver North MedianHouseholdandLone-ParentIncome,andPercentageof Lone-ParentFamilies(216Census) DeterminantsofHealth 4of22

5 Mothers smokingduringpregnancyhasbeenshowntohavenegativeeffectsforbothmotherandthebaby.ratesofsmokingduringpregnancyhave beendecreasingoverthepast8years;however,acrossoveral,rateshavebeenmuchhigherthanfor.inthe LHA,amuchhigherpercentageofmotherssmokedduringpregnancy. Ratesofchildrenandyouthincarehavedecreasedoverthepast4years;however,acrossoveral,rateshavebeenmuchhigherthanfor.hasamuchhigherrateofchildrenandyouthincarethandoesandandthisratehasbeenincreasingin recentyears.seethedeterminantsofhealthsummaryonpage12formoreinformation. HealthyBehavioursandBuiltEnvironment Percent PercentofPregnantWomenwhoReportedSmokingatAnyTimeDuring CurrentPregnancy(5yearaggregate) Rateper1,ChildrenandYouth ChildrenandYouthinCareper1,ChildrenandYouth Y Litres AlcoholConsumption (litresofabsolutealcoholsoldperperson,1l=58standarddrinks) Preferenceforhealthybehaviourssuchashealthyeating,exercise, reductionofsmokingandalcoholconsumption,andsocial connectionscontributetoahealthierlife.manyofthehealthy behaviourindicatorsareavailablethroughthecanadiancommunity HealthSurvey(CCHS)butthedataisnotavailableattheLHAlevel. AmongLHA-levelavailabledata,substanceuseinVancouver North,particularlyalcoholconsumptionpercapita,ishigherthan theandaverage.theratesofalcoholand tobacco-relatedhospitalizationsarealsohigherwhiletherateof licitdrug-relatedhospitalizationsislowerthanintherestof Healthor. Amongthosewhoareemployed,alowerpercentageofthe populationinthelhareportsusingactive modesoftransportation(walking,cycling,publictransit)togetto work.seethedeterminantsofhealthsummaryonpages11and12 formoreinformation EmployedPopulationAged15andOverWalking,BikingorBusingto Work(%) DeterminantsofHealth 5of22

6 Thehealthstatusofthepopulationincludesmeasuressuchaslifeexpectancy,infantmortality,prevalenceofchronicdisease, mortalityandprematuremortality. BirthStatistics Theoveralbirthrateforishigherthan ;however,thereareproportionatelyfewerbirthsto oldermothers(35yearsandover)andmoretoyoungermothers (under2years).whiletherateoflow birthweightbabiesis lowerthan'sand's,therateofpre-term births (thosebornatlessthan37weeks)ishigher. *Itisimportanttonotethatcautionshouldbeexercisedwhendealing withasmalnumberofcasesasanincreaseordecreasemayindicate random variationratherthanasignificantchangeinrates. MortalityStatistics Mortalityrateshavedecreasedsteadilyoverthelast5years.The age-standardizedal-causemortalityrateforthevancouver NorthLHAismuchhigherthantheand rates;however,thisratehasbeendecliningoverthepast8years. SeetheHealthStatussummaryonpage14forcause-specific mortalityrates BirthRate BirthStatistics LiveBirthsper1,Population ( to ) InfantMortality* Stilbirths Mothersunder2 years Low BirthWeight Pre-term Births CesareanSections Mothers35years andover BirthStatistics Per1,LiveBirths AgeStandardizedRateper1, Mortality(AgeStandardizedRateper1,) HealthStatus 6of22

7 Potentialyearsoflifelost(PYLL),isameasureofpremature mortality(anestimateoftheaverageyearsapersonwouldhave livedifheorshehadnotdiedprematurely).thepyllinthe LHAarehigherorsimilartotheand ratesduetomostcauses.acompletelistof potentialyearsoflifelostbycausecanbefoundonpage15. Lifeexpectancyhasbeenincreasingoverthelastfew decades; however,thepopulationtendstohavea shorterlifeexpectancythanbothand. ChronicDisease ChronicdiseaseprevalenceratestendtobehigherforVancouver Northincomparisontoandrates,withthe exceptionofalzheimer'sdiseaseandotherdementiawhichis lower,anddepressionandmoodandanxietydisorders,which havehigherratesthanbutlowerthan.seethe HealthStatussummaryonpage13formoreinformation FemaleLife Expectancy MaleLife Expectancy Life Expectancy LifeExpectancy* Alzheimer'sDiseaseandOther Dementia ChronicKidneyDisease HeartFailure IschemicHeartDisease ChronicObstructivePulmonary Disease Diabetes Osteoarthritis Asthma Hypertension Depression Mood&AnxietyDisorders ChronicDiseaseAgeStandardizedPrevalenceinPer1,Individuals HealthStatus 7of22 *Completelifeexpectancydatamaynotbeavailable forallhasduetopoordataquality

