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AN EVIDENCE-BASED STANDARD FOR MEASURING THE WELL-BEING OF TORONTO’S NEIGHBOURHOODS

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Page 1: HEART · heart an evidence-based standard for measuring the well-being of toronto’s neighbourhoods

HEART AN EVIDENCE-BASED STANDARD FOR MEASURING THE WELL-BEING OF TORONTO’S NEIGHBOURHOODS

Page 2: HEART · heart an evidence-based standard for measuring the well-being of toronto’s neighbourhoods

2 | URBAN HEART @ TORONTO

Table of Contents

3 AnIntroductiontoUrbanHEART@Toronto

4 HowtoUseThisTool

5 ProjectBackground

6 Domain1:EconomicOpportunities

8 Domain2:SocialandHumanDevelopment

10 Domain3:GovernanceandCivicEngagement

12 Domain4:PhysicalEnvironmentandInfrastructure

14 Domain5:PopulationHealth

16 TheUrbanHEART@TorontoMatrix

20 Conclusion

21 Acknowledgements

22 Appendix1:DomainsandIndicators

Page 3: HEART · heart an evidence-based standard for measuring the well-being of toronto’s neighbourhoods

CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 3

An Introduction to Urban HEART @ Toronto

Toronto has earned for itself a reputation

as a city of neighbourhoods.

From Etobicoke to Scarborough, from

North York to Downtown, a network of

interdependent communities with distinct

characteristics and unique identities shapes

the personality of our city overall. We are

well-known and well-regarded for the strength

and diversity of this impressive mosaic.

In a city as connected as ours, neighbourhoods

matter. They are the foundation of our

common health and our shared prosperity.

And so, if some neighbourhoods fall behind,

the success of our entire city is put at risk.

This isn’t a new revelation. But until

now, there hasn’t been a consistent

way to check the pulse of our city.

That’s why Urban HEART @ Toronto is

so timely. It measures how well Toronto’s

neighbourhoods are doing in five main

categories. A variety of indicators within

these domains are presented using a

coloured dashboard. Green shows us

where local conditions are positive,

while yellow and red point to conditions

that need a closer examination.

A quick look at the Urban HEART @ Toronto

dashboard tells us that every neighbourhood

in Toronto has strengths and assets to

build on — but there is troubling inequality

in our city. Too many neighbourhoods

are vulnerable and falling behind.

In fact, almost half of all of Toronto’s

neighbourhoods are experiencing yellow

caution indicators across all domains. This

doesn’t necessarily mean these neighbourhoods

are at risk — but they are revealed to be areas

that are experiencing some issues of concern,

and need a closer look to find out why.

Urban HEART @ Toronto is only a diagnosis.

Solutions to the challenges facing our

neighbourhoods will need to be developed using

this information as a guide. But for the first

time ever, there is an evidence-based standard

for measuring the well-being of Toronto’s

neighbourhoods. Now governments, funders,

and community organizations can use a single,

consistent tool for making smarter decisions

about local funding and community resources

— and ensuring our city of neighbourhoods

thrives in every corner of Toronto.

This summary profiles some of the key

information and findings included in Urban

HEART @ Toronto. For more detailed

information, please see the complete technical

report at http://www.torontohealthprofiles.

ca/urbanheartattoronto.php

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4 | URBAN HEART @ TORONTO

How to Use This Tool

The Urban HEART @ Toronto dashboard, and

all of the indicators and data included within

the domains, provide a simple and user-friendly

tool for showing us what’s working — and

what’s not — at a neighbourhood level.

It will give multiple partners from across all

sectors the opportunity to target resources

where they’re needed most, coordinate

efforts, establish long-term action plans,

and measure their progress over time.

This will enable collaborative priority-

setting, planning, and investment decisions

to be made across multiple sectors and

among many different partners — all using

strong, consistent, and reliable evidence.

It’s important to point out that the

information contained in Urban HEART

@ Toronto is presented as a resource for

further consideration. Neighbourhoods are

not given rankings because the indicators

measured are often complex and inter-

related. This information requires a closer

look — both across all neighbourhoods

and in relation to other local indicators

— before any conclusions are made.

The reality of community-level health and

well-being is more nuanced than what

can be presented in a simple report card.

Not all red indicators require immediate

attention. Not all yellow indicators suggest a

neighbourhood is at risk of falling behind.

What Urban HEART @ Toronto provides

is a new resource of critical importance: a

dashboard of indicators that tells us where

we should look first, and what we should

look at, in order to make the smartest

decisions about priorities and strategies for

strengthening Toronto’s neighbourhood.

For more information on using the

Urban HEART @ Toronto tool, read

the complete technical report at

http://www.torontohealthprofiles.

ca/urbanheartattoronto.php

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 5

Project Background

Urban HEART @ Toronto was adapted by

the Centre for Research on Inner City Health

(CRICH) of St. Michael’s Hospital from a World

Health Organization tool for measuring health

inequities in the developing world. CRICH

convened 80 experts from more than 40

organizations — including community groups,

academics, the private sector, and government

— to develop a made-in-Toronto tool.

Urban HEART @ Toronto measures

neighbourhood-level indicators of local

health and well-being in five main domains:

economic opportunities; social and human

development; civic engagement; physical

environment and local infrastructure;

and, physical and mental health.

A set of 15 indicators most relevant to Toronto

across these five domains was identified by

experts from various sectors through a Delphi

technique to assess how each of Toronto’s

140 neighbourhoods is doing. There are two

types of indicators identified by the experts.

Required Indicators best capture inequalities

within the city. They will be reported every time

the Urban HEART @ Toronto assessment is

conducted. Strongly Recommended Indicators

augment the information provided by required

indicators. They can be selected by stakeholders

based on unique goals at one point in time.

All of the indicators used come from various

data sources that are reliable, readily-

available, and will be consistently measured

over time. Triangulation — that is, using

different indicators from different data

sources — minimizes the risk that a single

data set with associated quality issues

will unfairly classify a neighbourhood.

The original Urban HEART uses Millennium

Development Goals to establish benchmarks

and targets. However, in Canada and Toronto

there are few established benchmarks and

targets for health and social equity.The

choice of benchmarks and targets is very

important as they represent the standards

and goals against which neighbourhoods’

progress is measured. The colour of

each indicator means the following:

Red Below the benchmark

Yellow Higher than the benchmark,

but below the target

Green Equal to or above the target

Benchmarks and targets are established

for each indicator instead of generating a

measure to be used for all indicators. A range

of strategies for setting benchmarks and

targets have been reviewed to identify the

most appropriate ones for each indicator.

For more information on domains and

indicators see page 22. For details on

benchmarks and targets, see the complete

Urban HEART @ Toronto technical report

at http://www.torontohealthprofiles.

ca/urbanheartattoronto.php

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6 | URBAN HEART @ TORONTO

Domain 1: Economic Opportunities

WhatWeMeasured

Urban HEART @ Toronto used three indicators

to assess economic opportunities across

Toronto’s neighbourhoods. We considered:

• Unemployment rate for

individuals ages 15 and over

• Percentage of the population

who are considered “low income”

based on income tax data

• Individuals receiving some

form of social assistance

WhyItMatters

For any community to thrive, the people

who live there need to be economically

secure. That means having a job and making

enough money that you’re not living in

low income. Supporting the development

of job opportunities and investments in

human capital won’t eliminate poverty on

their own, but they are necessary elements

of any solution. When neighbourhoods

experience high unemployment rates and

elevated levels of poverty, the overall health

outcomes of the community suffer too.

