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East Toronto Profile East Toronto Sub-Region Profile September 19, 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 East 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 East 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 East Toronto Sub-Region Thorncliffe Park Flemingdon Health Centre The Beaches Michael Garron Woodgreen Community Danforth Hospital Services • Bounded by Eglinton Ave. to the North, Warden Ave. to the East, Lake Ontario and Lake Shore Blvd. East to the South and Leslie St, Jones Ave. Gerrard St. East, and Don Valley Parkway to the West. • The East Toronto sub-region is the second largest region by land area and population. The region contains 21 neighbourhoods, 5 designated Neighbourhood Improvement Areas (Thorncliffe Park, Victoria Village, Oakridge, Flemingdon Park and Taylor-Massey (formally known as Crescent Town)) along with higher-income neighbourhoods such as The Beaches and North Riverdale. To note, South Riverdale neighbourhood is divided between East Toronto and Mid-East Toronto sub-regions • The Don Valley Parkway and Taylor-Massey Creek physically separate the Thorncliffe Park and Flemingdon Park neighbourhoods from the rest of the region. The rail corridor south of Danforth Ave 7 provides another natural boundary. East Toronto Sub-Region Neighbourhoods Population (2011) 269,756 (23.4% of TC LHIN) Males: 47.8% Females: 52.2% % Children and Youth (ages 0-19): 22.9 % % Seniors (ages 65+): 12.4 % 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 physicians are considered Private Primary Care Total HSPs primary care providers if they Sub-Region CCAC CHC CMHA CSS Hospital LTC either 1) belong to a Physician Hospital Physicians** (ex FP/GP) Enrollment Model (PEM) or 2) West Toronto 4 8 5 3 0 9 155 29 satisfied specific billing Mid-West Toronto 5 20 13 5 0 12 534 55 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 9 Toronto Central 1 17 60 53 16 1 36 1341 184 LHIN East Toronto Health Service Providers Hospital LTC CMH&A CSS CHC 1. Providence Healthcare 1. Cardinal Ambrozic 1. Alpha House 1. Bellwood's Centre for 1. East End Community 2. * St. Joseph's Houses of Providence 2. Alternatives, East York Community Living Inc. Health Centre Infirmary 2. Chester Village Mental Health 2. Call-A-Service Inc. 2. Flemingdon Health 3. * Toronto East Health 3. Fountain View Care Counselling Services 3. East Toronto Family Centre Network Community Agency Community Centre 4. Harmony Hills Care 3. Applause Community 4. East York Meals on Community Development Wheels 5. Revera Long Term Care Corporation 5. March of Dimes Canada Inc. - Main Street 4. Toronto North Support 6. Philip Aziz Centre for Terrace Services Hospice Care 6. Nisbet Lodge 5. *Woodgreen 7. Tobias House Attendant 7. * St. Clair O'Connor Community Services Care Inc. Community Inc. 8. Toronto 8. True Davidson Acres Intergenerational Partnerships in Community (TIGP) 9. Warden Woods Community Centre 10. West Scarborough Neighbourhood Community Centre Total: 3 Total: 8 Total: 5 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 • East Toronto has the highest proportion of children and youth (ages 0-19 years) in 2011 (22.9% ) among the sub- regions and relative to Toronto Central LHIN (18.7%). Thorncliffe Park has the highest proportion of children and youth (32.2%) among all the neighbourhoods in Toronto Central LHIN. All but two neighbourhoods (Woodbine Lumsden and Broadview North) in East Toronto have a higher than average proportion of children and youth in their neighbourhoods. • Overall, 12.4% of the East Toronto population is over 65 years (2011). This is below the Toronto Central LHIN average population (13.1%). Victoria Village has the highest proportion of seniors (18.4%) amongst East Toronto sub-region neighbourhoods. • All neighbourhoods but two (Clairlea Birchmount and North Riverdale) have a higher percentage of seniors living alone compared to East Toronto sub-region (27.7%). Percentage of total population of seniors living alone is highest in East End Danforth (42.4%) and Thorncliffe Park (41.4%). • East Toronto has the highest proportion of recent immigrants (arrived between 2006-2011) with top three countries being Bangladesh (17.9%), Pakistan (11.7%) and Philippines (8.9%). The most common languages spoken at home other than English include Urdu, Greek and Bantu languages. • Proportion of visible minority in the East Toronto sub-region is higher (41%) compared to Toronto Central LHIN (34%). Most heavily represented visible minorities relative to Toronto Central LHIN are South Asian and West Asian or Arab. • Flemingdon Park, Oakridge, Thorncliffe Park and Victoria Village have notably high levels of marginalization and having median private household income below 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
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