OUR HEALTH St. Boniface OUR COMMUNITY Community Area Profile, 2015 Regional Health Authority (WRHA)

Health Status Self-perceived Health PAGE 5 Chronic Disease PAGE 5 Mental Health & Substance Abuse PAGE 5 Mortality PAGE 6 Reproductive & Developmental Health PAGE 7 Sexually Transmitted Infections PAGE 7 $ Health Determinants Education & Employment PAGE 9 Material & Social Deprivation PAGE 9 Income & Affordable Housing PAGE 10 Health Behaviours PAGE 12 Health Care Access, Immunization & Screening PAGE 13 Health & Social Housing PAGE 14

Community Voices PAGE 8

This is a statistical health needs profile of Boniface features landmarks such as the St. St. Boniface (2014 pop 59,397)--the name Boniface Cathedral, Boulevard Provencher, the of a Winnipeg Regional Health Authority Provencher Bridge, , St. Boniface community area (CA). The boundaries Hospital, the Université de Saint-Boniface, and for this CA can be found on the map the Royal Canadian Mint. (page 11); it is also a CA comprised of two neighborhood clusters (NC). St. Boniface Median household income for St. Boniface West consists of four neighborhoods: Central East ($80,877) was much higher than that St. Boniface, North St. Boniface, Norwood of St. Boniface West ($45,911) in 2010. A East, and Norwood West. St. Boniface East is relatively small proportion of residents are in low income status (11%). Residents are Significantly worse than England average comprised of 15 neighborhoods: Archwood, No significance can be calculated Dufresne, Holden, Island Lakes, Maginot, comfortably wealthy but not rich. While Rates or Percentages St. Boniface houses the majority of French + River River River River RiverMission Industrial, NiakwaWPG Park, Niakwa Place, WPG River Indicator Time Period East East East East EastRoyalwood, MB WPG Sagecreek,Worst Southdale, Southland speakingBest residents, there is strong visible East Count North East West SouthPark, Stock Yards, Tissot,CA and Windsor Park. minorityCA population. The community Self-Perceived Health ~ 2007-2012 n/a 51% 61% 50% 53% 39% 57% 58% 42% feels69% that,Distribution for the most of part, Income St. Boniface Quintiles by Census Dissemination Area in Downtown General Mental Health ~~ 2005-2010 n/a 37% 27% 33% 42% 39%Succeeding40% 38% cultures33% of indigenous peoples is 44%a “healthy” community and has many Male Life Expectancy ^ 2007-2011 n/a 78.7 82.3 78.9 78.8 76.2lived in77.5 the area78.3 for thousands71.7 of years characteristics81.8 that contribute to better health. Female Life Expectancy ^ 2007-2011 n/a 83.8 87.5 82.0 85.6 83.3before82.2 European82.7 exploration.77.4 It was an area However,85.6 service providers are acutely aware Child Mortality **** 2005-2009 n/a 15.1 33.3 21.3 55.5 9.3 LOGAN AVE Premature Mortality ** 2007-2011 n/a 2.8 1.5 2.6 2.9 4.1of historic3.1 Ojibwe2.9 occupation.5.4 Currently, it that1.9 it still houses many low-income families is home to one of the largest francophone and new comers. System navigation and Potential Yrs of Life Lost ** 2007-2011 n/a 37.7 20.4 30.1 43.4 54.3 51.5 45.8 100.3 29.7 NOTRE DAME AVE Suicide Death Rate *** 2007-2011 n/a 1.5 communities1.7 1.5 west of4.3 the Great Lakes, and how0.8 to connect with new comers for them to NOTRE DAME AVE Respiratory Diseases 2011/12 9060 9.2% 6.8% 9.2% 9.0% 11.4%is known9.5% as9.9% Winnipeg’s13.2% French Quarter. The get8.8% access to the information is a challenge. ALEXANDER AVE JAMES AVE Hypertension Incidence * 2011/12 1177 2.9 2.7 3.0 2.7 3.0neighborhood3.1 3.0 is positively3.5 filled with French St.2.4 Boniface agencies are striving to work ISABEL ST CUMBERLAND AVE Hypertension Prevalence 2011/12 19812 24.4% 21.5% 25.1% 24.3% 25.3% 25.6% 24.6% 28.5% 22.5% culture such as 10-day winter festival, Festival collaboratively to identify, anticipate, and KING ST PRINCESS ST PORTAGE AVE E Diabetes Incidence * 2009/10-2011/12 1344 0.75 0.53 0.74 0.73 0.94du Voyageur,0.85 0.80 which 1.25fills the city with snow remedy0.61 the gaps in health care services in theBANNING ST DONALD ST

Diabetes Prevalence 2009/10-2011/12 7074 8.8% 5.8% 9.2% 8.4% 10.9% 10.0% 9.2% 13.2% 7.1% SMITH ST WATER AVE sculptures and invites everyone to experience community. MAIN ST Heart Disease Incidence * 2007/08-2011/12 1990 0.67 0.57 0.68 0.66 0.84 0.67 0.66 0.90 0.50 MEMORIAL BLVD the French heritage of its fur-trading past. St. Heart Disease Prevalence 2007/08-2011/12 6410 7.9% 6.7% 8.1% 8.0% 9.4% 7.9% 7.9% 9.6% 6.8%

OSBORNE ST N Stroke Event Rates (40+)** 2007-2011 724 2.9 2.1 3.1 3.0 2.7 2.7 2.6 4.1 2.1 PORTAGE AVE BROADWAY Dementia Prevalence 2007/08-2011/12 2752 10.3% 7.0% 11.5% 10.4% 10.5% 10.6% 10.9% 12.6% 8.7%

MARYLANDST

SHERBROOKST Osteoporosis Prevalence 2009/10-2011/12 3453 9.7% 9.3% 9.4% 9.8% 8.6% 10.4% 10.3% 12.3% 7.8% PORTAGE AVE Mood & Anxiety Dis. Prev. 2007/08-2011/12 21011 22.7% 19.1% 22.5% 22.3% 23.5% 23.3% 24.4% 27.4% 18.3% Substance Abuse Prev. 2007/08-2011/12 4475 5.1% 3.4% 4.2% 4.8% 6.2% 5.0% 4.9% 9.8% 2.6% Chlamydia Infections **** 2013 333 342.8 n/a 398.3 971.9 236.8 Gonorrhea Infections **** 2013 33 34.9 n/a 77.4 278.7 23.2 Families - 3+ Risk Factors 2011 n/a 21.3% 23.6% 23.9% 51.8% 11.8% Teen Pregnancy (15-19)** 2012/13 106 17.1 18.4 15.5 38.9 5.1 Low Birth Weight Infants 2007/08-2011/12 n/a 5.0% [s] 5.3% 4.5% 6.0% 5.2% 5.8% 7.0% 5.0% Legend Breastfeeding Initiation 2012/13 903 85.5% 82.9% 86.3% 73.1% 94.1% Major road Children not school-ready 2010/11 n/a 15.7% 15.0% 14.8% 24.3% 8.7% Data Source: 2006 census; Population data Current Smokers 2007-2012 n/a 20% [s] 21% 19% 28% 20% 19% 39% 10% Downtown Community Area is based on records of residents registered Binge Drinking^^^ 2007-2012 n/a 24% 23% 30% 21% 17% 24% 23% 38% 22% Income Quintiles with Health as 2010 Physically Inactive 2007-2012 n/a 49% 35% 55% 44% 46% 45% 43% 59% 36% Fruit & Veg Consumption^^ 2007-2012 n/a 64% 50% 66% 68% 63% 63% 62% 77% 53% Income Quintiles: Based on Average Overweight & Obesity 2007-2012 n/a 59% [s] 61% 58% 62% 56% 54% 65% 46% U1 (Lowest) Household Income by Census Dissemination Childhood Immunization 2007/08 n/a 75.1% 71.5% 72.4% 58.8% 78.9% Area; Calculated by MCHP for urban area of MB U2 Breast Cancer Screening 2010/11-2011/12 6567 53.4% 58.9% 54.4% 54.4% 43.7% 53.4% 51.4% 36.6% 57.5% Cervical Cancer Screening 2009/10-2011/12 21428 51.8% 60.7% 54.8% 48.1% 51.2% n/a 53.4% 46.1% 59.5% U3 Map: Created by Research and Evaluation Unit, WRHA January, 2013 Inadequate prenatal care 2007/08-2008/09 n/a 6.1% 12.3% 7.7% 19.1% 3.8% U4 Looking for a doctor 2007-2012 n/a 55% [s] 52% 50% 65% 56% 53% 70% 41% Use of Physicians 2011/12 80016 80.9% 82.1% 81.3% 80.6% 79.6% 79.1% 81.2% 77.8% 84.1% U5 (Highest) Hospitalization for ACSC ** 2011/12 384 3.7 1.3 3.3 3.9 5.5 6.3 4.1 7.5 2.3 Inpatient Hospitalizations ** 2011/12 7308 70.4 50.0 64.1 67.4 79.9 87.9 65.4 92.5 59.6 Benzodiazepine Prescribing 2010/11-2011/12 2983 19.9% 15.6% 18.8% 21.2% 16.4% 20.5% 19.7% 23.0% 12.6% ~ Excellent/Very Good ~~ High Level ^ in years ^^ Less than 5 times per day ^^^ Once or more per month ◊ value represents high or low * per 100 ** per 1,000 *** per 10,000 **** per 100,000 (not Best or Worst) **** per 100,000 Community Profile | ST. BONIFACE