WhatWeFound

• Unlike many cities where high rates of

poverty are found in the urban center,

in Toronto affluent neighbourhoods are

mainly located in the downtown core.

• This affluent inner core area is

surrounded by a “U-shaped” distribution

of concentrated poverty.

• Unemployment rates are also much higher

in the inner suburbs of Toronto compared

to both downtown and central Toronto.

• A lack of economic opportunities —

seen in terms of low income and high

unemployment — is directly related to

health outcomes. There is a particularly

strong connection between diabetes

rates and poor economic outcomes.

DomainHighlight:UnemploymentRate

Urban HEART @ Toronto looked at individuals

age 15 and over who were unemployed and

actively looking for work or who had been

temporarily laid off. In January 2013, the city’s

Economic and Development Committee

approved the target of eliminating the

gap between the city’s unemployment

rate and the national rate by 2018.

The map on the right provides a visual

picture of unemployment rates across

Toronto’s neighbourhoods.

1 This included Ontario Works recipients (cases and families), ODSP recipients participating in OW employment programs, and non-OW members receiving special assistance for medical items.

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 7

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8 | URBAN HEART @ TORONTO

Domain 2: Social and Human Development

WhatWeMeasured

Urban HEART @ Toronto used three indicators

to assess social and human development across

Toronto’s neighbourhoods. We considered:

• Percentage of students who

graduated from high school

• Proportion of residents who have

college diplomas, trades certificates,

university degrees, or other post-

secondary program completion

• Levels of social and economic

marginalization in neighbourhoods

WhyItMatters

Getting a good education and going on to

post-secondary school or training are key

predictors of a healthy life. And when people

feel connected to their community, the whole

neighbourhood is better for it. But when people

are marginalized by limited opportunities

— and when residents experience social

exclusion — there are increases in illness,

poverty, and personal and family hardships.

WhatWeFound

• Higher rates of high school and post-

secondary school graduation are seen

in the more affluent neighbourhoods

of Toronto, especially those

concentrated in the downtown core.

• Areas with the lowest levels of educational

attainment have higher rates of residents

living in poverty or relying on social

assistance. Many of these are in the inner

suburbs that surround the downtown core.

• Higher levels of marginalization are

found in the inner suburbs. These are

also highly connected with the indicators

of economic opportunities domain.

• Many of the indicators of social and

human development are also related

to health. For example, lower levels of

post-secondary education are closely

linked with higher rates of diabetes.

DomainHighlight:FinishingHighSchool

High school graduation rates are an important

indicator of community well-being. Adults

without a high school diploma, generally, earn

less than those who graduate and often have

fewer employment opportunities. Moreover,

because a high school degree is a common

prerequisite for entering post-secondary

educational systems, leaving high school

before graduating tends to limit a person’s

future educational opportunities. In 2005,

the Ministry of Education set a goal of 85%

graduation rate by the 2010/2011 school year.

The map on the right provides a

visual picture of the likelihood that a

neighbourhood will achieve this goal.

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 9

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10 | URBAN HEART @ TORONTO

Domain 3: Governance and Civic Engagement

WhatWeMeasured

Urban HEART @ Toronto used one

indicator to assess the level of governance

and civic engagement across Toronto’s

neighbourhoods. We looked at the percentage

of eligible voters in each neighbourhood

who voted in the last municipal election.

Unlike in other domains where multiple

indicators were examined, the municipal

voting rate was the only readily available

and reliable source of information

available at a neighbourhood level.

WhyItMatters

When individuals participate in the governance

of their communities, they make their voices

heard and can advocate for positive social

change. While high rates of voter participation

suggests that residents are engaged in their

communities, low rates of voter turnout can

mean residents feel disconnected to their

communities, marginalized and see little

benefit to civic participation. This can foster

further disenfranchisement and lead to an

unequal distribution of influence in a city.

WhatWeFound

• Torontonians can be proud of their

overall level of voter participation in local

elections. When compared to other cities

across Canada, voter turnout in Toronto

was superior. Even the neighbourhoods

with the lowest rates of participation in

Toronto demonstrated higher levels than

other municipalities across the country.

• Residents in Toronto’s downtown core

had higher rates of voter participation

than areas in the outer suburbs.

DomainHighlight:HowBusyisYourPollingCentre?

Voting rates are an important indicator

of civic engagement. Voting has been

linked with the health of the democratic

process. As political participation can

influence public policy, the voices of those

who don’t vote may not be heard.

The map on the right provides a visual picture

of voter turn-out across Toronto. Areas in

red represent neighbourhoods where 41.4%

or fewer residents participated in the most

recent municipal election. Areas that are

green had turnout rates of 51.3% or higher.

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 11

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12 | URBAN HEART @ TORONTO

Domain 4: Physical Environment and Infrastructure

WhatWeMeasured

Urban HEART @ Toronto looked

at indicators related to physical and

environmental infrastructure across

Toronto neighbourhoods. We considered:

• Easy access to healthy,

affordable food choices

• Pedestrian friendliness including

sidewalks and frequent intersections

• Spaces for people to gather at low

or no cost including community

centres and places of worship

• Access to green space like public

parks, trails and sports fields

WhyItMatters

The surroundings of where we live have a

strong impact on our well-being. For individuals

and communities to thrive, we need to live in

an environment that provides opportunities

for healthy living. This means easy access to

food, community and public spaces. Streets

that are safe to walk on and outdoor spaces

where kids can play. It also means places

where residents can come together, meet

their neighbours, and form strong community

bonds. When these resources aren’t available,

it can lead to higher levels of chronic disease,

obesity, and other negative social issues.

WhatWeFound

• When it comes to walkability, there is a sharp

divide between downtown and the rest of

the city. All of the neighbourhoods that are

most walkable are located in the downtown

core. The least walkable neighbourhoods

are located in Etobicoke and Scarborough.

• There are high and mixed income

neighbourhoods that do not score well

when it comes to physical environment

and infrastructure. It should be noted

that, in neighbourhoods with high or

mixed incomes, lack of infrastructure

like community centres and low

walkability scores will affect different

people in different ways. For example,

people with high incomes will have the

means to drive to many destinations

and can subscribe to private gyms.

DomainHighlight:HowWalkableisYourNeighbourhood?

Increasingly, cities are becoming interested in

promoting communities where residents can

safely and quickly walk to the places they need

to go. By looking at the proximity to services

such as businesses, parks, schools, and other

common destinations, Walk Score® assigns a

numerical “walkability score” for each Toronto

neighbourhood. These scores are being uses

to examine the links between man-made

environments and common health issues such

as physical activity, obesity, and diabetes.

The map on the right provides a visual picture

of how walkable Toronto’s neighbourhoods are.

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 13

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14 | URBAN HEART @ TORONTO

Domain 5: Population Health

WhatWeMeasured

Urban HEART @ Toronto uses four

indicators to gain a snapshot of physical

and mental health across Toronto’s

neighbourhoods. We considered:

• Premature mortality rates

• Good or excellent mental health status

• Hospitalization rates for several

chronic diseases (often referred to as

“preventable hospitalizations”)

• Prevalence of diabetes

WhyItMatters

The health and well-being of residents is

one of the strongest indicators of social and

economic equity within communities. Our

chances of encountering diseases such as

tuberculosis, or developing chronic conditions

like diabetes or heart disease increase when

we don’t have the resources necessary to foster

well-being. These resources can include stable

housing, safe streets, economic security, and

healthy food. Moreover, these challenges

are cyclical: poor health can, in turn, lead to

lost wages, isolation, and increased difficulty

taking care of ourselves and our families.

