Introduction
Methods
Deprivation indices
Premature mortality (PM)
Analytical method
Results
Socioeconomic deprivation
Deprivation quintile | No high school diploma % | Employment rate % | Individual average income $ | Living alone % | Separated divorced widowed % | Lone parent % | |
---|---|---|---|---|---|---|---|
Material
| |||||||
privileged | Q1 | 15.5 | 63.0 | 34,224 | 14.1 | 19.7 | 12.4 |
Q2 | 24.1 | 59.2 | 26,536 | 10.9 | 17.6 | 15.3 | |
Q3 | 31.9 | 54.8 | 23,785 | 9.8 | 17.7 | 16.3 | |
Q4 | 38.5 | 50.4 | 21,264 | 10.0 | 18.7 | 17.7 | |
deprived | Q5 | 50.4 | 42.8 | 18,791 | 9.0 | 18.5 | 22.8 |
Social
| |||||||
privileged | Q1 | 27.0 | 58.4 | 30,096 | 5.0 | 11.5 | 7.5 |
Q2 | 34.1 | 54.7 | 25,113 | 7.1 | 14.8 | 12.4 | |
Q3 | 36.9 | 52.3 | 23,334 | 8.6 | 17.4 | 15.9 | |
Q4 | 32.2 | 51.5 | 24,406 | 12.2 | 20.2 | 20.0 | |
deprived | Q5 | 31.2 | 52.8 | 22,274 | 19.9 | 27.5 | 27.7 |
ALL of Nova Scotia: Material and social
| |||||||
most privilegedb | Q1 & Q 1 | 11.5 | 66.5 | 40,498 | 4.0 | 9.9 | 6.8 |
least privilegedc | Q5 & Q5 | 47.6 | 39.5 | 16,650 | 12.4 | 23.7 | 41.5 |
RURAL Nova Scotia: Material and social
| |||||||
most privileged | Q1 & Q 1 | 17.3 | 65.8 | 33,345 | 4.2 | 10.5 | 6.3 |
least privileged | Q5 & Q5 | 47.3 | 39.6 | 17,410 | 9.8 | 20.8 | 34.2 |
URBAN Nova Scotia: Material and social
| |||||||
most privileged | Q1 & Q 1 | 7.8 | 66.1 | 47,091 | 4.9 | 9.9 | 7.8 |
least privileged | Q5 & Q5 | 44.7 | 45.7 | 17,009 | 17.2 | 27.8 | 44.6 |
Socioeconomic deprivation and premature mortality
Cancer | Circulatory system | External causes | Other causes | All causes | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
95% CI | 95% CI | 95% CI | 95% CI | 95% CI | |||||||||||||||||
Geographic area | PopulationcCount | Count | Rate | from | to | Count | Rate | from | to | Count | Rate | from | to | Count | Rate | from | to | Count | Rate | from | to |
NS | 742,580 | 14,054 | 172.1 | 169.2 | 174.9 | 9,793 | 119.9 | 117.5 | 122.3 | 2,646 | 32.4 | 31.2 | 33.7 | 8,773 | 107.4 | 105.2 | 109.7 | 35,266 | 431.7 | 427.2 | 436.3 |
Urban | 309,660 | 5,880 | 172.6 | 168.2 | 177.1 | 3,991 | 117.2 | 113.6 | 120.9 | 1,060 | 31.1 | 29.3 | 33.1 | 3,821 | 112.2 | 108.6 | 115.8 | 14,752 | 433.1 | 426.1 | 440.1 |
Rural | 432,920 | 8,174 | 171.6 | 167.9 | 175.4 | 5,797 | 121.7 | 118.6 | 124.9 | 1,585 | 33.3 | 31.7 | 35 | 4,950 | 103.9 | 101.1 | 106.9 | 20,506 | 430.6 | 424.7 | 436.5 |
Material
| |||||||||||||||||||||
Q1 | 148,290 | 2,403 | 147.3 | 141.5 | 153.3 | 1,504 | 92.2 | 87.6 | 97.0 | 398 | 24.4 | 22.1 | 26.9 | 1,522 | 93.3 | 88.7 | 98.1 | 5,827 | 357.2 | 348.1 | 366.5 |
