West Toronto Sub-Region Profile
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West Toronto Sub-Region Profile September 19, 2016 This report was prepared by the following individuals: Ranjeeta Jhaveri, Cynthia Damba, Mohamedraza Khaki, Thivya Sornalingam, Myuri Elango Pandian, Kinga Byczko (Toronto Central LHIN Health Analytics and Innovation Team); Daniel Laidsky (Reconnect MHA Services). If you have any questions about this, please contact: Ranjeeta Jhaveri ([email protected]) and Cynthia Damba ([email protected]) 2 Table of Contents • Section 1 - Introduction to the Report and West Toronto Sub-Region…...…… 4 • Section 2 - Population Characteristics…………………………………………….11 • Section 3 – Health Status………………………..………………………………….29 • Section 4 – Health Service Use…………………….………………………………37 • Section 5 – Primary Care and Prevention………………………..……………….72 • Appendix A –Additional Information on Population Demographics………… ….84 • Appendix B – Methodology for Identifying Primary Care Physicians…….……..90 3 Section 1. Introduction to the Report and West Toronto Sub-Region 4 Planning at the Sub-Region Level • One of the key Strategic Priorities that underpins the goals of the Toronto Central LHIN strategic plan is Taking a Population Health Approach, which will direct how we plan, prioritize, fund, and partner with other organizations to target the needs of the population and the sub-populations within. • This begins with a strong understanding of what our current and future patients’ needs and wants are in order to improve their health status and experience with health care. This information will help to identify neighbourhoods and population segments that may need targeted interventions to achieve the desired and equitable outcomes reflected in our goals. • A population based approach integrates the full spectrum of health care delivery – from preventing disease (e.g. health promotion) to treatment (e.g. tertiary care). Health is greatly influenced by the social determinants of health – including our environment, our social status, education, employment, gender and culture. The profiles illustrate the diversity of the population of the Toronto Central LHIN, and form a basis of understanding of the variations in populations that can impact our health outcomes. 5 Data Sources, Considerations and Report Structure • Data was obtained from multiple sources for the report and years of data may vary as they are based on the most recent year available for the particular database. There may be minor differences in rates and numbers reported for different indicators due to rounding, use of different data sources and/or timing of data extraction. • As we get more information, we will update indicators or add new indicators. • Sub-regions are built from Statistics Canada Census Tracts. • The report is divided out into 5 sections and some are further sub-divided into sub-sections. Each section starts with a summary of the highlights and then information for individual selected indicators. • For each indicator, information is presented at LHIN, sub-region and wherever possible at neighbourhood level. The top 2 or 3 rates for neighbourhoods which indicate greater health risk in the summary slides are highlighted in pink. • Similar slide decks are being prepared for each of the sub-regions and will be posted on the Toronto Central LHIN website. Additional informational information on sub-regions is available on Toronto Central LHIN website: http://www.torontocentrallhin.on.ca/forhsps/crosssectortables.aspx 6 About the West Toronto Sub-Region St. Joseph’s Health Centre West Park Rehab High Park Mount Dennis Roncesvalles Stonegate CHC • Bounded by Eglinton Ave. West to the north, the Canadian National Railway to the East, Lake Ontario to the south, Islington Ave. (North) and Kipling Ave (South) to the West. • The region contains 14 neighbourhoods and a very small proportion of one neighbourhood (Islington City Centre West). There are 3 designated neighbourhood Improvement Areas (Mount Dennis, South Parkdale, and Rockcliffe Smythe) along with higher-income neighbourhoods such as Kingsway South and Runnymede Bloor West Village. • Please note: Islington City Centre West has not been included in this profile as the majority is located in 7 Mississauga Halton LHIN. Also, Edenbridge-Humber Valley has a small portion that lies in Central LHIN. West Toronto Neighborhoods (2016) Population (2011) 232,570 (20.4% of TC LHIN) Males: 48.2% Females: 51.8% % Children and Youth (ages 0-19): 20% % Seniors (ages 65+): 13.7% 8 Source: Toronto Community Health Profiles Partnership, Extracted: 2016; Census of Canada, Statistics Canada, 2011 Health Service Providers(HSP’s) in Toronto Central LHIN (As of July 2016) HSP mappings are based on primary office locations. HSPs may have multiple sites. In