Five Hills Health Region Health Status Report 2005 Five Hills Health Region Health Status Report, 2005 Produced by Public Health Services 107 110 Ominica St. W. Moose Jaw, SK S6H 6V2 Tara Schellenberg, Epidemiologist Dr. Mark Vooght, Medical Health Officer July 2005 For more information please contact: Tara Schellenberg (306) 691-1541 [email protected] Reference As: Schellenberg, T., Vooght M. Five Hills Health Region Health Status Report 2005. Public Health Services, Moose Jaw, 2005. Table of Contents Introduction 1 1.0 Population Demographics 4 1.1 Five Hills Health Region 4 1.2 Covered Population 4 1.2.1 Population Density 5 1.2.2 Age and Gender 7 1.3 Projections and Change 8 1.3.1 Population Projection 8 1.3.2 Population Change 9 1.3.3 Mobility 10 1.3.4 Births and Natural Increase 10 1.4 Families 12 1.4.1 Dependency ratio 12 1.4.2 Single Parent Families 12 2.0 Health Status 2.1 Mortality 2.2 Health Conditions 2.3 Human Function 2.4 Well-Being 3.0 Non-Medical Determinants of Health 3.1 Health Behaviors 3.2 Living & Working Conditions 3.3 Environmental Factors 4.0 Health System Performance 4.1 Accessibility 4.2 Effectiveness 4.3 Resources Data Sources and References ii Introduction The Health Status Report is divided into chapters and the first installment of this report will be the Demographics chapter. This will include topics such as covered population, age and gender, population projections, births and natural increase. The other chapters will be added as they are completed. All the chapters are listed in the table of contents. There is also a table containing all indicators that will be covered in this report. 1 FHHR Indicators derived from the Canadian Institute of Health Information Structural Framework of Health Indicators Health Status Deaths Health Conditions Human Function Well-being - Infant mortality - Body mass index - Functional health - Self-rated health - Perinatal deaths - Arthritis & rheumatism - Two-week disability - Self-esteem - Life expectancy - Diabetes days - Stress - Asthma - Activity limitation Mortality crude - Chronic pain - severity - Conditions causing counts/rates, age- - Depression activity limitation standardized rates: - Low birth weight - Chronic pain – activity - Total mortality - High birth weight limitation - All circulatory disease - Very low birth weight - Disability-free life deaths expectancy - Ischemic heart disease Cancer incidence, age- - Health expectancy deaths standardized rates: - Life expectancy - Cerebrovascular - All cancer incidence disease deaths - Lung cancer incidence - All other circulatory - Colorectal cancer disease deaths incidence - All cancer deaths - Breast-female cancer - Lung cancer deaths incidence - Colorectal cancer - Prostate cancer incidence deaths - Breast-female cancer - Injury hospitalizations deaths - Food & water borne - Prostate cancer deaths diseases - All respiratory disease - Injuries deaths - Crude morbidity rate - Pneumonia & - Age-standardized influenza deaths morbidity rate - Bronchitis, - Total morbidity for all emphysema & asthma causes deaths - All other respiratory disease deaths - Suicide - Unintentional injury deaths - AIDS deaths Potential Years of Life Lost rate: - Total PYLL - All cancer PYLL - All circulatory PYLL - Unintentional injury PYLL - Suicide PYLL 2 Non-Medical Determinants of Health Health Behaviors Living & Working Environmental Factors Conditions - Smoking status - Work-related injuries - Exposure to second-hand smoke - Quitting smoking - High school graduates - Air quality - Smoking initiation - Post-secondary graduates - Water quality - Frequency of heavy drinking - Average number of years of - Climate - Leisure-time physical activity schooling - Crime rate & youth crime rate - Breastfeeding practices - Unemployment rate - Owner-occupied dwellings - Dietary practices - Long-term unemployment - Household size - Teen pregnancy - Low income rate - Drug use - Children in low income families - Sexual activity - Income equality - Oral health - Decision latitude at work - Government transfer income Health System Performance Accessibility Effectiveness - Blood pressure check - Pertusis - Influenza immunizations, 65yrs & - Measles over - Tuberculosis - Screening mammography, women - HIV 50-69 - Chlamydia - Pap smears, age 18-69 - Pneumonia & influenza hospitalizations - Childhood immunizations - SARS - West Nile virus - Viral pandemic planning Deaths due to medically-treatable diseases, age-standardized rates: - Bacterial infections - Cervical cancer - Hypertensive disease - Pneumonia & unspecified bronchitis Community and Health System Characteristics Community Resources - Population - Health expenditures - Population projections - Doctors - Population density - Nurses - Dependency ratio - Other health professionals - Urban/ Rural population - Hospital beds - 1 & 5 year mobility - Programs - Single parent families - Patient satisfaction - Birth rates - Fertility rates - Natural increase - Aboriginal population 3 1.0 Population Demographics 