July2018. AnaccompanyingInterpretationGuidehasbeencreatedtoassistwiththeinterpretationofindicators.

Transkript

1 WESTERNCOMMUNITIES LocalHealthAreaProfile LocalHealthArea(LHA)islocatedin ssouth ServiceDeliveryArea(HSDA).TheLHAisatthesouthwesterntipoftheSouthIslandHSDA.Itis1,738 squarekilometres,andincludesthecommunitiesoflangford,colwood,sooke,metchosin,and Highlands.SookeLHAbordersonfourotherLHAs:GreaterVictoria,SaanichPeninsula,Cowichan ValeySouthandCowichanValeyWest. LHAcanbereachedbyHighway1,andisservicedbyHighway14.Itis approximatelyahalfanhourdrivefrom Victoria,anda45minutedrivefrom Duncan.Western CommunitiesLHAisservicedbymorethan1busroutes,andhasahandyDARTservice. July218 AnaccompanyingInterpretationGuidehasbeencreatedtoassistwiththeinterpretationofindicators. TheInterpretationGuideshouldbereadwiththeprofiles. Theseprofilesarenotintendedtobeusedfordetailedplanningoranalysis.Astheyareupdatedonanannualbasis,theremaybemorecurrent dataavailable.ifyouareintendingtousetheseprofilesforhealthplanningpurposes,orifyouhavequestionsornoticeadiscrepancy,please 1of22

2 PopulationandDemographics Asof,theLHArepresented1.5% (83,232people)of stotalpopulationof793,18. Accordingtothe216Census,5.9% ofpeoplelivinginthe identifiedthemselvesasaboriginal comparedto7.6% acrossand5.9% in. Additionaly,7.5% ofpeoplelivinginthe identifiedthemselvesasavisibleminority,comparedto9.6% acrossand3.3% in. Onaverage,thepopulationoftheis youngerthanthatofand,withanaverageageof 39.5years.The75+agegroupmakesuparound5.3% ofthe populationwhichislowerthan(1%)and(8%). Thelargestpopulationgroupisbetweentheages2and44 years. TheLHApopulationisexpectedtoincreaseby2.6% to14,832overthenext1years;thisishigherthanthe growthexpectedfor(8.7%)and(1.8%).overthenext2years,the75+populationoftheis expectedtomorethantriple(from 4,393to15,78).Alotheragegroupsareexpectedtogrow aswel;albeitmoreslowly.seethe PopulationandDemographicssummaryonpage1formoreinformation. AverageAge() EstimatedTotalPopulation - 4K K Population 2K PopulationPyramid-- 1K <1 3K 2K 1K K K 1K 2K 3K % Diff inpopulationfrom K EstimatedPopulationChange - 3% 2% 1% % MalePopulation FemalePopulation of22

3 DeterminantsofHealth Accesstoadequateincome,affordablehousing,healthyfood,education,healthyenvironmentsandrecreationalopportunities influenceourhealthandwelbeing.peoplewhoarelesswel-off generalyhavepoorerhealthandshorterlifeexpectanciesthanthose whoarewel-off.byworkingupstream toimprovetheconditionsinwhichalpeoplelive,workandplay,wecandecreasethesegaps andimprovethehealthandwelbeingofourpopulation. IncomeandEmployment Themedianhouseholdincomeforthewas$8,32in216andwashigherthanthemedianhousehold incomeof$69,979and s$65,735.theproportionofpersonswhoaremembersofalow incomehouseholdisloweracross alagegroupscomparedtoand.additionaly,unemploymentratesinthearelower(seepage 11). PercentofPopulationwithLow Incomein215basedonafter-taxlow-incomemeasure(216Census) Low IncomeChildren(<6years) Low IncomeChildrenandYouth (<18) Low IncomeAdults(18to64) Low IncomeSeniors(65+) PercentofSelectedPopulation Education Highschoolcompletionratesintheare similartotheratesforbutlowerthan.also, accordingtothe216census,alowerproportionofthewestern CommunitiesLHAadultpopulationhavecompletedpost-secondary education. PopulationAged25to64withPost-SecondaryCertificate, DiplomaorDegree(%) 216 PercentofStudents HighSchoolCompletionRatewithin6yearsofGrade8 Enrolment of22

