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The POWER Report: Volume 2


Chapter 8

Musculoskeletal
Conditions


Chapter 9

Diabetes

Musculoskeletal conditions cause pain and physical disability which lead to increasing use of health care services. We report on how the health outcomes of musculoskeletal disorders and the quality of care differ by age, gender and socioeconomic status. This information can be used to identify areas where disparities can be reduced and care can be improved.

 

 
The POWER Study Diabetes chapter provides critical information on patterns of disparities in diabetes care in Ontario that can be used to target interventions. The dramatic increase in the number of people with diabetes along with the complex clinical management of diabetes and associated complications make it one of the most costly and burdensome chronic diseases of our time. A greater understanding of potential disparities in prevalence, quality of care, and outcomes is necessary in order to better target resources and interventions to where they are most needed.
It is predicted that between 2007 and 2017, 1.9 million
Canadians will develop diabetes. Recent data from
Ontario indicate that the rate of diabetes has increased
dramatically over the last decade and has already
surpassed the global prevalence predicted by the World
Health Organization for 2030. Diabetes is one of the
leading causes of blindness, the most common cause of
end-stage renal disease in the developed world, and a
major cause of cardiovascular complications such as heart
attack and stroke. Furthermore, the treatment is complex
and costly with the direct health care costs of diabetes
ranging from 2.5 to 15 percent of health budgets. The
increasing prevalence, associated complications and
treatment costs make diabetes one of the most costly
and burdensome chronic diseases of our time.

Chapter 10

Reproductive
& Gynaecological
Health




Chapter 11

HIV Infection


 

This chapter focuses on the health of women as it specifically relates to their reproductive systems. Unlike other POWER Study chapters that examine the complex interplay between sex and health in the context of conditions that affect both men and women, this chapter focuses primarily on how the characteristics of women -- how old they are, how well educated, how wealthy, where they live -- affects health and health care issues that are unique to women. The issues covered in this chapter span the life course from teenage pregnancy to hysterectomy in older women.

HIV prevention and care is complex and directly influenced by stigma, marginalization and the social determinants of health. The POWER Study HIV infection chapter reports on indicators related to HIV infection including sections on incidence, prevalence and risk behaviours; community services for HIV; clinical care and HIV outcomes. This chapter provides critical information on patterns of care for women and men in Ontario, and how they vary by socioeconomic, demographic, HIV exposure category and regional characteristics.


Chapter 12

Social Determinants of Health and The Populations at Risk


Chapter 13

Conclusions and Policy Implications

 

     

 

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