River East OUR COMMUNITY Community Area Profile, 2015 Winnipeg Regional Health Authority (WRHA)

OUR HEALTH River East OUR COMMUNITY Community Area Profile, 2015 Winnipeg 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 River East--a community supported of River East (2014 pop 97,603)--the food-cooperative Better Access to name of a Winnipeg Regional Health Groceries Program (BAG) has been set Authority community area (CA). The up in response. Also, early childhood boundaries for this CA can be found development—a key attribute which on the map (page 11); it is also a CA sets up kids for coping with future life- comprised of four neighborhood challenges—is supported by healthy clusters (NC). The southernmost NC baby groups and public health nurse is commonly known as Elmwood visits that encourage good nutritional and includes the neighborhoods of practices. Significantly worse than England average No significance can be calculated Chalmers and Talbot-Grey while the Rates or Percentages most northern NC (River East North) Overwhelmingly, residents of River + River River River River River WPG WPG River is East St. Paul. As one travels up the East consider it a great place to live, Indicator Time Period East East East East East MB WPG Worst Best East work and play. However, there remain Count North East West South route which splitsCA the CA--Raleigh CA Self-Perceived Health ~ 2007-2012 n/a 51% 61% 50% 53% 39% St./Gateway57% 58% Rd.--median42% household challenges69% Distribution in reaching of out Income to those Quintiles by Census Dissemination Area in Downtown General Mental Health ~~ 2005-2010 n/a 37% 27% 33% 42% 39% income40% 38%ranges from33% Elmwood’s who44% need some of the myriad of Male Life Expectancy ^ 2007-2011 n/a 78.7 82.3 78.9 78.8 76.2 $45,16777.5 78.3to St. Paul71.7 East’s $114,117 in resources81.8 available. A trend that some Female Life Expectancy ^ 2007-2011 n/a 83.8 87.5 82.0 85.6 83.3 82.2 82.7 77.4 have85.6 noticed is that many seniors are 2010. LOGAN AVE Child Mortality **** 2005-2009 n/a 15.1 33.3 21.3 55.5 forced9.3 into living in housing above Premature Mortality ** 2007-2011 n/a 2.8 1.5 2.6 2.9 4.1 3.1 2.9 5.4 1.9 Despite these gradients in income, their means and, as a result, other 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 the1.7 community1.5 notes4.3 that many areas0.8 of life suffer, such as nutrition, NOTRE DAME AVE Respiratory Diseases 2011/12 9060 9.2% 6.8% 9.2% 9.0% 11.4% resources9.5% 9.9% have 13.2%been developed transportation8.8% and accessing medical, ALEXANDER AVE JAMES AVE Hypertension Incidence * 2011/12 1177 2.9 2.7 3.0 2.7 3.0 3.1 3.0 3.5 2.4 ISABEL ST specifically for community-based and community programs. 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% needs. For example, access to healthy KING ST PRINCESS ST PORTAGE AVE E

Diabetes Incidence * 2009/10-2011/12 1344 0.75 0.53 0.74 0.73 0.94 0.85 0.80 1.25 0.61 BANNING ST

food continues to be a concern in the 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 MAIN ST Heart Disease Incidence * 2007/08-2011/12 1990 0.67 0.57 0.68 0.66 0.84 more0.67 southerly0.66 neighborhoods0.90 of 0.50 MEMORIAL BLVD 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 BROADWAY 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 Manitoba 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 | RIVER EAST

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. River East 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 River Findings East 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

RIVER EAST RIVER EAST PROPORTION VALUE RIVER EAST WPG VALUE VALUE RIVER EAST 37% 0% 23% WINNIPEG RIVER EAST RIVER EAST 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% RIVER WORST RIVER EAST VALUE, Hypertension IncidenceHypertension * Incidence2011/12 *TIME 11772011/12EAST 2.9RIVER1177 EAST2.7 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%RE 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, CHI, September 1, 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 River East (07) Community Profile OUR COMMUNITY

The River East community area (CA) is comprised of four neighborhood clusters (NCs): River East South (07A), River East

West (07B), River East East (07C) and River East North (07D). 07D River East North includes the rural municipality of East St. Paul. 07B 07A 07C SOCIO-DEMOGRAPHIC CHARACTERISTICS AREA: 77.7 KM2 Socio-demographic factors (e.g., age, gender, ethnicity, primary POPULATION (2014): 97,603 language) and socioeconomic status (e.g., income, education, POPULATION (2009): 94,268 07A: River East South employment) can influence health outcomes. The age 07B: River East West distribution of a community impacts the supports and services 07C: River East East needed in a community. For example, young families and older 07D: River East North adults benefit from affordable housing and balanced working Note: Map of River East on page 11 hours. Different population groups, varying in income and education levels often have different challenges in maintaining or improving their health. For instance, Indigenous and HIGHLIGHTS vulnerable persons are groups which, in general, face barriers to • The population of this community is steadily increasing good health and access to health services. from 94,268 in 2009 to 97,603 in 2014 (4% increase).