8 HealthServiceUse PopulationAttachedtoPhysicianatthePracticeLevel(%) Accesstohealthservicesalsodetermineshealthservice utilization.accesstoprimarycareservicesplaysan importantroleintheuseofemergencydepartmentand inpatientservices.thepopulationattachedtophysiciansat thepracticeleveliscalculatedbytheministryofhealthand indicatesthepercentageofpopulationwhohavearegular physicianorregularphysicianpractice.alargerpercentage ofthelhapopulationhasa physicianatthepracticelevel,reflectinganincreasein recentyears. PercentAttached Thereisahigherrateofhomecareclientsover75anda lowerrateofhomesupportclientsforvancouver Northcomparedto.TheVancouver Northratesofhomecarevisitsandhomesupporthoursfor thisagegrouparelowerthan'srate.seethe HealthServiceUsesummaryonpage16formore informationonthesetopics K 2.9K HomeCareVisits Rateper1,Population 2.11K 1.85K 2.37K 2.48K HomeCare Clients-75+ HomeCareandHomeSupportClients Rateper1,Population HomeCare Visits K 1.23K Home Support Clients HomeSupportHours Rateper1,Population 3K 25K 31.5K 23.6K 27.3K HomeSupport Hours-75+ 2K 15K 18.1K 1K 5K K of22

9 Theagestandardizedhospitalizationrate(inpatient admissions)forthelhapopulation ishigherthantheandrates,bothoveral andforthepopulationaged75andover. HospitaladmissionratesforAmbulatoryCareSensitive Conditions(ASCS)-conditionsthatcanbetreatedinthe communityifservicesareavailableandwouldnot necessarilyrequirehospitalization arelowerinvancouver Northandhavedecreasedinthelastfiscalyear. Emergency/urgentcarevisitratesarehigherinVancouver Norththan,buttherateofhigher urgencyvisitsislower.healthserviceusageisbasedon wheretheuserresidesratherthanwheretheserviceis provided.seethehealthserviceusesummaryonpage16 formoreinformationonthesetopics Inpatient CaseRate Inpatient CaseRate AcuteCareInpatientCases (AgeStandardizedRateper1,) ED/Urgent Care Utilization EDVisits- CTAS1,2 or3(%) UnscheduledEmergencyandUrgentCareCentreVisits Rateper1,PopulationandPercentofHigherUrgency (CanadianTriageandAcuityScale(CTAS)1,2or3) PercentInpatientAdmissions AmbulatoryCareSensitiveConditions (PercentofAdmissions) A HealthServiceUse 9of22

10 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. PopulationandDemographicsSummary Sub-group Time Description IndicatorDescription Period Population and Population Projection 1YearPopulationGrowth(%) Populationaged-19(%) Health Vancouver North Populationaged2-44(%) Populationaged45-64(%) Populationaged65-74(%) Populationaged75andover(%) Percentgrowthofthe-19agegrouppopulationin next1years Percentgrowthofthe2-44agegrouppopulationin next1years Percentgrowthofthe45-64agegrouppopulationin next1years Percentgrowthofthe65-74agegrouppopulationin next1years Percentgrowthofthe75+agegrouppopulationin next1years AverageAge Ageand MedianAgeofPopulation 216 Demographics Populationwherelanguagespokenmostoftenat homeisnotenglishorfrench(%) Visibleminoritypopulation(%) PopulationinprivatehouseholdswithAboriginal Identity(%) MaritalStatusPopulationaged15andoverwhoaremarried(%) Populationaged15andoverwhoarecommon-law (%) Populationaged15andoverwhoaresingle,never married(%) Populationaged15andoverwhoarewidowed(%) Populationaged15andoverwhoareseparatedor divorced(%) Migrationand Immigrantpopulation(%) 216 Immigrants Populationmigratingtoareainthelast5years(%) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 1of22

