Concept: Ordering By Premature Mortality Rate (PMR)

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Concept Description

Last Updated: 2009-07-22

Introduction
    As a general rule, when reporting by geographic areas, such as Regional Health Authority (RHA) or RHA District, results (e.g. charts, graphs or data) should be ordered by increasing age- and sex-standardized premature mortality rate (PMR).

    In order to keep a consistent ordering of geographical areas over time and across publications, a set of age- and sex-adjusted PMR values for each area are calculated based on ten calendar years of mortality data prior to a Census year (currently 2006). This is done using a generalized linear model to estimate the adjusted rate of premature deaths by geographic region, including age, sex, and an age*sex interaction term as covariates. Ten years of data are used to ensure stable rates for even the smaller areas (e.g. Churchill, and some districts in other RHAs).

    The most current PMR values available are based on 1996-2005 calendar years. The SAS format file (see PMR Ordering 2006 - SAS Formats (order06f) in the SAS code and formats section below - internal access only ) can be used for analyses of data prior to 2011 (the next Census year). When the 2011 Census data is available, PMR values will be re-calculated using calendar years 2001-2010.
Ordering
    The following seven sections are divided into different geographical area measures, and list the PMR order for data from 1991-2000 and from 1996-2005, as well as the Socio-Economic Factor Index (SEFI) order from 2001. Areas are listed from lowest PMR rate (most healthy) at the top to the highest PMR rate (least healthy). Areas listed in the SEFI column range from the most favourable socioeconomic conditions (at the top) to the least ideal socioeconomic conditions.