WhatWeFound

• Across Toronto, as in most communities

in the world, residents in neighbourhoods

with lower incomes and higher rates of

unemployment and social assistance have

worse health outcomes. This was generally

true across the population health indicators.

• The majority of neighbourhoods faring

very poorly across population health

indicators are also faring poorly across

social and human development domain.

DomainHighlight:Prematuremortality

Premature mortality rates represent the number

of deaths among individuals under 75 years

of age. This measure gives more weight to

the death of younger people which are most

often preventable. Researchers estimate that

approximately 72% of deaths of people younger

than 75 are avoidable, and among these, 65% are

preventable. Thus, premature mortality rates

provide a glimpse into how our city engages

in disease prevention and health promotion.

The map on the right provides a visual picture

of premature mortality rates across Toronto.

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 15

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16 | URBAN HEART @ TORONTO

Urban Heart MatrixNeighbourhood NID Unemployment Low

IncomeSocial

Assistance High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes R Y G

Domains Economic Opportunity Social and Human Development Governance Physical Environment & Infrastructure Population HealthReds 28 24 26 27 28 46 24 28 22 29 28 23 24 43 44Yellows 75 74 53 87 57 36 82 79 101 81 86 68 66 54 56Greens 37 42 61 26 55 58 34 33 17 30 26 49 42 43 40TorontoRate 9.3 22.2 10.0 N/A 2.4 68.9 45.7 15 71 3.9 45.5 211.1 73.4 243.8 8.5NeighbourhoodRange 5.0-17.1 5.6-49.8 0.4-29.1 Low/Ave/Hi 1.0-3.4 37.5-91.7 34.5-58.3 3.4-39.9 42-99 0.47-22.3 11.3-

113.5118.0-573.0 47.4-96.8 79.3-608.7 4.1-14.0

Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes

Agincourt North 129 11.3 25.8 6.4 Hi 2.6 57.2 39.1 5.6 66 3.55 27.6 139.2L 61.1 163.3L 9.5H 4 7 4Agincourt South-Malvern West

128 10.7 27.1 7.0 Ave 2.6 60.6 41.7 9.6 66 3.22 22.2 161.9L 70.4 183.6L 9.5H 2 10 3

Alderwood 20 7.4 10.1 4.3 Ave 2.0 63.5 47.9 7.5 70 0.62 30.6 256.9H 80.0 294.0 8.5 3 7 5Annex 95 7.3 19.1 3.9 Ave 1.8 85.0 49.8 25.7 94 7.62 21.5 234.1 73.3 235.7 5.5L 1 6 8

Banbury-Don Mills 42 7.1 14.0 3.8 Hi 2.4 80.7 50.4 6.2 67 1.37 56.8 163.5L 78.7 137.3L 6.5L 1 5 9Bathurst Manor 34 7.8 17.5 6.6 Ave 2.6 72.9 44.8 13.2 61 1.56 91.6 148.3L 78.7 173.7L 8.5 0 9 6Bay Street Corridor 76 9.3 26.7 3.5 Ave 2.2 89.2 39.7 20.1 99 12.98 23.5 294.2H 85.4H 163.7L 5.1L 2 4 9Bayview Village 52 8.4 21.1 3.5 Hi 2.4 83.4 54.8 6.4 71 1.07 52.5 127.5L 64.5 163.9L 6.0L 2 6 7Bayview Woods-Steeles 49 10.4 23.0 4.9 Hi 2.6 81.7 42.2 5.0 57 0.79 84.1 158.7L 84.3 161.1L 7.1L 3 4 8Bedford Park-Nortown 39 6.3 11.2 2.1 Ave 1.6 80.1 47.0 10.4 73 5.32 17.5 119.1L 87.0H 99.5L 5.6L 1 5 9Beechborough-Greenbrook 112 11.6 28.6 22.8 Low 3.4 41.6 39.6 19.1 62 3.38 39.2 306.7H 65.7E 324.5 12.5H 10 5 0Bendale 127 10.5 23.6 9.8 Ave 3.0 61.0 45.9 10.3 64 3.23 46.7 215.3 76.1 249.5 11.5H 3 12 0Birchcliffe-Cliffside 122 10.6 14.5 8.2 Ave 1.8 65.8 53.1 10.6 71 1.76 35.4 317.6H 78.4 345.8H 8.2 2 9 4Black Creek 24 13.6 33.5 29.1 Low 3.0 40.9 45.0 16.8 62 1.70 64.1 228.3 58.4L 315.6H 12.7H 9 6 0Blake-Jones 69 9.6 28.6 13.1 Ave 2.6 67.2 51.1 30.1 89 5.70 17.6 301.1H 58.0E 248.9 8.1 4 10 1Briar Hill-Belgravia 108 7.8 20.6 10.0 Ave 2.8 65.1 44.6 13.5 81 6.03 15.8 205.0 65.2E 236.1 9.9H 1 13 1Bridle Path-Sunnybrook-York Mills

41 5.8 8.0 0.4 Hi 1.4 89.1 43.1 4.5 58 0.90 59.8 147.1L 88.9H 153.7L 4.5L 3 2 10

Broadview North 57 10.9 22.0 11.3 Low 2.6 70.2 51.7 18.5 74 7.78 48.8 229.5 64.7E 252.4 7.9L 1 12 2Brookhaven-Amesbury 30 9.7 26.2 19.2 Ave 2.8 50.3 42.4 15.2 62 4.22 38.2 225.4 82.9 299.1H 11.5H 4 10 1Cabbagetown- South St. James Town

71 7.4 20.4 8.2 Ave 1.8 80.4 58.0 30.1 91 11.66 50.8 367.4H 85.9H 327.5H 6.6L 2 4 9

Caledonia-Fairbank 109 9.8 18.1 11.7 Low 2.4 44.3 37.6 15.6 69 4.61 36.0 222.9 67.3 214.0 10.6H 4 11 0Casa Loma 96 6.0 11.0 1.8 Ave 2.0 87.1 53.5 16.4 80 2.48 31.0 179.7 90.0H 196.9 4.6L 0 6 9Centennial Scarborough 133 7.8 10.0 3.0 Hi 1.6 76.6 46.7 6.1 54 1.13 36.8 170.2L 79.3 170.3L 9.5H 3 4 8Church-Yonge Corridor 75 8.4 31.8 10.9 Low 1.8 82.1 47.8 26.8 98 12.38 22.3 352.0H 81.7 281.7 6.5L 4 4 7Clairlea-Birchmount 120 9.7 27.2 10.9 Ave 2.6 64.4 46.0 8.8 69 2.33 53.6 271.7H 74.7 327.8H 10.9H 3 12 0Clanton Park 33 7.5 17.5 5.0 Hi 2.2 78.0 42.0 13.6 63 3.89 27.1 176.8L 81.0 196.4L 8.7 0 9 6Cliffcrest 123 9.1 16.7 8.5 Ave 2.2 63.6 50.7 3.7 54 0.92 44.6 253.2H 81.1 245.2 9.5H 3 10 2Corso Italia-Davenport 92 10.0 16.3 9.4 Low 2.6 58.4 41.4 27.3 79 11.65 32.1 181.4 65.4 263.5 9.2H 2 9 4Crescent Town 61 16.2 35.5 16.9 Low 2.8 67.4 46.1 12.6 77 6.53 62.0 284.4H 47.4EL 324.8H 10.9H 8 6 1Danforth Village - Toronto 66 6.5 14.2 6.6 Ave 2.4 71.8 50.7 23.7 86 7.46 13.3 258.2H 64.6E 332.3H 8.3 5 8 2Danforth East York 59 7.0 16.7 6.3 Ave 2.0 69.1 55.8 18.5 77 6.75 18.5 225.7 58.1L 272.9 8.5 2 8 5Don Valley Village 47 11.1 25.4 8.0 Ave 2.4 77.5 41.0 14.9 79 1.36 37.8 146.1L 71.9 156.1L 7.6L 2 10 3Dorset Park 126 11.4 24.8 11.5 Ave 2.8 58.9 40.5 10.0 68 4.48 23.0 197.5 72.5 327.4H 12.4H 6 9 0Dovercourt-Wallace Emerson-Junction

