Health

Description: This dashboard allows users to examine data on barriers to accessibility experienced by persons with disabilities. These are barriers encountered in different aspects of daily living including those found in public spaces; communicating in different situations; using the Internet and barriers related to behaviours, misconceptions or assumptions by others. The data can be organized by province, gender and other characteristics such as age group. This dashboard is based on the 2022 Canadian Survey on Disability.

Description: This article is the first main release by Statistics Canada based on findings from the 2022 Canadian Survey on Disability (CSD). It is divided into three sections—demographics, employment, and income—and provides a general snapshot on persons with disabilities to inform on government priorities and community interest in the areas of disability prevalence, labour market participation, and income inequality. Where possible, the report will be compared with results from the 2017 CSD to provide insight into changes over the past five years.

Description: Using data from the 2022 Canadian Survey on Disability, this American Sign Language video examines disability characteristics among Canadians aged 15 years of age and older, as well as their employment experiences and information on income and poverty, and unmet needs for disability supports because of cost.

Description: Differences in the number and proportions of persons with disabilities who experienced one or more barriers to accessibility, by the type of disability, age group and gender, Canada.

Description: Differences in the number and proportions of persons with disabilities who experienced one or more barriers to accessibility, by the severity of the disability, age group and gender, Canada.

Description: Differences in the number and proportions of persons with disabilities who experienced a barrier to accessibility, Canada, provinces and territories.

Description: Release published in The Daily – Statistics Canada’s official release bulletin

Description: Release published in The Daily – Statistics Canada’s official release bulletin

Description: Over the last several years, recreational screen time has been increasing. During the COVID-19 pandemic, recreational screen time rose among Canadian youth and adults, and those who increased screen time had poorer self-reported mental health. Using data from the 2017, 2018, and 2021 Canadian Community Health Survey, the objective of this study was to compare recreational screen time behaviours before (2018) and during (2021) the pandemic, looking at patterns by sociodemographic subgroups of the Canadian population.

Description: The availability of measures to operationalize allostatic load—the cumulative toll on the body of responding to stressor demands—in population health surveys may differ across years or surveys, hampering analyses on the entire sampled population. In this study, the impacts of variable selection and calculation method were evaluated to generate an allostatic load index applicable across all cycles of the Canadian Health Measures Survey (CHMS). CHMS data were used to compare individual and population-level changes in scores for allostatic load indexes in which other commonly used measures were substituted for waist-to-hip ratio. Associations between the various constructs and indicators of socioeconomic position were then assessed to evaluate whether relationships were maintained across indexes.

Description: This interactive dashboard permits the visualization of various fertility indicators and how they have changed over time for Canada, provinces and territories. The dashboard shows the total fertility rate, the average age of childbearing, the fertility rate by age group of mother, the number of births and the associated annual change. Data can be visualized for Canada or for a selected province or territory by single year as well as historically.

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Number of live births, by place of residence of mother (Canada, province or territory, and outside Canada) and place of occurrence (Canada, province or territory, and the United States), 1991 to most recent year.

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Number and percentage of live births, by month of birth, 1991 to most recent year.

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Number and percentage of live births, by age group of mother, 1991 to most recent year.

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Mean age of mother at time of delivery, 1991 to most recent year.

Description: Crude birth rates, age-specific fertility rates and total fertility rates (live births), 2000 to most recent year.

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Crude birth rates, age-specific fertility rates and total fertility rates (live births). Data are available beginning from 2000.

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Number and percentage of live births, by marital status of mother, 1991 to most recent year.

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Number and percentage of live births, by age group and marital status of mother, 1991 to most recent year.

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Number and percentage of live births, by age group and parity of mother, 1991 to most recent year.