About this Community Area Profile Prior to the development of community profiles, the Local It also plays an important role in helping stakeholders to Health Involvement Groups (LHIGs) were contacted for their engage with the public in a shared effort to improve the suggestions to help shape community profiles. LHIGs inputs health for everyone. It is possible to build healthy and vibrant were very helpful in developing this profile. The purpose of communities that empower citizens to achieve their best this community area (CA) profile is to provide an overview of physical and mental health. A community profile helps provide socio-demographic, health and wellness data. These data for the objective data for building a better community. St. Boniface will enable the improvement of health status in the Health begins in the community. It is rooted in the community and the quality of life among multiple sectors in circumstances of where individuals live, learn, and work. It is the population. The community profile serves as an important significantly affected by what residents earn as income, and information resource for many organizations and programs who they live and socialize with. associated with health, wellness, and community development. Reading this Profile: Indicators, Data & Graphics In this profile, results for each indicator are presented for St. Findings Boniface overall. Where data has been suppressed due to small In this profile, for selected indicators, differences in time period numbers, it is indicated with an [s]. Blanks indicate where data given in sources such as Manitoba Centre for Health Policy, are not available at the neighborhood cluster (NC) level. 2013, Canadian Community Health Survey, 2013, and Manitoba Charts and Graphics Health, 2014 are reported briefly (for more details see the WRHA CHA 2014 report at wrha.mb.ca/research/cha2014). Most There are a variety of chart styles used is this profile. Dial charts rates are age/sex standardized. describe ratios of 100%, while bar charts describe values from 0 to the highest CA value in Winnipeg. Spine charts are used to Wherever possible we have also made an attempt to compare show groups of several indicators as compared to the value for 2006 and 2011 Census and National Health Survey (NHS) data Winnipeg as a whole, as well as indicating the worst and best to report the socio-demographic findings. value across all CAs. DIAL CHART BAR CHART SPINE CHART