4 DeterminantsofHealth SelectedHouseholdIndicators Housing DwelingsNeeding MajorRepairs(%) HousingAffordability Owners(% spending >3% ofincome) HousingAffordability Renters(% spending >3% ofincome) Onewaytomeasureaffordabilityofhousingistolookat how muchofahousehold sincomeisspentonshelter.the rateishigherthanoveralbutcomparable betweentheandforhome owners,whilealowerpercentageofrentersinthe spendmorethan3% oftheir incomeonshelterthanintherestof.thereisasimilar percentageofcrowdedhouseholdsinthewestern Communitiescomparedtoand(page11). Thepercentageofhouseholdsinneedofmajorrepairs (e.g.,defectiveelectricalwiring)islowerthanisland Healthandrates. PercentofPopulation EarlyChildhoodDevelopmentand DeterminantsofChildandYouthHealth Creatingsupportiveandhealthyenvironmentsinan equitablewaysothatalchildrenandyouthcangrow and thriveiscriticaltothehealthofthepopulation.this includessupportingmothersduringthepre-and post-natalperiod,supportingfamiliesduringearly developmentyears,andsupportingchildrenandyouthto grow,learn,andtransitionintoadulthood. Thehasasimilarpercentageof lone-parentfamiliesincomparisontoandisland Health;however,lone-parentfamiliesalsohaveahigher medianincomethanthoseinand. 215Dolars 8K 7K 6K 5K 4K 3K MedianHouseholdandLone-ParentIncome,andPercentageof Lone-ParentFamilies(216Census) Medianhousehold Medianlone-parent totalincome($) familyincome($) 7.K 65.7K 8.3K 5.9K 48.4K 54.9K Lone-parent Families(%) EarlyChildhoodDevelopmentInstrument(EDI) PercentofPreschoolChildrenVulnerableon EDI:Vulnerableon>1Domains 2K 1K K Western Communities 25 3 % KindergartenChildren TheEarlyDevelopmentInstrument(EDI)isusedtomeasure vulnerabilityinkindergartenchildrenacrossfivedomains(social, physical,emotional,language,andcommunication).increasesinthe EDIrateareanegativeindicatorofchildhealthanddecreasesarea positiveindicator.foroveral,vulnerabilityhas increasedbetween27/29and214/216;however,western Communitieshaslowerlevelsofvulnerabilityforpreschoolchildren thanand. 4of22

5 Mothers smokingduringpregnancyhasbeenshowntohavenegativeeffectsforbothmotherandthebaby.ratesofsmokingduring pregnancyhavebeendecreasingoverthepast8years;however,acrossoveral,rateshavebeenmuchhigherthanfor.in theasimilarpercentageofmotherssmokedduringpregnancytotherate;although,bothrateswere higherthantherate. Ratesofchildrenandyouthincarehavedecreasedoverthepast4years;however,acrossoveral,rateshavebeenmuch higherthanfor.hasahigherrateofchildrenandyouthincarethan,butlowerthan.seethe DeterminantsofHealthsummaryonpage12formoreinformation. HealthyBehavioursandBuiltEnvironment Percent PercentofPregnantWomenwhoReportedSmokingatAnyTime DuringCurrentPregnancy(5yearaggregate) Rateper1,ChildrenandYouth ChildrenandYouthinCareper1,ChildrenandYouth Y Litres AlcoholConsumption (litresofabsolutealcoholsoldperperson,1l=58standarddrinks) Preferenceforhealthybehaviourssuchashealthyeating, exercise,reductionofsmokingandalcoholconsumption,and socialconnectionscontributetoahealthierlife.manyofthe healthybehaviourindicatorsareavailablethroughthe CanadianCommunityHealthSurvey(CCHS)butthedataisnot availableatthelhalevel.amonglha-levelavailabledata, substanceuseinthe,particularly alcoholconsumptionpercapita,ishigherthantheaverage, butlowerthantheaverage,asaretheratesof alcohol-relatedhospitalizations.theratesfortobacco-related hospitalizationsandilicitdrug-relatedhospitalizationsare lowerinthethaninandisland Health. Amongthosewhoareemployed,alowerpercentageofthe populationonthereportsusingactive modesoftransportation(walking,cycling,publictransit)to gettowork.seedeterminantsofhealthsummaryonpages11 and12formoreinformation EmployedPopulationAged15andOverWalking,Bikingor BusingtoWork(%) DeterminantsofHealth 5of22