Source: MH, 2014 • The majority (87%) of residents speak English at home; AGE & GENDER FEMALES MALES 0-9 years 5,110 (10%) 5,365 (11%) 9% speak a non-official language at home, and 3% 10-19 years 5,485 (11%) 5,847 (12%) speak both (English and a non-official language). 20-39 years 13,398 (27%) 13,523 (28%)

40-64 years 16,933 (34%) 16,152 (34%) • The percentage of residents identifying as Aboriginal 65-74 years 4,281 (9%) 3,801 (8%) has increased from 9.5% in 2006 to 11.0% in 2011. 75+ years 4,882 (10%) 2,826 (6%) Similarly the percentage of visible minority residents

Source: 2011 Census / National Household Survey ETHNICITY has increased from 10.3% to 11.9%. The reported Aboriginal 9,905 (11%) percentage of new immigrants during the period of Recent Immigrants (2006-2011) 3,525 (4%) 2006-2011 was 3.8%. Visible Minorities 10,950 (12%) • The unemployment rate was 4.9% in 2006 and has EDUCATION decreased by 0.1% in 2011. No certificate/diploma/degree (15+ population) 23% High school diploma or equivalent (15+ population) 31% • Attendees at the community engagement event Postsecondary certificate, diploma or degree (15+ pop.) 46% identified the main issues of concern as: housing EMPLOYMENT affordability (high rents), low wages and working long

Participation rate (in labour force/15+ population) 66.8% hours, and difficulty finding a family physician. Employment rate (employed/15+ population) 63.6% Unemployment rate (unemployed, in labour force) 4.8% • The percentages of residents who received treatment for diabetes and substance abuse have significantly INCOME increased over time. Income under $19,999 24,000 (33%) $20,000-$59,999 36,315 (50%) • The Elmwood area has a high percentage of children $60,000-$99,999 9,595 (13%) “Not Ready for School” in three areas: Physical Health $100,000-$124,999 1,365 (2%) & Well-being, Social Competence, and Communication $125,000+ 1,320 (2%) Skills & General Knowledge. LONE-PARENT FAMILIES Female-led parent 3,965 (80%) • The percentage of residents aged 75 years and older Male-led parent 985 (20%) and living in a personal care home has decreased 65+ significantly over time. Male, living alone 1,165 (24%) • Almost a quarter (24.9%) of River East residents did Female, living alone 3,640 (76%) not return the National Household Survey (NHS) when 2013 MCHP, Source: LIVING IN PERSONAL CARE HOME 9% compared to Seven Oaks residents’ non-response (17.6%). 3 Prepared by Evaluation Platform, CHI, December 2015 Community Profile | RIVER EAST

River East 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 River River River River River WPG WPG River Indicator Time Period East East East East East MB WPG Worst Best East Count North East West South CA WPG CA Self-Perceived Health ~ 2007-2012 n/a 51% 61% 50% 53% 39% 57% 58% 42% 69% General Mental Health ~~ 2005-2010 n/a 37% 27% 33% 42% 39% 40% 38% 33% 44% Male Life Expectancy ^ 2007-2011 n/a 78.7 82.3 78.9 78.8 76.2 77.5 78.3 71.7 81.8 Female Life Expectancy ^ 2007-2011 n/a 83.8 87.5 82.0 85.6 83.3 82.2 82.7 77.4 85.6 Child Mortality **** 2005-2009 n/a 15.1 33.3 21.3 55.5 9.3 Premature Mortality ** 2007-2011 n/a 2.8 1.5 2.6 2.9 4.1 3.1 2.9 5.4 1.9 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 Suicide Death Rate *** 2007-2011 n/a 1.5 1.7 1.5 4.3 0.8 Respiratory Diseases 2011/12 9060 9.2% 6.8% 9.2% 9.0% 11.4% 9.5% 9.9% 13.2% 8.8% Hypertension Incidence * 2011/12 1177 2.9 2.7 3.0 2.7 3.0 3.1 3.0 3.5 2.4 Hypertension Prevalence 2011/12 19812 24.4% 21.5% 25.1% 24.3% 25.3% 25.6% 24.6% 28.5% 22.5% HEALTH STATUS Diabetes Incidence * 2009/10-2011/12 1344 0.75 0.53 0.74 0.73 0.94 0.85 0.80 1.25 0.61 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% 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 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% 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 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% 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% 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 Factors1 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% Breastfeeding Initiation 2012/13 903 85.5% 82.9% 86.3% 73.1% 94.1% Children not school-ready 2 2010/11 n/a 15.7% 15.0% 14.8% 24.3% 8.7%

