Chronic Diseases and Injuries in Canada

Volume 31 · Supplement 1 · Fall 2011
Patterns of Health Services Utilization in Rural Canada

Appendix 2. Provincial patterns by disease: detailed tables

Table A1 - Relative risks of age-standardized physician visits for circulatory system diseases, by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Circulatory Disease System (390-459)^a
Ontario	0.92 (0.92–0.92)*	0.92 (0.92–0.92)*	0.84 (0.84–0.85)*	0.99 (0.97–1.00)	1.01 (1.01–1.01)*	0.97 (0.96–0.97)*	0.93 (0.92–0.93)*	0.83 (0.81–0.85)*
Nova Scotia	1.19 (1.17–1.21)*	0.97 (0.96–0.98)*	0.99 (0.98–1.00)*	0.89 (0.85–0.93)*	1.33 (1.31–1.35)*	1.04 (1.03–1.05)*	1.06 (1.05–1.07)*	0.87 (0.83–0.91)*
Coronary Heart Disease (410-414)^a
British Columbia	0.68 (0.65–0.71)*	0.83 (0.81–0.85)*	0.60 (0.59–0.62)*	0.88 (0.82–0.93)*	0.88 (0.83–0.92)*	0.84 (0.82–0.87)*	0.67 (0.65–0.70)*	0.98 (0.91–1.06)
Nova Scotia	1.15 (1.09–1.20)*	1.02 (0.99–1.04)	1.01 (0.99–1.03)	1.06 (0.94–1.19)	1.46 (1.36–1.56)*	1.13 (1.09–1.18)*	1.02 (0.99–1.05)	0.78 (0.64–0.95)*
Stroke (430-434) ^a
British Columbia	0.74 (0.61–0.89)*	0.80 (0.72–0.89)*	0.60 (0.53–0.67)*	1.34 (1.08–1.66)*	0.96 (0.80–1.15)	0.78 (0.69–0.88)*	0.58 (0.51–0.66)*	1.75 (1.42–2.17)*
Nova Scotia	0.88 (0.57–1.38)	1.20 (0.98–1.46)	1.07 (0.92–1.25)	0.51 (0.14–1.94)	1.78 (1.17–2.70)*	1.68 (1.35–2.09)*	1.43 (1.20–1.71)*	1.17 (0.40–3.39)
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A2 - Relative risks of age-standardized discharges from hospitals for circulatory system diseases, by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	1.15 (1.10–1.20)*	1.28 (1.25–1.32)*	1.58 (1.54–1.61)*	2.10 (1.95–2.25)*
Ontario	Women	1.27 (1.23–1.31)*	1.48 (1.43–1.53)*	1.91 (1.83–2.00)*	2.10 (1.90–2.31)*
Nova Scotia	Men	1.88 (1.71–2.06)*	1.33 (1.24–1.42)*	1.19 (1.13–1.26)*	3.38 (2.83–4.02)*
Nova Scotia	Women	2.38 (2.12–2.68)*	1.88 (1.73–2.03)*	1.46 (1.36–1.56)*	5.79 (4.86–6.90)*
British Columbia	Men	1.01 (0.92–1.10)	1.02 (0.96–1.07)	1.29 (1.24–1.35)*	1.82 (1.64–2.02)*
British Columbia	Women	1.39 (1.25–1.54)*	1.29 (1.21–1.38)*	1.70 (1.61–1.79)*	2.37 (2.08–2.69)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A3 - Relative risks of age-standardized physician visits for cancers (neoplasms), by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Cancers/neoplasms (140-239)^a
Ontario	0.95 (0.94–0.96)*	0.99 (0.98–1.00)*	0.91 (0.90–0.92)*	0.98 (0.94–1.02)	0.92 (0.92–0.93)*	0.85 (0.84–0.86)*	0.90 (0.88–0.91)*	1.12 (1.08–1.16)*
Nova Scotia	1.09 (1.05–1.14)*	0.94 (0.92–0.97)*	0.83 (0.82–0.85)*	1.01 (0.91–1.11)	0.97 (0.93–1.02)	0.97 (0.95–1.00)*	0.79 (0.78–0.81)*	0.76 (0.68–0.85)*
Breast Cancer (174)^a
British Columbia	N/A	N/A	N/A	N/A	0.87 (0.79–0.95)*	1.24 (1.19–1.31)*	1.29 (1.24–1.35)*	2.23 (2.03–2.44)*
Nova Scotia	N/A	N/A	N/A	N/A	0.81 (0.72–0.92)*	0.87 (0.82–0.92)*	0.82 (0.78–0.85)*	0.55 (0.40–0.75)*
Lung Cancer (162)^a
