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Health Reports

Linda D VanTil, MaryBeth MacLean, Jill Sweet, Kristofer McKinnon
BACKGROUND: Planning for the future needs of Canadian veterans requires comprehensive and detailed data on the size of the Canadian veteran population and their health. This article describes current veteran population estimates and examines the health of two eras of veterans compared with the health of Canadians in general. DATA AND METHODS: This study describes the size and age structure of the Canadian veteran population forecasted by Veterans Affairs Canada (VAC)...
November 21, 2018: Health Reports
Jason R Guertin, Brittany Humphries, David Feeny, Jean-Éric Tarride
BACKGROUND: Utility scores are frequently used as preference weights when estimating quality-adjusted life years within cost-utility analyses or health-adjusted life expectancies. Though previous Canadian estimates for specific chronic conditions have been produced, these may no longer reflect current patient populations. DATA AND METHODS: Data from the 2013 and 2014 Canadian Community Health Survey were used to provide Canadian utility score norms for 17 chronic conditions...
November 21, 2018: Health Reports
Heather Gilmour
BACKGROUND: Unmet home care needs have been linked to poor health, increased use of other health services, admission to nursing homes and reduced emotional well-being. DATA AND METHODS: Using data from the 2015/2016 Canadian Community Health Survey, this article describes home care use and unmet home care needs by type (i.e., home health care [HHC] and support services) in community-dwelling adults. Among the population with home care needs, the degree to which needs were met, partially met or unmet is presented, as well as information about the barriers to obtaining home care services and the places services were sought...
November 21, 2018: Health Reports
Gisèle Carrière, Rochelle Garner, Claudia Sanmartin
Hospitalizations due to opioid poisonings are increasing. While considerable information is available on the demographic and geographic distribution of opioid-related events, national data on the social and economic circumstances of those experiencing these events are limited. This study uses data from the National Household Survey (2011) linked to the Discharge Abstract Database (2011 to 2016) to provide the first national-level estimates of the socio-economic characteristics of individuals experiencing opioid-related hospitalizations...
October 17, 2018: Health Reports
Maxime Roy, Lindsey Sherrard, Ève Dubé, Nicolas L Gilbert
BACKGROUND: In Canada, vaccine coverage for seasonal influenza remains below targets. Few studies have sought to determine the sociodemographic factors associated with non-vaccination using a Canada-wide survey. This study aims to identify the determinants of, and the reasons for, non-vaccination. DATA AND METHODS: Data from the 2013/2014 Canadian Community Health Survey (CCHS) were used. Respondents were divided into three groups: adults aged 18 to 64 years with a chronic medical condition (CMC), adults in the same age group with no CMC, and adults aged 65 years and older...
October 17, 2018: Health Reports
Tracey Bushnik, William K Evans
BACKGROUND: Thyroid cancer incidence in Canada has increased rapidly over the past 25 years. This study examines thyroid cancer incidence and relative risk according to individual-level sociodemographic characteristics in two population-based cohorts. DATA AND METHODS: The analysis uses data from the 1991 and 2001 Canadian Census Health and Environment Cohorts (CanCHECs). Using nine years of cancer follow-up for both time periods, age-standardized incidence rates of thyroid cancer were estimated by sex-with sex-specific estimates produced by immigrant status, ethnicity, educational attainment and family income-and by histology type...
October 17, 2018: Health Reports
Larry F Ellison
BACKGROUND: Monitoring the progress of cancer survival in a population over time is an important part of cancer surveillance. DATA AND METHODS: Data are from the Canadian Cancer Registry with mortality follow-up through record linkage to the Canadian Vital Statistics Death Database and tax files. Net survival (NS) was derived using the Pohar Perme method. Predicted estimates of NS for the period from 2012 to 2014 were calculated using the period method. Age-standardized and age-specific changes in five-year NS between the periods from 1992 to 1994 and 2012 to 2014 were determined for 30 individual cancers...
September 19, 2018: Health Reports
Heather Gilmour
BACKGROUND: Formal home care services (those typically delivered by health care providers or volunteer organizations) are different from informal home care services (given by family, friends or neighbours), and thus represent a partial picture of all home care provided. Home care has been associated with decreased mortality, improved quality of life, and reduced hospitalizations and health care costs. DATA AND METHODS: New data from the annual Canadian Community Health Survey (CCHS) 2015/2016 are used to estimate, for the first time, the number and percentage of households in which at least one person of any age received formal home care services in Canada during the previous year...
September 19, 2018: Health Reports
Pamela L Ramage-Morin, Marc Gosselin
BACKGROUND: Health and safety legislation is designed to protect workers from hazards, including excessive noise. However, some workers are not required to use hearing protection when exposed to loud noise and may be vulnerable to adverse outcomes, including hearing difficulties and tinnitus. DATA AND METHODS: Data for 19- to 79-year-olds (n=6,571) were collected from 2012 through 2015 as part of the Canadian Health Measures Survey. People exposed to loud workplace noise were defined as those who had to raise their voices to communicate at arm's length...
August 15, 2018: Health Reports
Gisèle Carrière, Claudia Sanmartin, Patricia Murison
BACKGROUND: National population information about the surgical treatment rate for primary cancers, including breast cancer, has remained a significant data gap in Canada. This gap has implications for cancer care planning and evaluating health system performance. New linkages between the Canadian Cancer Registry and hospital discharge records were conducted by Statistics Canada in 2016. Using already existing, routinely collected health administrative data, these linkages allow viable reporting of surgical cancer treatment for the first time for all provinces and territories (except Quebec)...