ST. BONIFACE ST. BONIFACE PROPORTION VALUE ST. BONIFACE WPG VALUE VALUE ST. BONIFACE 37% 0% 23% WINNIPEG ST. BONIFACE ST. BONIFACE 24.4% Significantly worse thanSignificantly England average worse than England average VALUE, BEST W No significance can be calculatedNo significance can be calculated AND WORST NC VALUES IF AVAILABLE VALUES Rates or PercentagesNC VALUESRates IFor AVAILABLE Percentages River RiverRiver River River River River River WPG WPG WPG WPG River River Indicator IndicatorTime Period TimeEast Period EastEast East East East EastMB EastWPG MBWorstWPG Worst Best Best East East Count CountNorth East NorthWest SouthEast West South CA CA CA CA Self-Perceived HealthSelf-Perceived ~ 2007-2012 Health ~ 2007-2012n/aAbout51% n/a61%the51%50% At-a-Glance53%61% 39%50% 53%57% Indicator39%58% 57%42% 58% Chart42% 69% 69% General Mental HealthGeneralThe ~~ chart Mental on2005-2010 Health page ~~ 4 provides2005-2010n/a an At-a-Glance37% n/a27% view37%33% of selected42%27% 39%33% count/cases42%40% 39%38% in the40% CA,33% and38% the fourth33% column presents rate/44% 44% Male Life ExpectancyMaleindicators ^ Life Expectancy of2007-2011 health ^ status,2007-2011n/a health78.7 behaviours,n/a82.3 preventive78.778.9 78.882.3 76.278.9 percentage78.877.5 76.278.3 of the77.5 CA71.7 followed78.3 by columns71.7 presenting NCs 81.8 81.8 Female Life ExpectancyFemaleservices, ^ Life andExpectancy2007-2011 health ^ care access.2007-2011n/a The83.8 timen/a87.5 periods83.882.0 stated85.687.5 for 83.382.0 data85.682.2 (if available).83.382.7 82.2 The77.4 worst82.7 performing77.4 NC in the community85.6 85.6 Child Mortality **** Childeach Mortality indicator 2005-2009**** vary depending2005-2009n/a on15.1 the indicatorn/a 15.1 and the data is highlighted33.3 21.3 in 33.3orange.55.5 21.3These columns55.5 are followed by 9.3 9.3 Premature MortalityPrematureavailable ** Mortality to2007-2011 measure ** it. The2007-2011n/a first column2.8 n/a 1.5provides2.82.6 indicator2.91.5 4.12.6 Manitoba2.93.1 4.1and2.9 Winnipeg3.1 5.4 rates/percentages.2.9 5.4 Finally, the table1.9 1.9 Potential Yrs of LifePotentialtitles. Lost ** The Yrs secondof2007-2011 Life Lost column ** 2007-2011 n/apresents37.7 the latestn/a20.4 time37.730.1 period43.420.4 for 54.330.1 shows43.451.5 Winnipeg’s54.345.8 51.5 worst100.3 and45.8 best CAs’100.3 rates/percentages along29.7 29.7 which the data are available, the third column gives exact with graphic illustration of the data. Suicide Death RateSuicide *** Death 2007-2011Rate *** 2007-2011n/a 1.5 n/a 1.5 1.7 1.5 1.7 4.3 1.5 4.3 0.8 0.8 Respiratory DiseasesRespiratory Diseases2011/12 90602011/12 9.2% 90606.8% 9.2% 9.0%6.8% 11.4%9.2% 9.0%9.5% 11.4%9.9% 9.5%13.2%9.9% 13.2% 8.8% 8.8% ST. WORST ST. BONIFACE VALUE, Hypertension IncidenceHypertension * Incidence2011/12 *TIME 1177BONIFACE2011/12 2.9ST. BONIFACE11772.7 2.93.0VALUES 2.7FOR EACH3.0 MB2.73.1 WPG3.03.0 PERFORMING3.1 3.5 3.0 CA 3.5(COLOUR SHOWS BEST PERFORMING2.4 2.4 Hypertension PrevalenceHypertensionINDICATOR Prevalence2011/12PERIOD 198122011/12COUNT24.4%VALUE1981221.5% 24.4%25.1%ST. B NC (IF24.3%21.5% AVAILABLE)25.3%25.1% VALUE24.3%25.6% VALUE25.3%24.6% 25.6%IN28.5% WINNIPEG24.6% 28.5%SIGNIFICANCE) CA IN WINNIPEG22.5% 22.5% Diabetes IncidenceDiabetes * Incidence2009/10-2011/12 * 2009/10-2011/121344 0.75 13440.53 0.750.74 0.730.53 0.940.74 0.730.85 0.940.80 0.851.25 0.80 1.25 0.61 0.61 Diabetes PrevalenceDiabetes Prevalence2009/10-2011/12 2009/10-2011/127074 8.8% 70745.8% 8.8%9.2% 8.4%5.8% 10.9%9.2% 10.0%8.4% 10.9%9.2% 10.0%13.2%9.2% 13.2% 7.1% 7.1% Heart Disease IncidenceHeart *Disease2007/08-2011/12 Incidence * 2007/08-2011/121990 0.67 19900.57 0.670.68 0.660.57 0.840.68 0.660.67 0.840.66 0.670.90 0.66 RANGE OF0.90 VALUES IN WINNIPEG CAs WINNIPEG’S0.50 0.50 Heart Disease PrevalenceHeart Disease2007/08-2011/12 Prevalence 2007/08-2011/126410 7.9% 64106.7% 7.9%8.1% 8.0%6.7% 9.4%8.1% 8.0%7.9% 9.4%7.9% 7.9%9.6% 7.9% 9.6% 6.8%VALUE 6.8% Stroke Event RatesStroke (40+)** Event Rates2007-2011 (40+)** 2007-2011724 2.9 7242.1 2.93.1 3.02.1 2.73.1 3.02.7 2.72.6 2.7 4.1 2.6 4.1 2.12 2.1 Prepared by Evaluation Platform, December 2015 Dementia PrevalenceDementia Prevalence2007/08-2011/12 2007/08-2011/122752 10.3% 27527.0% 10.3%11.5% 10.4%7.0% 10.5%11.5% 10.4%10.6% 10.5%10.9% 10.6%12.6%10.9% 12.6% 8.7% 8.7% Osteoporosis PrevalenceOsteoporosis2009/10-2011/12 Prevalence 2009/10-2011/123453 9.7% 34539.3% 9.7%9.4% 9.8%9.3% 8.6%9.4% 10.4%9.8% 8.6%10.3% 10.4%12.3%10.3% 12.3% 7.8% 7.8% Mood & Anxiety Dis.Mood Prev. & Anxiety2007/08-2011/12 Dis. Prev. 2007/08-2011/1221011 22.7% 2101119.1% 22.7%22.5% 22.3%19.1% 23.5%22.5% 22.3%23.3% 23.5%24.4% 23.3%27.4%24.4% 27.4% 18.3% 18.3% Substance Abuse Prev.Substance Abuse2007/08-2011/12 Prev. 2007/08-2011/124475 5.1% 44753.4% 5.1%4.2% 4.8%3.4% 6.2%4.2% 4.8%5.0% 6.2%4.9% 5.0%9.8% 4.9% 9.8% 2.6% 2.6% Chlamydia InfectionsChlamydia **** Infections2013 **** 3332013 342.8 333 342.8 n/a 398.3 n/a971.9398.3 971.9 236.8 236.8 Gonorrhea InfectionsGonorrhea **** Infections2013 **** 332013 34.9 33 34.9 n/a 77.4 n/a278.7 77.4 278.7 23.2 23.2 Families - 3+ Risk FactorsFamilies - 3+ Risk2011 Factors n/a2011 21.3% n/a 21.3% 23.6% 23.9% 23.6%51.8%23.9% 51.8% 11.8% 11.8% Teen Pregnancy (15-19)**Teen Pregnancy2012/13 (15-19)** 1062012/13 17.1 106 17.1 18.4 15.5 18.438.9 15.5 38.9 5.1 5.1 Low Birth Weight InfantsLow Birth Weight2007/08-2011/12 Infants 2007/08-2011/12n/a 5.0% n/a[s] 5.0%5.3% 4.5%[s] 6.0%5.3% 4.5%5.2% 6.0%5.8% 5.2%7.0% 5.8% 7.0% 5.0% 5.0% Breastfeeding InitiationBreastfeeding Initiation2012/13 9032012/1385.5% 903 85.5% 82.9% 86.3% 82.9%73.1%86.3% 73.1% 94.1% 94.1% Children not school-readyChildren not school-ready2010/11 n/a2010/1115.7% n/a 15.7% 15.0% 14.8% 15.0%24.3%14.8% 24.3% 8.7% 8.7% Current Smokers Current Smokers2007-2012 2007-2012n/a 20% n/a[s] 20%21% 19%[s] 28%21% 19%20% 28%19% 20%39% 19% 39% 10% 10% Binge Drinking^^^ Binge Drinking^^^2007-2012 2007-2012n/a 24% n/a23% 24%30% 21%23% 17%30% 21%24% 17%23% 24%38% 23% 38% 22% 22% Physically Inactive Physically Inactive2007-2012 2007-2012n/a 49% n/a35% 49%55% 44%35% 46%55% 44%45% 46%43% 45%59% 43% 59% 36% 36% Fruit & Veg Consumption^^Fruit & Veg Consumption^^2007-2012 2007-2012n/a 64% n/a50% 64%66% 68%50% 63%66% 68%63% 63%62% 63%77% 62% 77% 53% 53% Overweight & ObesityOverweight & Obesity2007-2012 2007-2012n/a 59% n/a[s] 59%61% 58%[s] 62%61% 58%56% 62%54% 56%65% 54% 65% 46% 46% Childhood ImmunizationChildhood Immunization2007/08 n/a2007/0875.1% n/a 75.1% 71.5% 72.4% 71.5%58.8%72.4% 58.8% 78.9% 78.9% Breast Cancer ScreeningBreast Cancer2010/11-2011/12 Screening 2010/11-2011/126567 53.4% 656758.9% 53.4%54.4% 54.4%58.9% 43.7%54.4% 54.4%53.4% 43.7%51.4% 53.4%36.6%51.4% 36.6% 57.5% 57.5% Cervical Cancer ScreeningCervical Cancer2009/10-2011/12 Screening 2009/10-2011/1221428 51.8% 2142860.7% 51.8%54.8% 48.1%60.7% 51.2%54.8% 48.1%n/a 51.2%53.4% n/a46.1%53.4% 46.1% 59.5% 59.5% Inadequate prenatalInadequate care 2007/08-2008/09prenatal care 2007/08-2008/09n/a 6.1% n/a 6.1% 12.3% 7.7% 12.3%19.1%7.7% 19.1% 3.8% 3.8% Looking for a doctorLooking for a doctor2007-2012 2007-2012n/a 55% n/a[s] 55%52% 50%[s] 65%52% 50%56% 65%53% 56%70% 53% 70% 41% 41% Use of Physicians Use of Physicians2011/12 800162011/1280.9% 8001682.1% 80.9%81.3% 80.6%82.1% 79.6%81.3% 80.6%79.1% 79.6%81.2% 79.1%77.8%81.2% 77.8% 84.1% 84.1% Hospitalization for ACSCHospitalization ** for2011/12 ACSC ** 3842011/12 3.7 3841.3 3.73.3 3.91.3 5.53.3 3.96.3 5.54.1 6.3 7.5 4.1 7.5 2.3 2.3 Inpatient HospitalizationsInpatient ** Hospitalizations2011/12 ** 73082011/12 70.4 730850.0 70.464.1 67.450.0 79.964.1 67.487.9 79.965.4 87.992.5 65.4 92.5 59.6 59.6 Benzodiazepine PrescribingBenzodiazepine2010/11-2011/12 Prescribing 2010/11-2011/122983 19.9% 298315.6% 19.9%18.8% 21.2%15.6% 16.4%18.8% 21.2%20.5% 16.4%19.7% 20.5%23.0%19.7% 23.0% 12.6% 12.6% ~ Excellent/Very Good~ Excellent/Very~~ High Good Level ~~ High Level ^ in years ^ in years ^^ Less than 5 times^^ per Less day than 5 times per^^^ day Once or more per^^^ month Once or more per month ◊ value represents ◊high value or lowrepresents high or low * per 100 * per 100 ** per 1,000 ** per 1,000*** per 10,000 *** ****per per10,000 100,000 **** per 100,000 (not Best or Worst) (not Best or Worst) **** per 100,000 **** per 100,000 OUR HEALTH St. Boniface (05) Community Profile OUR COMMUNITY

