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North Toronto Sub-Region Profile

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North Toronto Sub-Region Profile North Toronto Sub-Region Profile September 27, 2016 This report was prepared by the following individuals: Nathalie Sava, Ranjeeta Jhaveri, Thivya Sornalingam, Cynthia Damba, Mohamedraza Khaki, 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 North Toronto Sub-Region……….…4 • Section 2 - Population Characteristics…………………………………………….11 • Section 3 – Health Status………………………..………………………………….28 • Section 4 – Health Service Use…………………….………………………………36 • Section 5 – Primary Care and Prevention………………………..……………….71 • Appendix A – Additional Information on Population Demographics …………...83 • Appendix B - Methodology for Identifying Primary Care Physicians…….……..89 3 Section 1. Introduction to the Report and North 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 North Toronto Sub-Region Sunnybrook Health Sciences Centre Yonge-Eglinton Forest Hill Anne Johnston Lawrence Square Sunnybrook Park Health Station Shopping Centre • Bounded by Highway 401, Yonge St. and York Mills Rd. to the north, Sunnybrook park to the east (between Bayview Ave. and Leslie St.), St Clair Ave. W. and Moore Ave. to the south, and William R Allen Road to the west. • The region contains 13 neighbourhoods, with Leaside-Bennington being split between North and Mid-East sub-regions, and Yonge-St Clair neighbourhood split between North and Mid-West sub-regions 7 North Toronto Neighbourhoods (2016) Population (2011) 199,051 (17.3% of Toronto Central LHIN) Males: 45.7% Females: 54.3% % Children and Youth (ages 0-19): 20.3 % % Seniors (ages 65+): 14.7% 8 Health Service Providers 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 North Toronto Sub-LHIN North Toronto Health Service Providers Hospital LTC CMH&A CSS CHC 1. Baycrest Centre for 1. Apotex Centre, Jewish 1. Boundless Adventures 1. Alzheimer Society of 1. Anne Johnston Geriatric Care Home For The Aged Association Toronto Health Station 2. Holland Bloorview Kids 2. Isabel and Arthur 2. Mood Disorders 2. Bob Rumball Centre for the 2. Unison Health and Deaf Rehabilitation Hospital Meighen Manor Association of Ontario Community Services 3. Canadian National Institute 3. Sunnybrook Health 3. Toronto Finnish Canadian 3. Senior Peoples' for the Blind Sciences Centre Seniors Centre, Suomi Resources in North 4. Hospice Toronto Koti Toronto Nursing Toronto Inc., SPRINT 5. The Governing Council for Home the Salvation Army in Canada, on behalf of Meighen Retirement Residence 6. New Horizons Day Centre Inc. 7. PACE Independent Living 8. Senior Peoples' Resources in North Toronto Inc., SPRINT 9. Spinal Cord Injury (SCI) Ontario 10. Student Assistance in North Toronto Seniors (SAINTS) Total: 3 Total: 3 Total: 3 Total: 10 Total: 2 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 * HSP also services additional sector(s) 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 • Proportion of children and youth (ages 0-19) in North Toronto is higher (20.3%) in 2011 relative to Toronto Central LHIN (18.7%). Englemount-Lawrence (28.3%) and Lawrence Park North (28.7%) neighbourhoods have the highest proportion of children. Majority of neighbourhoods in North Toronto have higher proportion of chidren and youth compared to Toronto Central LHIN except for Yonge-St Clair and Mount Pleasant West • North Toronto has the highest proportion of seniors (ages 65+ years) in 2011 (14.7%) among the sub-regions and relative to Toronto Central LHIN (13.1%). Yonge-St Clair and Forest Hill South have the highest proportion of Seniors in North Toronto • North Toronto also has the second highest proportion of seniors living alone (38.0% vs 34.1% for Toronto Central LHIN). Mount Pleasant West neighbourhood has a high proportion of seniors living alone (58.2%) Most neighbourhoods in North Toronto have a higher than average proportion of seniors living alone. • North Toronto has the lowest proportion of residents who speak English only (80%) among the sub-regions and is lower than the Toronto Central LHIN average of 83.2%. The most common languages spoken at home other than English are Tagalog, French, Persian (Farsi), Spanish and Russian. • North Toronto has a lower proportion of visible minorities (22.2%) in comparison to Toronto Central LHIN (33.6%). • At the neighbourhood level, there is variation in levels of marginalization and other socio-economic indicators; Englemount-Lawrence is the only neighbourhood in North Toronto that is above the City of Toronto’s marginalization rate (2.4) at 3.2. Englemount-Lawrence also is the only neighbourhood above the Toronto Central LHIN rate for residents with low income(after tax) (25.5%) and in need of social assistance (12.4%). 12 2a) Population Demographics 13 Data Limitations • The 2011 Census and National Household Survey (NHS), and Taxfiler 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
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