Alberta Health Primary Health Care - Community Profiles. Community Profile: Edmonton - West Jasper Place Health Data and Summary



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Alberta Health Primary Health Care - Community Profiles Community Profile: Edmonton - West Jasper Place Health Data and Summary Version 2,

Table of Contents Introduction... i Community Profile Summary... iii Zone Level Information... 1 Map of Alberta Health Services Edmonton Zone... 2 Population Health Indicators... 3 Table 1.1 Zone versus Alberta Population Covered as at March 31, 2014... 3 Table 1.2 Table 1.3 Health Status Indicators for Zone versus Alberta Residents, 2012 and 2013 (BMI, Physical Activity, Smoking, Self-Perceived Mental Health)... 3 Zone versus Alberta Infant Mortality Rates (per 1,000 live births), Years 2011 2013... 4 Local Geographic Area Level Information... 5 Map of Selected Health Services in Local Geographic Area... 6 Demographics... 7 Table 2.1 Distribution of Population Covered by Age and Gender as at March 31, 2014... 7 Figure 2.1 Percentage Distribution of Local Geographic Area versus Alberta Population by Age Groups as at March 31, 2014... 7 Figure 2.2 Local Geographic Area Population Covered as at end of Fiscal Years 1994 2014... 8 Socio-Economic Indicators... 9 Table 3.1 Population Percentage of First Nations with Treaty Status and Inuit as at March 31, 2011.. 9 Table 3.2 Socio-Economic Indicators for Local Geographic Area versus Alberta Residents, 2011 (Family Composition, Family Income, Housing, Mobility, Language, Immigration, Educational Attainment, Household and Dwelling Characteristics)... 9 Chronic Disease Prevalence... 12 Figure 4.1 Local Geographic Area Age-Standardized Chronic Disease Prevalence Rates (per 100 population), 2005 2012 (Chronic Obstructive Pulmonary Disease, Diabetes, Hypertension, Ischemic Heart Disease)... 12 Figure 4.2 Local Geographic Area versus Alberta Age-Standardized Chronic Disease Prevalence Rates (per 100 population), 2012 (Chronic Obstructive Pulmonary Disease, Diabetes, Hypertension, Ischemic Heart Disease)... 13 Maternal and Child Health... 14 Table 5.1 Local Geographic Area Maternal and Child Health Indicators for Three-Year Period (Number of Births, Percent of Low/High Birth Weight, Birth Rate, Fertility Rate, Teen Birth Rate, Percent Maternal Prenatal Smoking)... 14

Table 5.2 Childhood Immunization Coverage Rates, 2013... 15 Communicable Diseases... 16 Table 6.1 Top 5 Sexually Transmitted Infection (STI) Rates (per 100,000 population) by Three-Year Period... 16 Mortality... 17 Figure 7.1 Local Geographic Area Age-Standardized Mortality Rates (per 100,000 population) by Three-Year Period... 17 Figure 7.2 Local Geographic Area versus Alberta Age-Standardized Mortality Rates (per 100,000 population) for Three-Year Period 2011 2013... 18 Figure 7.3 Local Geographic Area Distribution of Deaths by Cause of Death Across 10 Years, 2004 2013... 19 Emergency Service Utilization... 20 Table 8.1 Emergency Visits for Patients Residing in the Local Geographic Area by Triage Level, Fiscal Years 2011/2012 2013/2014... 20 Figure 8.1 Emergency Visit Rates (per 1,000 population) for Triage Levels Semi-Urgent (4) and Non-Urgent (5), Fiscal Year 2013/2014... 20 Figure 8.2 All Emergency Visits for Patients Residing in the Local Geographic Area for Triage Levels Semi-Urgent (4) and Non-Urgent (5) Combined by Weekday and Time, Fiscal Year 2013/2014... 21 Figure 8.3 Local Geographic Area Age-Standardized Emergency Visit Rates (per 100,000 population) for Selected Conditions, 2006 2013 (Acute Upper Respiratory Infections, Arthritis, Asthma, Diabetes, Diseases of Middle Ear and Mastoid, Emphysema and Chronic Bronchitis, Influenza, Mental & Behavioural Disorders due to Psychoactive Substance Use, Other Acute Lower Respiratory Infections, Renal Failure, Stroke)... 23 Figure 8.4 Local Geographic Area versus Alberta Age-Standardized Emergency Visit Rates (per 100,000 population) for Selected Conditions, 2013 (Acute Upper Respiratory Infections, Arthritis, Asthma, Diabetes, Diseases of Middle Ear and Mastoid, Emphysema and Chronic Bronchitis, Influenza, Mental & Behavioural Disorders due to Psychoactive Substance Use, Other Acute Lower Respiratory Infections, Renal Failure, Stroke)... 24 Inpatient Service Utilization... 25 Table 9.1 Inpatient Separation Rates (per 1,000 population) for Patients Residing in the Local Geographic Area versus Alberta, Fiscal Years 2011/2012 2013/2014... 25 Figure 9.1 Local Geographic Area Age-Standardized Inpatient Separation (IP Sep) Rates (per 100,000 population) for Selected Conditions, 2006/2007 2013/2014 (Asthma, Diabetes, Influenza, Ischemic Heart Diseases, Mental and Behavioural Disorders due to Psychoactive Substance Use, Pneumonia, Pulmonary Heart and Pulmonary Circulation Diseases)...25 Figure 9.2 Local Geographic Area versus Alberta Age-Standardized IP Sep Rates (per 100,000 population), for Selected Conditions, 2013/2014 (Asthma, Diabetes, Influenza, Ischemic Heart Diseases, Mental and Behavioural Disorders due to Psychoactive Substance Use, Pneumonia, Pulmonary Heart and Pulmonary Circulation Diseases)... 26

