PRAIRIE MOUNTAIN HEALTH COMMUNITY HEALTH ASSESSMENT 2019 Acknowledgements Prairie Mountain Health acknowledges that it provides services in facilities and sites located on the original lands and traditional territories of the Cree, Dakota, Ojibway, Oji-Cree and homelands of the Métis. Prairie Mountain Health respects that the First Nation Treaties were made on these territories and we dedicate ourselves to continued collaboration in partnership with First Nation, Métis and Inuit people in the spirit of reconciliation. This report was prepared by the Prairie Mountain Health Community Health Assessment (CHA) team: Jody Allan, Angie Allen, Michelle Gaber, Nancy McPherson, Pamela McTavish, Amy Ostash, Nancy Tregunna, and Colin Williams. We could not have completed the CHA without the partners who provided us with the data, in particular Manitoba Health, Seniors and Active Living and Manitoba Centre for Health Policy. The team would like to express gratitude to those that have participated and contributed to the Community Health Assessment process. The 2019 CHA process has been a true collaboration. We would like to thank all Community Health Assessment Network members from across the province, staff at Manitoba Health, Seniors and Active Living and the Prairie Mountain Health Executive Management Team for their continued support and guidance. We are grateful to have such commitment and dedication in Manitoba. To provide feedback on the report, please email: [email protected]. This report is produced and published by the Prairie Mountain Health CHA team. It is available in PDF format on our website at: http://prairiemountainhealth.ca/cha-2019 If you would like more information about the Community Health Assessment, please contact Prairie Mountain Health at: Prairie Mountain Health Corporate Office 192-1st Avenue West Box 579 Souris, Manitoba R0K 2C0 Toll-free: 1-888-682-2253 Website: www.prairiemountainhealth.ca How to cite this report: McPherson N, Williams C, McTavish P, Allen A, Gaber M, Ostash A, Tregunna N, Allan J. Prairie Mountain Health Community Health Assessment 2019, December 2019 Table of Contents Table of Contents Executive Summary .................................................................................................................................................. i Introduction........................................................................................................................................................... vi Community Health Assessment in Manitoba ................................................................................................................... vi Community Health Assessment Network ........................................................................................................................ vii CHA Purpose and Use ...................................................................................................................................................... vii Provincial Template for CHA Reports ................................................................................................................................ ix Population Health and Health Equity ............................................................................................................................... ix First Nations People’s Health in Manitoba ...................................................................................................................... xii Data Sources ................................................................................................................................................................... xiv Data Limitations ............................................................................................................................................................... xv Data Presentation and Interpretation ........................................................................................................................... xvii Chapter 1 Who Lives In Prairie Mountain Health? .................................................................................................... 1 Key Findings ...................................................................................................................................................................... 1 Programs and Services...................................................................................................................................................... 3 Population ........................................................................................................................................................................ 4 Birth Rate .......................................................................................................................................................................... 5 Internal Migrant Mobility ................................................................................................................................................. 7 Population Density ........................................................................................................................................................... 8 Population Change ........................................................................................................................................................... 9 Population Projections ................................................................................................................................................... 10 Indigenous Population .................................................................................................................................................... 11 Visible Minority Population ............................................................................................................................................ 13 Knowledge of Official Languages .................................................................................................................................... 14 Immigrant Status in Private Households ........................................................................................................................ 15 Immigration by Place of Birth ......................................................................................................................................... 16 Chapter 2 What Keeps us Healthy? ........................................................................................................................ 17 Key Findings .................................................................................................................................................................... 17 What influences how healthy our population is?........................................................................................................... 18 Socioeconomic Factor Index ........................................................................................................................................... 20 Social Deprivation Index ................................................................................................................................................. 22 Table of Contents Material Deprivation Index ............................................................................................................................................. 24 Lone Parent Families ....................................................................................................................................................... 26 Dependency Ratio .......................................................................................................................................................... 27 Income, Education and Employment ...................................................................................................................... 29 Median Household Income – After-Tax .......................................................................................................................... 29 Low Income Measure – After-Tax (LIM-AT) .................................................................................................................... 31 Household Food Insecurity ............................................................................................................................................. 33 Housing Affordability ...................................................................................................................................................... 35 Educational Attainment .................................................................................................................................................. 37 Labour Force Participation ............................................................................................................................................. 39 Unemployment Rates ..................................................................................................................................................... 41 Industry Sectors .............................................................................................................................................................. 43 Work Stress ..................................................................................................................................................................... 44 Healthy Child Development ..................................................................................................................................