6 Thehealthstatusofthepopulationincludesmeasuressuchaslifeexpectancy,infantmortality,prevalenceofchronicdisease, mortalityandpre-maturemortality. BirthStatistics Theoveralbirthratefortheishigherthan and.thereareproportionatelyfewerbirthsto older(35yearsandover)andyounger(under2years)mothers. Therateofcesareansectionsintheis higherthaninandin. *Itisimportanttonotethatcautionshouldbeexercisedwhendealing withasmalnumberofcasesasanincreaseordecreasemayindicate random variationratherthanasignificantchangeinrates. MortalityStatistics Mortalityrateshavedecreasedsteadilyoverthelast5year.The age-standardizedal-causemortalityrateforthewestern Communitiesislowerthantheandrates.Seethe HealthStatussummaryonpage14forcause-specificmortality rates 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 duetoaccidentalfalsandlung/tracheal cancersishigherthantheandpyll;although, thepyllduetoalothercausesarelowerorsimilar.acomplete listofpyllbycausecanbefoundonpage15. Lifeexpectancyhasbeenincreasingoverthelastfew decades. The'populationtendstohaveaslightly longerlifeexpectancy.malesinthe,havea longerlifeexpectancythaninor. ChronicDisease Chronicdiseaseprevalenceratestendtobelower,orsimilar,for incomparisontoand rates,withtheexceptionsofasthma,hypertension,depression, andmoodandanxietydisorders,whicharehigherthanisland Healthand.SeetheHealthStatussummaryonpage13for moreinformation FemaleLife Expectancy MaleLife Expectancy Life Expectancy LifeExpectancy* HeartFailure Alzheimer'sDiseaseandOther Dementia ChronicKidneyDisease ChronicObstructivePulmonary Disease IschemicHeartDisease Diabetes Osteoarthritis Asthma Hypertension Depression Mood&AnxietyDisorders ChronicDiseaseAgeStandardizedPrevalenceinPer1,Individuals HealthStatus 7of22 *Completelifeexpectancydatamaynotbeavailable forallhasduetopoordataquality

8 HealthServiceUse PopulationAttachedtoPhysicianatthePracticeLevel(%) Accesstohealthservicesalsodeterminestheuseofhealth services.accesstoprimarycareservicesplaysanimportant roleintheuseofemergencydepartmentandinpatient services.thepopulationattachedtophysiciansatthe practiceleveliscalculatedbytheministryofhealthand indicatesthepercentageofpopulationwhohavearegular physicianorregularphysicianpractice.asmalerpercentage ofthepopulationhasaphysicianat thepracticelevel. Thereisahigherrateofhomecareandhomesupportclients over75yearsofageforthelha comparedto.therateofhomecarevisitsfor thisagegroupislowerthantherate;whilethe rateofhomesupporthoursishigher.seethehealthservice Utilizationsummaryonpage16formoreinformationon thesetopics. PercentAttached K HomeCareVisits Rateper1,Population K 2.11K 1.94K 2.48K 2.37K 2.41K 2.21K HomeCare Clients-75+ HomeCareandHomeSupportClients Rateper1,Population HomeCare Visits-75+ Home Support Clients HomeSupportHours Rateper1,Population 35K 32.5K 3K 31.5K 33.2K 25K 27.3K HomeSupport Hours-75+ 2K 15K 1K 5K K of22