93 7.9 21.4 10.3 Low 2.4 60.8 44.8 34.6 88 10.06 19.1 225.2 62.1 276.8 9.5H 4 9 2

Downsview-Roding-CFB 26 10.0 21.7 16.2 Low 3.0 50.1 41.7 12.2 59 2.21 64.5 225.6 67.4 230.8 10.8H 6 8 1Dufferin Grove 83 6.9 21.4 11.4 Ave 2.6 68.1 46.7 26.1 90 11.43 14.0 183.6 77.2 240.0 8.5 1 9 5

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Neighbourhood NID Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes R Y G

Domains Economic Opportunity Social and Human Development Governance Physical Environment & Infrastructure Population HealthReds 28 24 26 27 28 46 24 28 22 29 28 23 24 43 44Yellows 75 74 53 87 57 36 82 79 101 81 86 68 66 54 56Greens 37 42 61 26 55 58 34 33 17 30 26 49 42 43 40TorontoRate 9.3 22.2 10.0 N/A 2.4 68.9 45.7 15 71 3.9 45.5 211.1 73.4 243.8 8.5NeighbourhoodRange 5.0-17.1 5.6-49.8 0.4-29.1 Low/Ave/Hi 1.0-3.4 37.5-91.7 34.5-58.3 3.4-39.9 42-99 0.47-22.3 11.3-

113.5118.0-573.0 47.4-96.8 79.3-608.7 4.1-14.0

Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes

East End-Danforth 62 7.8 20.2 9.1 Ave 2.0 72.4 52.7 20.8 85 5.40 25.4 335.3H 77.0 343.9H 8.0L 2 10 3Edenbridge-Humber Valley 9 8.0 11.7 5.0 Ave 2.0 74.3 52.1 5.0 49 0.77 91.3 187.2 78.6 184.8L 6.8L 3 2 10Eglinton East 138 14.1 27.1 18.3 Ave 3.2 57.9 43.2 10.7 62 2.15 33.6 228.3 72.3 277.0 12.8H 5 10 0Elms-Old Rexdale 5 12.3 27.1 17.6 Low 2.6 51.1 41.6 10.2 48 0.96 113.5 173.9 62.8 239.6 11.3H 8 5 2Englemount-Lawrence 32 7.6 25.5 12.4 Ave 3.2 73.5 43.6 17.1 70 5.97 13.4 231.6 66.4 254.2 8.8 2 11 2Eringate-Centennial-West Deane

11 7.6 12.1 4.1 Ave 2.0 71.6 48.3 7.3 57 0.54 70.1 181.4L 71.8 186.7L 8.2 3 6 6

Etobicoke West Mall 13 9.9 20.2 10.0 Ave 3.0 62.3 41.2 24.7 74 0.75 26.5 216.1 66.7E 327.9H 9.2H 4 10 1Flemingdon Park 44 15.3 34.3 19.6 Ave 3.2 62.0 52.8 18.5 63 0.85 103.2 196.3 73.9 263.3 10.2H 6 7 2Forest Hill North 102 8.6 16.6 5.1 Hi 2.4 84.1 47.9 11.9 77 3.41 13.9 138.2L 71.2 150.1L 6.6L 1 7 7Forest Hill South 101 7.0 8.2 1.2 Hi 2.0 87.3 48.0 13.8 76 2.70 24.8 135.1L 92.5H 122.5L 4.7L 0 5 10Glenfield-Jane Heights 25 13.5 28.1 23.1 Low 3.0 37.5 42.1 17.8 61 3.49 65.9 214.9 61.5 318.6H 12.7H 9 5 1Greenwood-Coxwell 65 10.1 23.6 12.5 Low 2.4 66.6 48.3 26.7 88 2.33 33.0 297.6H 65.1E 326.6H 8.6 3 11 1Guildwood 140 6.4 9.5 3.1 Ave 1.8 69.8 53.9 3.4 59 0.56 55.1 208.2 69.5 214.3 8.1 3 7 5Henry Farm 53 12.8 29.5 13.3 Ave 2.6 79.6 45.1 3.8 76 0.71 41.0 154.1L 63.8E 250.2 8.3 5 8 2High Park North 88 7.8 16.5 4.9 Hi 1.8 81.2 53.8 22.8 84 3.68 41.0 214.0 86.1H 195.0L 5.5L 0 6 9High Park-Swansea 87 6.7 11.9 7.7 Hi 2.0 82.8 54.7 14.6 79 4.58 81.4 184.6L 74.9 154.6L 5.4L 0 4 11Highland Creek 134 8.8 16.1 5.5 Ave 1.6 72.5 41.4 4.2 54 0.46 36.9 154.2L 78.2 141.4L 12.4H 4 4 7Hillcrest Village 48 9.1 24.7 3.9 Hi 2.4 81.6 39.1 8.62 68 0.94 60.4 140.7L 76.0 135.0L 7.5L 2 8 5Humber Heights-Westmount

8 8.3 16.7 8.1 Ave 2.6 67.0 52.5 9.4 58 2.08 72.3 211.0 63.5E 156.8L 8.7 2 10 3

Humber Summit 21 11.0 24.2 13.3 Ave 2.8 47.3 42.5 12.1 61 2.24 90.8 231.9 49.0E 279.7 12.7H 3 11 1Humbermede 22 13.1 25.3 16.3 Ave 3.2 54.0 40.4 19.4 58 4.21 96.0 177.0L 75.2 259.3 11.7H 7 6 2Humewood-Cedarvale 106 6.7 15.4 4.9 Ave 2.0 80.6 51.3 12.9 80 4.25 31.6 149.3L 77.3 194.6L 7.0L 0 7 8Ionview 125 13.3 25.4 12.8 Low 3.0 54.2 42.6 13.5 70 3.05 36.4 243.5 63.4 372.8H 11.6H 7 8 0Islington-City Centre West 14 7.3 17.1 6.7 Ave 2.6 74.6 46.4 9.1 72 1.61 40.3 216.2 75.5 214.6L 8.3 0 12 3Junction Area 90 7.9 18.6 8.2 Ave 2.2 69.7 43.9 25.9 83 5.11 15.2 274.0H 74.8 301.4H 8.4 3 10 2Keelesdale-Eglinton West 110 10.8 21.1 15.5 Low 2.6 39.4 36.8 24.0 69 5.39 30.6 232.0 74.8 225.9 11.8H 5 9 1Kennedy Park 124 11.8 28.4 15.1 Ave 3.0 56.5 45.6 14.8 62 2.41 37.5 273.8H 87.1H 293.1H 12.2H 7 7 1Kensington-Chinatown 78 10.1 39.3 13.6 Low 3.4 65.5 37.4 29.3 97 22.31 13.7 227.8 65.2 209.1 8.3 5 7 3Kingsview Village-The Westway