BEHAVIOURS Current Smokers 2007-2012 n/a 20% [s] 21% 19% 28% 20% 19% 39% 10% Binge Drinking^^^ 2007-2012 n/a 24% 23% 30% 21% 17% 24% 23% 38% 22% 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% Overweight & Obesity 2007-2012 n/a 59% [s] 61% 58% 62% 56% 54% 65% 46% Childhood Immunization 2007/08 n/a 75.1% 71.5% 72.4% 58.8% 78.9% HEALTH CARE ACCESS 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% Inadequate prenatal care 2007/08-2008/09 n/a 6.1% 12.3% 7.7% 19.1% 3.8% 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% 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% ~~ ExcellentExcellent/Very / Very Good Good ~~~~ High LevelLevel ^^ in years ^^^^ Less0-4 times than 5 per times day per day ^^^^^^ once Once or or moremore per month 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, CHI, September 1, 2015 Community Profile | RIVER EAST 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 RIVER EAST 51% factors for the well-being of individuals in the community. 0% WORST CA 42% WPG 58% BEST CA 69% FINDINGS RE NORTH 61% RE EAST 50% ••Compared to Winnipeg (58%), a lower proportion of River RE WEST 53% RE SOUTH 39% East residents (51%) reported “excellent” or “very good” self- perceived health. General Mental Health (SF-36) ••River East North respondents reported higher High Level $ proportion of “excellent” or “very good” self-perceived 2005-2010 RIVER EAST 37% health (61%) when compared to other NCs within River East. 0% WORST CA 33% WPG 38% BEST CA 44% RE NORTH 27% ••River East West respondents reported a higher RE EAST 33% + RE WEST 42% proportion of “high level” of general mental health RE SOUTH 39% (42%) when compared to other NCs within River East.

Chronic Disease$ Chronic disease is a growing and global problem. WPG It not only burdens individuals suffering from them +WORSE BETTER but also burdens families, communities, and the health care system. Stroke RE 2.9/1,000 2007-2011 4.1 E W S N 2.1 2.6 FINDINGS

Heart Disease RE 7.9% ••Stroke event rates has remained somewhat the 2007/08-2011/12 9.6% S E W 6.8% N same over time. (2.9 cases per 1,000 residents aged 7.9% 40+ in 2007-2011). Hypertension RE 24.4% ••The percentages of residents who received 2011/12 28.5% S E W 22.5% N treatment for total respiratory diseases, ischemic 24.6% heart disease, and osteoporosis have significantly Diabetes RE 8.8% decreased over time. 2009/10- 13.2% S E W 7.1% N 2011/12 9.2% ••The percentage of residents who received treatment for hypertension has remained Osteoporosis RE 9.7% somewhat the same over time (24.4% in 2011/12) 2009/10-2011/12 12.3% W E N S 7.8% 10.3% ••The percentage of River East residents who received treatment for diabetes significantly Dementia RE 10.3% 2007/08-2011/12 12.6% E SW 8.7% N increased over time (from 8.1% in 2004/05-2006/07 10.9% to 8.8% in 2009/10-2011/12). The increase in Respiratory Diseases diabetes prevalence is likely related to earlier RE 9.2% detection, treatment, awareness, and self care of 2011/12 13.2% S E W 8.8% N 9.9% residents with diabetes. ••The percentage of residents aged 55+ who received q =River East N=RE North S=RE South treatment for dementia has decreased slightly over p=Wpg E=RE East W=RE West time (from 10.6% in 2002/03-2006/07 to 10.3% in 2007/08-2011/12).

5 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST Mental Health & Substance Abuse

Mood & Anxiety Disorders Mental and substance disorders are significant 2007/08-2011/12 contributors to disease burden in communities. These are RIVER EAST 23% substantial disorders that impact individuals thinking, mood, perception, orientation or memory that grossly 0% BEST CA 18% WPG 24% WORST CA 27% impairs judgment, behaviour, capacity to recognize reality RE NORTH 19% RE EAST 22% or ability to meet the ordinary demands of life. RE WEST 22% $ RE SOUTH 24% FINDINGS ••The percentage of River East residents who received treatment for mood and anxiety disorders has remained Substance Abuse somewhat the same over time (23% in 2007/08-2011/12). 2007/08-2011/12 +RIVER EAST 5.1% ••The percentage of residents who received treatment for substance abuse has significantly increased over 0% BEST CA 2.6% WPG 4.9% WORST CA 9.8% time (from 4.2% in 2002/03-2006/07 to 5.1% in 2007/08- RE NORTH 3.4% RE EAST 4.2% 2011/12). RE WEST 4.8% RE SOUTH 6.2%