Primary Health Care Indicators of Community Primary Care Need... 27 Table 10.1 Proposed Primary Health Care Indicators of Community Primary Care Need... 27 1. Travel: Percentage of Total Family Physician Claims Outside the Recipient s Home Local Geographic Area, 2010/2011 2. Ambulatory Care Sensitive Conditions - Age-Standardized Hospitalization Rate (per 100,000 population), 2003 to 2011 3. Continuity of Care, 2010 4. ED Visits Related to Mood Disorders (Age-Standardized, per 100,000 population), 2003 to 2011 5. ED Visits Related to Anxiety Disorders (Age-Standardized, per 100,000 population), 2003 to 2011 6. ED Visits Related to Injuries (Age-Standardized, per 100,000 population), 2003 to 2011 7. Diabetes Prevalence (per 100 population), 2010 8. Chronic Obstructive Pulmonary Disease Prevalence Rate (per 100 population), 2010 9. Age-Standardized Rate of People with Three or more Chronic Diseases (per 100 population), 2010 10. Influenza Vaccines for Those 65 and Over, 2011/2012 11. Predicted Primary Health Care Utilization, 2006/2007 to 2008/2009 12. Primary Health Care Service Gap, 2006/2007 to 2008/2009 13. Life Expectancy at Birth, 2000 to 2011 Access to Health Services... 33 Table 11.1 Ambulatory Care Visits and Inpatient Separations for the Local Geographic Area Residents to Facilities Located In versus Out of the Local Geographic Area, Fiscal Year 2013/2014... 33 Table 11.2 Top 3 Non-Local Ambulatory Care Facilities/ Acute Care Hospitals Accessed by Local Residents, Fiscal Year 2013/2014... 33 Appendix A Definitions... 35 Appendix B Community Services Online Resources... 43 Appendix C Health Link Alberta Calls by Zone... 47 Appendix D Select Health Services in Local Geographic Area... 48 Note: Qualifiers such as higher than, much lower than, similar to etc. are used throughout the community profile to compare local geographic area (LGA) indicator values to the provincial average. Note that the qualifiers similar and comparable are chosen to describe situations in which the LGA indicator value is either identical or very close to the provincial average. For further details on these qualifiers please refer to Appendix A. Suggested Citation: Alberta Health Primary Health Care Community Profiles, Community Profile: [insert LGA name], Health Data and Summary, Version 2,

INTRODUCTION Primary Health Care provides an entry point into the health care system and links individuals to medical services and social and community supports. The Government of Alberta is currently working to improve primary health care delivery within the province. The Primary Health Care Strategy has three strategic directions: enhancing the delivery of care, cultural change, and building blocks for change. Primary health care services in Alberta are delivered in a variety of settings and by a range of providers. Current primary health care models in Alberta include: primary care networks, stand-alone physician clinics, community health centres, urgent-care centres, community ambulatory care centres, medi-centres, and university health centres. To assist with primary health care planning, Alberta Health has developed a series of reports to provide a broad range of demographic, socio-economic and population health statistics considered relevant to primary health care for communities across the province. Alberta Health Services divides the province into five large health service Zones, and these Zones are subdivided into smaller geographic areas called local geographic areas (LGAs). The Alberta Health Community Profile reports provide information at the Zone and LGA level for each of the 132 LGAs in Alberta. The Community Profiles (Profiles) are intended to highlight areas of need and provide relevant information to support the consistent and sustainable planning of primary health services. Each Profile offers an overview of the current health status of residents in the LGA, indicators of the area s current and future health needs, and evidence as to which quality services are needed on a timely basis to address the area s needs. Each report includes sections that present Zone and LGA level information. In addition, the Profile includes Appendices containing sources of additional information about the community (e.g. Health Link Alberta and community services). The Zone level section opens with a Zone map that puts the specific LGA into context and includes health-related statistics at the Zone level (the highest geographic breakdown next to the full provincial view). Some of the Zone level health indicators are unique to this section and are not currently available at the LGA level. The LGA section of the Profile is divided into a number of sub-sections and is the core component of each report. The population size of LGAs varies substantially from very small in rural areas to large in metropolitan centers. A compendium of health related information on demographics, prevalence rates, emergency visits, maternal and child health and more, is included in this section. In addition, information on indicators of need (relating to utilization, health population needs and social determinants of health) is also provided. i