6 9.4 27.5 20.0 Ave 2.8 57.5 41.6 6.4 56 0.83 54.2 199.9 82.3 305.5H 10.7H 7 7 1

Kingsway South 15 5.9 5.8 0.8 Hi 1.6 88.8 54.3 10.0 68 1.23 67.6 132.7L 96.8H 170.3L 5.0L 1 2 12Lambton Baby Point 114 5.1 16.4 13.3 Ave 1.8 76.1 52.9 8.5 70 1.86 87.5 187.8 72.2E 187.4 6.2L 1 6 8L'Amoreaux 117 10.6 26.8 8.6 Ave 2.8 60.0 43.2 14.5 65 3.20 38.8 172.9L 74.6 215.0L 10.1H 1 13 1Lansing-Westgate 38 8.0 20.0 3.2 Hi 1.8 83.7 46.9 14.8 77 3.63 56.4 139.0L 76.3 149.0L 6.4L 0 8 7Lawrence Park North 105 5.7 7.1 1.1 Hi 1.0 91.7 54.9 13.4 78 4.75 25.0 162.0L 76.0 147.5L 4.7L 0 5 10Lawrence Park South 103 8.2 6.7 1.6 Hi 1.0 89.7 51.3 14.9 72 2.23 22.9 133.4L 83.7 79.4L 4.2L 1 4 10Leaside-Bennington 56 7.6 5.6 1.4 Hi 1.4 85.1 58.3 8.5 77 2.01 62.4 145.4L 77.7 79.3L 4.9L 1 5 9Little Portugal 84 5.7 18.7 8.2 Ave 2.8 61.3 43.3 25.1 88 10.38 17.3 271.4H 62.5E 395.2H 9.3H 4 8 3Long Branch 19 8.7 18.1 10.6 Ave 2.0 67.2 41.9 9.0 72 0.59 50.6 304.9H 81.0 390.2H 8.0 3 10 2Malvern 132 13.0 23.1 11.3 Ave 2.2 57.8 39.7 16.7 61 2.04 32.2 196.8 74.7 250.6 14.0H 4 10 1

Urban Heart Matrix

Page 18: HEART · heart an evidence-based standard for measuring the well-being of toronto’s neighbourhoods

18 | URBAN HEART @ TORONTO

Neighbourhood NID Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes R Y G

Domains Economic Opportunity Social and Human Development Governance Physical Environment & Infrastructure Population HealthReds 28 24 26 27 28 46 24 28 22 29 28 23 24 43 44Yellows 75 74 53 87 57 36 82 79 101 81 86 68 66 54 56Greens 37 42 61 26 55 58 34 33 17 30 26 49 42 43 40TorontoRate 9.3 22.2 10.0 N/A 2.4 68.9 45.7 15 71 3.9 45.5 211.1 73.4 243.8 8.5NeighbourhoodRange 5.0-17.1 5.6-49.8 0.4-29.1 Low/Ave/Hi 1.0-3.4 37.5-91.7 34.5-58.3 3.4-39.9 42-99 0.47-22.3 11.3-

113.5118.0-573.0 47.4-96.8 79.3-608.7 4.1-14.0

Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes

Maple Leaf 29 6.9 16.6 9.0 Low 2.8 54.4 47.3 16.1 66 2.35 32.5 205.6 69.0 179.0L 10.9H 3 9 3Markland Wood 12 8.3 9.4 2.3 Hi 1.8 79.0 48.3 8.56 69 1.64 56.3 198.2 90.3H 187.5L 7.6L 1 7 7Milliken 130 10.5 28.08 7.1 Hi 2.4 54.2 38.0 7.4 65 2.43 44.2 118.0L 78.2 121.3L 9.0H 3 7 5Mimico 17 7.3 16.5 9.9 Ave 2.4 73.0 46.3 9.3 71 2.26 31.9 248.8H 81.4 316.5H 7.5L 1 10 4Morningside 135 12.7 24.9 14.4 Ave 2.4 59.6 43.6 5.4 53 0.83 103.8 239.9 72.1 238.2 13.1H 6 8 1Moss Park 73 8.6 38.6 21.5 Low 2.0 71.0 46.6 39.9 95 10.96 20.5 573.0H 76.1 608.7H 7.8L 6 5 4Mount Dennis 115 13.6 28.0 22.3 Low 2.6 50.1 38.1 8.4 59 1.57 95.2 249.3 65.8E 341.3H 11.2H 9 5 1Mount Olive-Silverstone-Jamestown

2 14.8 32.3 20.0 Ave 2.4 48.7 37.1 10.5 61 2.06 82.6 220.8 61.7 285.1H 12.9H 7 7 1

Mount Pleasant East 99 6.4 8.8 1.8 Hi 1.6 86.3 52.8 10.1 88 4.50 49.6 176.6L 76.6 140.0L 5.0L 0 5 10Mount Pleasant West 104 7.4 19.4 4.7 Ave 1.8 85.4 48.5 14.9 95 6.32 39.7 195.4 74.4 193.9L 6.0L 0 8 7New Toronto 18 8.8 24.1 14.7 Ave 2.6 66.3 40.8 13.6 79 2.10 27.7 334.0H 80.5 327.3H 8.9 3 11 1Newtonbrook East 50 9.4 29.1 4.2 Hi 2.8 80.6 39.2 8.8 64 1.51 34.9 180.5L 79.4 127.5L 6.8L 2 6 7Newtonbrook West 36 9.8 28.7 9.2 Ave 2.6 76.1 38.3 11.6 69 1.93 34.2 173.6L 68.8 203.1L 8.0L 2 11 2Niagara 82 5.0 15.3 5.9 Ave 1.8 79.6 53.8 25.0 84 3.25 61.3 257.5L 74.0 286.7 7.0L 0 7 8North Riverdale 68 5.9 13.5 4.1 Ave 1.4 80.0 54.3 31.7 90 7.27 48.5 254.5H 78.2 154.2L 6.2L 0 3 12North St. James Town 74 11.1 38.1 15.0 Ave 3.2 69.5 50.6 21.1 93 8.78 51.4 323.1H 69.8 391.9H 10.3H 5 7 3Oakridge 121 17.1 36.2 22.0 Low 3.2 61.7 48.3 11.5 71 2.86 62.4 315.9H 75.8 307.9H 11.8H 9 6 0Oakwood-Vaughan 107 8.3 21.1 11.4 Ave 2.8 62.9 42.5 19.1 82 5.46 17.7 222.8 69.5 238.8 9.1H 1 14 0O'Connor-Parkview 54 9.2 21.8 16.3 Ave 2.6 65.0 52.2 13.8 67 1.56 69.2 246.9H 71.5 353.4H 9.8H 2 11 2Old East York 58 6.5 13.4 6.2 Ave 1.8 73.1 49.8 14.4 69 4.64 62.7 229.2 67.5 266.8 8.0 0 10 5Palmerston-Little Italy 80 8.2 18.9 4.8 Ave 2.2 76.3 47.1 31.0 95 9.87 20.2 206.3 67.9 262.3 7.0L 1 7 7Parkwoods-Donalda 45 11.2 22.5 10.6 Ave 2.4 71.9 48.7 8.7 63 1.09 41.7 188.1L 60.3 230.7 8.4 2 13 0Pelmo Park-Humberlea 23 9.8 14.0 9.2 Ave 2.2 56.8 49.1 10.8 57 2.30 74.1 175.7 93.5H 254.5 10.9H 3 7 5Playter Estates-Danforth 67 7.6 12.9 3.8 Ave 1.8 81.9 57.0 18.2 90 8.33 48.7 233.6 69.7 229.1 6.7L 0 7 8Pleasant View 46 9.9 21.3 4.9 Hi 2.4 73.5 43.6 12.2 66 1.51 19.6 143.5L 78.0 185.1L 8.5 1 9 5Princess-Rosethorn 10 7.0 8.3 2.7 Hi 1.6 82.2 52.5 4.1 48 0.47 53.5 174.6 75.4 88.9L 6.3L 3 2 10Regent Park 72 15.8 49.8 24.9 Low 3.0 61.1 52.9 36.6 88 9.66 34.4 403.9H 61.3E 496.5H 11.4H 10 2 3Rexdale-Kipling 4 11.2 20.3 12.6 Ave 2.8 57.6 49.5 12.5 58 1.71 51.1 261.4H 68.7 391.3H 10.6H 4 11 0Rockcliffe-Smythe 111 11.5 23.1 15.4 Low 3.0 48.3 43.0 11.3 61 2.15 88.7 264.6H 72.9 305.8H 10.7H 7 7 1Roncesvalles 86 6.4 21.1 15.1 Ave 2.2 71.1 46.7 29.8 91 7.60 21.4 293.8H 75.5 364.8H 7.5L 3 7 5Rosedale-Moore Park 98 5.9 8.8 2.4 Ave 2.0 90.0 55.0 13.9 84 2.89 66.5 143.5L 86.6H 86.0L 4.1L 0 4 11Rouge 131 9.9 13.3 6.5 Ave 1.6 67.0 45.0 3.4 42 0.56 90.7 201.1 72.2 235.5 13.5H 4 7 4Runnymede-Bloor West Village