The St. Boniface community area (CA) is comprised of two neighborhood clusters (NCs): St. Boniface West (05A) and St. Boniface East (05B). AREA: 47.4 KM2 SOCIO-DEMOGRAPHIC CHARACTERISTICS POPULATION (2014): 59,397 Socio-demographic factors (e.g., age, gender, ethnicity, POPULATION (2009): 54,413 05A primary language) and socioeconomic status (e.g., income, 05A: St. Boniface West education, employment) can influence health outcomes. 05B: St. Boniface East 05B The age distribution of a community impacts the supports Note: Map of St. Boniface on page 11 and services needed in a community. For example, young families and older adults benefit from affordable housing and balanced working hours. Different population groups, varying in income and education levels often have different challenges in maintaining or improving their health. For HIGHLIGHTS instance, Indigenous and vulnerable persons are groups which, in general, face barriers to good health and access to ••The population of this community is steadily increasing from health services. 54,413 in June 2009 to 59,397 in 2014 (9% increase). ••The majority (82%) of residents speak English at home; 9% speak Source: MH, 2014 AGE & GENDER FEMALES MALES French, 5% speak a non-official language at home, and the 0-9 years 3,379 (11%) 3,404 (12%) remaining 4% speak either English and French or English and a 10-19 years 3,375 (11%) 3,399 (12%) non-official language.

20-39 years 8,487 (28%) 8,139 (28%) 40-64 years 10,264 (34%) 10,176 (35%) ••The percentage of residents identifying as Aboriginal has 65-74 years 2,516 (8%) 2,274 (8%) increased from 9.1% in 2006 to 11.3% in 2011. The percentage of 75+ years 2,371 (8%) 1,613 (6%) visible minority residents has increased from 9.4% to 14.1%. The

Source: 2011 Census / National Household Survey ETHNICITY reported percentage of new immigrants during the period of 2006 Aboriginal 5,940 (11%) -2011 was 3.3%. Recent Immigrants (2006-2011) 1,755 (3%) ••The unemployment rate has increased from 4.0% in 2006 to 4.9% Visible Minorities 7,465 (14%) in 2011. EDUCATION ••Attendees at the community engagement event identified the No certificate/diploma/degree (15+ population) 17% main issues of concern as income, education, social belonging, High school diploma or equivalent (15+ population) 28% mental health services, and access to bilingual health care. Postsecondary certificate, diploma or degree (15+ pop.) 55% ••Attendees related that St Boniface offers many opportunities for

EMPLOYMENT leisure, cultural and community activities which promote health. Participation rate (in labour force/15+ population) 69.8% They also indicated that health care access is improving and that Employment rate (employed/15+ population) 66.4% Unemployment rate (unemployed, in labour force) 4.9% there are many high quality services available in both French and English. INCOME ••The percentages of residents who received treatment for total Income under $19,999 13,090 (31%) respiratory diseases, ischemic heart disease, and osteoporosis $20,000-$59,999 19,030 (46%) $60,000-$99,999 7,485 (18%) have significantly decreased over time. $100,000-$124,999 1,115 (3%) ••The percentage of residents who received treatment for diabetes $125,000+ 1,110 (3%) has significantly increased over time. LONE-PARENT FAMILIES ••Male life expectancy at birth has significantly increased over time. Female-led parent 1,745 (78%) Male-led parent 505 (22%) ••The percentage of residents aged 65 and older receiving a flu shot 65+ has significantly decreased over time. Male, living alone 550 (17%) ••During 2007-2012, 65% of residents reported not having a regular Female, living alone 1,475 (38%) medical doctor. 2013 MCHP, Source: LIVING IN PERSONAL CARE HOME 7.0% ••19.2% of St. Boniface residents did not return the National Household Survey (NHS) when compared to Seven Oaks residents’ non-response (17.6%). 3 Prepared by Evaluation Platform, December 2015 CommunityCommunity ProfiProfile | ST. BONIFACE

St. Boniface At-a-Glance Significantly worse than England average BETTER THAN WPG WORSE THAN WPG SIMILAR TO WPG SIGNIFICANCE COULD NOT BE CALCULATED No significance can be calculated

Rates or Percentages St St St WPG WPG St Indicator Time Period Boniface Boniface Boniface MB WPG Worst Best Boniface Count East West CA WPG CA Self-Perceived Health ~ 2007-2012 n/a 58% 63% 46% 57% 58% 42% 69% General Mental Health ~~ 2005-2010 n/a 37% 41% 26% 40% 38% 33% 44% Male Life Expectancy ^ 2007-2011 n/a 80.3 83.3 76.6 77.5 78.3 71.7 81.8 Female Life Expectancy ^ 2007-2011 n/a 84.0 89.8 81.7 82.2 82.7 77.4 85.6 Child Mortality **** 2005-2009 n/a 14.8 33.3 21.3 55.5 9.3 Premature Mortality ** 2007-2011 n/a 2.7 2.2 4.0 3.1 2.9 5.4 1.9 Potential Yrs of Life Lost ** 2007-2011 n/a 33.3 30.6 41.9 51.5 45.8 100.3 29.7 Suicide Death Rate *** 2007-2011 n/a 1.0 1.7 1.5 4.3 0.8 Respiratory Diseases 2011/12 5063 9.0% 8.9% 9.4% 9.5% 9.9% 13.2% 8.8% Hypertension Incidence * 2011/12 646 2.6 2.6 2.8 3.1 3.0 3.5 2.4 Hypertension Prevalence 2011/12 10368 23.1% 23.1% 22.8% 25.6% 24.6% 28.5% 22.5% HEALTH STATUS Diabetes Incidence * 2009/10-2011/12 731 0.74 0.71 0.80 0.85 0.80 1.25 0.61 Diabetes Prevalence 2009/10-2011/12 3652 8.2% 7.9% 8.9% 10.0% 9.2% 13.2% 7.1% Heart Disease Incidence * 2007/08-2011/12 953 0.62 0.64 0.60 0.67 0.66 0.90 0.50 Heart Disease Prevalence 2007/08-2011/12 3237 7.6% 7.4% 8.1% 7.9% 7.9% 9.6% 6.8% Stroke Event Rates (40+)** 2007-2011 288 2.3 2.1 2.8 2.7 2.6 4.1 2.1 Dementia Prevalence 2007/08-2011/12 1340 10.5% 9.0% 12.4% 10.6% 10.9% 12.6% 8.7% Osteoporosis Prevalence 2009/10-2011/12 1939 10.8% 10.1% 11.3% 10.4% 10.3% 12.3% 7.8% Mood & Anxiety Dis. Prev. 2007/08-2011/12 11725 22.9% 21.7% 24.4% 23.3% 24.4% 27.4% 18.3% Substance Abuse Prev. 2007/08-2011/12 2085 4.0% 3.1% 5.5% 5.0% 4.9% 9.8% 2.6% Chlamydia Infections **** 2013 161 288.0 n/a 398.3 971.9 236.8 Gonorrhea Infections **** 2013 22 40.5 n/a 77.4 278.7 23.2 Families - 3+ Risk Factors1 2011 n/a 20.6% 23.6% 23.9% 51.8% 11.8% Teen Pregnancy (15-19)** 2012/13 21 6.0 18.4 15.5 38.9 5.1 Low Birth Weight Infants 2007/08-2011/12 n/a 5.2% 5.1% 5.3% 5.2% 5.8% 7.0% 5.0% Breastfeeding Initiation 2012/13 564 93.2% 82.9% 86.3% 73.1% 94.1% Children not school-ready 2 2010/11 n/a 8.7% 15.0% 14.8% 24.3% 8.7%