11 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. DeterminantsofHealthSummary Sub-group Time Description IndicatorDescription Period Education Populationaged25to64withpost-secondarycertificate, diplomaordegree(%) Grade12completionamongstudentsenteringGrade12 forthefirsttime(%)(2yragg) Studentscompletinghighschoolwithinsixyearsof enrolmentingrade8(%)(2yragg) Health Vancouver North Employment Populationaged15andoverwhoareunemployed (%) Health Behaviours Alcoholconsumption(litresofabsolutealcoholsoldper person,1l=58standarddrinks) Household Lone-parentfamilyhouseholds(% ofcensusfamilieswith children) Privatehouseholdswithmultiplefamilies(%) Privatehouseholdswith5ormorepersons(%) Dwelingsratedasneedingmajorrepairsbyrenteror owner(%) Privatehouseholdsthatareowner-occupied(%) Income Medianlone-parentfamilyincome($) 216 5, , ,886. Medianhouseholdtotalincome($) , , ,685. Income Inequality Differenceinmedianincomecomparingmalesandfemales aged15andover , ,1. 14,421. Low incomebasedonafter-taxlow incomemeasure(%) Low incomebasedonafter-taxlow-incomemeasure,ages lessthan18years(%) Low incomebasedonafter-taxlow-incomemeasure,ages lessthan6years(%) Low income basedonafter-taxlow-incomemeasure,ages 18to64years(%) Low incomebasedonafter-taxlow-incomemeasure,ages 65yearsandover(%) Households(owned)spendingmorethan3% ofincomeon 216 housing(%) Households(rented)spendingmorethan3% ofincomeon 216 housing(%) Income Supports PopulationonIncomeAssistance(%) Populationaged15andoveronEmploymentInsurance(%) Morbidity Alcohol-relatedhospitalizations(age-standardizedrate per1,) Ilicitdrug-relatedhospitalizations(age-standardizedrate per1,) Tobacco-relatedhospitalizations(age-standardizedrate per1,) Transportation EmployedPopulationAged15andOverWalking,Bikingor BusingtoWork(%) ThisshowstherelativemagnitudeoftheLHAvalue comparedtothevalueforthatindicator. 11of22

12 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. DeterminantsofHealthSummary(Continued) Sub-group Time Description IndicatorDescription Period Health Vancouver North ChildHealth ChildMentalDiseases&DisordersHospitalizations (age-standardizedrateper1,aged-14) YouthMentalDis.&DisordersHospitalizations (age-standardizedrateper1,aged15-24) Child/YouthMentalDis.&DisordersHosp. (age-standardizedrateper1,aged-24) Childhospitalizations-Injury/Poisoning(rateper 1,agedto14)-(2yrAgg) Childhospitalizations-RespiratoryDis.(rateper 1,agedto14)-(2yrAgg) Childhospitalizations-DentalSurgery(rateper 1,agedto14)-(2yrAgg) Pregnantwomenwhoreportedsmokingatany timeduringcurrentpregnancy(%)(5yragg) Crime SeriousViolentCrime(rateper1,population) SeriousCrime(rateper1,population) NumberofSeriousCrimesperPoliceOfficer ThisscaleistherelativemagnitudeoftheLHAvaluecomparedtothevalueforthatindicator MotorVehicleTheft(rateper1,population) Non-CannabisDrugOffences(rateper1, population) Early Development EDI:Kindergartenchildrenratedasvulnerablefor physicaldevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor socialdevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor emotionaldevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor languagedevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor communicationdevelopment(%) EDI:Kindergartenchildrenratedasvulnerableon oneormoredomains(%) EDI:Kindergartenchildrenratedasvulnerableon oneormoredomains,excludingcommunication(%) Protecting childrenand youth ChildrenandYouthinCare(rateper1,children aged-18) ChildrenandYouthinNeedofProtection(rateper 1,childrenaged-18) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 12of22

13 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthStatusSummary Sub-group Time Description IndicatorDescription Period Health Vancouver North Births LiveBirthRate(rateper1,population) Stilbirths(rateper1,births) InfantMortality-deathsofinfantsunder1yearof age(rateper1,livebirths) Low WeightBirths-lessthan2,5grams(rateper ,livebirths) CesareanSections(rateper1,livebirths) Pre-term Births-gestationalagelessthan37 weeks(rateper1,livebirths) Mothersunder2-livebirthstomothersunder2 yearsofage(rateper1,livebirths) Mothers35andover-livebirthstomothersaged 35andover(rateper1,livebirths) Life Expectancy FemaleLifeExpectancy MaleLifeExpectancy LifeExpectancy Morbidity Alzheimer'sDiseaseandOtherDementia- Prevalence(age-standardizedrateper1,) Asthma-Prevalence(age-standardizedrateper 1,) ChronicKidneyDisease-Prevalence (age-standardizedrateper1,) ChronicObstructivePulmonaryDisease- Prevalence(age-standardizedrateper1,) MoodandAnxietyDisorders-Prevalence (age-standardizedrateper1,) Depression-Prevalence(age-standardizedrateper 1,) Diabetes-Prevalence(age-standardizedrateper 1,) HeartFailure-Prevalence(age-standardizedrate per1,) Hypertension-Prevalence(age-standardizedrate per1,) IschemicHeartDisease-Prevalence (age-standardizedrateper1,) Osteoarthritis-Prevalence(age-standardizedrate per1,) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 13of22