89 6.9 8.6 2.6 Hi 1.2 83.2 55.5 14.7 81 4.97 22.4 204.3 77.5 138.6L 6.8L 1 5 9

Rustic 28 14.4 28.9 19.3 Ave 3.4 50.4 45.8 13.7 60 3.34 34.0 184.4 73.8 236.6 12.4H 6 8 1Scarborough Village 139 14.0 32.7 24.9 Ave 3.2 56.4 44.3 10.7 70 2.16 38.6 236.1 78.2 313.9H 12.4H 7 7 1South Parkdale 85 13.0 34.1 21.0 Low 3.2 64.1 45.9 21.2 83 5.64 38.7 421.3H 57.3L 537.0H 9.8H 8 6 1South Riverdale 70 7.2 23.7 10.5 Low 2.6 67.8 52.5 29.3 91 8.32 22.9 318.2H 72.9 333.5H 8.2 4 6 5St.Andrew-Windfields 40 8.5 17.2 3.4 Hi 1.4 84.4 42.9 5.6 60 0.93 35.0 146.7L 89.9H 148.1L 5.7L 2 5 8Steeles 116 11.1 26.7 6.2 Ave 2.6 60.4 38.3 9.1 61 0.77 48.1 137.3L 74.1 139.0L 9.0H 3 9 3

Urban Heart Matrix

Page 19: HEART · heart an evidence-based standard for measuring the well-being of toronto’s neighbourhoods

CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 19

Neighbourhood NID Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes R Y G

Domains Economic Opportunity Social and Human Development Governance Physical Environment & Infrastructure Population HealthReds 28 24 26 27 28 46 24 28 22 29 28 23 24 43 44Yellows 75 74 53 87 57 36 82 79 101 81 86 68 66 54 56Greens 37 42 61 26 55 58 34 33 17 30 26 49 42 43 40TorontoRate 9.3 22.2 10.0 N/A 2.4 68.9 45.7 15 71 3.9 45.5 211.1 73.4 243.8 8.5NeighbourhoodRange 5.0-17.1 5.6-49.8 0.4-29.1 Low/Ave/Hi 1.0-3.4 37.5-91.7 34.5-58.3 3.4-39.9 42-99 0.47-22.3 11.3-

113.5118.0-573.0 47.4-96.8 79.3-608.7 4.1-14.0

Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes

Maple Leaf 29 6.9 16.6 9.0 Low 2.8 54.4 47.3 16.1 66 2.35 32.5 205.6 69.0 179.0L 10.9H 3 9 3Markland Wood 12 8.3 9.4 2.3 Hi 1.8 79.0 48.3 8.56 69 1.64 56.3 198.2 90.3H 187.5L 7.6L 1 7 7Milliken 130 10.5 28.08 7.1 Hi 2.4 54.2 38.0 7.4 65 2.43 44.2 118.0L 78.2 121.3L 9.0H 3 7 5Mimico 17 7.3 16.5 9.9 Ave 2.4 73.0 46.3 9.3 71 2.26 31.9 248.8H 81.4 316.5H 7.5L 1 10 4Morningside 135 12.7 24.9 14.4 Ave 2.4 59.6 43.6 5.4 53 0.83 103.8 239.9 72.1 238.2 13.1H 6 8 1Moss Park 73 8.6 38.6 21.5 Low 2.0 71.0 46.6 39.9 95 10.96 20.5 573.0H 76.1 608.7H 7.8L 6 5 4Mount Dennis 115 13.6 28.0 22.3 Low 2.6 50.1 38.1 8.4 59 1.57 95.2 249.3 65.8E 341.3H 11.2H 9 5 1Mount Olive-Silverstone-Jamestown

2 14.8 32.3 20.0 Ave 2.4 48.7 37.1 10.5 61 2.06 82.6 220.8 61.7 285.1H 12.9H 7 7 1