British Columbia	0.91 (0.78–1.07)	1.28 (1.18–1.39)*	1.23 (1.14–1.33)*	1.67 (1.39–2.01)*	0.89 (0.74–1.07)	1.45 (1.33–1.58)*	1.01 (0.92–1.11)	2.81 (2.39–3.31)*
Nova Scotia	1.16 (0.97–1.40)	0.97 (0.88–1.08)	1.23 (1.15–1.32)*	2.34 (1.75–3.14)*	0.84 (0.65–1.09)	0.95 (0.85–1.08)	0.95 (0.87–1.04)	0.36 (0.16–0.82)*
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A4 - Relative risks of age-standardized discharges from hospitals for cancers (neoplasms), by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	1.00 (0.93–1.07)	1.15 (1.09–1.20) *	1.39 (1.35–1.45) *	1.62 (1.43–1.85)*
Ontario	Women	1.06 (1.02–1.10)*	1.19 (1.14–1.24)*	1.17 (1.10–1.24)*	1.34 (1.16–1.54)*
Nova Scotia	Men	1.72 (1.47–2.02)*	1.30 (1.16–1.45)*	1.12 (1.03–1.22)*	4.49 (3.51–5.73)*
Nova Scotia	Women	1.69 (1.44–1.98)*	1.44 (1.30–1.59)*	1.24 (1.15–1.35)*	2.85 (2.14–3.80)*
British Columbia	Men	0.91 (0.78–1.06)	1.01 (0.93–1.11)	1.31 (1.21–1.41)*	2.40 (2.06–2.79)*
British Columbia	Women	0.87 (0.75–1.00)	0.88 (0.81–0.96)*	1.11 (1.04–1.20)*	1.53 (1.28–1.83)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A5 - Relative risks of age-standardized physician visits for respiratory system diseases, by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Respiratory System Disease (460-519)^a
Ontario	0.71 (0.70–0.71)*	0.68 (0.67–0.68)*	0.65 (0.65–0.66)*	0.58 (0.57–0.59)*	0.79 (0.79–0.79)*	0.74 (0.74–0.75)*	0.71 (0.71–0.72)*	0.59 (0.58–0.60)*
Nova Scotia	1.15 (1.13–1.17)*	1.01 (1.01–1.02)*	0.94 (0.94–0.95)*	0.96 (0.92–1.00)*	1.17 (1.16–1.18)*	1.05 (1.04–1.05)*	0.96 (0.95–0.96)*	0.97 (0.94–1.00)*
Asthma (493)^a
British Columbia	0.63 (0.60–0.66)*	0.82 (0.80–0.84)*	0.64 (0.62–0.65)*	0.75 (0.70–0.81)*	0.70 (0.67–0.73)*	0.94 (0.92–0.96)*	0.69 (0.67–0.71)*	0.97 (0.91–1.03)
Ontario	0.70 (0.69–0.71)*	0.74 (0.73–0.75)*	0.79 (0.78–0.81)*	0.69 (0.34–0.74)*	0.82 (0.81–0.83)*	0.84 (0.83–0.85)*	0.88 (0.86–0.90)*	0.56 (0.51–0.60)*
Nova Scotia	1.05 (0.99–1.12)	0.83 (0.81–0.86)*	0.82 (0.80–0.84)*	0.78 (0.66–0.92)*	1.13 (1.07–1.19)*	0.83 (0.81–0.86)*	0.83 (0.81–0.85)*	0.76 (0.66–0.88)*
Chronic Obstructive Pulmonary Disease (490-492, 496)^a
British Columbia	0.77 (0.74–0.81)*	0.87 (0.84–0.89)*	0.90 (0.88–0.93)*	1.21 (1.14–1.28)*	0.78 (0.75–0.82)*	0.93 (0.90–0.95)*	0.96 (0.93–0.98)*	1.33 (1.23–1.41)*
Nova Scotia	1.58 (1.50–1.66)*	1.34 (1.30–1.37)*	1.01 (0.98–1.03)	1.22 (1.08–1.39)*	1.19 (1.12–1.26)*	1.34 (1.31–1.38)*	1.03 (1.01–1.06)*	1.35 (1.21–1.50)*
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A6 - Relative risks of age-standardized discharges from hospitals for respiratory diseases, by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	1.20 (1.13–1.28)*	1.45 (1.39–1.50)*	1.72 (1.67–1.77)*	2.32 (2.10–2.56)*
Ontario	Women	1.21 (1.16–1.26)*	1.49 (1.43–1.56)*	1.88 (1.78–1.99)*	2.97 (2.67–3.30)*
Nova Scotia	Men	1.27 (1.09–1.48)*	1.18 (1.08–1.30)*	1.31 (1.22–1.40)*	3.00 (2.35–3.82)*
Nova Scotia	Women	0.93 (0.76–1.13)	1.08 (0.97–1.20)	1.23 (1.14–1.33)*	3.69 (2.91–4.68)*
