Plenary 3: Beyond the Long-Form Census ~

• Implications of changes in the long-form census

• How to minimize the impact – can we fill the gap?

• What may be needed to gather important information?

• How has this resulted in new partnerships and new public health advocates?

Speakers and outline• Introductory remarks and a “case study” from Patricia

Martens (10 minutes)

• Remarks from Gilles Paradis (15 minutes) (will be in French)

• Remarks from Beth Wilson (15 minutes)

• Questions and comments from audience (15 minutes)

MCHP Case Study of using using frameworks for health

health indicatorsPatricia J. Martens PhD

Director, MCHPProfessor, Department of Community Health Sciences,

Sciences, Faculty of MedicineCIHR/PHAC Applied Public Health Chair

In Arabian Nights: A Caravan Caravan of Moroccan Dreams Dreams (T. Shah)“Stories are a way of melting the ice,”

ice,” he said gently, “turning it into into water. They are like repackaging repackaging something – changing changing its form – so that the design design of the sponge can accept it.” it.”

pages 297-299

MCHP FrameworksGeography (RHAs and sub-regions)

– Use postal and municipal codes to create regional regional analyses

– Sometimes geographies are arranged by PMR (premature mortality rate) for a framework of underlying regional health status

Census-based:– Income quintile analyses; SEFI (socio-economic

economic factor index)– “virtual” areas grouped across the province

Martens et al. 2008

Teen pregnancy rates mapped by RHA districts and Winnipeg Neighbourhood Clusters

Brownell et al. 2008

Least healthy

Most healthy

73.5

22.1

92.8

20.9

40.6

25.4

13.1

134.8

177.4

Change in Teen Pregnancy Rates South-Northfollowing Pembina Hwy (rte 42) and Main St (rte 52)

LegendPremature Mortality

1.86 - 3.07

3.08 - 4.28

4.29 - 5.49

5.50 - 6.70

6.71 - 7.91Manitoba Child Health Atlas Update, 2008Brownell M, De Coster C, Penfold R, Derksen S, Au W, Schultz J, Dahl M

Bus trip up Pembina Highway to to downtown and out Main Street Street north

Teen Pregnancy (per 1000 15-19 19 year old females)

South Pembina Highway:Around 25 per 1000

Downtown:Around 177 per 1000

Main Street north of city:Around 21 per 1000

Martens and Burchill, based upon data from from Brownell et al. 2008

Using “virtual” areas by grouping income quintiles (based on long-form census DA average household income)

About ½ (45%) of teen pregnancies occur in the 1/5 of the teens who are in the lowest income quintile group

(Martens et al. 2010)

Who is your audience?• Although geography is easier for

regional/provincial planners, the real real message is sometimes lost if we we don’t have good SES data at the the population level

• Regression modelling … w e NEED to NEED to see that it’s mostly about about SES, not necessarily “geography” as such

Lessons from deer signs

AlbertaSK Manitoba

Quebec(Carolyn Hebert)

Nova Scotia(Albert DeVilliers)Ontario

(Jen Magoon)

BC(Faye White,Lillian Bayne)

New Brunswick(Jake van der Lann)

Marc Jackson 2009

Thanks to Leonie Stranc,Manitoba Health (2006)

Boundary Trails quilt

Deer stamp – CanadaChristmas 2007

Nancy Edwards: South Africa, 2009

Pinawa deer invasion!!Pat Martens, August 2010

From Katherine Fafard, CHSRF (Oct. 2004):Comment: rough translation is “Careful! The animals aren’t always just on the signs!”