14 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthStatusSummary(Continued) Sub-group Time Description IndicatorDescription Period Health Vancouver North Deaths Alcohol-relateddeaths(age-standardizedrateper 1,) Ilicitdrug-relateddeaths(age-standardizedrate per1,) Tobacco-relateddeaths(age-standardizedrateper 214 1,) Mortalityduetounintentionalinjuries (age-standardizedrateper1,) Mortality(age-standardizedrateper1,) HealthMatrix* HealthMatrix:Healthy (%) HealthMatrix:MinorConditions(%) HealthMatrix:ModerateorMajorConditions(%) HealthMatrix:Low ChronicConditions(%) HealthMatrix:Medium ChronicConditions(%) HealthMatrix:SevereMentalHealth&Substance Use(%) HealthMatrix:Maternity&HealthyNewborns(%) HealthMatrix:FrailinCommunity(%) HealthMatrix:HighChronicw/oFrailty(%) HealthMatrix:HighChronicw/Frailty(%) HealthMatrix:Cancer(%) HealthMatrix:FrailinResidentialCare(%) HealthMatrix:EndofLife(%) HealthMatrix:Non-Users(%) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. *TheHealthMatrixisawayofcategorizingthepopulationintodifferentgroupsbasedontheirhealthserviceutilizationpatterns.Thesecategoriesaremutualy exclusiveandaddupto1% -inotherwords,everyoneisplacedintooneofthecategories,goingfrom low ornoutilizationtohighutilizationatendoflife;peoplewho maymeetthecriteriaformorethanonecategorywouldbeplacedintothehigherutilizationcategory forexample,someonewithmedium complexchronicconditions whowasalsolivinginresidentialcarewouldbecountedinthefrail,livinginresidentialcarecategory. FormoreinformationontheHealthMatrix,see 14of22

15 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. PotentialYearsofLifeLost(PYLL) Sub-group Time Description IndicatorDescription Period Health Vancouver North Potential YearsofLife Lost AlCausePotentialYearsofLifeLostrate(age standardizedper1,) Cerebrovasculardiseases-PotentialYearsofLife Lostrate(agestandardizedper1,) Chroniclowerrespiratorydiseases-Potential YearsofLifeLostrate(agestandardizedper1,) Diabetes-PotentialYearsofLifeLostrate(age standardizedper1,) Arteries,arteriolesandcapilaries-PotentialYears oflifelostrate(agestandardizedper1,) AccidentalFals-PotentialYearsofLifeLostrate (agestandardizedper1,) Influenzaandpneumonia-PotentialYearsofLife Lostrate(agestandardizedper1,) Suicide-PotentialYearsofLifeLostrate(age standardizedper1,) Ischemicheartdiseases-PotentialYearsofLife Lostrate(agestandardizedper1,) Endocrine,nutritionalandmetabolicdiseases- PYLLrate(agestandardizedper1,) Circulatorysystem -PotentialYearsofLifeLost rate(agestandardizedper1,) Lung/trachealCancer-PotentialYearsofLifeLost rate(agestandardizedper1,) Malignantneoplasms-PotentialYearsofLifeLost rate(agestandardizedper1,) Motorvehicleaccidents-PotentialYearsofLife Lostrate(agestandardizedper1,) Diseasesoftherespiratorysystem -Potential YearsofLifeLostrate(agestandardizedper1,) Diseasesofthedigestivesystem -PotentialYears oflifelostrate(agestandardizedper1,) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 15of22