BEHAVIOURS Current Smokers 2007-2012 n/a 16% 18% 11% 20% 19% 39% 10% Binge Drinking^^^ 2007-2012 n/a 22% 21% 26% 24% 23% 38% 22% Physically Inactive 2007-2012 n/a 36% 35% 38% 45% 43% 59% 36% Fruit & Veg Consumption^^ 2007-2012 n/a 59% 57% 65% 63% 62% 77% 53% Overweight & Obesity 2007-2012 n/a 46% 42% 57% 56% 54% 65% 46% Childhood Immunization 2007/08 n/a 77.4% 71.5% 72.4% 58.8% 78.9% HEALTH CARE ACCESS Breast Cancer Screening 2010/11-2011/12 3701 54.5% 56.4% 49.9% 53.4% 51.4% 36.6% 57.5% Cervical Cancer Screening 2009/10-2011/12 14007 59.5% 62.1% 53.2% n/a 53.4% 46.1% 59.5% Inadequate prenatal care 2007/08-2008/09 n/a 3.8% 12.3% 7.7% 19.1% 3.8% Looking for a doctor 2007-2012 n/a 65% 73% 67% 56% 53% 70% 41% Use of Physicians 2011/12 47606 83.4% 83.7% 82.5% 79.1% 81.2% 77.8% 84.1% Hospitalization for ACSC ** 2011/12 170 2.8 2.7 3.1 6.3 4.1 7.5 2.3 Inpatient Hospitalizations ** 2011/12 3620 61.4 55.5 66.1 87.9 65.4 92.5 59.6 Benzodiazepine Prescribing 2010/11-2011/12 1663 23.0% 20.0% 27.5% 20.5% 19.7% 23.0% 12.6% ~~ ExcellentExcellent/Very / Very Good Good ~~~~ High LevelLevel ^^ in years ^^^^ Less0-4 times than 5 per times day per day ^^^ once or more per month ◊ value represents high or low * per 100 person yrs. ** per 1,000 *** per 10,000 **** per 100,000 1* Risk per 100factors for maternal health** per 1,000 and child development*** per 10,000**** per 100,000 (not Best or Worst) 2 ****Children per 100,000 “not ready for school” in two or more domains of “Early Development Instrument” 4 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE How Healthy is the Community?

Self-perceived Health

General health is defined as ‘not only the absence of disease Self-Perceived Health or injury but also physical, mental, and social wellbeing’. Self- Very Good / Excellent perceived health and general mental health are important 2007-2012 ST. BONIFACE 58% factors for the well-being of individuals in the community. 0% WORST CA 42% WPG 58% BEST CA 69% FINDINGS ST. B EAST 63% ST. B WEST 46% ••Compared to Winnipeg, a similar proportion of St. Boniface residents reported “excellent” or “very good” self-perceived health and “high level” of general mental health. General Mental Health (SF-36) ••Compared to St. Boniface West, a much better High Level $ proportion of St. Boniface East residents reported 2005-2010 ST. BONIFACE 37% “excellent” or “very good” self-perceived health and “high level” of general mental health. 0% WORST CA 33% WPG 38% BEST CA 44% ST. B EAST 41% + ST. B WEST 26%

Chronic Disease$ Chronic disease is a growing and global problem. It WPG not only burdens individuals suffering from them but +WORSE BETTER also burdens families, communities, and the health care system. Osteoporosis St. B 10.8% 2009/10-2011/12 12.3% W E 7.8% 10.3% FINDINGS ••The percentages of St. Boniface residents who Dementia St. B 10.5% 2007/08-2011/12 12.6% W E 8.7% received treatment for total respiratory diseases, 10.9% ischemic heart disease, and osteoporosis have significantly decreased over time. Heart Disease St. B 7.6% 2007/08-2011/12 9.6% W E 6.8% ••The percentage of residents treated for dementia has 7.9% increased slightly over time (from 10.2% in 2002/03- 2006/07 to 10.5% in 2007/08-2011/12). Stroke St. B 2.3/1,000 2007-2011 4.1 W 2.1 E 2.6 ••Stroke event rate has increased slightly over time (from 2.1 cases per 1,000 residents aged 40+ in 2002- Diabetes St. B 8.2% 2006 to 2.3 in 2007-2011). 2009/10- 13.2% W E 7.1% 2011/12 9.2% ••The percentage of St. Boniface residents who received treatment for diabetes has significantly increased Respiratory Diseases St. B 9.0% over time (from 7.6% in 2004/05-2006/07 to 8.2% in 2011/12 13.2% W E 8.8% 2009/10-2011/12). The increase in diabetes prevalence 9.9% is likely related to earlier detection, treatment, awareness, and self care of residents with diabetes. Hypertension St. B 23.1% 2011/12 28.5% E W 22.5% ••The percentage of St. Boniface residents who received 24.6% treatment for hypertension has remained the same q =St. Boniface E=St. B East over time (23.1% in 2011/12). p=Wpg W=St. B West

5 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE Mental Health & Substance Abuse

Mood & Anxiety Disorders Mental and substance disorders are significant contributors to 2007/08-2011/12 disease burden in communities. These are substantial disorders ST. BONIFACE 23% that impact individuals thinking, mood, perception, orientation or memory that grossly impairs judgment, behaviour, capacity to 0% BEST CA 18% WPG 24% WORST CA 27% recognize reality or ability to meet the ordinary demands of life. ST. B EAST 22% ST. B WEST 24% FINDINGS $ ••The percentage of St. Boniface residents who received Substance Abuse treatment for mood and anxiety disorders has decreased 2007/08-2011/12 slightly over time (from 23.8% in 2002/03-2006/07 to 22.9% in ST. BONIFACE 4.0% 2007/08-2011/12).

0% +BEST CA 2.6% WPG 4.9% WORST CA 9.8% ••The percentage of St. Boniface residents who received ST. B EAST 3.1% treatment for substance abuse has increased slightly over ST. B WEST 5.5% time (from 3.8 in 2002/03-2006/07 to 4.0% in 2007/08- 2011/12). Life Expectancy & Death

Community health is influenced by life expectancy and WPG mortality. Life expectancy is the average number of years that WORSE BETTER is likely to be lived by a group of individuals exposed to the Premature Mortality St. B 2.7/1,000 same mortality conditions until they die. People living longer 2007-2011 5.4 W E 1.9 contribute to the overall health in the community. Nonetheless, 2.9 increasing life expectancy has an impact on support services Suicide St. B 1.0/10,000 required by aging population. For example, home care and 2007-2011 4.3 0.8 personal care homes. 1.5 Potential years of life lost (PYLL) is an important health Child Mortality St. B 14.8/100,000 indicator of a community. PYLL estimates the average years a 2005-2009 55.5 9.3 21.3 person would have lived if he/she had not died prematurely. $ Acute and chronic disease conditions and injuries (intentional Female LE* St. B 84.0YRS or unintentional) result in premature death of individuals. One 2007-2011 77.4 W 85.6 E 82.7 of the biggest challenges to achieving healthy communities is to prevent and manage disease conditions and injuries–in Potential Years of Life Lost St. B 33.3YRS effect, lowering the premature death rate. 2007-2011 100.3 + 29.7 W E 45.8 FINDINGS Male LE* St. B 80.3YRS 2007-2011 71.7 W 81.8 E ••Premature mortality rate (PMR) has remained somewhat 78.3 the same over time (2.7 per 1,000 residents in 2007-2011). ••Suicide death rate has increased slightly over time (from 0.9 q =St. Boniface E=St. B East per 1,000 residents aged 10+ in 2002-2006 to 1.0 in 2007- p=Wpg W=St. B West 2011). * Life Expectancy ••Child mortality rate has increased over time in St. Boniface (from 10.7 per 100,000 children aged 1-19 in 2000-2004 to