9 Theagestandardizedhospitalizationrate(inpatient admissions)forthelhapopulationis similartoand,althoughtherateforthose 75yearsandoverishigher. HospitaladmissionratesforAmbulatoryCareSensitive Conditions(ASCS)-conditionsthatcanbetreatedinthe communityifservicesareavailableandwouldnot necessarilyrequirehospitalization havebeenlowerinthe LHAbuthasbeenincreasingsince 215. Whilehospitalizationratesaresimilar,emergency/urgent carevisitratesarelowerintheas comparedto.however,therateofhigher urgencyvisitsishigherinthe.health serviceusageisbasedonwheretheuserresidesratherthan wheretheserviceisprovided.seethehealthservice Utilizationsummaryonpage16formoreinformationon thesetopics 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 Island Description IndicatorDescription Period Health Population and Population Projection 1YearPopulationGrowth(%) Populationaged-19(%) Populationaged2-44(%) Western Communi ties 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 thelhavaluecomparedtotheisland 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 Western Communities Education Studentscompletinghighschoolwithinsix yearsofenrolmentingrade8(%)(2yragg) Grade12completionamongstudentsentering 214- Grade12forthefirsttime(%)(2yrAgg) Populationaged25to64withpost-secondary certificate,diplomaordegree(%) Employment Populationaged15andoverwhoare unemployed (%) Health Behaviours Alcoholconsumption(litresofabsolutealcohol 216 soldperperson,1l=58standarddrinks) Household Privatehouseholdsthatareowner-occupied (%) Lone-parentfamilyhouseholds(% ofcensus familieswithchildren) Privatehouseholdswith5ormorepersons(%) Dwelingsratedasneedingmajorrepairsby renterorowner(%) Privatehouseholdswithmultiplefamilies(%) Income Medianhouseholdtotalincome($) , ,735. 8,32. Medianlone-parentfamilyincome($) 216 5, , ,931. Income Inequality Differenceinmedianincomecomparingmales andfemalesaged15andover Households(rented)spendingmorethan3% ofincomeonhousing(%) , , , Households(owned)spendingmorethan3% ofincomeonhousing(%) Low incomebasedonafter-taxlow-income measure,ageslessthan6years(%) Low incomebasedonafter-taxlow-income measure,ageslessthan18years(%) Low incomebasedonafter-taxlow income measure(%) Low income basedonafter-taxlow-income measure,ages18to64years(%) Low incomebasedonafter-taxlow-income measure,ages65yearsandover(%) Income Supports Populationaged15andoveronEmployment Insurance(%) PopulationonIncomeAssistance(%) Morbidity Alcohol-relatedhospitalizations (age-standardizedrateper1,) Tobacco-relatedhospitalizations (age-standardizedrateper1,) Ilicitdrug-relatedhospitalizations (age-standardizedrateper1,) Transportation EmployedPopulationAged15andOver Walking,BikingorBusingtoWork(%) 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 Western Communities 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) Pregnantwomenwhoreportedsmokingatanytime 212- duringcurrentpregnancy(%)(5yragg) Crime SeriousViolentCrime(rateper1,population) SeriousCrime(rateper1,population) NumberofSeriousCrimesperPoliceOfficer ThisscaleistherelativemagnitudeoftheLHAvaluecomparedtothevalueforthatindicator MotorVehicleTheft(rateper1,population) Non-CannabisDrugOffences(rateper1, population) EDI:Kindergartenchildrenratedasvulnerablefor Early physicaldevelopment(%) Development EDI:Kindergartenchildrenratedasvulnerablefor socialdevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor emotionaldevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor languagedevelopment(%) EDI:Kindergartenchildrenratedasvulnerablefor communicationdevelopment(%) EDI:Kindergartenchildrenratedasvulnerableon oneormoredomains(%) EDI:Kindergartenchildrenratedasvulnerableon Protecting childrenand youth oneormoredomains,excludingcommunication(%) ChildrenandYouthinCare(rateper1,children aged-18) ChildrenandYouthinNeedofProtection(rateper 1,childrenaged-18) Thisshowstherelativemagnitudeof thelhavaluecomparedtotheisland Healthvalueforthatindicator. 12of22

13 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthStatusSummary Sub-group Description IndicatorDescription Time Period Island Health Western Communities Births LiveBirthRate(rateper1,population) Stilbirths(rateper1,births) InfantMortality-deathsofinfantsunder1 yearofage(rateper1,livebirths) Low WeightBirths-lessthan2,5grams (rateper1,livebirths) CesareanSections(rateper1,livebirths) Pre-term Births-gestationalagelessthan weeks(rateper1,livebirths) Mothersunder2-livebirthstomothers under2years(rateper1,livebirths) Mothers35andover-livebirthstomothers aged35andover(rateper1,livebirths) Life FemaleLifeExpectancy Expectancy MaleLifeExpectancy LifeExpectancy Morbidity Alzheimer'sDiseaseandOtherDementia- Prevalence(age-standardizedrateper1,) Asthma-Prevalence(age-standardizedrate per1,) ChronicKidneyDisease-Prevalence (age-standardizedrateper1,) ChronicObstructivePulmonaryDisease- Prevalence(age-standardizedrateper1,) MoodandAnxietyDisorders-Prevalence (age-standardizedrateper1,) Depression-Prevalence(age-standardized rateper1,) Diabetes-Prevalence(age-standardizedrate per1,) HeartFailure-Prevalence(age-standardized rateper1,) Hypertension-Prevalence(age-standardized rateper1,) IschemicHeartDisease-Prevalence (age-standardizedrateper1,) Osteoarthritis-Prevalence(age-standardized rateper1,) Thisshowstherelativemagnitudeof thelhavaluecomparedtotheisland Healthvalueforthatindicator. 13of22