16 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthServiceUseSummary Sub-group Time Description IndicatorDescription Period Health Vancouver North Complex Continuing Care HomeCareVisits(rateper1,population) HomeCareVisits(rateper1,populationaged 75andover) , ,228.8 ResidentialCareBeds(rateper1,population aged75andover) HomeCareClients(rateper1,population) HomeCareClients(rateper1,populationaged 75andover) HomeSupportClients(rateper1,population) HomeSupportClients(rateper1,population aged75andover) HomeSupportHours(rateper1,population) 4,69.3 1,51.1 HomeSupportHours(rateper1,population aged75andover) 27, ,12.8 Emergency UnscheduledEmergencyDepartmentorUrgent CareCentrevisits(rateper1,population) EmergencyVisitswithCTASof1,2or3(%) UnscheduledEmergencyDepartmentorUrgent CareCentrevisitsfor75+(rateper1,75+pop) EmergencyVisitswithCTASof1,2or3(%)for75+ population , HospitalDay Care AcuteCareDayCases(age-standardizedrateper 1,population) AcuteCareDayCases(age-standardizedrateper 1,populationaged75andover) PrimaryCare PopulationAttachedtoPhysicianatthePractice Level(%) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 16of22

17 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthServiceUseSummary(Continued) Sub-group Time Description IndicatorDescription Period AcuteCareInpatientCases(age-standardizedrate Hospital per1,population) InpatientCare AcuteCareInpatientCases(age-standardizedrate per1,populationaged75andover) AlternativeLevelofCareCases(age-standardized rateper1,population) AlternativeLevelofCareCases(age-standardized rateper1,populationaged75andover) AlternativeLevelofCareDays(age-standardized rateper1,population) AlternativeLevelofCareDays(age-standardized rateper1,populationaged75andover) Health Vancouver North AmbulatoryCareSensitiveconditions(%) AmbulatoryCareSensitiveconditionsamong populationaged75+(%) MedicalAcuteCareUtilization(caserateper1, population) SurgicalAcuteCareUtilization(caserateper1, population) MaternityAcuteCareUtilization(caserateper 1,population) Psychiatry(Dementiaexcluded)AcuteCare Utilization(caserateper1,population) MRIUtilization-facilitiesonly(rate per1,population) Thisshowstherelativemagnitudeof thelhavaluecomparedtothe Healthvalueforthatindicator. 17of22

18 DataSources PopulationandDemographics PopulationandPopulationProjection PopulationandPopulationProjection:AverageAge(People):Statistics-Calendaryearending Percentgrowthofthe-19 agegrouppopulationinnext1years:statistics-peopleversion Percentgrowthofthe2-44agegrouppopulationinnext 1years:Statistics-PeopleVersion Percentgrowthofthe45-64agegrouppopulationinnext1years:Statistics- PeopleVersion Percentgrowthofthe65-74agegrouppopulationinnext1years:Statistics-PeopleVersion Percentgrowthofthe75+agegrouppopulationinnext1years:Statistics-PeopleVersion Populationaged-19(%): Statistics-PeopleVersion Populationaged2-44(%):Statistics-PeopleVersion Populationaged45-64(%): Statistics-PeopleVersion Populationaged65-74(%):Statistics-PeopleVersion Populationaged75andover(%): Statistics-PeopleVersion Totalpopulationgrowthbetween216and226:Statistics-PeopleVersion AgeandDemographics MedianAgeofPopulation:Census,Calendaryear216 PopulationinprivatehouseholdswithAboriginalIdentity(%):National HouseholdSurvey,Calendaryear216 PopulationwherelanguagespokenmostoftenathomeisnotEnglishorFrench(%):Census, Calendaryear216 Visibleminoritypopulation(%):NationalHouseholdSurvey,Calendaryear216 MaritalStatus Populationaged15andoverwhoarecommon-law (%):Census,Calendaryear216 Populationaged15andoverwhoaremarried (%):Census,Calendaryear216 Populationaged15andoverwhoareseparatedordivorced(%):Census,Calendaryear216 Populationaged15andoverwhoaresingle,nevermarried(%):Census,Calendaryear216 Populationaged15andoverwhoare widowed(%):census,calendaryear216 MigrationandImmigrants Immigrantpopulation(%):NationalHouseholdSurvey,Calendaryear216 Populationmigratingtoareainthelast5years(%): NationalHouseholdSurvey,Calendaryear216 DeterminantsofHealth Education Grade12completionamongstudentsenteringGrade12forthefirsttime(%)(2yrAgg):MinistryofEducation, Populationaged25to64withpost-secondarycertificate,diplomaordegree(%):NationalHouseholdSurvey,Calendaryearending 216 StudentscompletinghighschoolwithinsixyearsofenrolmentinGrade8(%)(2yrAgg):MinistryofEducation, Employment Populationaged15andoverwhoareunemployed(%):NationalHouseholdSurvey,Calendaryear216 HealthBehaviours Alcoholconsumption(litresofabsolutealcoholsoldperperson,1L=58standarddrinks):AOD,CalendarYear216 Household Dwelingsratedasneedingmajorrepairsbyrenterorowner(%):NationalHouseholdSurvey,Calendaryearending216 Lone-parentfamilyhouseholds(% ofcensusfamilieswithchildren):census,calendaryearending216 Privatehouseholdsthatare owner-occupied(%):nationalhouseholdsurvey,calendaryearending216 Privatehouseholdswith5ormorepersons(%):Census, Calendaryearending216 Privatehouseholdswithmultiplefamilies(%):Census,Calendaryearending216 Income Medianhouseholdtotalincome($):NationalHouseholdSurvey,Calendaryear216 Medianlone-parentfamilyincome($):National HouseholdSurvey,Calendaryear216 18of22