Furthermore, each Community Profile contains information on access statistics, offering some additional insight into existing needs that are not being met, as well as the utilization of non-local facilities by LGA residents. A map of selected health services available in each LGA, together with a listing of these locations, is also included in each report. While the current Profile contains data at both the Zone and LGA level, information could be updated or added to the profile if it is provided by the community. For more information contact primaryhealthcare@gov.ab.ca. Note: Various data sources are used to compile the Community Profiles. The Profiles are developed through the collaboration of the Primary Health Care Branch, Health Analytics Branch, Surveillance and Assessment Branch in Alberta Health, along with Statistics Canada and Alberta Health Services. Contributors: Ade A Davies, Primary Health Care, Alberta Health Candy Gregory, Primary Health Care, Alberta Health Fred Ackah, Health Analytics, Alberta Health Jennifer Bian, Health Analytics, Alberta Health Gary Gilham, Health Analytics, Alberta Health Fareeza Khurshed, Health Analytics, Alberta Health Katherine Lyman, Health Analytics, Alberta Health Kimberley McCarthy, Health Analytics, Alberta Health Dan Metes, Health Analytics, Alberta Health Darlene Skiba, Health Analytics, Alberta Health Mengzhe Wang, Health Analytics, Alberta Health Yiming Weng, Health Analytics, Alberta Health Xianpei Zhou, Health Analytics, Alberta Health Sue Cumming, Alberta Health Services Caroline McAuley, Alberta Health Services ii

COMMUNITY PROFILE SUMMARY Local Geographic Area: Edmonton - West Jasper Place The community profile contains a large number of demographic, socio-economic and health related indicators intended to provide a better understanding of the community s current and future health needs. The summary that follows provides a brief overview of some of the key indicators for the local geographic area (LGA), Edmonton - West Jasper Place. For a more in depth look at the data, please refer to the various sections of the report. POPULATION HEALTH INDICATORS Health status indicators are available solely at the zone level. The percentage of obese people in the Edmonton Zone (which includes Edmonton - West Jasper Place) was similar to the provincial percentage in 2013 (19.8% Edmonton Zone vs. 19.3% AB). (Table 1.2) The Edmonton Zone reported a similar proportion of inactive people compared to the provincial proportion during the same year (42.8% Edmonton Zone vs. 42.6% AB). (Table 1.2) DEMOGRAPHICS Edmonton - West Jasper Place's population increased by 59.3% between 1994 and 2014 (compared to a 56% increase for Alberta) and currently stands at 89,881 people. (Figure 2.2) The largest age group in the LGA, in 2014, was 35-64 year olds who accounted for 41.7% of the population compared to 40.4% for Alberta. (Figure 2.1) Children 17 and under made up 21.8% of the LGA's population compared to 22.2% for Alberta, while individuals 65 and older accounted for 10.9% of the population in the LGA and 11.3% in Alberta. (Figure 2.1) SOCIO - ECONOMIC INDICATORS Edmonton - West Jasper Place had a similar proportion of First Nations and Inuit people compared to Alberta (1.9% vs. 3.4% AB). (Table 3.1) The percentage of female lone-parent families was similar to the provincial percentage (11.3% vs. 11.1% AB). (Table 3.2) A lower proportion of families with an after-tax low-income level were reported in the LGA compared to Alberta (7.4% vs. 10.7% AB). (Table 3.2) The most common non-official languages spoken at home in the LGA were: Tagalog (Pilipino, Filipino), Chinese (n.o.s.), Cantonese, Russian, and Mandarin. (Table 3.2) CHRONIC DISEASE PREVALENCE In 2012, the disease with the highest prevalence rate (per 100 population) in Edmonton - West Jasper Place was hypertension. The rate associated with this disease was similar to the provincial rate (11.8 vs. 12.3 AB). (Figure 4.2) iii