British Columbia	Men	0.88 (0.78–1.00)*	0.96 (0.89–1.03)	1.71 (1.62–1.81)*	1.47 (1.26–1.72)*
British Columbia	Women	0.87 (0.74–1.01)	1.02 (0.93–1.10)	1.99 (1.88–2.11)*	1.95 (1.65–2.30)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A7 - Relative risks of age-standardized physician visits for musculoskeletal system diseases, by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Musculoskeletal System Disease (710-739)^a
Ontario	0.92 (0.91–0.92)*	1.00 (0.99–1.00)	0.98 (0.97–0.99)*	0.95 (0.92–0.97)*	0.91 (0.90–0.91)	0.92 (0.91–0.92)*	0.89 (0.89–0.90)*	1.02 (1.00–1.04)
Nova Scotia	0.97 (0.95–0.99)*	0.99 (0.98–1.00)	0.89 (0.88–0.90)*	0.87 (0.83–0.92)*	1.05 (1.03–1.06)*	1.03 (1.02–1.03)*	0.88 (0.87–0.88)*	0.93 (0.90–0.96)*
Rheumatoid Arthritis (714)^a
British Columbia	1.09 (0.99–1.19)	1.56 (1.49–1.64)*	0.93 (0.88–0.98)*	1.79 (1.60–2.00)*	1.06 (1.00–1.13)*	1.42 (1.38–1.46)*	1.16 (1.13–1.20)*	2.48 (2.33–2.63)*
Nova Scotia	1.38 (1.20–1.59)*	1.11 (1.03–1.21)*	0.89 (0.83–0.95)*	0.60 (0.37–0.97)*	1.10 (1.00–1.22)	1.08 (1.03–1.14)*	0.90 (0.87–0.94)*	1.00 (0.79–1.25)
Osteoarthritis (715)^a
British Columbia	0.73 (0.69–0.78)*	1.06 (1.03–1.09)*	0.80 (0.78–0.83)*	1.20 (1.12–1.29)*	0.83 (0.79–0.86)*	1.09 (1.07–1.12)*	0.81 (0.79–0.83)*	1.31 (1.24–1.39)*
Nova Scotia	1.14 (1.05–1.23)*	0.96 (0.92–1.00)	0.84 (0.81–0.87)*	1.00 (0.83–1.22)	1.15 (1.07–1.23)*	1.02 (0.98–1.06)	0.94 (0.91–0.97)*	0.99 (0.85–1.16)
Rheumatoid Arthritis and Osteoarthritis combined (714-715)^a
Ontario	1.07 (1.06–1.09)*	1.16 (1.15–1.18)*	1.05 (1.03–1.07)*	1.20 (1.14–1.27)*	0.95 (0.94–0.95)*	0.97 (0.96–0.99)*	0.94 (0.92–0.95)*	1.39 (1.33–1.44)*
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A8 - Relative risks of age-standardized discharges from hospitals for musculoskeletal system disease, by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	1.31 (1.20–1.42)*	1.40 (1.33–1.48)*	1.76 (1.69–1.84)*	1.69 (1.42–2.00)*
Ontario	Women	1.16 (1.10–1.22)*	1.40 (1.33–1.48)*	1.66 (1.55–1.78)*	1.93 (1.65–2.26)*
Nova Scotia	Men	1.32 (1.05–1.66)*	1.16 (1.00–1.34)*	0.98 (0.87–1.10)	3.95 (2.83–5.52)*
Nova Scotia	Women	1.45 (1.14–1.83)*	1.19 (1.03–1.39)*	1.06 (0.94–1.20)	5.35 (3.99–7.18)*
British Columbia	Men	1.10 (0.93–1.30)	1.35 (1.24–1.49)*	1.54 (1.42–1.67)*	1.71 (1.38–2.10)*
British Columbia	Women	1.13 (0.96–1.34)	1.20 (1.09–1.32)*	1.81 (1.68–1.96)*	2.46 (2.04–2.97)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A9 - Relative risks of age-standardized physician visits for injuries and poisonings, by place of residence and sex, Ontario and Nova Scotia, 2001–2002
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Injuries and Poisonings (802-894, 977-998 and 959)^a
Ontario	0.98 (0.98–0.99)*	1.10 (1.09–1.10)*	1.15 (1.14–1.16)*	1.17 (1.15–1.20)*	0.94 (0.94–0.95)*	1.01 (1.00–1.02)*	1.06 (1.05–1.07)*	1.23 (1.20–1.26)*
Nova Scotia	1.19 (1.16–1.23)*	1.18 (1.16–1.19)*	1.08 (1.06–1.09)*	1.21 (1.14–1.28)*	1.22 (1.19–1.25)*	1.11 (1.09–1.12)*	0.98 (0.97–0.99)*	0.96 (0.90–1.03)
