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

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.

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)

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

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.

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)*
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)*
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)*
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)*

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

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.

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)*

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

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.

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)*
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)*
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)*
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)*

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

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.

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)*

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

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.

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)*
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)*
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)*
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)*

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

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.

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)*

 

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

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.

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)*
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)*
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)*
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)*

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

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.

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)

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

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.

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)*
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)*
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)*
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)*

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

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.

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)*

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

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.

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)*
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)*
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)*
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)*

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

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.

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)

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

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.

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)*
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)*
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)*
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)*

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

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.

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)*
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