MATERNAL HEALTH From 2009/2010 to 2011/2012, Edmonton - West Jasper Place's birth rate per 1,000 women was lower than the provincial rate (24.6 vs. 26.8 AB) and the teen birth rate per 1,000 women was lower than Alberta's teen rate (10.5 vs. 17.4 AB). (Table 5.1) SEXUALLY TRANSMITTED INFECTIONS The highest sexually transmitted infections (STI) rate per 100,000 population in the LGA, in 2011/2012-2013/2014, was reported for chlamydia. None of the top 5 STI rates in the LGA were higher than the provincial rates, where comparisons could be made. (Table 6.1) MORTALITY The mortality rate (per 100,000 population) due to all causes was lower in the LGA, in 2011-2013, compared to the province (377.2 vs. 452.2 AB) and the most frequent cause of death reported between 2004 and 2013 was neoplasms. (Figures 7.2 and 7.3) EMERGENCY AND INPATIENT SERVICE UTILIZATION Semi and non-urgent emergency visits accounted for 36.6% of all emergency visits in 2013/2014. (Table 8.1) Acute Upper Respiratory Infections were the most common reason for emergency visits (among select conditions) in 2013, and had a lower rate (per 100,000 population) compared to the provincial rate (1,384.3 vs. 3,748.0 AB). (Figure 8.4) Ischemic heart diseases, pneumonia, and diabetes were the top three main reasons for inpatient separations (among selected conditions) in 2014, and inpatient separation rates were higher than the provincial rates for 2 of 7 diagnoses. (Figure 9.2) MENTAL AND BEHAVIOURAL DISORDERS Mental and behavioural disorders are particularly important from a population health perspective. In 2013, Edmonton - West Jasper Place's emergency department (ED) visit rate for mental and behavioural disorders was lower than the provincial ED visit rate per 100,000 population (411.2 vs. 633.3 AB). (Figure 8.4) The inpatient discharge rate associated with mental and behavioural disorders was lower than Alberta's discharge rate per 100,000 population (55.9 vs. 120.0 AB). (Figure 9.2) During 2004 to 2013 mental and behavioural disorders accounted for 4.6% of all deaths in the LGA. (Figure 7.3) Note that deaths due to the top 8 disease categories are displayed in Figure 7.3, while the remaining disease categories are grouped into the generic 'Other'. iv

PRIMARY HEALTH CARE INDICATORS OF COMMUNITY PRIMARY CARE NEED During a mapping project conducted by Alberta Health Services in 2012, 13 indicators relating to primary health care needs were developed for each local geographic area. Some of these indicators relate to primary care utilization and availability of primary care services, while others refer to health conditions or health status such as incidence and prevalence of diseases. One additional indicator included, life expectancy at birth, was seen as a strong determinant of health status. Stratification by geographic peer groups (metro, metro moderate, urban, rural, rural remote) was applied to some of these indicators to account for substantially different rates across groups. The following indicators have been highlighted for this LGA: Edmonton - West Jasper Place's separation rate for ambulatory care sensitive conditions (per 100,000 population) was 0.7 times lower than the corresponding metro provincial rate (286.0 vs. 388.2 AB metro). (Table 10.1) The age-standardized rate for people with three or more chronic diseases per 100 population was lower in Edmonton - West Jasper Place compared to the province (1.9 vs. 2.2 AB). (Table 10.1) The dollar gap between actual and predicted community and primary care per capita billings during 2006/2007 and 2008/2009 was $-4.45 in Edmonton - West Jasper Place compared to the $1.19 metro provincial average. (Table 10.1) Residents of Edmonton - West Jasper Place had a life expectancy at birth of 82.5 years compared to 80.5 years for Alberta. (Table 10.1) ACCESS TO HEALTH CARE SERVICES Edmonton - West Jasper Place residents received ambulatory care services at facilities located outside the LGA. In 2013/2014, these visits made up 100.0% (or 155,220 visits) of all ambulatory care visits and most such visits (i.e. 32.2% of all external visits) were to the University of Alberta Hospital in Edmonton (LGA of Edmonton - Bonnie Doon). (Tables 11.1 and 11.2) In 2013/2014, inpatient separations outside the LGA made up 100.0% (or 7,031) of all inpatient separations for Edmonton - West Jasper Place residents and most of them (i.e. 41.4% of all external inpatient separations) occurred at the Misericordia Community Hospital in Edmonton (LGA of Edmonton - Jasper Place). (Tables 11.1 and 11.2) v

Zone Level Information This section contains information presented at the highest geographic breakdown level before rolling up to a full provincial view. The map of Alberta has been partitioned into five geographic zones (Calgary Zone, Central Zone, Edmonton Zone, North Zone, and South Zone), representing the health zones within Alberta Health Services. A variety of health indicators are unique to this section and are only captured at this level of geography due to either sampling and variability errors, or unavailability of data at the level of local geographical areas.