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A10 - Relative risks of age-standardized discharges from hospitals for injuries and poisonings, by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	1.31 (1.24–1.39)*	1.52 (1.46–1.58)*	1.94 (1.88–2.00)*	2.46 (2.22–2.73)*
Ontario	Women	1.25 (1.20–1.30)*	1.48 (1.41–1.54)*	1.90 (1.80–2.00)*	3.19 (2.88–3.53)*
Nova Scotia	Men	1.15 (0.96–1.39)	1.30 (1.17–1.44)*	1.09 (1.00–1.19)*	2.06 (1.46–2.91)*
Nova Scotia	Women	1.32 (1.08–1.62)*	1.29 (1.14–1.45)*	0.97 (0.88–1.08)	2.01 (1.36–2.98)*
British Columbia	Men	0.96 (0.86–1.07)	1.34 (1.27–1.42)*	1.96 (1.88–2.06)*	1.90 (1.68–2.15)*
British Columbia	Women	1.01 (0.89–1.14)	1.21 (1.13–1.30)*	1.93 (1.83–2.04)*	2.23 (1.94–2.56)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. * Statistically significant at p < .05; reference group is CMA/CA = 1.00. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area.

Table A11 - Relative risks of age-standardized physician visits for mental disorders, by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Mental Disorders (290-319)^a
Ontario	0.64 (0.63–0.64)*	0.65 (0.65–0.66)*	0.60 (0.59–0.60)*	0.54 (0.53–0.56)*	0.74 (0.74–0.74)*	0.70 (0.70–0.71)*	0.69 (0.69–0.70)*	0.50 (0.49–0.51)*
Nova Scotia	0.75 (0.73–0.78)*	0.84 (0.83–0.85)*	0.70 (0.69–0.71)*	0.88 (0.82–0.94)*	0.94 (0.92–0.95)*	0.89 (0.88–0.90)*	0.73 (0.72–0.74)*	0.80 (0.76–0.84)*
Depression (296.2, 296.3, 300.4, 311)^a
British Columbia	0.49 (0.48–0.51)*	0.78 (0.77–0.79)*	0.50 (0.49–0.51)*	0.54 (0.51–0.56)*	0.59 (0.58–0.60)*	0.84 (0.83–0.85)*	0.59 (0.58–0.59)*	0.64 (0.62–0.66)*
Nova Scotia	0.80 (0.75–0.86)*	0.72 (0.70–0.75)*	0.69 (0.67–0.71)*	0.69 (0.59–0.82)*	0.96 (0.92–1.00)	0.74 (0.73–0.76)*	0.71 (0.70–0.72)*	0.75 (0.68–0.82)*
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A12 - Relative risks of age-standardized discharges from hospitals for mental disorders, by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	0.82 (0.75–0.90)*	1.54 (1.46–1.61)*	1.99 (1.92–2.07)*	2.79 (2.47–3.15)*
Ontario	Women	0.82 (0.78–0.87)*	1.54 (1.46–1.61)*	1.99 (1.88–2.12)*	2.79 (2.46–3.16)*
Nova Scotia	Men	0.84 (0.65–1.11)	0.81 (0.68–0.96)*	1.37 (1.23–1.53)*	3.69 (2.58–5.29)*
Nova Scotia	Women	0.83 (0.62–1.11)	0.83 (0.70–0.98)*	1.24 (1.11–1.38)*	7.56 (5.97–9.58)*
British Columbia	Men	0.62 (0.52–0.73)*	1.21 (1.12–1.30)*	1.52 (1.42–1.62)*	1.65 (1.40–1.94)*
British Columbia	Women	0.63 (0.53–0.74)*	0.98 (0.91–1.07)	1.69 (1.60–1.80)*	1.76 (1.49–2.08)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A13 - Relative risks of age-standardized physician visits for nervous system diseases, by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Nervous System Disease (320-389)^a
Ontario	0.83 (0.82–0.83)*	0.83 (0.82–0.83)*	0.78 (0.78–0.79)*	0.78 (0.76–0.80)*	0.87 (0.86–0.87)*	0.84 (0.84–0.85)*	0.84 (0.83–0.84)*	0.87 (0.85–0.89)*