addition, HSPs in one sub- region may provide services for people in other sub-regions or LHINs. Sub-Regions **Primary Care Physicians are defined by a basket of service methodology developed by MOHLTC. General practice Private Primary Care Total HSPs (ex physicians are considered primary Sub-Region CCAC CHC CMHA CSS Hospital LTC Hospital Physicians** FP/GP) care providers if they either 1) belong to a Physician Enrollment West Toronto 4 8 5 3 0 9 155 29 Model (PEM) or 2) satisfied specific Mid-West Toronto 5 20 13 5 0 12 534 55 billing requirements (Appendix A) These numbers are estimates and North Toronto 1 2 3 10 3 0 3 217 21 do not include PCPs in CHCs. Mid-East Toronto 4 24 15 3 0 4 199 50 Numbers will be updated East Toronto 2 5 10 2 1 8 236 28 Toronto Central 9 1 17 60 53 16 1 36 1341 184 LHIN West Toronto Sub-LHIN West Toronto Health Service Providers Hospital LTC CMH&A CSS CHC 1. Runnymede Healthcare 1. Copernicus Lodge 1. Breakaway Addiction 1. Etobicoke Services for 1. Four Villages Centre 2. Elm Grove Living Services Seniors Community Health 2. St. Joseph's Health Centre Inc. 2. Family Association for 2. Humber Community Centre Centre 3. Garden Court, Mental Health Seniors' Service Inc. 2. Lakeshore Area 3. West Park Healthcare Shaparrall Limited Everywhere 3. Parkdale Golden Age Multi-Services Centre 4. Ivan Franko Home 3. Habitat Services, Mental Foundation Project (Etobicoke) Health Program 4. Storefront Humber Inc. 3. Parkdale Community 5. Lakeshore Lodge Services of Metropolitan 5. Blinds Adults Health Centre 6. Lakeside Long Term Toronto, Inc. 4. Stonegate Care Centre 4. Jean Tweed Treatment Community 7. Norwood Nursing Home Centre Association Limited 5. Parkdale Activity - 8. West Park Long Term Recreation Centre Care Centre 6. Reconnect Community 9. White Eagle Residence Health Services 7. Regeneration House Inc. 8. Working for Change Total: 3 Total: 9 Total: 8 Total: 5 Total: 4 HSP mappings are based on primary office locations. HSPs may have multiple sites. In addition, HSPs in one sub-region may provide services for people in other sub-regions or LHINs. 10 Section 2. Population Characteristics A) Population Demographics B) Cultural and Socioeconomic Diversity Additional detailed information is available in Appendix A 11 Key Highlights – Population Demographics and Diversity • West Toronto has a slightly higher proportion of children and youth (ages 0-19) in 2011 (20%) compared to Toronto Central LHIN (18.8%). Lambton Baby Point and Mount Dennis has the highest proportion of children and youth in West Toronto at 26.5% and 25.7% respectively. • The percentage of the West Toronto population that is over 65 years (2011) at 13.7% is similar to the Toronto Central LHIN average (13.1%). Half of the neighbourhoods of West Toronto have a higher percentage than the Toronto Central LHIN average of seniors living alone. • West Toronto has the highest proportion of residents who speak English only (85.3%) among the sub-regions. This is also higher than the Toronto Central LHIN average of 83.2%. The top 3 most common languages spoken at home other than English are Spanish, Polish and Portuguese. • West Toronto has a lower proportion of visible minorities (28.6%) relative to Toronto Central LHIN (33.6%). The most heavily represented visible minorities relative to Toronto Central LHIN are of people with a Latin American Descent. • Neighbourhoods with the highest levels of marginalization include Rockcliffe-Smythe and South Parkdale. • Roncesvalles, Rockcliffe-Smythe, Mount Dennis, New Toronto, and South Parkdale neighbourhoods have median private household income below that of the City of Toronto. 12 2a) Population Demographics 13 Data Limitations • The 2011 Census and National Household Survey (NHS), and Tax filer data were the main sources for this Population Demographic section. • Information on visible minorities, immigration, education, labour, and Aboriginal identity were collected as part of the 2011 National Household Survey by Statistics Canada. The National Household Survey was a voluntary survey and subject to non-response bias especially in areas where non-response rates exceeded 25%, the threshold for suppression for the 2011 Census. Non-response bias is a common issue with voluntary surveys and a reflection of the tendency that people who are inclined to respond to a survey have different characteristics from people who do not respond. Consequently, marginalized or underrepresented subpopulations are likely undercounted in the National Household Survey and comparisons between the National Household Survey and previous Censuses should be considered to be unreliable. • Population estimates provided in the following profile should be considered as an approximate estimate of the population, rather than a true, full count of