Alberta Health, Primary Health Care 2

Alberta Edmonton Zone POPULATION HEALTH INDICATORS Table 1.1 shows the zone-level population distribution compared to the province, by age group and gender, for the most recent fiscal year available. Children under the age of one were defined as infants, while the pediatric age group consists of all minors excluding infants. People with no age information available were categorized as unknown. TABLE 1.1 Zone versus Alberta Population Covered 1, as at March 31, 2014 Edmonton Zone Alberta 2 Population Female Male Total Female Male Total 660,196 673,003 1,333,199 2,090,074 2,137,807 4,227,881 Percentage Distribution of Population by Age Groups Age Group Female Male Total Female Male Total Infants: Under 1 0.6% 0.6% 1.3% 0.6% 0.7% 1.3% Pediatric: 1-17 9.7% 10.2% 19.9% 10.2% 10.7% 20.9% 18-34 35-64 65-79 80 & Older Unknown 13.2% 13.6% 26.8% 12.9% 13.3% 26.1% 19.7% 20.7% 40.4% 19.7% 20.7% 40.4% 4.4% 4.1% 8.5% 4.3% 4.1% 8.4% 1.9% 1.2% 3.1% 1.8% 1.2% 2.9% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% In 2014, the largest age group was 35-64 year olds, accounting for 40.4% of the overall population in the Edmonton Zone and 40.4% of the population in Alberta. Children 17 and under comprised 21.2% of Edmonton Zone's overall population, compared to 22.2% for Alberta. In addition, residents 65 and older accounted for 11.6% of Edmonton Zone's overall population, 0.3 percentage points higher than the corresponding provincial proportion. Table 1.2 shows zone-level health status indicators compared to the province for the two most recent fiscal years available. TABLE 1.2 Health Status Indicators for Zone versus Alberta Residents, 2012 and 2013 Edmonton Zone Alberta Body Mass Index (BMI) 3 Category Year Female Male Total Female Male Total Under Weight Normal Weight Over Weight Obese 2012 2012 2012 2012 3.9% 50.7% 29.8% 15.7% 0.2% 35.2% 45.5% 19.2% 1.9% 42.5% 38.1% 17.5% 3.0% 50.6% 28.1% 18.3% 0.7% 39.2% 40.8% 19.3% 1.8% 44.6% 34.8% 18.8% 2013 2013 2013 2013 3.8% 52.5% 27.2% 16.5% 0.7% 34.9% 41.5% 22.9% 2.2% 43.4% 34.6% 19.8% 3.6% 53.1% 25.5% 17.9% 0.6% 35.5% 43.3% 20.6% 2.0% 43.8% 34.9% 19.3%

TABLE 1.2 Health Status Indicators for Zone versus Alberta Residents, 2012 and 2013 (continued) Edmonton Zone Alberta Physical Activity 3 Category Year Female Male Total Female Male Total Active or moderately active Inactive Daily smokers 2012 52.9% 57.6% 55.3% 54.4% 55.4% 54.9% 2013 54.2% 60.1% 57.2% 56.2% 58.6% 57.4% 2012 47.1% 42.4% 44.7% 45.6% 44.6% 45.1% 2013 45.8% 39.9% 42.8% 43.8% 41.4% 42.6% Smoking 3 2012 10.1% 17.6% 13.9% 12.7% 20.8% 16.8% 2013 7.8% 17.4% 12.7% 11.7% 18.6% 15.2% Never/former/ occasional smokers Excellent or Very Good Poor Fair or Good 2012 89.9% 82.4% 86.1% 87.3% 79.2% 83.2% 2013 92.2% 82.6% 87.3% 88.3% 81.4% 84.8% Self-Perceived Mental Health 3 2012 66.6% 70.6% 68.6% 69.3% 72.7% 71.0% 2013 71.7% 78.0% 74.9% 73.1% 72.8% 72.9% 2012 33.4% 29.4% 31.4% 30.7% 27.3% 29.0% 2013 28.3% 22.0% 25.1% 26.9% 27.2% 27.1% The percentage of obese people in the Edmonton Zone in 2013 was similar to the provincial percentage (19.8% vs. 19.3% AB) and there was a similar proportion of inactive people compared to Alberta (42.8% vs. 42.6% AB). In addition, a lower percentage of daily smokers was reported at the zone level compared to the province in 2013 (12.7% vs. 15.2% AB) and a higher proportion considered themselves as having excellent or very good mental health (74.9% vs. 72.9% AB). Table 1.3 reports the infant mortality rates per 1,000 live births for the zone and the province, for the most recent calendar years available. TABLE 1.3 Zone versus Alberta Infant Mortality Rates (per 1,000 live births) Years 2011-2013 Edmonton Zone Alberta Infant Mortality Rate (per 1,000 births) 3 2011 6.3 5.1 2012 3.9 4.1 2013 4.5 4.5 The infant mortality rates in the Edmonton Zone varied between 3.9 per 1,000 births in 2012 and 6.3 per 1,000 births in 2011. Compared to Alberta, infant mortality rates in the Edmonton Zone were higher for 1 of the 3 calendar years. Sources: Canadian Community Health Survey Provincial Share Files Alberta Health Care Insurance Plan (AHCIP) Annual Population Registry Files, Alberta Health Postal Code Translation File, Alberta Health Alberta Vital Statistics Births and Deaths Files Notes: 1 Population covered represents number of people covered under the Alberta Health Care Insurance Plan (AHCIP) 2 Alberta population figure was calculated based on valid Alberta postal codes. Methodology: 3 See Appendix A for definition. Surveillance and Assessment Branch, Alberta Health (As of Nov 2014) See link: http://www.ahw.gov.ab.ca/ihda_retrieval