Life Expectancy & Death

Community health is influenced by life expectancy and WPG mortality. Life expectancy is the average number of years WORSE BETTER that is likely to be lived by a group of individuals exposed to the same mortality conditions until they die. People living Suicide RE 1.5/10,000 2007-2011 4.3 0.8 longer contribute to the overall health in the community. 1.5 Nonetheless, increasing life expectancy has an impact on support services required by aging population. For example, Premature Mortality RE 2.8/ 1,000 2007-2011 5.4 S W E 1.9 N home care and personal care homes. 2.9 Potential years of life lost (PYLL) is an important health Male LE* RE 78.7YRS indicator of a community. PYLL estimates the average years a 2007-2011 71.7 S WE 81.8 N person would have lived if he/she had not died prematurely. $ 78.3 Acute and chronic disease conditions and injuries (intentional or unintentional) result in premature death Potential Years of Life Lost RE 37.7YRS 2007-2011 100.3 S W E 29.7 N of individuals. One of the biggest challenges to achieving 45.8 healthy communities is to prevent and manage disease + conditions and injuries–in effect, lowering the premature Child Mortality RE 15.1/100,000 2005-2009 55.5 9.3 death rate. 21.3 FINDINGS Female LE* RE 83.8YRS 2007-2011 77.4 E S W 85.6 N ••Suicide death rate has increased slightly over time (from 82.7 1.4 per1,000 residents aged 10+ in 2002-2006 to 1.5 in q =River East N=RE North S=RE South 2007-2011). p=Wpg E=RE East W=RE West ••Premature mortality (PMR) and child mortality rates * Life Expectancy decreased over time in River East.

Winnipeg Regional Health Authority ••Male life expectancy at birth has remained somewhat COMMUNITY HEALTH ASSESSMENT 2014 the same over time in River East (78.7 years). ••Potential years of life lost (PYLL) has decreased slightly over time in River East (from 42.1 years per 1,000 residents in 2002-2006 to 37.3 years in 2007-2011). Complete report available at wrha.mb.ca/research/ ••Female life expectancy at birth has significantly cha2014. increased over time (from 82.3 years to 83.8 years). 6 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST

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 RIVER EAST 5.0% factors influence reproductive health, teen pregnancies, and teen births. 0% BEST CA 5.0% WPG 5.8% WORST CA 7.0% RE NORTH [S] FINDINGS $ RE EAST 5.3% RE WEST 4.5% ••The percentage of low birth-weight infants in River East has RE SOUTH 6.0% remained the same over time (5% in 2007/08-2011/12). ••The percentage of mothers with newborns who screened Families+ with 3 positive for 3 or more risk factors for maternal health and or more risk factors child’s development has been somewhat steady over time 2011 (22.1% in 2003 and 21.3% in 2011). RIVER EAST 21% ••Teen pregnancy rate has increased slightly over time (from 0% BEST CA 12% WPG 24% WORST CA 52% 15.3 per 1,000 females aged 15-19 in 2010/11 to 17.1 in 2012/13). Early childhood development has an impact on the emotional Teen Pregnancy 2012/13 and physical health of individuals in their later years. Research RIVER EAST 17.1/1,000 indicates that children who begin school and are ready to learn will have future success in learning throughout their lives. 0 BEST CA 5.1 WPG 15.5 WORST CA 38.9 Early development Instrument (EDI) scores are used to assess if children are ready or not ready for school. EDI results are a reflection of the strengths and needs of children in communities. Children Not Ready for School FINDINGS 2010/11 RIVER EAST 15.7% ••The percentage of children “not ready for school” in two or more domains of EDI in River East has been stable (15.7%) 0% BEST CA 8.7% WPG 14.8% WORST CA 24.3% over the years (2005/06-2010/11). However, for the Social Competence measure the percentage of children who were “not ready for school” (after combining data from all four years) (13%) has been significantly higher than Manitoba’s baseline percentage (9%). ••The Elmwood area of River East has a significantly higher percentage of children “not ready for school” in three areas: Physical Health & Well-being, Social Competence, and $ Communication Skills & General Knowledge measures of EDI. + 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 RIVER EAST /100,000 343 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 Winnipeg’s rate of 398 per 100,000 in 2013, Gonorrhea River East’s chlamydia infection rate of 343 has been better. 2013 RIVER EAST 35/100,000 Similarly, River East’s gonorrhea infection rate of 35 per 100,000 in 2013 has also been better than Winnipeg’s at 77. BEST CA 23 WPG 77 WORST CA 279 7 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST 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 River East 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 Early Childhood Development Housing & Income • River East is a great place to live, work, • Housing affordability, particularly for • Income levels and education and play. seniors, is an important issue. significantly impact health and • There are many resources here • Many seniors are forced into living wellbeing in River East. Although lots that have been developed for this in housing above their means, and of jobs are available the wages are community specifically. For example, therefore other areas of life suffer, low. healthy baby groups and public such as nutrition, transportation and • One has to work long hours to health nurses visits support nutrition. accessing medical, and community programs. support family. This results in limited • Communicating effectively with time with family. those who need the resources is a big • Access to healthy food is a big challenge. concern. Small stores have been closing over the years and it is hard for single moms to get to big stores with kids on bus. • Busing is also challenging. There is nowhere close by to get bus tickets. One has to take the bus to get tickets. • Due to lack of English proficiency, new comers have difficulty finding work in the field they are trained.