    Tables are available for the following geographical areas:
1. PMR and SEFI Order for Regional Health Authorities (RHAs)
    1991-2000 PMR order 1996-2005 PMR order 2001 SEFI order
    BS-25 South Eastman BS-25 South Eastman BS-25 South Eastman
    A-40 Central A-40 Central A-40 Central
    GA-45 Assiniboine GA-45 Assiniboine G-15 Brandon
    G-15 Brandon G-15 Brandon GA-45 Assiniboine
    K-10 Winnipeg K-10 Winnipeg K-10 Winnipeg
    E-60 Parkland C-30 Interlake C-30 Interlake
    C-30 Interlake BN-20 North Eastman BN-20 North Eastman
    BN-20 North Eastman E-60 Parkland E-60 Parkland
    FC-90 Churchill FC-90 Churchill FC-90 Churchill
    D-70 NOR-MAN D-70 NOR-MAN D-70 NOR-MAN
    FB-80 Burntwood FB-80 Burntwood FB-80 Burntwood
2. PMR and SEFI Order for Regional Health Authority (RHA) Aggregate Groupings
    1991-2000 PMR order 1996-2005 PMR order 2001 SEFI order
    S South S South S South
    M Mid M Mid M Mid
    N North N North N North
    Z Manitoba Z Manitoba Z Manitoba
3. PMR and SEFI Order for Regional Health Authority (RHA) Districts
    1991-2000 PMR order 1996-2005 PMR order 2001 SEFI order
    BS2-25 SE Northern BS2-25 SE Northern BS2-25 Northern
    BS1-25 SE Central BS1-25 SE Central BS1-25 Central
    BS4-25 SE Western BS4-25 SE Western BS4-25 Western
    BS3-25 SE Southern BS3-25 SE Southern BS3-25 South/East
    A4A-40 Cent Altona A4A-40 Cent Altona A4-40 East
    A1C-40 Cent Cartier/SFX A1C-40 Cent Cartier/SFX A3-40 Southwest
    A4R-40 Cent Red River A3L-40 Cent Louise/Pembina A2-40 Midwest
    A3L-40 Cent Louise/Pembina A3M-40 Cent Morden/Winkler A1-40 North
    A2C-40 Cent Carman A2C-40 Cent Carman
    A3M-40 Cent Morden/Winkler A4R-40 Cent Red River
    A2L-40 Cent Swan Lake A2L-40 Cent Swan Lake
    A1P-40 Cent Portage A1P-40 Cent Portage
    A1S-40 Cent Seven Regions A1S-40 Cent Seven Regions
    GA22-45 Assin East 2 GA22-45 Assin East 2 G1-15 Brandon rural
    GA31-45 Assin West 1 GA31-45 Assin West 1 G2W-15 Brandon City West
    GA12-45 Assin North 2 GA11-45 Assin North 1 G2E-15 Brandon City East
    GA32-45 Assin West 2 GA32-45 Assin West 2
    GA11-45 Assin North 1 GA21-45 Assin East 1
    GA21-45 Assin East 1 GA12-45 Assin North 2
    G1-15 Bdn Rural G1-15 Bdn Rural GA31-45 West 1 (east)
    G24-15 Southeast G24-15 Southeast GA12-45 North 2 (east)
    G22-15 West G22-15 West GA22-45 East 2 (south)
    G25-15 East G21-15 Southwest GA32-45 West 2 (west)
    G26-15 North End G26-15 North End GA11-45 North 1 (west)
    G21-15 Southwest G25-15 East GA21-45 East 1 (north)
    G23-15 Central G23-15 Central
    E4-60 PL West C4-30 IL Southwest C4-30 Southwest
    E1-60 PL Central C1-30 IL Northeast C3-30 Southeast
    E2-60 PL East C3-30 IL Southeast C1-30 Northeast
    E3-60 PL North C2-30 IL Northwest C2-30 Northwest
    C4-30 IL Southwest BN4-20 Iron Rose BN5-20 Springfield
    C3-30 IL Southeast BN5-20 Springfield BN7-20 Winnipeg River
    C1-30 IL Northeast BN7-20 Winnipeg River BN4-20 Iron Rose
    C2-30 IL Northwest BN2-20 Brokenhead BN2-20 Brokenhead
    BN5-20 Springfield BN1-20 Blue Water BN1-20 Blue Water
    BN4-20 Iron Rose BN6-20 Northern Remote BN6-20 Northern Remote
    BN7-20 Winnipeg River E4-60 PL West E4-60 West District
    BN2-20 Brokenhead E2-60 PL East E1-60 Central District
    BN1-20 Blue Water E1-60 PL Central E2-60 East District
    BN6-20 Northern Remote E3-60 PL North E3-60 North District
    D1-70 F Flon/Snow L/Cran D1-70 F Flon/Snow L/Cran D1-70 Flin Flon, Snow Lake, Cranberry
    D2-70 The Pas/OCN/Kelsey D2-70 The Pas/OCN/Kelsey D2-70 The Pas & OCN
    D4-70 NOR-MAN Other D4-70 NOR-MAN Other D4-70 Sheridan, Cormorant, Grand
    FB2-80 Thompson FB2-80 Thompson FB4-80 Gillam, Fox
    FB4-80 Gillam/Fox Lake FB4-80 Gillam/Fox Lake FB2-80 Thompson
    FB3-80 Lynn/Leaf/SIL FB3-80 Lynn/Leaf/SIL FB9-80 Thick, Pik, Waboden
    FB9-80 Thick Por/Pik/Wab FB9-80 Thick Por/Pik/Wab FB3-80 Lynn Lake, Leaf Rapids, SIL
    FB7-80 Cross Lake FBB-80 Oxford H & Gods FBA-80 Tadoule, Brochet, Lac Brochet
    FB8-80 Island Lake FB7-80 Cross Lake FB8-80 Island Lake
    FB6-80 Norway House FBA-80 Tad/Broch/Lac Br FBC-80 Shamattawa, York, Split, War
    FBB-80 Oxford H & Gods FB6-80 Norway House FBB-80 Oxford & Gods
    FBA-80 Tad/Broch/Lac Br FB8-80 Island Lake FB7-80 Cross Lake
    FBC-80 Sha/York/Split/War FBC-80 Sha/York/Split/War FB5-80 Nelson House
    FB5-80 Nelson House FB5-80 Nelson House FB6-80 Norway House
4. PMR and SEFI Order for Winnipeg Community Areas (CAs)
    1991-2000 PMR order 1996-2005 PMR order 2001 SEFI order
    ]W03 Fort Garry W03 Fort Garry W02 Assiniboine South
    W02 Assiniboine South W02 Assiniboine South W03 Fort Garry
    W06 Transcona W05 St. Boniface W04 St. Vital
    W12 River Heights W04 St. Vital W05 St. Boniface
    W05 St. Boniface W06 Transcona W12 River Heights
    W04 St. Vital W12 River Heights W06 Transcona
    W08 Seven Oaks W07 River East W01 St. James - Assiniboia
    W07 River East W08 Seven Oaks W08 Seven Oaks
    W01 St. James - Assiniboia W01 St. James - Assiniboia W07 River East
    W09 Inkster W09 Inkster W09 Inkster
    W10 Point Douglas W11 Downtown W11 Downtown
    W11 Downtown W10 Point Douglas W10 Point Douglas
5. PMR and SEFI Order for Winnipeg Neighbourhood Clusters (NCs)
    1991-2000 PMR order 1996-2005 PMR order 2001 SEFI order
    W03B Fort Garry S W03B Fort Garry S W002 Assiniboine South
    W03A Fort Garry N W03A Fort Garry N W03A Fort Garry N
    W002 Assiniboine South W002 Assiniboine South W03B Fort Garry S
    W006 Transcona W05B St. Boniface E W04B St. Vital South
    W12A River Heights W W05A St. Boniface W W04A St. Vital North
    W12B River Heights E W04B St. Vital South W05B St. Boniface E
    W05B St. Boniface E W04A St. Vital North W05A St. Boniface W
    W05A St. Boniface W W006 Transcona W12A River Heights W
    W04B St. Vital South W12A River Heights W W12B River Heights E
    W04A St. Vital North W12B River Heights E W006 Transcona
    W08A Seven Oaks W W07D River East N W01A St. James - Assiniboia W
    W08B Seven Oaks E W07C River East E W01B St. James - Assiniboia E
    W08C Seven Oaks N W07B River East W W08C Seven Oaks N
    W07D River East N W07A River East S W08A Seven Oaks W
    W07C River East E W08C Seven Oaks N W08B Seven Oaks E
    W07B River East W W08A Seven Oaks W W07D River East N
    W07A River East S W08B Seven Oaks E W07C River East E
    W01A St. James - Assiniboia W W01A St. James - Assiniboia W W07B River East W
    W01B St. James - Assiniboia E W01B St. James - Assiniboia E W07A River East S
    W09A Inkster West W09A Inkster West W09A Inkster West
    W09B Inkster East W09B Inkster East W09B Inkster East
    W10A Point Douglas N W11A Downtown W W11A Downtown W
    W10B Point Douglas S W11B Downtown E W11B Downtown E
    W11A Downtown W W10A Point Douglas N W10A Point Douglas N
    W11B Downtown E W10B Point Douglas S W10B Point Douglas S
6. PMR and SEFI Order for Winnipeg Neighbourhood Cluster (NC) Groupings
    1991-2000 PMR order 1996-2005 PMR order 2001 SEFI order
    WL Wpg Most Healthy WL Wpg Most Healthy WL Wpg Most Healthy
    WA Wpg Avg Health WA Wpg Avg Health WA Wpg Avg Health
    WH Wpg Least Healthy WH Wpg Least Healthy WH Wpg Least Healthy
7. PMR Ordering from 1996 Census
    The following PMR Order was used in the Comparative Indicators of Population Health report (Black et al., 1999) and has been retained for historical reasons only. In this report, ordering was based on five years of data, from 1991 to 1995 (1996 census year):