Local Geographic Area Level Information This section contains information presented at the level of the local geographic area and is more granular than the information at the zone level. Local geographic area refers to 132 geographic areas created by Alberta Health (AH) and Alberta Health Services (AHS) based on census boundaries. The Federal Census (2011) and National Household Survey (2011) information is custom extracted by Statistics Canada at the local geographic area level. The population of these areas varies from very small in rural areas to large in metropolitan centers.

( # March # 2015 Alberta Health, Primary Health Care ## Map of Selected Health Services in # Local Geographic Area of Edmonton - West Jasper Place # # Population (2014): 89,881 NW TRAIL EAD OWH YELL EDMONTON - WOODCROFT WEST 118 AVE NW YELLOWHEAD TRAIL NW KINGSWAY N W 111 AVE NW # 107 AVENW # # NW AVE 102 # WINTERBURN NW AVE JASPER ( NW RD PLAIN # STONY HIGHWAY 16A NW 100 AVE 127 ST NW ( Ambulatory Care Facility (0) # # 122 ST NW 101 ST NW RD NW 61 AVE NW # W # 119 ST NW CALGARY TRAIL NW RW I 111 ST NW RD GA EDMONTON WEST JASPER PLACE LLE GATEWAY BLVD NW RN SW EDMONTON - RUTHERFORD LEDUC & DEVON Prepared by Health Analytics Branch, Alberta Health Note: For additional details regarding the selected health service facilities in the above map please refer to Appendix D. # # # #23AVE NW EDMONTON - TWIN BROOKS Active Treatment Facility (0) Municipalities Roads & Highways Metis_Settlements Indian Reserves Community Pharmacy (15) Diagnostic Imaging Centre (0) SCONA NW 82 AVE 97 AVE NW 99 ST NW D R D NW GWOO CALLIN IL HIGHWAY 60 ## RA AVE 87 AVE NW 87 NW RY T # CA LG A Family Physician Office (11) Medical Laboratory (0) Supportive Living Facility (20) Long Term Care Facility (1) TE WINTERBURN RD WINTERBURN RD NW HIGHWAY 627 NW Select Health Services ANTHONY HENDAY DR 114 ST NW ( WHITEMUD DR NW ENOCH 178 ST NW HIGHWAY 628 WHITEMUD DR GROAT RD NW 104 ST NW W DN MA YF IEL DR WINTERBURN RD NW 124 ST NW NW 109 ST NW 142 ST NW T 97 S GROAT RD NW 170 ST NW 6

Local Geographic Area: Edmonton - West Jasper Place DEMOGRAPHICS Table 2.1 shows the population distribution of the local geographic area broken down by age group and gender, for the most recent fiscal year available. Specific age groups have been identified. Children under the age of one were defined as infants, while the pediatric age group includes all minors excluding infants. People with no age information available were categorized as unknown. TABLE 2.1 Distribution of Population Covered 1 by Age and Gender As at March 31, 2014 Local Geographic Area Population Age Group Female Male Total Infants: Under 1 548 580 1,128 Pediatric: 1-17 9,000 9,446 18,446 18-34 11,532 11,492 23,024 35-64 19,064 18,406 37,470 65-79 3,684 3,431 7,115 80 & Older 1,648 1,050 2,698 Unknown 0 0 0 Total 45,476 44,405 89,881 Figure 2.1 profiles the population distribution by age group for both the local geographic area and Alberta, for the most recent fiscal year available. FIGURE 2.1 Percentage Distribution of Local Geographic Area (LGA) versus Alberta Population By Age Group as at March 31, 2014 % of Population 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Infants: Under 1 Pediatric: 1-17 18-34 35-64 65-79 80 & Older Unknown LGA 1.3% 20.5% 25.6% 41.7% 7.9% 3.0% 0.0% Alberta 1.3% 20.9% 26.1% 40.4% 8.4% 2.9% 0.0%