19 DataSources DeterminantsofHealth IncomeInequality Differenceinmedianincomecomparingmalesandfemalesaged15andover:NationalHouseholdSurvey,Calendaryearending216 Households(owned)spendingmorethan3% ofincomeonhousing(%):nationalhouseholdsurvey,calendaryearending216 Households(rented)spendingmorethan3% ofincomeonhousing(%):nationalhouseholdsurvey,calendaryearending216 Low incomebasedonafter-taxlow incomemeasure(%):nationalhouseholdsurvey,calendaryearending216 Low incomebasedon after-taxlow-incomemeasure,ages18to64years(%):nationalhouseholdsurvey,calendaryearending216 Low incomebasedon after-taxlow-incomemeasure,ages65yearsandover(%):nationalhouseholdsurvey,calendaryearending216 Low incomebased onafter-taxlow-incomemeasure,ageslessthan6years(%):nationalhouseholdsurvey,calendaryearending216 Low income basedonafter-taxlow-incomemeasure,ageslessthan18years(%):nationalhouseholdsurvey,calendaryearending216 IncomeSupports Populationaged15andoveronEmploymentInsurance(%):Statistics,4quarteraverageasofSept Populationon IncomeAssistance(%):Statistics,September212 Morbidity Alcohol-relatedhospitalizations(age-standardizedrateper1,):CISUR,Fiscalyearending214 Ilicitdrug-related hospitalizations(age-standardizedrateper1,):cisur,fiscalyearending214 Tobacco-relatedhospitalizations (age-standardizedrateper1,):cisur,fiscalyearending214 Transportation Employedpopulationaged15andoverwalking,bikingorbusingtowork(%):NationalHouseholdSurvey,Calendaryearending216 ChildHealth Childhospitalizations-DentalSurgery(rateper1,agedto14)-(2yrAgg):MinistryofHealthHealthIdeas,Periodending 215- ChildHospitalizations-Injury/Poisoning(rateper1,agedto14)-(2yrAgg):MinistryofHealthHealthIdeas,Period ending215- Childhospitalizations-RespiratoryDis.(rateper1,agedto14)-(2yrAgg):MinistryofHealthHealthIdeas, Periodending215- ChildMentalDiseases&DisordersHospitalizations(IndirectAgeStandardizedrateper1,aged-14): MinistryofHealthHealthIdeas,Fiscalyearending Child/YouthMentalDiseases&DisordersHospitalizations(IndirectAge Standardizedrateper1,aged15-24):MinistryofHealthHealthIdeas,Fiscalyearending Crime MotorVehicleTheft(rateper1,population):Statistics,Avg Non-CannabisDrugOffences(rateper1, population):statistics,avg NumberofSeriousCrimesperPoliceOfficer:Statistics,Avg SeriousCrime(rateper1,population):Statistics,Avg SeriousViolentCrime(rateper1,population): Statistics,Avg EarlyDevelopment EDI:Kindergartenchildrenratedasvulnerableforsocialdevelopment(%):EarlyDevelopmentInstrument,Waveending216 EDI: Kindergartenchildrenratedasvulnerableforcommunicationdevelopment(%):EarlyDevelopmentInstrument,Waveending216 EDI:Kindergartenchildrenratedasvulnerableforemotionaldevelopment(%):EarlyDevelopmentInstrument,Waveending216 EDI:Kindergartenchildrenratedasvulnerableforlanguagedevelopment(%):EarlyDevelopmentInstrument,Waveending216 EDI:Kindergartenchildrenratedasvulnerableforphysicaldevelopment(%):EarlyDevelopmentInstrument,Waveending216 EDI: Kindergartenchildrenratedasvulnerableononeormoredomains(%):EarlyDevelopmentInstrument,Waveending216 EDI: Kindergartenchildrenratedasvulnerableononeormoredomains,excludingcommunication(%):EarlyDevelopmentInstrument, Waveending216 ProtectingChildrenandYouth ChildrenandYouthinCare(rateper1,childrenagedto18):MinistryofChildrenandFamilyDevelopment,Fiscalyearending216 ChildrenandYouthinNeedofProtection(rateper1,childrenagedto18):MinistryofChildrenandFamilyDevelopment,Endof August214 19of22