Q2 | 148,365 | 2,577 | 157.9 | 151.9 | 164.1 | 1,712 | 104.9 | 100.0 | 110.0 | 427 | 26.2 | 23.7 | 28.8 | 1,575 | 96.5 | 91.8 | 101.4 | 6,291 | 385.5 | 376.0 | 395.1 |
Q3 | 148,535 | 2,838 | 173.7 | 167.4 | 180.2 | 1,879 | 115.0 | 109.9 | 120.3 | 551 | 33.7 | 31.0 | 36.7 | 1,713 | 104.8 | 99.9 | 109.9 | 6,981 | 427.3 | 417.3 | 437.4 |
Q4 | 148,685 | 2,959 | 180.9 | 174.5 | 187.6 | 2,184 | 133.5 | 128.0 | 139.3 | 577 | 35.3 | 32.5 | 38.3 | 1,893 | 115.7 | 110.6 | 121.1 | 7,613 | 465.5 | 455.1 | 476.1 |
Q5 | 148,705 | 3,277 | 200.3 | 193.5 | 207.3 | 2,514 | 153.7 | 147.7 | 159.8 | 693 | 42.4 | 39.3 | 45.6 | 2,070 | 126.5 | 121.2 | 132.1 | 8,554 | 522.9 | 511.9 | 534.1 |
Social
| |||||||||||||||||||||
Q1 | 147,870 | 2,221 | 136.5 | 130.9 | 142.3 | 1,343 | 82.6 | 78.2 | 87.1 | 351 | 21.6 | 19.4 | 24.0 | 1,154 | 70.9 | 66.9 | 75.2 | 5,069 | 311.6 | 303.1 | 320.3 |
Q2 | 148,755 | 2,684 | 164.0 | 157.9 | 170.4 | 1,727 | 105.5 | 100.6 | 110.6 | 509 | 31.1 | 28.5 | 33.9 | 1,489 | 91.0 | 86.4 | 95.7 | 6,409 | 391.7 | 382.1 | 401.4 |
Q3 | 148,250 | 2,893 | 177.4 | 171.0 | 184.0 | 2,017 | 123.7 | 118.3 | 129.2 | 486 | 29.8 | 27.2 | 32.6 | 1,643 | 100.8 | 95.9 | 105.7 | 7,039 | 431.6 | 421.6 | 441.8 |
Q4 | 148,805 | 3,283 | 200.6 | 193.8 | 207.5 | 2,344 | 143.2 | 137.5 | 149.1 | 601 | 36.7 | 33.8 | 39.8 | 2,153 | 131.5 | 126.0 | 137.2 | 8,381 | 512.0 | 501.1 | 523.1 |
Q5 | 148,900 | 2,973 | 181.5 | 175.0 | 188.2 | 2,362 | 144.2 | 138.5 | 150.1 | 699 | 42.7 | 39.6 | 46.0 | 2,334 | 142.5 | 136.8 | 148.4 | 8,368 | 510.9 | 500.0 | 522.0 |
Material and Social
| |||||||||||||||||||||
Q1 & Q1 | 51,985 | 678 | 118.6 | 109.8 | 127.8 | 358 | 62.6 | 56.3 | 69.4 | 79 | 13.8 | 10.9 | 17.2 | 307 | 53.7 | 47.8 | 60 | 1,422 | 248.7 | 235.9 | 261.9 |
Q5 & Q5 | 31,830 | 777 | 221.9 | 206.6 | 238.1 | 645 | 184.2 | 170.3 | 199 | 198 | 56.6 | 48.9 | 65 | 574 | 163.9 | 150.8 | 177.9 | 3,194 | 626.6 | 600.7 | 653.4 |
Nova Scotia | Urban | Rural | |||||||
---|---|---|---|---|---|---|---|---|---|
95% CIa | 95% CI | RR | 95% CI | ||||||
RR | from | to | RR | from | to | from | to | ||
Cancer | 1.9 | 1.7 | 2.1 | 1.7 | 1.4 | 2.0 | 1.8 | 1.6 | 2.1 |
Circulatory system | 2.9 | 2.6 | 3.3 | 2.8 | 2.2 | 3.4 | 2.3 | 2.0 | 2.7 |
External causes | 4.1 | 3.2 | 5.3 | 3.8 | 2.5 | 5.6 | 3.2 | 2.4 | 4.3 |
Other causes | 3.1 | 2.7 | 3.5 | 3.3 | 2.6 | 4.2 | 2.4 | 2.0 | 2.9 |
All causes | 2.5 | 2.4 | 2.7 | 2.4 | 2.1 | 2.7 | 2.2 | 2.0 | 2.4 |
Cause of death | Effect | % change in PM per quintilebURBAN | % change in PM per quintile RURAL | Chi-square | Pr > ChiSqc |