In 2014, the largest age group was 35-64 year olds, accounting for 41.7% of the overall population. Children 17 and under comprised 21.8% of Edmonton - West Jasper Place's overall population, compared to 22.2% for Alberta. In addition, residents 65 and older accounted for 10.9% of Edmonton - West Jasper Place's overall population, similar to the corresponding provincial proportion. The population counts for each year between 1994 and the most recent fiscal year are provided in Figure 2.2. FIGURE 2.2 Local Geographic Area Population Covered as at End (i.e. Mar 31) of Fiscal Years 1994-2014 100,000 90,000 80,000 89,881 70,000 60,000 50,000 40,000 30,000 55,355 56,712 63,432 75,592 20,000 10,000 0 1994 1995 1996 1997 1998 1999 2000 Population 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year The population of Edmonton - West Jasper Place increased by 59.3% between 1994 and 2014. A low of 54,116 individuals was reported in 1997 and a peak of 89,881 people was reported in 2014. Sources: Alberta Health Care Insurance Plan (AHCIP) Annual Population Registry File, Alberta Health Postal Code Translation File, Alberta Health Notes: 1 Population covered represents number of people covered under the Alberta Health Care Insurance Plan (AHCIP)

Local Geographic Area: Edmonton - West Jasper Place SOCIO-ECONOMIC INDICATORS Tables 3.1 and 3.2 highlight a number of indicators relating to social determinants of health such as family income, housing and educational attainment. Values for the local geographic area and Alberta are listed as proportions, raw numbers, or dollar amounts, depending on the indicator. TABLE 3.1 Population Percentage of First Nations with Treaty Status 1 and Inuit as at March 31, 2011 First Nations with Treaty Status and Inuit Population Edmonton - West Alberta Jasper Place Percent of Population that is First Nations or Inuit 1.9% 3.4% TABLE 3.2 Socio-Economic Indicators 2 for Local Geographic Area versus Alberta Residents, 2011 Family Composition Edmonton - West Jasper Place Alberta Percent (Number of) Male Lone-Parent Families 3.0% (670) 3.4% (33,705) Percent (Number of) Female Lone-Parent Families 11.3% (2,560) 11.1% (110,800) Percent (Number of) 65 Years of Age and Older Who Live Alone 19.6% (1,480) 25.0% (91,355) Percent (Number of) Persons not in Census Family 1 13.1% (10,255) 17.3% (616,065) Percent (Number of) Census Family Persons 86.9% (68,035) 82.7% (2,951,865) Average Number of Persons per Census Family 3.0 3.0 Family Income Edmonton - West Jasper Place Alberta Percent (Number of) of Families with After-Tax Low-Income 1 7.4% (1,656) 10.7% (105,875) Percent (Number) of Private Households with an After-Tax Income $100,000 in 2010 37.3% (10,565) 27.8% (386,990) Average Census Family Income $138,499 $116,232 Housing Edmonton - West Jasper Place Alberta Percent Living in Owned Dwellings 84.0% 73.6% Percent Where Greater Than 30% of Income Is Spent on Housing for Homeowners 17.5% 18.4% Average Value of Dwelling $450,303 $398,839 Percent of Homeowners Who Have Homes in Need of Major Repairs 5.4% 7.0% Percent Living in Rented Dwellings 16.0% 25.7% Percent Where Greater Than 30% of Income Is Spent on Housing for Renters 37.4% 38.6% Percent Living in Band Housing 1 0.0% 0.7%