8 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST 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 + RIVER EAST 23% 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 RE NORTH 14% deliver informal education (e.g. skills building workshops) could RE EAST 23% RE WEST 23% contribute towards improved individual and community health. RE SOUTH 29% FINDINGS Participation in Labour Force ••The percentage of individuals in River East with no certificate, 15+ population by labour force status diploma or degree has decreased from 27% in 2006 to 23% in 2011 RIVER EAST 67% 2011.

0% WORST CA 61% WPG 68% BEST CA 72% ••The percentage of individuals having a high school certificate or equivalent was 29.7% in 2006 and has increased by 0.8% in Employment Rate 2011. 15+ population by labour force status 2011 RIVER EAST 64% Employment provides income to individuals. It not only 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 people who are either employed or actively looking for work. Unemployment Rate 15+ population FINDINGS 2011 RIVER EAST 4.8% ••The labour force participation and employment rates (64%, 0% BEST CA 4.7% WPG 5.9% WORST CA 9.5% 67%) in River East have remained stable over time. RE NORTH 3.1% ••The unemployment rate was 4.9% in 2006 and has decreased RE EAST 5.2% RE WEST 4.2% by 0.1% in 2011. RE SOUTH 6.0%

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. RIVER EAST Community connectedness reflects our commitment to shared -0.29 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. -1.11 + RE NORTH -0.34 RE EAST Material deprivation higher than zero means that the community -0.28 RE WEST has a higher proportion of lower average household income, higher RE SOUTH 0.20 unemployment rate, and a higher proportion of individuals without high school graduation. Social deprivation higher than zero means Social Deprivation (2006) that the community has a higher proportion of individuals who are RIVER EAST 0.19 separated, divorced, or widowed, living alone and a higher proportion 3 BETTER WPG WORSE 4 of the population that has moved at least once in the past five years. -1.50 -1.00 -0.50 0.00 0.50 1.00 1.50 FINDINGS -1.07 RE NORTH -0.15 RE EAST ••River East has a material deprivation score of -0.29 (lower than zero RE WEST 0.47 = better) and a social deprivation score of 0.19 (higher than zero RE SOUTH 0.77 = worse). Material deprivation score has been significantly better than Manitoba score (-0.02). 9 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST Map 2.1.C Winnipeg Regional Health Authority (the Region) Community Income Distributions (Based on average household income by census dissemination area)

321 PROVINCIAL RD

L MILLER RD A

I ST

V S

O IP

P LL I

MCPH GR ASS MERE D $ RD R Income & Affordable Housing H WY Distritution of Income Quintiles by Census DisseminatioS nHILL AIGHW rea in River East PERIMETER HWY PERIMET H HODD T ON INOT BIRD D E S S T A R R HW

RD Y

E Y 59

N MAIN I HENDER

P VD LE ILA CHIEF PEGUIS TR BL Legend A MCIVOR E VE Y W A ER H IL T AVE N SP OAK PO INKSTER S RINGFIELD RD O MODI N Major road S GI I BLV AI R M NT E CLEO D M LA HW D D N A T Y KIM VE S E BER River East Community Area H LY N T AVE O LO S T GA S N AV ER E TT MOLS Income plays a major role in determining the health of DUBLIN AVE LT Income Quintiles Y WA + SA RD 59 ON RD LI FW NA T Y T E IRN A T AVE W S D GE H S ISRA R D ST ANE IG P L H Y IL MCHP10 UR REGENT AVE W H PANDORA AVE ES individuals and families in the community. For example, UR D ST IR AY B NESS AVE NESS AV NT DUGALD RD U1 (Lowest) E E AVE BROADW ST AV BANNING ULET H 2006 Census AGE TAGE GO MARION ST CE PORT POR H I ERBROOK O G DD INO H ACADEMY W SH T RD T WY R A income influences access to affordable housing, healthy U2 D D H Y IN BLV ESSIS RD ROBL CORYDON AVE A 5 9 PL VD DUNKI GRANT AVE GRANT L AVE MBIN U3 B FERMOR AVE