    Regional Health Authorities (RHAs)
    South Eastman
    South Westman
    Brandon
    Central
    Marquette
    Parkland
    Winnipeg
    North Eastman
    Interlake
    Burntwood
    NOR-MAN
    Churchill
    Winnipeg
    Non-Winnipeg
    Manitoba

    Winnipeg 9 Sub-Regions With RHAs

    Wpg S. West
    Wpg S. East
    South Eastman
    South Westman
    Wpg. N. West
    Wpg S. Central
    Brandon
    Wpg. West
    Wpg. N. East
    Central
    Marquette
    Parkland
    North Eastman
    Interlake
    Wpg. Outer Core
    Wpg. Old St. B.
    Burntwood
    NOR-MAN
    Churchill
    Wpg. Inner Core
    Winnipeg
    Non-Winnipeg
    Manitoba

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References 

  • Black C, Roos NP, Fransoo R, Martens PJ. Comparative Indicators of Population Health and Health Care use for Manitoba's Regional Health Authorities: A POPULIS Project. Winnipeg, MB: Manitoba Centre for Health Policy and Evaluation, 1999. [Summary] [Full Report] (View)
  • Brownell M, Craven K. Improving Children's Health: How Population-Based Research Can Inform Policy - The Manitoba Experience. Can J Public Health 2002;93(2 Suppl):S1-S80.(View)
  • Martens P, Fransoo R, The Need to Know Team, Burland E, Prior H, Burchill C, Romphf L, Chateau D, Bailly A, Ouelette C. What Works? A First Look at Evaluating Manitoba's Regional Health Programs and Policies at the Population Level. Winnipeg, MB: Manitoba Centre for Health Policy, 2008. [Summary] [Full Report] [Data extras] (View)
  • Martens PJ, Fransoo R, The Need to Know Team, Burland E, Jebamani L, Burchill C, Black C, Dik N, MacWilliam L, Derksen S, Walld R, Steinbach C, Dahl M. The Manitoba RHA Indicators Atlas: Population-Based Comparison of Health and Health Care Use. Winnipeg, MB: Manitoba Centre for Health Policy, 2003. [Summary] [Full Report] [Data extras] (View)