20 DataSources HealthStatus Births CesareanSections(rateper1,livebirths):VitalStatistics,5yearaggregate InfantMortality-deathsofinfantsunder 1yearofage(rateper1,livebirths):VitalStatistics,5yearaggregate LiveBirthRate(rateper1, population):vitalstatistics,5yearaggregate Low WeightBirths-lessthan2,5grams(rateper1,livebirths):Vital Statistics,5yearaggregate Mothers35andover-livebirthstomothersaged35andover(rateper1,live births):vitalstatistics,5yearaggregate Mothersunder2-livebirthstomothersunder2yearsofage(rateper1, livebirths):vitalstatistics,5yearaggregate Pre-term Births-gestationalagelessthan37weeks(rateper1,live births):vitalstatistics,5yearaggregate Stilbirths(rateper1,births):VitalStatistics,5yearaggregate LifeExpectancy FemaleLifeExpectancy:Statistics,CalendarYearRange LifeExpectancy:Statistics,CalendarYearRange MaleLifeExpectancy:Statistics,CalendarYearRange Morbidity Alzhiemer'sDiseaseandOtherDementia-Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyear ending Asthma-Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyearending ChronicKidneyDisease-Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyearending ChronicObstructivePulmonaryDisease-Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyear ending Depression-Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyearending Diabetes-Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyearending HeartFailure- Prevalence(age-standardizedrateper1,):MoH-ChronicDiseaseRegistries,Fiscalyearending Rateper1,):MoH- ChronicDiseaseRegistries,Fiscalyearending IschemicHeartDisease-Prevalence(age-standardizedrateper1,):MoH- ChronicDiseaseRegistries,Fiscalyearending MoodandAnxietyDisorders-Prevalence(age-standardizedrateper1,):MoH -ChronicDiseaseRegistries,Fiscalyearending Osteoarthritis-Prevalence(age-standardizedrateper1,):MoH-Chronic DiseaseRegistries,Fiscalyearending HealthServiceUtilization Deaths Alcohol-relateddeaths(age-standardizedrateper1,):CISUR,Fiscalyearending214 Ilicitdrug-relateddeaths (age-standardizedrateper1,):cisur,fiscalyearending214 Mortality(age-standardizedrateper1,):VitalStatistics, Calendaryearending Mortalityduetounintentionalinjuries(age-standardizedrateper1,):VitalStatistics,Calendar yearending Tobacco-relateddeaths(age-standardizedrateper1,):CISUR,Fiscalyearending213 Tobacco-relateddeaths(age-standardizedrateper1,):CISUR,Fiscalyearending214 HealthMatrix HealthMatrix:Cancer(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:EndofLife(%):BlueMatrixandPeople, Fiscalyearending216 HealthMatrix:FrailinCommunity(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:Frail inresidentialcare(%):bluematrixandpeople,fiscalyearending216 HealthMatrix:Healthy (%):BlueMatrixandPeople,Fiscal yearending216 HealthMatrix:HighChronicw/Frailty(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:High Chronicw/oFrailty(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:Low ChronicConditions(%):BlueMatrixand People,Fiscalyearending216 HealthMatrix:Maternity&HealthyNewborns(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:Medium ChronicConditions(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:MinorConditions (%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:ModerateorMajorConditions(%):BlueMatrixandPeople,Fiscal yearending216 HealthMatrix:Non-Users(%):BlueMatrixandPeople,Fiscalyearending216 HealthMatrix:SevereMental Health&SubstanceUse(%):BlueMatrixandPeople,Fiscalyearending216 2of22