PE N RK choices, and lowered stress levels for individuals and P TO E DR RI ES AVE S ME U4 WILK TE LAGIMODIERE BLVD R H BISHOP GRANDIN BLVD NA W

Y Y D E PE BLV K RIM DIN families. Those who are unemployed or have lower E U5 (Highest) TE GRAN R P Legend: VD HW ST BL BISHOY AY Y VR ANNE W Y LI HW CGIL H Major road M ETER A ' IM S RD R income, experience the poorest health and well-being. C N PE H I IEF PERIMETER HW P River East EG B UIS T Y R M AIL M D Rivers C V R HW I T VO ETEL PE S R M B A VE PERI E PRAIRIE GROVE RD Y RD R E E Therefore, the range of incomes within the community I H L 'S Community Areas D A R O S RY L P E M RIN I L G V MA G A FIE A L A D R T L M D S Neighborhood Clusters W A DR needs to be considered when designing community MC LEO D A VE H IGHW Income Quintiles KIM T BE S RLY N AY programs and services to improve access for all. A O VE S G 75RASSIE BLVD

L D O

M U1 (Lowest)

S Data Source: 2006 census; Population data I Lowest income quintile T C S

O S HE S NC

S T O E PE JO T RD L I L is based on records of residents registered ER HN A A A AV SON VE P U2 E AV W E W with Manitoba Health as 2010 TALBO T AVE D D U3 R FINDINGS L A T E B I N H A NAI P C RN AV Income Quintiles: Based on Average R E U4 Source: 2006A Census; Population data is based on records of residents registered with Manitoba Health as 2010

E Income Quintiles:U Based on Average Household Income by Census Dissemination Area; Calculated by MCHP for urban Hareao ofu MBsehold Income by Census Dissemination R Map: Created by Research and Evaluation Unit, WRHA January, 2013 Area; Calculated HighestU5by (Highest MCH) P income for urba nquintile area of MB ••Median individual income of River East has increased Map: Created by Research and Evaluation from $25,884 in 2005 to $30,414 in 2010. Similarly, MEDIANUnit, W RHA January, 201MEDIAN3 median household income has increased from $47,236 HOUSEHOLD INDIVIDUAL to $57,156. 22 2011 NHS COMMUNITYRIVER HEALTH EAST ASSESSMENT 2014 $57,156 $30,414 RIVER EAST SOUTH $45,167 $25,973 ••Average individual income of River East has increased RIVER EAST WEST $52,335 $30,241 from $31,129 in 2005 to $37,658 in 2015. Similarly, RIVER EAST EAST $66,288 $30,957 average household income has increased from RIVER EAST NORTH $114,117 $43,597 $58,169 to $71,673. ••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 RIVER EAST related to the low-income cut-offs (LICO) presented 16% in the 2006 Census and, therefore, prevalence rates of 0% BEST CA 8% WPG 16% WORST CA 33% low income are not comparable. RE NORTH 6% RE EAST 15% RE WEST 14% RE SOUTH 26%

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 RIVER EAST 40% 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 RE NORTHRIVER 0%EAST NORTH 0% RE EAST 34% and mental health problems. RE WEST 42% RE SOUTH 40% FINDINGS ••The percentage of tenant households spending 30% or more of household total income on shelter costs in Owned, spending more than River East has increased from 34% in 2006 to 40% in 30% of income on housing 2011. 2011 RIVER EAST 13% ••The percentage of owner households spending 30% or more of total household income on shelter costs 0% BEST CA 12% WPG 14% WORST CA 18% has increased slightly from 11% in 2006 to 13% in RE NORTH 13% RE EAST 14% 2011. RE WEST 11% RE SOUTH 18%

10 Prepared by Evaluation Platform, CHI, September 1, 2015 West Midlands Public Health Observatory Spine Chart Tool v4

Key: England Key:

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

River WPG Worst WPG Best Indicator MB WPG East CA WPG CA EDUCATION 1 No certificate, diploma or degree 23.1% 25.1% 19.7% 35.9% 12.7% 2 High school diploma or equivalent 30.5% 27.7% 28.6% 25.0% 33.1%

3EMPLOYMENT Postsecondary certificate, diploma or degree 46.4% 47.2% 51.7% 35.6% 61.2% 4 Labour participation rate 66.8% 67.3% 68.3% 61.2% 72.0% 5 Employment rate 63.6% 63.1% 64.3% 55.4% 68.2%