Winnipeg Regional Health Authority COMMUNITY HEALTH 14.8 in 2005-2009). ASSESSMENT 2014 ••Female life expectancy at birth has remained somewhat the same over time (84 years). ••Potential years of life lost (PYLL) in St. Boniface has increased over time (from 30.2 years per 1,000 residents in 2002-2006 to 33.3 years in 2007-2011). Complete report available at wrha.mb.ca/research/ ••Male life expectancy at birth has significantly increased cha2014. over time (from 78.9 years in 2002-2006 to 80.3 years in 2007-2011). 6 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE

Reproductive & Developmental Health

Reproductive and developmental health indicators have an Low Birth Weight impact on safe motherhood, child survival, and reduction of maternal and child morbidity and/or mortality. Socio-economic 2007/08-2011/12 ST. BONIFACE 5.2% factors influence reproductive health, teen pregnancies, and teen births. 0% BEST CA 5.0% WPG 5.8% WORST CA 7.0% ST. B EAST 5.1% FINDINGS ST. B WEST 5.3% $ ••The percentage of low birth-weight infants has increased slightly over time in St. Boniface (from 5.0 per 100 live infants Families with 3 per year in 2002/03-2006/07 to 5.2% in 2007/08-2011/12). or more risk factors ••The percentage of mothers with newborns who screened 2011 + ST. BONIFACE 21% positive for 3 or more risk factors for maternal health and child’s development has increased over time in St. Boniface 0% BEST CA 12% WPG 24% WORST CA 52% (from 14.2% in 2003 to 20.6% in 2011). ••Teen pregnancy rate has decreased over time in St. Boniface Teen Pregnancy (from 9.3 per 1,000 females aged 15-19 in 2010/11 to 6.0 in 2012/13 2012/13). ST. BONIFACE /1,000 6.0 Early childhood development has an impact on the emotional 0 BEST CA 5.1 WPG 15.5 WORST CA 38.9 and physical health of individuals in their later years. Research indicates that children who begin school and are ready to learn will have future success in learning throughout their Children Not Ready lives. Early development Instrument (EDI) scores are used to for School assess if children are ready or not ready for school. EDI results 2010/11 are a reflection of the strengths and needs of children in ST. BONIFACE 8.7% communities. 0% BEST CA 8.7% WPG 14.8% WORST CA 24.3% FINDINGS ••The percentage of children “not ready for school” in two or more domains of EDI has decreased (from 15% to 9%) over the years (2005/06-2010/11) in St. Boniface. And after combining data from all four years, the percentage of children who were “not ready for school” (11%) has been significantly lower than Manitoba’s baseline percentages (14%). $ + Sexually Transmitted Infections (STIs) Chlamydia STIs have serious outcomes. Several STIs may not show early 2013 symptoms. As a result, there are greater risks of passing the ST. BONIFACE /100,000 288.0 infection to others. However, STIs can be treated and individuals can be cured. 0 BEST CA 237 WPG 398 WORST CA 972 FINDINGS ••Compared to the Winnipeg’s rate of 398.3 per 100,000 in Gonorrhea 2013, St. Boniface’s chlamydia infection rate of 288.0 has been 2013 ST. BONIFACE 40.5/100,000 better. Similarly, St. Boniface’s gonorrhea infection rate of 40.5 per 100,000 in 2013 has also been better than Winnipeg’s at BEST CA 23 WPG 77 WORST CA 279 77.

7 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE What Determines Health in the Community? Community engagement session(s) were undertaken in order The majority of participants’ views and discussions were around to meet with the community members and various agency social determinants of health and health equity--factors that staff to look behind the numbers to understand health in impact the health in the community. Participants’ views are each community. Thanks to the Community Facilitators who strongly supported by the literature. organized these sessions for Evaluation Platform member(s) Several factors influence the health and well-being of a to lead. Broadly, the following questions were posed to community. Some factors increase the risk of ill health and participating members. some decrease its risk. Mostly these factors are interrelated What do you think impacts/affects the health of people in and contribute towards both positive and negative impacts on your community? the community’s health. However, some of these factors are modifiable and, therefore, can improve the health and well- What is it you would like others (in & outside the being of a community. community) to know about the health of those who live in St. Boniface community area. Since several factors are interrelated, participants’ views often included more than one factor when they were explaining how the community’s health and well-being is impacted. Participant voices are presented below.

Community Voices

Education, Employment Access to Care/Programs & Income • St Boniface has many high quality • Some of the residents here are poor services in French and English. and do not have financial stability and Mental Health • St Boniface has many opportunities this in turn impacts their health and for health care and leisure, cultural well-being. • Knowing where and how to connect and community activities to promote to mental health support and services • Level of education is an important health, but it can be difficult to find. when needed, especially for children factor for long term health outcomes and youth. • Public transportation closer to some in St Boniface. community centres and schools in • Mental health services that are not East St-Boniface. available/accessible in French - system • Transition from support systems Housing navigation and in particular in French. can be challenging ex: homecare – • Lack of choices for affordable quality hospital- home. • How to address the mental health housing for newcomers and seniors needs of youth in school. • Choices of adequate and quality especially single seniors. childcare spaces, including French. • Child and parents centres (both in Early Childhood Development French and English) offer quality programs, are well utilized and • Choices of adequate and quality appreciated. childcare spaces, including French. • Child and parents centres (both in French and English) offer quality programs, are well utilized and appreciated.

8 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE What Determines Health in the Community? The following sections discuss some of these factors which have been categorized into socio-economic determinants, health behaviors, and health care access.

Education$ & Employment

No certificate, degree, or diploma Education impacts an individual’s job opportunities and income 15+ Population level. It also helps individuals to better understand their health 2011 ST.+ BONIFACE 17% options and make informed choices about health. People with higher education tend to be healthier than those with less formal 0% BEST CA 13% WPG 20% WORST CA 36% education. Offering to partner with other organizations to ST. B EAST 16% deliver informal education (e.g. skills building workshops) could ST. B WEST 19% contribute towards improved individual and community health. Participation in Labour Force FINDINGS 15+ population by labour force status 2011 ST. BONIFACE 70% ••The percentage of individuals in St. Boniface with no certificate, diploma or degree has decreased from 20.6% in 0% WORST CA 61% WPG 68% BEST CA 72% 2006 to 17% in 2011. ST. B EAST 70% ST. B WEST 69% ••The percentage of individuals having a high school certificate or equivalent was 26.8% in 2006 and has increased by 1.2% in Employment Rate 2011. 15+ population by labour force status Employment provides income to individuals. It not only 2011 ST. BONIFACE 66% helps improve individuals’ lives but also helps build stronger 0% WORST CA 55% WPG 64% BEST CA 68% communities. The participation rate refers to the number of ST. B EAST 67% people who are either employed or actively looking for work. ST. B WEST 65% FINDINGS Unemployment Rate ••The labor force participation rate in St. Boniface was 70.6% in 15+ population 2006 and has decreased by 0.8% in 2011. 2011 ST. BONIFACE 4.9% ••The employment rate has decreased from 67.8% in 2006 to 0% BEST CA 4.7% WPG 5.9% WORST CA 9.5% 66.4% in 2011. ST. B EAST 4.5% ST. B WEST 5.7% ••The unemployment rate has increased from 4.0% in 2006 to 4.9% in 2011. Material and Social Deprivation

Better health is also influenced by social support and connectedness Material Deprivation (2006) $ that an individual has with their family, friends, and community. ST. BONIFACE -0.68 Community connectedness reflects our commitment to shared resources and systems. Hence having community centers and 3 BETTER WPG WORSE 4 -1.50 -1.00 -0.50 0.00 0.50 1.00 1.50 programs, transportation system, and social safety nets could enhance the health of individuals living in the community. -0.82 + ST. B EAST -0.34 ST. B WEST Material deprivation higher than zero means that the community has a higher proportion of lower average household income, higher unemployment rate, and a higher proportion of individuals without Social Deprivation (2006) high school graduation. Social deprivation higher than zero means ST. BONIFACE 0.14 that the community has a higher proportion of individuals who are separated, divorced, or widowed, living alone and a higher proportion 3 BETTER WPG WORSE 4 -1.50 -1.00 -0.50 0.00 0.50 1.00 1.50 of the population that has moved at least once in the past five years.