21 DataSources HealthStatus PotentialLifeYearsLost AccidentalFals-PotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendaryearending Al CausePotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendaryearending Arteries, arteriolesandcapilaries-potentiallifeyearslostrate(agestandardizedper1,):vitalstatistics,calendaryearending Cerebrovasculardiseases-PotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendaryearending Chroniclowerrespiratorydiseases-PotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendar yearending Circulatorysystem -PotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendar yearending Diabetes-PotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendaryearending Diseasesofthedigestivesystem -PotentialLifeYearsLostrate(agestandardizedper1,):VitalStatistics,Calendar yearending Diseasesoftherespiratorysystem -PotentialLifeYearsLostrate(agestandardizedper1,):Vital Statistics,Calendaryearending Endocrine,nutritionalandmetabolicdiseases-PotentialLifeYearsLostrate(age standardizedper1,):vitalstatistics,calendaryearending Influenzaandpneumonia-PotentialLifeYearsLostrate (agestandardizedper1,):vitalstatistics,calendaryearending Ischemicheartdiseases-PotentialLifeYearsLost rate(agestandardizedper1,):vitalstatistics,calendaryearending Lung/trachealCancer-PotentialLifeYearsLost rate(agestandardizedper1,):vitalstatistics,calendaryearending Malignantneoplasms-PotentialLifeYearsLost rate(agestandardizedper1,):vitalstatistics,calendaryearending Motorvehicleaccidents-PotentialLifeYears Lostrate(agestandardizedper1,):VitalStatistics,Calendaryearending Suicide-PotentialLifeYearsLostrate(age standardizedper1,):vitalstatistics,calendaryearending ComplexContinuingCare HomeCareClients(rateper1,populationaged75andover):-Ideas,Fiscalyearending HomeCareClients (rateper1,population):-ideas,fiscalyearending HomeCareVisits(rateper1,populationaged75and over):-ideas,fiscalyearending HomeCareVisits(rateper1,population):-Ideas,Fiscalyear ending HomeSupportClients(rateper1,populationaged75andover):-Ideas,Fiscalyearending HomeSupportClients(rateper1,population):-Ideas,Fiscalyearending HomeSupportHours(rateper1, populationaged75andover):-ideas,fiscalyearending HomeSupportHours(rateper1,population): Health-Ideas,Fiscalyearending ResidentialCareBeds(rateper1,populationaged75andover):-Ideas, Fiscalyearending Emergency EmergencyVisitswithCTASof1,2or3(%)for75+population:-Ideas,Fiscalyearending EmergencyVisitswith CTASof1,2or3(%):-Ideas,Fiscalyearending UnscheduledEmergencyDepartmentorUrgentCareCentrevisits (rateper1,population):-ideas,fiscalyearending UnscheduledEmergencyDepartmentorUrgentCareCentre visitsfor75+(rateper1,75+population):-ideas,fiscalyearending HospitalDayCare AcuteCareDayCases(age-standardizedrateper1,populationaged75andover):MinistryofHealthHealthIdeas,Fiscalyear ending AcuteCareDayCases(age-standardizedrateper1,population):MinistryofHealthHealthIdeas,Fiscalyearending PrimaryCare Populationattachedtophysicianatthepracticelevel(%):MinistryofHealth,Fiscalyearending 21of22

22 DataSources HealthStatus HospitalInpatientCare AcuteCareInpatientCases(age-standardizedrateper1,populationaged75andover):MinistryofHealthHealthIdeas,Fiscalyear ending AcuteCareInpatientCases(age-standardizedrateper1,population):MinistryofHealthHealthIdeas,Fiscalyear ending AlternativeLevelofCareCases(age-standardizedrateper1,populationaged75andover):MinistryofHealth HealthIdeas,Fiscalyearending AlternativeLevelofCareCases(age-standardizedrateper1,population):Ministryof HealthHealthIdeas,Fiscalyearending AlternativeLevelofCareDays(age-standardizedrateper1,populationaged75and over):ministryofhealthhealthideas,fiscalyearending AlternativeLevelofCareDays(age-standardizedrateper1, population):ministryofhealthhealthideas,fiscalyearending AmbulatoryCareSensitiveconditions(%):-Ideas, Fiscalyearending AmbulatoryCareSensitiveconditionsamongpopulationaged75+(%):-Ideas,Fiscalyear ending MaternityAcuteCareUtilization(caserateper1,population):MinistryofHealthHealthIdeas,Fiscalyearending MedicalAcuteCareUtilization(caserateper1,population):MinistryofHealthHealthIdeas,Fiscalyearending MRI Utilization-facilitiesonly(rateper1,population):,Fiscalyearending216 Psychiatry(Dementia excluded)acutecareutilization(caserateper1,population):ministryofhealthhealthideas,fiscalyearending Surgical AcuteCareUtilization(caserateper1,population):MinistryofHealthHealthIdeas,Fiscalyearending 22of22