6HOUSING Unemployment rate 4.8% 6.2% 5.9% 9.5% 4.7% 7 Renting,shelter costs are 30% or more of household income 39.6% 35.4% 37.5% 45.0% 31.2% 8 Owner, shelter costs are 30% or more of household income 13.3% 13.0% 14.0% 17.7% 11.6%

9INCOME Low income in 2010 based on after-tax low-income measure % 15.8% 16.4% 16.4% 33.3% 8.0% 10 Median individual income $30,414 $29,029 $30,455 $21,801 $38,440 11 Median household income $57,156 $57,299 $58,503 $36,298 $81,462

Su lkers Bo we River East CA Map n t

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C s i S e n

T i her B u A ren B A o cLe i r O s K ton SPR et n L PR tta t ron ntr ls lla n s Ro Va 3 wa Nei x im o m ss r IN l 7 2 l C M a e m G le s PR o l n i e e E 4 H t n C S H a r i d F y r t s n 9 Per l L e W07B i I O a o o o fanick P a ei z so EL r V rb a l nc w gh M n o IN iso Mu or d 5 e n to a B D C n n di o c a g n r L a W ro n s R N x I C h e i o eo rd B D A h D F & L B c d a u L al a M le n i o n M l r m ll m u d d n R e e n o i 0 e n n A l e o C t Springfie D r l c n n ld s e g g i t R LEO C a o ton er 2 d w e K n t D P n t re Y T P o t y AV albo e Ma o n B A s K a G a E t r rti L a e r I re C i n s t e M W e w or m e t W d BER ne te dite B e n a on e K v H L d D e e Y G on Tu W07A t nt re G - e I H Tr S AVE L Pe W07C Grassie Beac P y lo R Blue r h ent dn Bla cher 37 H ey n F r PR O tyr A n OV tt e n i S y e IN a t t w r o l I C M a N im b e IAL a ST eil CO ls r s RD H rt L e o ESPEL in ars Fle NC o G Rege e T m m Perfanick r F nt C n in OR M a t t ha T g D H e ER lm M I s n A ESS e A D F i a A rs all unr lem AVE P o u VE W enle e Mo ing ia Riv a nc ncord g er T to Co PL t u e on Har do n Talbo bis r D P W07A: River East South t on R M anhatt Ke T W07A an nt E r NAI N W07B: River East West e RN A y t AVE e s N P r airn o Re G F gen t t W07C: River East East ne Pa W07D:Rive rRiver Ea sEastt North NCNC Boundaries Boundaries MainMain RoadsRoads MajorMajor StreetsStreets River East 11 PreparedN byC EvaluationBoundarie Platform,s CHI, September 1, 2015 Main Roads Major Streets Community Profile | RIVER EAST

Health Behaviours

RE NORTH 23% Individual health behaviors help to maintain Binge Drinking RE EAST 30% physical and mental health and reduce the risk of RE WEST 21% chronic conditions. Exercising daily and eating fruits 0% $ RE SOUTH 17% and vegetables daily are recommended to minimize $ 2007-2012 24% RIVER EAST WINNIPEG 23% 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 17% in 2001-2005 to 24% in 2007- 2012. In 2007-2012, 47% of residents reported that RE NORTH [S] they never drank; 28% identified as having 5 or Tobacco Use RE EAST 21% more drinks on one occasion less than once per RE WEST 19% month. 0% RE SOUTH 28%

2007-2012 20% ••The percentage of current smokers (daily or RIVER EAST WINNIPEG 19% WORST CA 39% occasionally) in River East has decreased from $ BEST CA 10% 25% in 2001-2005 to 20% in 2007-2012. In 2007- 2012, 40% of residents identified as being former smokers; 41% identified as non-smokers. ••The percentage of residents exposed to second + hand smoke at home has decreased from 22% in Less Than 5 Daily RE NORTH 50% 2003-2005 to 13% in 2007-2012. In 2007-2012, Servings of Fruit & Veg RE EAST 66% 87% of residents identified as not being exposed RE WEST 68% to second hand smoke. 0% RE SOUTH 63%

2007-2012 64% ••The percentage of residents consuming fruits and RIVER EAST WINNIPEG 62% WORST CA 77% vegetables “less than 5 times a day” has decreased BEST CA 53% from 72% in 2001-2005 to 64% in 2007-2012. In 2007-2012, 36% of residents identified as having fruits and vegetables more than 5 times a day. $ ••The percentage of overweight/obese adults has Overweight & increased from 54% in 2001-2005 to 59% in 2007- RE NORTH [S]% 2012. In 2007-2012, 41% of residents identified as Obesity RE EAST 61% being either underweight or normal. + RE WEST 58% ••During the period 2007-2012, 49% of River East 0% RE SOUTH 62%

2007-2012 59% residents reported being physically inactive. RIVER EAST WINNIPEG 54% WORST CA 65% The remaining 51% residents identified as being BEST CA 46% physically active.