Mount Pleasant East 99 6.4 8.8 1.8 Hi 1.6 86.3 52.8 10.1 88 4.50 49.6 176.6L 76.6 140.0L 5.0L 0 5 10Mount Pleasant West 104 7.4 19.4 4.7 Ave 1.8 85.4 48.5 14.9 95 6.32 39.7 195.4 74.4 193.9L 6.0L 0 8 7New Toronto 18 8.8 24.1 14.7 Ave 2.6 66.3 40.8 13.6 79 2.10 27.7 334.0H 80.5 327.3H 8.9 3 11 1Newtonbrook East 50 9.4 29.1 4.2 Hi 2.8 80.6 39.2 8.8 64 1.51 34.9 180.5L 79.4 127.5L 6.8L 2 6 7Newtonbrook West 36 9.8 28.7 9.2 Ave 2.6 76.1 38.3 11.6 69 1.93 34.2 173.6L 68.8 203.1L 8.0L 2 11 2Niagara 82 5.0 15.3 5.9 Ave 1.8 79.6 53.8 25.0 84 3.25 61.3 257.5L 74.0 286.7 7.0L 0 7 8North Riverdale 68 5.9 13.5 4.1 Ave 1.4 80.0 54.3 31.7 90 7.27 48.5 254.5H 78.2 154.2L 6.2L 0 3 12North St. James Town 74 11.1 38.1 15.0 Ave 3.2 69.5 50.6 21.1 93 8.78 51.4 323.1H 69.8 391.9H 10.3H 5 7 3Oakridge 121 17.1 36.2 22.0 Low 3.2 61.7 48.3 11.5 71 2.86 62.4 315.9H 75.8 307.9H 11.8H 9 6 0Oakwood-Vaughan 107 8.3 21.1 11.4 Ave 2.8 62.9 42.5 19.1 82 5.46 17.7 222.8 69.5 238.8 9.1H 1 14 0O'Connor-Parkview 54 9.2 21.8 16.3 Ave 2.6 65.0 52.2 13.8 67 1.56 69.2 246.9H 71.5 353.4H 9.8H 2 11 2Old East York 58 6.5 13.4 6.2 Ave 1.8 73.1 49.8 14.4 69 4.64 62.7 229.2 67.5 266.8 8.0 0 10 5Palmerston-Little Italy 80 8.2 18.9 4.8 Ave 2.2 76.3 47.1 31.0 95 9.87 20.2 206.3 67.9 262.3 7.0L 1 7 7Parkwoods-Donalda 45 11.2 22.5 10.6 Ave 2.4 71.9 48.7 8.7 63 1.09 41.7 188.1L 60.3 230.7 8.4 2 13 0Pelmo Park-Humberlea 23 9.8 14.0 9.2 Ave 2.2 56.8 49.1 10.8 57 2.30 74.1 175.7 93.5H 254.5 10.9H 3 7 5Playter Estates-Danforth 67 7.6 12.9 3.8 Ave 1.8 81.9 57.0 18.2 90 8.33 48.7 233.6 69.7 229.1 6.7L 0 7 8Pleasant View 46 9.9 21.3 4.9 Hi 2.4 73.5 43.6 12.2 66 1.51 19.6 143.5L 78.0 185.1L 8.5 1 9 5Princess-Rosethorn 10 7.0 8.3 2.7 Hi 1.6 82.2 52.5 4.1 48 0.47 53.5 174.6 75.4 88.9L 6.3L 3 2 10Regent Park 72 15.8 49.8 24.9 Low 3.0 61.1 52.9 36.6 88 9.66 34.4 403.9H 61.3E 496.5H 11.4H 10 2 3Rexdale-Kipling 4 11.2 20.3 12.6 Ave 2.8 57.6 49.5 12.5 58 1.71 51.1 261.4H 68.7 391.3H 10.6H 4 11 0Rockcliffe-Smythe 111 11.5 23.1 15.4 Low 3.0 48.3 43.0 11.3 61 2.15 88.7 264.6H 72.9 305.8H 10.7H 7 7 1Roncesvalles 86 6.4 21.1 15.1 Ave 2.2 71.1 46.7 29.8 91 7.60 21.4 293.8H 75.5 364.8H 7.5L 3 7 5Rosedale-Moore Park 98 5.9 8.8 2.4 Ave 2.0 90.0 55.0 13.9 84 2.89 66.5 143.5L 86.6H 86.0L 4.1L 0 4 11Rouge 131 9.9 13.3 6.5 Ave 1.6 67.0 45.0 3.4 42 0.56 90.7 201.1 72.2 235.5 13.5H 4 7 4Runnymede-Bloor West Village

89 6.9 8.6 2.6 Hi 1.2 83.2 55.5 14.7 81 4.97 22.4 204.3 77.5 138.6L 6.8L 1 5 9

Rustic 28 14.4 28.9 19.3 Ave 3.4 50.4 45.8 13.7 60 3.34 34.0 184.4 73.8 236.6 12.4H 6 8 1Scarborough Village 139 14.0 32.7 24.9 Ave 3.2 56.4 44.3 10.7 70 2.16 38.6 236.1 78.2 313.9H 12.4H 7 7 1South Parkdale 85 13.0 34.1 21.0 Low 3.2 64.1 45.9 21.2 83 5.64 38.7 421.3H 57.3L 537.0H 9.8H 8 6 1South Riverdale 70 7.2 23.7 10.5 Low 2.6 67.8 52.5 29.3 91 8.32 22.9 318.2H 72.9 333.5H 8.2 4 6 5St.Andrew-Windfields 40 8.5 17.2 3.4 Hi 1.4 84.4 42.9 5.6 60 0.93 35.0 146.7L 89.9H 148.1L 5.7L 2 5 8Steeles 116 11.1 26.7 6.2 Ave 2.6 60.4 38.3 9.1 61 0.77 48.1 137.3L 74.1 139.0L 9.0H 3 9 3

Neighbourhood NID Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes R Y G

Domains Economic Opportunity Social and Human Development Governance Physical Environment & Infrastructure Population HealthReds 28 24 26 27 28 46 24 28 22 29 28 23 24 43 44Yellows 75 74 53 87 57 36 82 79 101 81 86 68 66 54 56Greens 37 42 61 26 55 58 34 33 17 30 26 49 42 43 40TorontoRate 9.3 22.2 10.0 N/A 2.4 68.9 45.7 15 71 3.9 45.5 211.1 73.4 243.8 8.5NeighbourhoodRange 5.0-17.1 5.6-49.8 0.4-29.1 Low/Ave/Hi 1.0-3.4 37.5-91.7 34.5-58.3 3.4-39.9 42-99 0.47-22.3 11.3-

113.5118.0-573.0 47.4-96.8 79.3-608.7 4.1-14.0

Unemployment Low Income

Social Assistance

High School Graduation

Marginalization Post Secondary

Completion

Municipal Voting V1

Community Places for Meeting

Walk score

Healthier Food

Stores

Green Space

Premature Mortality

Mental Health

Preventable Hospitalizations

ACSCH V2

Diabetes

Stonegate-Queensway 16 8.0 11.8 6.5 Ave 1.8 75.9 50.4 8.7 67 2.04 51.6 177.2L 80.2 186.8L 6.7L 0 7 8Tam O'Shanter-Sullivan 118 9.8 23.1 7.2 Ave 3.0 66.1 46.0 9.5 64 2.25 34.2 163.9L 80.0 197.8L 9.4H 1 11 3The Beaches 63 6.5 9.8 3.2 Ave 1.4 82.3 53.6 13.8 88 2.66 41.3 223.8 84.0H 147.6L 4.7L 0 6 9Thistletown-Beaumond Heights

3 11.0 22.1 12.6 Ave 2.8 56.5 49.9 12.4 54 2.63 105.1 244.6 63.7E 314.7H 11.2H 5 9 1

Thorncliffe Park 55 15.7 32.7 19.9 Ave 3.4 66.6 52.5 10.3 73 2.06 110.2 214.1 73.5 361.4H 11.6H 6 7 2Trinity-Bellwoods 81 8.1 23.0 8.4 Low 2.6 64.8 44.9 34.0 94 10.07 25.3 206.5 63.5 202.3 8.7 2 10 3University 79 11.5 27.9 3.3 Hi 2.2 81.4 34.5 29.3 97 12.27 11.3 246.4 83.8 231.0 6.0L 3 3 9Victoria Village 43 10.8 24.9 15.1 Low 3.4 68.2 47.3 7.6 71 1.19 55.5 253.5H 68.7 308.0H 10.3H 6 9 0Waterfront Communities-The Island

77 5.1 17.1 6.6 Ave 1.8 85.4 51.5 10.8 92 8.67 20.3 217.3 81.4 164.6L 6.1L 1 4 10