1.1 Five Hills Health Region • Is one of 13 Health Regions in Saskatchewan Athabasca Health Authority • Merger of Moose Jaw Thunder Creek Health District and South Country Health District • Is made up of a grassland eco-region • Contains one first nations reserve • Moose Jaw is the largest city • 37 cities, towns and villages (84%) of pop. Keewatin Yatthé • 33 rural municipalities (15%) of pop. • Encompasses 27,700 km2 Mamawetan Churchill River Population Distribution of FHHR, 2004 Prairie North 528, 1% 8360, 15% Prince Albert Parkland Kelsey Trail city Saskatoon Towns and Villages Heartland Rural municipalities Sunrise 12542, 22% Registered Indians 34707, 62% Regina Qu'Appelle Cypress Five Hills Sun Country 1.2 Covered Population Total Populations of Five Hills Health Region, Saskatchewan, South Country Health District and Moose Jaw Thunder Creek Health District, 2004 FHHR 55,629 Males 27,472 Females 28,157 SK 1,018,057 Males 505,528 Females 512,529 Source: Sask Health 4 1.2.1 Population Density There are 55,629 residents in the Five Hills Health Region (2004) distributed (not evenly) over 27,700 km2, which is equal to about 2.01 people per square kilometer or 201 per 100 kms2 (Saskatchewan is 167 per 100 kms2). Most of the population is centered in and around Moose Jaw. Assiniboia, Gravelbourg and Caronport are other places that many residents live. There is only one First nation Reserve in Five Hills but most of the registered Indians do not live on it. The map below indicates the population density of the region by the number of people in urban municipalities (Source: Sask Health data). Legend Urban Municipalities, 2004 Population Densities 21 - 109 ELBO W 109 - 183 MIS TUSINNE CRAIK 183 - 509 AY LES BURY RIVERHURST TUGASKE CHAMBE RLA IN 509 - 2700 CENTRAL BUTTEEYEBROW BROW NLE E 2700 - 34707 NORTH GROVE KEELERSUN VALLEY TUXFORD FHHR CHAPLIN MORTLACHCARONPORT MOOSE JAWBELLE PLAINE DRINKWAT ER SHAMROCK ROULEAU CODERRE BRIE RCRE S T BATEMAN BAYA RDAVONLE A MOSSBANK GRAV ELBO URG VA NTAGE CONGRESS ORMISTON LAFLECHE KINCA ID MEYRONNELIMERICK ASSINIBOIA VICEROY WOO D MOUNTAIN WILLOW BUNCH LISIEUX RO CK GL EN Main St., Moose Jaw Moose Jaw River, Moose Jaw 5 Population for FHHR by city, town, RM and reserve, 2004 NAME POPULATION NAME POPULATION Moose Jaw 34,707 Loreburn RM 55 Assiniboia 2,700 Maple Bush RM 153 Central Butte 492 Huron RM 205 Craik 509 Craik RM 265 Gravelbourg 1,298 Sarnia RM 72 Lafleche 492 Enfield RM 310 Mossbank 404 Eyebrow RM 195 Rockglen 492 Marquis RM 249 Rouleau 490 Dufferin RM 99 Willow Bunch 398 Chaplin RM 119 Avonlea 441 Wheatlands RM 156 Aylesbury 60 Caron RM 416 Belle Plaine 72 Moose Jaw RM 470 Briercrest 157 Pense RM 206 Brownlee 109 Shamrock RM 208 Caronport 1,294 Rodgers RM 120 CFB Bushell Park 307 Hillsborough RM 60 Chamberlain 126 Baildon RM 391 Chaplin 325 Redburn RM 207 Coderre 74 Glen Baine RM 146 Drinkwater 91 Gravelbourg RM 332 Elbow 348 Sutton RM 267 Eyebrow 183 Lake Johnson RM 148 Glentworth 122 Terrell RM 244 Hazenmore 84 Elmsthorpe RM 266 Keeler 21 Pinto Creek RM 204 Kincaid 177 Wood River RM 299 Limerick 165 Stonehenge RM 433 Marquis 151 Lake of the Rivers RM 275 Meyronne 52 Excel RM 550 Mortlach 349 Waverley RM 305 Riverhurst 165 Old Post RM 356 Shamrock 63 Willow Bunch RM 424 Sun Valley 21 Poplar Valley RM 155 Tugaske 133 Wood Mountain Reserve 21 Tuxford 103 Registered Indians 528 Wood Mountain 74 The names are listed alphabetically first by city, town, village, RM and reserve. Source: Sask Health 6 1.2.2 Age and Gender Population Age Distribution for Five Hills Health Region, 2004 Population Age Distribution for Saskatchewan, 2004 95 Plus 95 Plus 85 to 89 85 to 89 75 to 79 75 to 79 65 to 69 65 to 69 55 to 59 55 to 59 Female 45 to 49 45 to 49 Male 35 to 39 35 to 39 25 to 29 25 to 29 15 to 19 15 to 19 5 to 9 5 to 9 Under 1 Under 1 3000-3000 2000 -2000 1000 -1000 0 1000 2000 3000 50,000-50,000 40,000 -40,000 30,000 -30,000 20,000 -20,000 10,000 -10,000 0 10,000 20,000 30,000 40,000 50,000 Population The population pyramid for FHHR (2004) is similar to that of the Province for 2004. There are a higher proportion of seniors (65+) in the FHHR compared to the province. Most of the population of Five Hills and Saskatchewan is concentrated around the ages of 10 to 20 and 40 to 50. Source: Sask Health. Distribution (%) of FHHR and SK Residents by 10 Year Age Groups, 2004 18.0 16.0 14.0 12.0 10.0 FHHR SK 8.0 Percentage 6.0 4.0 2.0 0.0 Under 1 1 to 9 10 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70 to 79 80 to 89 90 plus Age Group The population of Five Hills has a higher distribution of older people, starting at 40 years, compared to the Province. Source: Sask Health. 7 1.3 Projections and Change Population Projection for Five Hills Health Region, 1971-2021 70000 1.3.1 Population Projection Is based on Census Data 65000 taken every five years. 60000 The population of Five Hills has been steadily decreasing Actual 55000 since 1986 and is predicted Predicted to keep decreasing for the Number next 15 years.