-0.30 ST. B EAST FINDINGS ST. B WEST 1.21 ••St. Boniface has a material deprivation score of -0.68 (lower than zero = better) and social deprivation score of 0.14 (higher than zero = worse). Material deprivation score has been significantly worse 9 Prepared by Evaluation Platform, December 2015 than Manitoba score (-0.02). Map 2.1.C Winnipeg Regional Health Authority (the Region) Community Income Distributions (Based on average household income by census dissemination area)

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L U3 with Manitoba Health as 2010 Major road needs to be considered when designing community U4 Source: 2006 Census; Population data is based on records of residents registered with Manitoba Health as 2010 St. Boniface Community Area Income Quintiles: Based on Average Income Quintiles: Based on Average Household Income by Census Dissemination Area; Calculated by MCHP for urban area of MB Household Income by Census Dissemination Map: Created by Research and Evaluation Unit, WRHA January, 2013 HighestU5 (Highest) income quintile programs and services to improve access for all. Y Income Quintiles HW Area; Calculated by MCHP for urban area of MB TER IME PER Y HW MCHP10 TER IME PER Map: Created by Research and Evaluation U1 (Lowest) Unit, WRHA January, 2013 FINDINGS U2 U3

22 COMMUNITY HEALTH ASSESSMENT 2014 U4 ••Median individual income of St. Boniface has U5 (Highest) increased from $29,880 in 2005 to $35,099 in 2010. MEDIAN MEDIAN Similarly, median household income has increased HOUSEHOLD INDIVIDUAL from $58,840 to $68,939. 2011 NHS ST. BONIFACE $68,939 $35,099 ST. BONIFACE WEST $45,911 $29,622 ••Average individual income of St. Boniface has ST. BONIFACE EAST $80,877 $37,730 increased from $36,501 in 2005 to $42,499 in 2010. Similarly, average household income has increased from $70,148 to $81,888. ••In the 2011 National Household Survey (NHS) report, low-income statistics are presented based on the after- Low income residents tax low-income measure (LIM-AT). This measure is not 2011 ST. BONIFACE related to the low-income cut-offs (LICO) presented in 11% the 2006 Census and therefore prevalence rates of low 0% BEST CA 8% WPG 16% WORST CA 33% income are not comparable. ST. B EAST 7% ST. B WEST 21%

Renting, spending more than Affordable housing is yet another important factor that 30% of income on housing influences health. People in households that spend 30% 2011 or more of total household income on shelter expenses ST. BONIFACE 35% are considered to be having ‘housing affordability’ problems. Thus, these people are constrained from 0% BEST CA 31% WPG 37% WORST CA 45% making healthier choices and could experience physical ST. B EAST 34% ST. B WEST 35% and mental health problems. FINDINGS ••The percentage of tenant households spending 30% or more of household total income on shelter costs Owned, spending more than in St. Boniface has decreased from 35.7% in 2006 to 30% of income on housing 34.6% in 2011. 2011 ST. BONIFACE 12% ••The percentage of owner households spending 30% or more of household total income on shelter costs 0% BEST CA 12% WPG 14% WORST CA 18% has increased from 10.6% in 2006 to 11.8% in 2011. ST. B EAST 10% ST. B WEST 16%

10 Prepared by Evaluation Platform, December 2015 West Midlands Public Health Observatory Spine Chart Tool v4

Key: England Key:

Significantly better than England average Not significantly different from England average Community Profile | ST. BONIFACE Significantly worse than England average No significance can be calculated At-a-Glance Regional Key: Selected indicators from 2011 Census & NHS ST. BONIFACE

WPG Worst WPG Best Indicator St Boniface MB WPG

EDUCATION CA WPG CA 1 No certificate, diploma or degree 17.2% 25.1% 19.7% 35.9% 12.7% 2 High school diploma or equivalent 27.5% 27.7% 28.6% 25.0% 33.1%

3EMPLOYMENT Postsecondary certificate, diploma or degree 55.3% 47.2% 51.7% 35.6% 61.2% 4 Labour participation rate 69.8% 67.3% 68.3% 61.2% 72.0% 5 Employment rate 66.4% 63.1% 64.3% 55.4% 68.2%

6HOUSING Unemployment rate 4.9% 6.2% 5.9% 9.5% 4.7% 7 Renting,shelter costs are 30% or more of household income 34.6% 35.4% 37.5% 45.0% 31.2% 8 Owner, shelter costs are 30% or more of household income 11.8% 13.0% 14.0% 17.7% 11.6%

9INCOME Low income in 2010 based on after-tax low-income measure % 10.8% 16.4% 16.4% 33.3% 8.0%

10 Median individual income $35,099 $29,029Su $30,455 $21,801 $38,440 lkers B ow 11 Median household income $68,939 $57,299 $58,503 en $36,298 $81,462

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St. Boniface 11 Prepared by Evaluation Platform, December 2015 NC_StBoniface Main Roads Major Roads Community Profile | ST. BONIFACE

Health Behaviours

Individual health behaviors help to maintain ST. B EAST 21% Binge Drinking physical and mental health and reduce the risk of ST. B WEST 26% chronic conditions. Exercising daily and eating fruits 0% $ and vegetables daily are recommended to minimize

2007-2012 22% WINNIPEG 23% $ ST. BONIFACE disease burden. Similarly, it is recommended to avoid WORST CA 38% smoking and binge drinking. BEST CA 22% + + FINDINGS ••The percentage of binge drinking residents has increased from 16% in 2001-2005 to 22% in 2007- 2012. In 2007-2012, 52% of residents reported that they never drank; 26% identified as having 5 or ST. B EAST 18% more drinks on one occasion less than once per Tobacco Use ST. B WEST 11% month.