14 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthStatusSummary(Continued) Sub-group Description IndicatorDescription Time Period Western Communities Deaths Alcohol-relateddeaths(age-standardized rateper1,) Ilicitdrug-relateddeaths (age-standardizedrateper1,) Tobacco-relateddeaths(age-standardized rateper1,) Mortalityduetounintentionalinjuries (age-standardizedrateper1,) Mortality(age-standardizedrateper 1,) Health Matrix* HealthMatrix:Healthy (%) HealthMatrix:MinorConditions(%) HealthMatrix:ModerateorMajor Conditions(%) HealthMatrix:Low ChronicConditions(%) HealthMatrix:Medium ChronicConditions (%) HealthMatrix:SevereMentalHealth& SubstanceUse(%) HealthMatrix:Maternity&Healthy Newborns(%) HealthMatrix:FrailinCommunity(%) HealthMatrix:HighChronicw/oFrailty(%) HealthMatrix:HighChronicw/Frailty(%) HealthMatrix:Cancer(%) HealthMatrix:FrailinResidentialCare(%) HealthMatrix:EndofLife(%) HealthMatrix:Non-Users(%) Thisshowstherelativemagnitudeof thelhavaluecomparedtotheisland Healthvalueforthatindicator. *TheHealthMatrixisawayofcategorizingthepopulationintodifferentgroupsbasedontheirhealthserviceutilizationpatterns.Thesecategoriesaremutualy exclusiveandaddupto1% -inotherwords,everyoneisplacedintooneofthecategories,goingfrom low ornoutilizationtohighutilizationatendoflife;people whomaymeetthecriteriaformorethanonecategorywouldbeplacedintothehigherutilizationcategory forexample,someonewithmedium complexchronic conditionswhowasalsolivinginresidentialcarewouldbecountedinthefrail,livinginresidentialcarecategory. FormoreinformationontheHealthMatrix,see 14of22

15 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. PotentialYearsofLifeLost(PYLL) Sub-group Description IndicatorDescription Time Period Western Communities Potential Yearsof LifeLost AlCausePotentialYearsofLifeLostrate(age standardizedper1,) Cerebrovasculardiseases-PotentialYearsofLife Lostrate(agestandardizedper1,) Chroniclowerrespiratorydiseases-Potential 212- YearsofLifeLostrate(agestandardizedper1,) Diabetes-PotentialYearsofLifeLostrate(age standardizedper1,) Arteries,arteriolesandcapilaries-PotentialYears 212- 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 212- YearsofLifeLostrate(agestandardizedper1,) Diseasesofthedigestivesystem -PotentialYears oflifelostrate(agestandardizedper1,) Thisshowstherelativemagnitude ofthelhavaluecomparedtothe valueforthat indicator. 15of22

16 Thechartbelow showshow variousindicatorsforthislhacomparewiththerestof.thislha'sresultforeachindicatorisshownwithalargecircle. Greenidentifiesresultsbetterthan;redidentifiesresultsworsethan.Theseresultsdonotnecessarilyreflectstatisticalsignificance. 'svalueisshownbytheblackdottedline,whichisalwaysatthecentreofthechart.lightgrayshadingencompassingsmalgreycirclesindicatesthe rangeoftheotherlhavaluesandthedarkgrayshadingshows±1% from thevalue. HealthServiceUseSummary Sub-group Description IndicatorDescription Time Period Island Health Western Communities Complex Continuing HomeCareVisits(rateper1,population) Care HomeCareVisits(rateper1,populationaged75 andover) , ,46.4 ResidentialCareBeds(rateper1,population aged75andover) HomeCareClients(rateper1,population) HomeCareClients(rateper1,populationaged75 andover) HomeSupportClients(rateper1,population) HomeSupportClients(rateper1,population aged75andover) HomeSupportHours(rateper1,population) 4,69.3 2,661.4 HomeSupportHours(rateper1,populationaged 75andover) 27, ,17.9 Emergency UnscheduledEmergencyDepartmentorUrgentCare Centrevisits(rateper1,population) EmergencyVisitswithCTASof1,2or3(%) UnscheduledEmergencyDepartmentorUrgentCare Centrevisitsfor75+(rateper1,75+population) EmergencyVisitswithCTASof1,2or3(%)for75+ population Hospital DayCare AcuteCareDayCases(age-standardizedrateper 1,population) AcuteCareDayCases(age-standardizedrateper 1,populationaged75andover) Primary Care PopulationAttachedtoPhysicianatthePractice Level(%) Thisshowstherelativemagnitudeof thelhavaluecomparedtotheisland Healthvalueforthatindicator. 16of22

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