Nova Scotia	0.97 (0.95–0.99)*	1.01 (1.00–1.03)*	0.97 (0.96–0.97)*	0.85 (0.80–0.89)*	0.99 (0.97–1.01)	1.06 (1.05–1.06)*	0.97 (0.97–0.98)*	0.92 (0.88–0.95)*
Alzheimer's/dementia disorders (331)^a
British Columbia	0.47 (0.34–0.64)*	1.43 (1.27–1.60)*	0.77 (0.94–0.88)*	0.73 (0.50–1.08)	1.18 (1.02–1.37)*	1.73 (1.61–1.87)*	0.82 (0.74–0.91)*	0.62 (0.45–0.86)*
Nova Scotia	0.83 (0.54–1.29)	1.09 (0.90–1.33)	0.74 (0.62–0.88)*	2.11 (1.13–3.95)*	1.08 (0.73–1.58)	1.22 (1.02–1.46)*	0.84 (0.72–0.98)*	1.66 (0.86–3.18)
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ, Metropolitan Influenced Area. a ICD-9 diagnostic codes. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A14 - Relative risks of age-standardized discharges from hospitals for nervous system diseases, by place of residence and sex, Ontario, Nova Scotia and British Columbia, 2001–2002
Province	Sex	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Ontario	Men	1.03 (0.89–1.19)	1.44 (1.32–1.57)*	1.72 (1.61–1.84)*	2.00 (1.56–2.56)*
Ontario	Women	1.16 (1.06–1.26)*	1.63 (1.49–1.77)*	2.07 (1.86–2.31)*	1.68 (1.25–2.25)*
Nova Scotia	Men	1.61 (1.23–2.11)*	1.21 (1.01–1.46)*	1.07 (0.92–1.24)	7.40 (5.38–10.2)*
Nova Scotia	Women	1.48 (1.09–2.00)*	1.23 (1.02–1.49)*	1.18 (1.02–1.37)*	4.61 (3.05–6.97)*
British Columbia	Men	0.78 (0.61–0.99)*	1.03 (0.91–1.17)	1.49 (1.34–1.65)*	1.54 (1.17–2.02)*
British Columbia	Women	0.85 (0.66–1.11)	1.01 (0.87–1.16)	1.66 (1.49–1.85)*	2.80 (2.21–3.56)*
Data source: Hospital Morbidity Database, 2001–2002, Canadian Institute for Health Information. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; MIZ, Metropolitan Influenced Area. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

Table A15 - Relative risks of age-standardized physician visits for diabetes, by place of residence and sex, Ontario and Nova Scotia, 2001–2002, and British Columbia, 2000–2001
	Men				Women
	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ	Strong MIZ	Moderate MIZ	Weak MIZ	No MIZ
Diabetes (250)^a
British Columbia	0.63 (0.60–0.65)*	0.74 (0.73–0.76)*	0.72 (0.70–0.73)*	1.18 (1.14–1.22)*	0.73 (0.71–0.76)*	0.76 (0.75–0.78)*	0.84 (0.82–0.85)*	1.35 (1.30–1.41)*
Ontario	0.86 (0.86–0.87)*	0.86 (0.85–0.87)*	0.93 (0.92–0.94)*	1.57 (1.52–1.62)*	0.93 (0.92–0.94)*	1.00 (0.99–1.01)	0.98 (0.97–1.00)*	2.11 (2.05–2.17)*
Nova Scotia	1.31 (1.27–1.36)*	0.91 (0.89–0.93)*	0.89 (0.88–0.91)*	1.21 (1.11–1.32)*	1.35 (1.29–1.41)*	1.08 (1.05–1.11)*	1.01 (0.99–1.03)	1.66 (1.53–1.79)*
Data sources: Nova Scotia Physician Claims Files, 2001–2002; Ontario Physician Claims Files, 2001–2002; British Columbia Medical Services Plan, 2000–2001. Abbreviations: CA, Census Agglomeration; CMA, Census Metropolitan Area; ICD-9, International Statistical Classification of Diseases and Related Health Problems, 9th Revision; MIZ,Metropolitan Influenced Area. a ICD-9 diagnostic code. * Statistically significant at p < .05; reference group is CMA/CA = 1.00.

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Date modified:: 2011-10-24