0%

2007-2012 16% WINNIPEG 19% ••The percentage of current smokers (daily or ST. BONIFACE WORST CA 39% occasionally) has decreased from 22% in 2001- $ BEST CA 10% 2005 to 16% in 2007-2012. In 2007-2012, 46% of residents identified as being former smokers; 38% identified as non-smokers. ••The percentage of residents exposed to second + hand smoke at home has decreased from 16% in Less Than 5 Daily 2003-2005 to 8% in 2007-2012. In 2007-2012, 92% ST. B EAST 57% Servings of Fruit & Veg of residents identified as not being exposed to ST. B WEST 65% second hand smoke. 0% 59% 2007-2012 ST. BONIFACE WINNIPEG 62% ••The percentage of residents consuming fruits and WORST CA 77% vegetables less than 5 times a day has decreased BEST CA 53% from 70% in 2001-2005 to 59% in 2007-2012. In 2007-2012, 41% of residents identified as having fruits and vegetables more than 5 times a day. $ ••The percentage of overweight/obese adults has Overweight & decreased from 54% in 2001-2005 to 46% in 2007- 2012. In 2007-2012, 54% of residents identified as ST. B EAST 42% Obesity being either underweight or normal. + ST. B WEST 57% ••During the period 2007-2012, 36% of residents 0%

2007-2012 46% WINNIPEG 54% reported being physically inactive. The remaining ST. BONIFACE WORST CA 65% 64% residents identified as being physically active. BEST CA 46%

Physically$ Inactive ST. B EAST 35% ST. B WEST 38% 0%

2007-2012 36% WINNIPEG 43% ST. BONIFACE + WORST CA 59% BEST CA 36%

12 Prepared by Evaluation Platform, December 2015

$ + Community Profile | ST. BONIFACE

Health Care Access, Immunization & Screening

Immunization typically is the administration of a vaccine Childhood Immunization in order to make an individual immune or resistant to an Aged 2 years infectious disease(s). Screening is a process to prevent 2007/08 ST. BONIFACE 77% or recognize a disease in an individual when there are no $ visible signs and symptoms. Immunization and screening 0 WORST CA 59% WPG 72% BEST CA 79% at medically defined age intervals are vital for the prevention of disease in the community. Prenatal care (PNC) is an important preventive care. It helps to achieve Breast Cancer Screening a healthy pregnancy and birth which positively impacts 2010/11-2011/12+ ST. BONIFACE 55% children’s health in the early years of life.

0% WORST CA 37% WPG 51% BEST CA 58% FINDINGS ST. B EAST 56% • Immunization rate for children aged 2 years in St. ST. B WEST 50% Boniface has remained the same over time (77% in 2007/08). • The percentage of residents aged 65 and older Cervical Cancer Screening receiving a flu shot has significantly decreased over 2009/10-2011/12 ST. BONIFACE 60% time (from 64% in 2006/07 to 58% in 2011/12). • During 2010/11-2011/12, 55% of women aged 50-69 0% BEST CA 60% WORST CA 46% WPG 53% years had a screening mammography for breast cancer. ST. B EAST 62% ST. B WEST 53% • During 2009/10-2011/12, 60% of women aged 15 and older had a cervical screening (Pap test) for cancer. Inadequate Prenatal Care • In 2007/08-2008/09, the proportion of women with 2007/08-2008/09 inadequate prenatal care (PNC) (3.8%) in St. Boniface ST. BONIFACE 3.8% has been lower than Winnipeg’s at 7.7%.

0% BEST 3.8% WPG 7.7% WORST 19.1 Access to health services is essential for maintaining and improving community health. To meet the health needs (prevent, diagnose, and treat illness) of communities, the Looking for a regular Region and Manitoba’s Minister of Health are responsible medical doctor for providing quality services. 2007-2012 ST. BONIFACE 65% FINDINGS • During 2007-2012, 65% of St. Boniface residents 0% BEST CA 41% WPG 53% WORST CA 70% reported not having a regular medical doctor and were ST. B EAST 73% ST. B WEST 67% looking for one. • The percentage of residents who attended at least one Use of physicians ambulatory visit (use of physician) in a given year has 2011/12 decreased by one percent over time (from 84.3% in ST. BONIFACE 83% 2006/07 to 83.4% in 2011/12). 0% LOWEST 78% WPG 81% HIGHEST 84% • Inpatient hospitalization has significantly decreased ST. B EAST 84% over time (from 66.4 per 1,000 residents in 2006/07 to ST. B WEST 83% 61.4 in 2011/12). • The percentage of residents aged 75 years and older and living in a personal care home has significantly decreased over time (from 8.6% in 2005/06-2006/07 to 7.0% in 2010/11-2011/12). • The percentage of community-dwelling seniors (aged 75 years and older) using benzodiazepines has remained somewhat the same over time (23.0% in 2010/11-2011/12).

13 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE

How Healthy Are Residents in Social Housing?

Having a place to live is very important for health and well- to the general population in Manitoba, residents living in being of all community residents. In order to have affordable Manitoba social housing do not live as long, are more likely to housing, some residents compromise and spend less on have schizophrenia, are more likely to commit suicide, and are necessary requirements such as, food, clothing, and healthcare less likely to finish high school (MCHP, 2013). That said, social needs. This may lead to ill-health. housing cannot address all the issues that are linked to poverty and poor health. Therefore, the data presented below may help Manitoba housing provides a wide range of subsidized review existing social programs in St. Boniface and their impact housing for residents with low income. However, it appears that on the health and wellbeing of residents in poverty. growing cost of living impedes the health of residents living in social housing. Researchers found that, when compared

Morbidity$ and Mortality

LEGEND + SOCIAL HOUSING RESIDENTS ALL OTHER RESIDENTS

Better than all other St. Boniface residents Worse than all other St. Boniface residents No difference compared to all other St. Boniface residents Premature Mortality Total Respiratory Morbidity 1999-2008, per 1000 age 0-74 2008/09, proportion all ages 8.9 18.2% ST. BONIFACE ST. BONIFACE 2.5 9.0%

WINNIPEG 7.1 WINNIPEG 19.0% 3.0 10.6%

Injury Hospitalization Schizophrenia 1999/00-2008/09, per 1000 2004/05-2008/09, proportion age 10+ 14.7 6.2% ST. BONIFACE ST. BONIFACE 5.2 1.1%

WINNIPEG 16.2 WINNIPEG 5.9% 6.4 1.1%

Diabetes Prevalence Mood and Anxiety Disorders 2006/07-2008/09, proportion age 19+ 2004/05-2008/09, proportion age 10+ 17.6% 40.3% ST. BONIFACE ST. BONIFACE 7.6% 22.4%

WINNIPEG 19.1% WINNIPEG 38.9% 8.6% 23.9%

14 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE Children & Adolescents

SOCIAL HOUSING RESIDENTS ALL OTHER RESIDENTS

Better than all other St. Boniface residents Worse than all other St. Boniface residents No difference compared to all other St. Boniface residents Mothers with 3+ Risk Factors Children Not Ready for School in 1+ Domain FY 2003/04 and 2007/08 School Years 2005/06 and 2006/07, proportion of students 52.4% 50.0% ST. BONIFACE ST. BONIFACE 17.4% 23.8%

WINNIPEG 49.9% WINNIPEG 45.8% 18.6% 26.1% $

Breastfeeding Initiation High School Completion 2004/05-2008/09, proportion of+ newborns School Years 2007 & 2008, proportions of graduates 67.5% 69.2% ST. BONIFACE ST. BONIFACE 90.8% 89.9%

WINNIPEG 65.8% WINNIPEG 45.3% 84.9% 82.1%

Complete Immunization by Age 2 Teen Pregnancy 2007/08-2008/09, proportion of children born 2005/06-2006/07 2004/05-2008/09, per 1000 females age 15-19 51.9% 150.9 ST. BONIFACE ST. BONIFACE 67.2% 21.0

WINNIPEG 57.7% WINNIPEG 155.3 67.5% 36.3

Screening & Healthcare Utilization

Breast Cancer Screening Complete Physicals 2007/08-2008/09, proportion females 50-69 2008/09, proportion all ages 38.7% 45.6% ST. BONIFACE ST. BONIFACE $ 65.0% 50.5%

WINNIPEG 37.1% WINNIPEG 44.7% + 62.7% 47.4%

Cervical Cancer Screening Majority of Care from a Single Physician RHA, 2006/07-2008/09, proportion females 18-69 2008/09, proportion, all ages 70.3% 65.8% ST. BONIFACE ST. BONIFACE 76.2% 72.4%

WINNIPEG 63.8% WINNIPEG 65.2% 71.7% 75.6%

15 Prepared by Evaluation Platform, December 2015 Community Profile | ST. BONIFACE

User Notes

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