RE NORTH 35% Physically$ Inactive RE EAST 55% RE WEST 44% 0% RE SOUTH 46%

2007-2012 49% RIVER EAST WINNIPEG 43% + WORST CA 59% BEST CA 36%

12 Prepared by Evaluation Platform, CHI, September 1, 2015

$ + Community Profile | RIVER EAST

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 RIVER EAST 75% 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 2010.12-2011/12+ RIVER EAST 53% children’s health in the early years of life.

0% WORST CA 37% WPG 51% BEST CA 58% FINDINGS RE NORTH 59% • Immunization rate for children aged 2 years in River RE EAST 54% RE WEST 54% East has decreased slightly over time (from 76% in RE SOUTH 44% 2002/03 to 75% in 2007/08). • The percentage of River East residents aged 65 and Cervical Cancer Screening older receiving a flu shot has significantly decreased 2009/10-2011/12 RIVER EAST 52% over time (from 65% in 2006/07 to 57% in 2011/12). • During 2010/11-2011/12, 53% of women aged 50-69 0% BEST CA 60% WORST CA 46% WPG 53% years had a screening mammography for breast cancer. RE NORTH 61% RE EAST 55% • During 2009/10-2011/12, 52% of women aged 15 and RE WEST 48% RE SOUTH 51% older had a cervical screening (Pap test) for cancer. • In 2007/08-2008/09, the proportion of women with Inadequate Prenatal Care inadequate prenatal care (PNC) (6.1%) in River East has 2007/08-2008/09 been lower than Winnipeg’s at 7.7%. RIVER EAST 6.1% Access to health services is essential for maintaining and 0% BEST 3.8% WPG 7.7% WORST 19.1 improving community health. To meet the health needs (prevent, diagnose, and treat illness) of communities, the Region and Manitoba’s Minister of Health are responsible Looking for a regular for providing quality services. medical doctor 2007-2012 FINDINGS RIVER EAST 55% • During 2007-2012, 55% of River East residents reported 0% BEST CA 41% WPG 53% WORST CA 70% not having a regular medical doctor and were looking RE NORTH [S] for one. This finding is corroborated by the community RE EAST 52% engagement attendees. RE WEST 50% RE SOUTH 65% • The percentage of residents who attended at least one ambulatory visit (use of physician) in a given year has Use of physicians somewhat decreased over time (from 83% in 2006/07 2011/12 to 81% in 2011/12). RIVER EAST 81% • Inpatient hospitalization has decreased over time (from 0% LOWEST 78% WPG 81% HIGHEST 84% 74 per 1,000 residents in 2006/07 to 70 in 2011/12). RE NORTH 82% RE EAST 81% • The percentage of the community-dwelling seniors RE WEST 81% RE SOUTH 80% (aged 75 years and older) using benzodiazepines has remained stable over time (20% 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 10.2% in 2005/06-2006/07 to 8.5% in 2010/11-2011/12).

13 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST

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 River East 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 River East residents Worse than all other River East residents No difference compared to all other River East residents Premature Mortality Total Respiratory Morbidity 1999-2008, per 1000 age 0-74 2008/09, proportion all ages 4.7 18.1% RIVER EAST RIVER EAST 2.7 10.0%

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+ 9.1 3.6% RIVER EAST RIVER EAST 5.9 0.9%

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+ 17.3% 37.4% RIVER EAST RIVER EAST 8.4% 22.1%

WINNIPEG 19.1% WINNIPEG 38.9% 8.6% 23.9%

14 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST Children & Adolescents

SOCIAL HOUSING RESIDENTS ALL OTHER RESIDENTS

Better than all other River East residents Worse than all other River East residents No difference compared to all other River East 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 40.6% 41.4% RIVER EAST RIVER EAST 17.9% 25.8%

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 69.8% 53.2% RIVER EAST RIVER EAST 86.2% 83.1%

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 60.5% 111.7 RIVER EAST RIVER EAST 69.0% 32.8

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 45.3% 47.0% RIVER EAST RIVER EAST $ 63.3% 46.1%

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 69.8% 68.0% RIVER EAST RIVER EAST 71.7% 80.8%

WINNIPEG 63.8% WINNIPEG 65.2% 71.7% 75.6%

15 Prepared by Evaluation Platform, CHI, September 1, 2015 Community Profile | RIVER EAST

User Notes