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Health of Canadians Living in Census Metropolitan Areas

by Jason Gilmore
Health Statistics Division
Trends and Conditions in Census Metropolitan Areas
July 2004, Catalogue No. 89-613 No. 2

Context

Canadians enjoy longer life and generally better health than people in many other industrialized countries. However, their health status os by no means evenly distributed across the country’s major urban centres.

Objective(s)

This report paints a statistical portrait of health in 25 census metropolitan areas (CMAs).

Findings

Canada's urban centres differ widely in terms of health outcomes, such as life expectancy at birth. Life expectancy was highest in Vancouver (81.1 years) with Toronto and Victoria close behind and lowest in Greater Sudbury (76.7).

There is a wide variation among the largest urban areas in terms of health-related lifestyles, behaviours, their health conditions and their health care needs. Life expectancy in metropolitan areas was negatively associated with smoking rates, heavy drinking rates, obesity rates and high blood pressure rates. Life expectancy in urban areas was positively associated with post-secondary education, household income and shares of recent immigrants.

Urban areas differed widely in their level of self-reported health. The areas with the lowest proportion of residents who reported their health as good or better were all in Ontario: Greater Sudbury, Thunder Bay and Windsor. On the other hand, the urban centres with the highest proportion of residents reporting their health as good or better were Québec, Chicoutim-Jonquière and Calgary.

In terms of leisure time, Victoria and Quebec had the most physically active populations while Sherbrooke had the least physically active population.

Nearly one-fifth of Windsor residents reported unmet health care needs, the highest among all CMAs. Vancouver, Toronto and Québec had rates of self-perceived unmet health care needs that were significantly lower than the national average.

Data source(s)

Census 2001, Canadian Community Health Survey 2000/2001.

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