Compared to Alberta, Edmonton - West Jasper Place had a similar proportion of First Nations people (1.9% vs. 3.4% AB). The proportion of female lone-parent families was similar to the provincial proportion (11.3% vs. 11.1% AB). In addition, the proportion of male lone-parent families in Edmonton - West Jasper Place was lower than the provincial proportion (3.0% vs. 3.4% AB). Furthermore, a lower percentage of families had an after-tax low-income level compared to the province (7.4% vs. 10.7% AB). Compared to Alberta, the percentage of people who spent 30% or more of their income on housing related expenses was 0.9 percentage points lower in Edmonton - West Jasper Place. In addition, a higher proportion of people in Edmonton - West Jasper Place lived in dwellings they owned (84.0% vs. 73.6% AB). TABLE 3.2 Socio-Economic Indicators 2 for LGA versus Alberta Residents, 2011 (continued) Mobility Edmonton - West Alberta Jasper Place Percent who lived at the Same Address One Year Ago 87.7% 84.8% Percent who lived at the Same Address Five Years Ago 57.7% 55.1% Language Edmonton - West Jasper Place Alberta Percent Who Do Not Speak English or French 1.3% 1.4% Percent of Households Where a Non-Official Language Is Spoken at Home 11.8% 10.5% Top Five Non-Official Languages Spoken at Home 3 Tagalog (Pilipino, Filipino), Chinese (n.o.s.), Cantonese, Russian, and Mandarin Panjabi (Punjabi), German, Tagalog (Pilipino, Filipino), Chinese (n.o.s.), and Spanish Immigration Edmonton - West Jasper Place Alberta Total Number of Immigrants 18,850 644,115 Percent of Immigrants Who Arrived in the Last Five Years 4.2% 4.0% Top Five Places of Birth for Recent Immigrants 4 Philippines, China, India, Russian Federation, and Other places of birth in Americas Philippines, India, China, United Kingdom, and United States Educational Attainment Edmonton - West Jasper Place Alberta Percent with No High School Graduation Certificate 8.0% 12.3% Percent with High School Graduation Certificate 21.1% 23.8% Percent with Apprenticeship, Trades Certificate or Diploma 9.1% 12.2% Percent with College, Other Non-University Certificate, or Diploma 21.8% 21.4% Percent with University Certificate, Diploma or Degree 40.0% 30.3%

TABLE 3.2 Socio-Economic Indicators 2 for LGA versus Alberta Residents, 2011 (continued) Household and Dwelling Characteristics Edmonton - West Jasper Place Alberta Percent Persons in Private Households 1 99.2% 97.9% Total Number of Households by Household Type 28,365 1,390,275 Census Family Households 77.4% 69.8% One-Family-Only Households 69.3% 62.6% Two-or-More-Family Households 8.1% 7.1% Non-Family Households 22.6% 30.2% Total Number of Dwellings by Structural Type 28,365 1,390,275 Single-Detached House 69.3% 63.5% Moveable Dwelling 3.7% 3.4% Other Dwelling Including 5 Storey Apartment Buildings 27.0% 33.1% Edmonton - West Jasper Place had a similar proportion of non-english and non-french speaking people compared to Alberta (1.3% vs. 1.4% AB). Also, a similar proportion of immigrants arrived in the last five years in Edmonton - West Jasper Place compared to the province (4.2% vs. 4.0% AB). Furthermore, Edmonton - West Jasper Place reported a higher proportion of people with university certificates, diplomas or degrees (40.0% vs. 30.3% AB). Sources: Federal Census (2011) by LGA - Custom Extract, Statistics Canada National Household Survey (2011) by LGA - Custom Extract, Statistics Canada Postal Code Translation File, Alberta Health Alberta Health Care Insurance Plan (AHCIP) Annual Population Registry Files, Alberta Health (2011) Notes: 1 See Appendix A for definition. 2 N/A indicates that data were not available for a specific metric for this LGA 3 Less than five languages may be listed if no others were reported. Six or more languages may be listed in the case of ties. 4 Less than five places of birth may be listed if no others were reported. Six or more places of birth may be listed in the case of ties. Since only a select number of countries was included for each continent, categories like Other places of birth in Continent X may appear among the top 5 places of birth listed in Table 3.2; to better understand which countries are included in the Other... categories please refer to the list of select counties that appeared distinctly in the data; countries not included in Other... but that could appear on they own are listed below: -> Africa: Algeria, Cameroon, Congo, Egypt, Ethiopia, Mauritius, Morocco, Nigeria, Somalia, Tunisia, South Africa -> Americas (N, S and Central) : Brazil, Colombia, Cuba, Guyana, Haiti, Jamaica, Mexico, Peru, United States, Venezuela -> Asia (incl. Middle East): Afghanistan, Bangladesh, China, Hong Kong Special Administrative Region, India, Iran, Iraq, Israel, Japan, Lebanon, Nepal, Pakistan, Philippines, Saudi Arabia, South Korea, Sri Lanka, Syria, Taiwan, Turkey, United Arab Emirates, Vietnam -> Europe: France, Germany, Moldova, Poland, Romania, Russian Federation, Ukraine, United Kingdom