---|---|---|---|---|---|
Cancer | urband | 0.8 | 0.37 | ||
material | 9.9 | 9.9 | 48.2 | < 0.001 | |
urban:material | . | > 0.05 | |||
social | 7.8 | 14 | 37.3 | < 0.001 | |
urban:social | 16.6 | < 0.001 | |||
Circulatory system | urban | 1.64 | 0.2 | ||
material | 14 | 14 | 52.7 | < 0.001 | |
urban:material | . | > 0.05 | |||
social | 11 | 21 | 51.8 | < 0.001 | |
urban:social | 6.03 | 0.01 | |||
External causes | urban | 6.5 | 0.01 | ||
material | 7.7 | 17 | 30.9 | < 0.001 | |
urban:material | 3.9 | 0.05 | |||
social | 20 | 20 | 81.8 | < 0.001 | |
urban:social | . | > 0.05 | |||
Other causes | urban | 0.07 | 0.8 | ||
material | 8.4 | 8.4 | 16.5 | < 0.001 | |
urban:material | . | > 0.05 | |||
social | 15 | 25 | 52.2 | < 0.001 | |
urban:social | 4.97 | 0.03 | |||
All causes | urban | 0.21 | 0.65 | ||
material | 11 | 11 | 52.3 | < 0.001 | |
urban:material | . | > 0.05 | |||
social | 8.8 | 19 | 65.2 | < 0.001 | |
urban:social | 10.3 | 0 |
Population attributable risk
URBAN NOVA SCOTIA | ||||||
---|---|---|---|---|---|---|
Quintile | Cancer | Circulatory system | External causes | Other causes | All causes | |
Independent effect of material deprivation
| ||||||
Q1 | REF | REF | REF | REF | REF | |
Q2 | 284 | 208 | 34 | 272 | 798 | |
Q3 | 218 | 158 | 23 | 114 | 513 | |
Q4 | 335 | 282 | 88 | 226 | 932 | |
Q5 | 484 | 549 | 130 | 420 | 1,583 | |
Total:
|
1,321
|
1,196
|
276
|
1,031
|
3,825
| |
Independent effect of social deprivation
| ||||||
Q1 | REF | REF | REF | REF | REF | |
Q2 | 217 | 231 | 66 | 232 | 745 | |
Q3 | 390 | 508 | 93 | 486 | 1477 | |
Q4 | 315 | 478 | 144 | 502 | 1440 | |
Q5 | 187 | 462 | 192 | 529 | 1,371 | |
Total:
|
1,110
|
1,679
|
494
|
1,749
|
5,032
| |
Material and Social deprivation combined
b
| ||||||
Total:
|
1,987
|
2,024
|
576
|
2,294
|
6,878
| |
RURAL NOVA SCOTIA
| ||||||
Quintile
|
Cancer
|
Circulatory system
|
External causes
|
Other causes
|
All causes
| |
Independent effect of material deprivation
| ||||||
Q1 | REF | REF | REF | REF | REF | |
Q2 | 28 | 56 | 73 | -33 | 124 | |
Q3 | 224 | 232 | 92 | 116 | 663 | |
Q4 | 474 | 453 | 128 | 265 | 1,321 | |
Q5 | 464 | 443 | 180 | 225 | 1,311 | |
Total:
|
1,190
|
1,185
|
472
|
573
|
3,420
| |
Independent effect of social deprivation
| ||||||
Q1 | REF | REF | REF | REF | REF | |
Q2 | 87 | 143 | 47 | 209 | 486 | |
Q3 | 396 | 364 | 131 | 275 | 1,166 | |
Q4 | 363 | 386 | 51 | 311 | 1,110 | |
Q5 | 634 | 650 | 203 | 712 | 2,199 | |
Total:
|
1,480
|
1,543
|
431
|
1,507
|
4,961
| |
Material and Social deprivation combined
b
| ||||||
Total:
|
2,569
|
2,493
|
692
|
2,062
|
7,815
|