West Hill 136 13.5 27.1 18.7 Ave 2.8 58.1 43.0 7.6 66 1.34 57.5 268.3H 82.2 373.4H 12.0H 7 7 1West Humber-Clairville 1 10.0 20.8 8.5 Ave 2.4 55.3 44.0 7.9 57 1.43 58.2 208.0 72.9 310.5H 12.1H 5 10 0Westminster-Branson 35 9.1 27.3 11.4 Ave 3.2 77.4 40.5 12.6 61 0.97 87.4 200.5 54.5E 211.4L 8.9H 4 9 2Weston 113 10.0 27.8 22.8 Low 3.2 53.3 43.9 15.3 73 6.19 48.7 311.3H 71.3 291.4H 11.4H 6 8 1Weston-Pellam Park 91 12.3 24.8 14.6 Low 2.4 42.2 39.9 26.9 75 9.36 32.2 257.4 63.2E 322.3H 10.9H 7 6 2Wexford/Maryvale 119 10.0 20.4 11.2 Ave 2.8 59.3 48.1 8.0 67 3.20 26.8 205.7 61.1 289.5H 10.4H 4 11 0Willowdale East 51 7.9 29.9 2.6 Ave 2.4 85.7 36.7 17.7 84 2.84 33.1 144.5L 72.3 103.8L 6.0L 2 8 5Willowdale West 37 6.4 24.5 3.4 Ave 2.8 85.2 45.9 20.8 78 3.10 48.4 186.1 N/A 202.4 7.3L 0 9 5Willowridge-Martingrove-Richview

7 8.1 15.9 9.5 Ave 2.6 64.5 52.1 6.5 51 0.93 42.1 167.6L 71.3 262.0 9.7H 3 9 3

Woburn 137 13.3 28.2 12.6 Ave 3.0 59.7 43.8 9.2 66 2.89 57.3 189.6L 64.1 281.1H 12.5H 5 10 0Woodbine Corridor 64 7.0 17.6 7.7 Ave 2.0 74.5 54.1 23.3 85 3.48 35.0 339.3H 80.9 349.5H 7.6L 2 6 7Woodbine-Lumsden 60 8.4 15.2 7.4 Ave 2.2 64.1 49.0 22.0 73 1.69 45.5 253.5 71.9 394.6H 8.1 1 10 4Wychwood 94 7.6 17.1 6.5 Ave 2.8 73.3 49.0 19.1 86 6.37 19.2 227.5 74.5 316.7H 8.1L 2 10 3Yonge-Eglinton 100 5.7 12.7 1.8 Hi 1.6 88.0 50.2 23.2 89 4.04 26.5 163.8L 72.8 122.6L 4.8L 0 5 10Yonge-St. Clair 97 7.0 9.6 2.4 Ave 2.0 91.5 50.9 13.2 84 1.88 47.0 148.9L 83.7H 186.4L 4.2L 0 6 9York University Heights 27 11.4 29.0 17.0 Ave 3.0 59.3 36.0 13.7 60 1.57 64.4 211.3 60.6 280.3 10.4H 8 6 1Yorkdale-Glen Park 31 10.2 19.7 10.2 Ave 3.0 52.5 45.7 13.6 72 3.63 15.9 201.3 65.0 251.7 10.8H 4 11 0

Urban Heart Matrix

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20 | URBAN HEART @ TORONTO

Conclusion

Urban HEART @ Toronto paints a picture

of a city where many people are doing quite

well, but too many others are at risk of falling

behind. It also reveals a picture of a city

where people in each local neighbourhood

are connected to — and depend on — the

health and well-being of those around them.

Examining multiple indicators across

several domains serves as a powerful

reminder that assessing the success of

our city involves a complex and inter-

connected matrix of individual factors.

While this rich source of data helps us to

identify which neighbourhoods in our city need

a closer look, that’s just the first step in building

stronger neighbourhoods. The next step is

for governments, funders, and community

organizations to use this information to

develop effective strategies for local renewal.

One of the key learnings from Urban

HEART @ Toronto, and the relationship

we can see between various indicators, is

that it’s not effective to focus on a single

issue. Every aspect of neighbourhood

health must be considered and interpreted

in relation to all other indicators. That’s

why neighbourhoods across our city need

a coordinated, comprehensive strategy for

renewal that involves multiple aligned efforts.

The good news is that Urban HEART @

Toronto will enable this kind of collaboration

among multiple partners, improving their

ability to target issues and improve access to

opportunities across all neighbourhoods.

Ultimately, this tool will provide an evidence

base that organizations can use to close the

gaps between Toronto’s neighbourhoods

and ensure Toronto meets its full promise:

a city of thriving neighbourhoods, where

every resident has the same opportunity

for a healthy and successful life.

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CENTRE FOR RESEARCH ON INNER CITY HEALTH – ST. MICHAEL’S HOSPITAL | 21

Acknowledgements, Partners

Partner Organizations

Centre for Research on Inner City Health

(CRICH)/ St. Michael’s Hospital

City of Toronto – Social Development,

Finance and Administration Division

Toronto Central Local Health

Integration Network (LHIN)

United Way Toronto

WoodGreen Community Services

Steering Committee

Shirley Bryant, Toronto Central LHIN

Marisa Creatore, CRICH

Mihaela Dinca-Panaitescu, United Way Toronto

Diane Dyson, WoodGreen

Jan Houston, Toronto Public Health

Michelynn Laflèche, United Way Toronto

Patricia O`Campo, CRICH

Sarah Rix, City of Toronto

Research Teams

Delphi:

Cheryl Pedersen, CRICH Survey

Research Unit (SRU)

Kim Devotta, CRICH SRU

Kelly Murphy, CRICH

Data Acquisition and Analysis:

Dianne Patychuk, Steps to Equity

Antony Chum, CRICH

Eddie Farrell, CRICH

Ashitava Halder, CRICH

Collaborators and Advisors

Mohammed Agha, Institute for

Clinical Evaluative Sciences

Rob Brown, Toronto District School Board

Wayne Chu, City of Toronto Social

Policy, Analysis,and Research (SPAR)

Cynthia Damba, Toronto Central LHIN

Brian Cook, Toronto Public Health

Rick Glazier, CRICH

Peter Gozydra, CRICH

Emily Holton, St. Michael`s Hospital

Vered Kaufman-Shriqui, CRICH

Harvey Low, City of Toronto SPAR

Alan Meisner, Quantacam

Agnes Molnar, CRICH

Nadine Segal, Toronto District School Board

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22 | URBAN HEART @ TORONTO

Urban HEART @ Toronto measures

neighbourhood-level indicators of local

health and well-being in five main domains:

economic opportunities; social and human

development; civic engagement; physical

environment and local infrastructure;

and, physical and mental health.

The complete set of indicators is listed below.

For more information on these indicators, see

the full Urban HEART @ Toronto technical

report at http://www.torontohealthprofiles.

ca/urbanheartattoronto.php

Economic opportunities

• Unemployment rates (required)

• Percent of residents who are

in low income (required)

• ercent of residents accessing social

assistance (strongly recommended)

Social and human development

• High school graduation rates (required)

• Percent of persons 25-64 with post-

secondary training and education

(strongly recommended)

• Marginalization index that measures several

indicators — like the proportion of residents

who are single/divorced/widowed, and

the number of people living in dwellings

that need major repairs (required)

Civic engagement

• Municipal voting rates (required)

Physical environment and infrastructure

• Access to healthy food options

(strongly recommended)

• Neighbourhood walkability score (required)

• Local parks and green spaces (required)

• Community space where residents

can meet (required)

Physical and mental health

• Diabetes rates (strongly recommended)

• Premature mortality rates (required)

• Percent of residents who report very good

or excellent mental health (required)

• Preventable hospitalization rates (required)

Appendix 1: Domains and Indicators

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Fully affiliated with the University of Toronto