August 15, 2018: Health Reports
Edward Ng, Dominique Elien Massenat, George Giovinazzo, David Ponka, Claudia Sanmartin
BACKGROUND: While the incidence of active tuberculosis (TB) in Canada is among the lowest in the world, the rates of TB among immigrants and Indigenous people remain high. In fact, the majority of new active TB cases are disproportionately found among immigrants. This study profiles TB-related acute care hospitalizations among new immigrants to Canada by selected characteristics. DATA AND METHODS: This study is based on the 2000-to-2013 Longitudinal Immigration Database (IMDB) linked to the Canadian Institute for Health Information's Discharge Abstract Database (DAD) from 2001/2002 to 2013/2014...
July 18, 2018: Health Reports
Michelle Rotermann, Marie-Michèle Pagé
BACKGROUND: The Canadian federal government has committed to legalizing non-medical cannabis use by adults in 2018. Medical use was legalized in 2001; however, not all people reporting medical use have medical authorization. To prepare for monitoring the effects of the policy change, a greater understanding of the prevalence of cannabis use and the characteristics of all cannabis users is needed. DATA AND METHODS: Data from the 2015 Canadian Tobacco, Alcohol and Drugs Survey (CTADS) were used to estimate prevalence and examine reasons for medical use and factors associated with people who reported using cannabis Non-Medically Only (NMO), compared with people who reported Self-Defined Medical and Non-Medical use (SDMNM), including use of other drugs and the non-therapeutic use of psychoactive pharmaceuticals...
July 18, 2018: Health Reports
Gisèle Carrière, Bougie Bougie, Dafna Kohen
BACKGROUND: National information about acute care hospitalizations for mental/behavioural disorders among Aboriginal people in Canada is limited. DATA AND METHODS: This study describes acute care hospitalizations for mental /behavioural disorders among First Nations people living on and off reserve. The 2006 Census was linked to the Discharge Abstract Database from 2006/2007 through 2008/2009 for all provinces (except Ontario and Quebec) and the three territories...
June 20, 2018: Health Reports
Tracey Bushnik, Deirdre A Hennessy, Finlay A McAlister, Douglas G Manuel
BACKGROUND: In Canada, hypertension control is significantly less likely in older women taking antihypertensive medication than in older men. This study examines factors that may explain some of the differences in hypertension control between women and men. DATA AND METHODS: The analysis is based on data collected for 2,111 adults aged 60 to 79 who were treated for hypertension in the first four cycles of the Canadian Health Measures Survey. Hypertension, treatment and control were estimated based on measured systolic and diastolic blood pressure and on the Drug Identification Numbers of antihypertensive medications...
June 20, 2018: Health Reports
Rochelle Garner, Peter Tanuseputro, Douglas G Manuel, Claudia Sanmartin
BACKGROUND: The aging of the Canadian population has increased attention on the future need for nursing home beds. Although current projections rely primarily on age and sex, other factors also contribute to the need for long-term care. This study seeks to identify additional factors to age and sex that contribute to Canadians transitioning from living at home to living in a seniors' residence or nursing home. DATA AND METHODS: As part of a larger record linkage project, three cycles of the Canadian Community Health Survey (CCHS) were linked to the 2011 Census of Population: Cycle 3...
May 16, 2018: Health Reports
Didier Garriguet
BACKGROUND: Estimates of energy intake are lower in 2015 compared with 2004. The difference observed is too large to be explained by a change in energy requirements or physical activity at the population level. Self-reported dietary intake is subject to misreporting and may explain part of this difference. The objectives of this study are to assess how misreporting has changed from 2004 to 2015 and to demonstrate how these changes may affect the interpretation of the national intake data of Canadians...
May 16, 2018: Health Reports
Tracey Bushnik, Michael Tjepkema, Laurent Martel
BACKGROUND: Over the past century, life expectancy at birth in Canada has risen substantially. However, these gains in the quantity of life say little about gains in the quality of life. DATA AND METHODS: Health-adjusted life expectancy (HALE), an indicator of quality of life, was estimated for the household and institutional populations combined every four years from 1994/1995 to 2015. Health status was measured by the Health Utilities Index Mark 3 instrument in two national population health surveys, and was used to adjust life expectancy...
April 18, 2018: Health Reports
Rachel C Colley, Isabelle Michaud, Didier Garriguet
BACKGROUND: Moderate-to-vigorous physical activity (MVPA) and sleep are positively associated with adults' health, while the association with sedentary behaviour (SED) is negative. Light-intensity physical activity (LPA) is emerging as an independent predictor of improved cardiovascular health. The health impacts of each of these factors have been examined in isolation, but interest has increased in associations between health and movement behaviours collectively. DATA AND METHODS: This analysis examines how reallocating time between movement behaviours is associated with obesity and with self-rated general and mental health...
April 18, 2018: Health Reports
Jacquelyn J Cragg, Freda M Warner, Matthew S Shupler, Catherine R Jutzeler, Neil Cashman, David G T Whitehurst, John K Kramer
BACKGROUND: The prevalence of pain among people with a variety of individual neurological conditions has been estimated. However, information is limited about chronic pain among people with neurological conditions overall, and about the conditions for which chronic pain is most prevalent. To fill these information gaps, a common method of pain assessment is required. DATA AND METHODS: The data are from the Survey on Living with Neurological Conditions in Canada, a cross-sectional national survey...
March 21, 2018: Health Reports
Evelyne Bougie, Dafna E Kohen
BACKGROUND: Although rates of daily smoking among Inuit have been decreasing since 1991, Inuit are still much more likely to smoke relative to the Canadian population as a whole. However, little population-based empirical research has identified characteristics associated with cigarette use among this population. DATA AND METHODS: Based on data from the 2012 Aboriginal Peoples Survey, sex-specific logistic regression analyses, informed by an Inuit social determinants of health framework, described associations between current smoking and selected socio-demographic characteristics among Inuit men and women aged 18 or older who resided in Inuit Nunangat...
March 21, 2018: Health Reports
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