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Context : Lung cancer has been the leading cause of cancer deaths in Canadian males for many years, and since 1994, this has been the case for Canadian femalesas well. It is therefore important to evaluate the resources required for its diagnosis and treatment. This article presents an estimate of the direct medical costsassociated with the diagnosis and treatment of lung cancer calculated through the use of a micro-simulation model. For disease incidence, 1992 was chosen as thereference year, whereas costs are evaluated according to the rates that prevailed in 1993.Methods : A model for lung cancer has been incorporated into the Population Health Model (POHEM). The parameters of the model were drawn in part fromStatistics Canada's Canadian Cancer Registry (CCR), which provides information on the incidence and histological classification of lung cancer cases in Canada.The distribution of cancer stage at diagnosis was estimated by using information from two provincial cancer registries. A team of oncologists derived "typical" treatment approaches reflective of current practice, and the associated direct costs were calculated for these approaches. Once this information and the appropriatesurvival curves were incorporated into the POHEM model, overall costs of treatment were estimated by means of a Monte Carlo simulation.Results: It is estimated that overall, the direct medical costs of lung cancer diagnosis and treatment were just over $528 million. The cost per year of life gained as aresult of treatment of the disease was approximately $19,450. For the first time in Canada, it was possible to estimate the five year costs following diagnosis, bystage of the disease at the time of diagnosis. It was possible to estimate the cost per year of additional life gained for three alternative treatments of non small-cell lungcancer (NSCLC). Sensitivity analyses showed that these costs varied between $1,870 and $6,860 per year of additional life gained, which compares favourablywith the costs that the treatment of other diseases may involve.Conclusions: Contrary to widespread perceptions, it appears that the treatment of lung cancer is effective from an economic standpoint. In addition, the use of amicro-simulation model such as POHEM not only makes it possible to incorporate information from various sources in a coherent manner but also offers thepossibility of estimating the effect of alternative medical procedures from the standpoint of financial pressures on the health care system.

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In 1994, an estimated 6% of Canadians aged 18 and over - 1.1 million adults - experienced a Major Depressive Episode (MDE). Although depression is amenable to treatment, fewer than half (43%) the people who met the criteria of having experienced an MDE in the past year (approximately 487,000) reported talking to a health professional about their emotional or mental health. Furthermore, only 26% of those who had an MDE reported four or more such consultations. As expected, depression that was not chronic was more likely to be untreated. In addition, MDE sufferers whose physical health was good and those who had not recently experienced a negative life event were less likely to be treated. However, after controlling for these factors, a multivariate model suggests that lower educational attainment and inadequate income acted as barriers to treatment. Relatively few contacts with a general practitioner substantially reduced the odds of being treated. Also, men and married people who were depressed were less likely to receive treatment. With data from Statistics Canada's 1994-95 National Population Health Survey (NPHS), this article examines the characteristics of people who met the criteria for having had an MDE, but who discontinued or did not receive treatment. The selection of explanatory variables was informed by an established theoretical framework of individual determinants of health service utilization, proposed by Andersen and Newman. Logistic regression was used to predict the probability of not being treated among people who experienced an MDE.

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Meeting the need for physician care outside of urban centres has long been a health policy concern. The challenges of providing such services in these areas stem from relatively fewer physicians and greater travel distances. In 1993, nearly all (99%) residents of large urban centres (with one million or more people) were less than 5 km from the nearest doctor. But outside of urban centres, only 56% of residents were situated that close to a physician. As well, proximity to physicians varied with income in less urbanized and rural areas, but not in more urbanized areas. And while Canadians in the southernmost parts of the country enjoyed very short distances to a physician, in northern latitudes, physicians tended to be much farther away. For instance, in 1993, at 65-69o north latitude, with 3,974 people for every physician, nearly two-thirds of the population (64%) was 100 km or more from the nearest doctor. By contrast, below 45o north latitude, which includes Halifax, Toronto and all of southwestern Ontario, the population to physician ratio was 476, and 91% of the population was within 5 km of a physician. Using the Canadian Medical Association's 1993 address registry of physicians, this article analyses the distance to the nearest physician (57,291 physicians) from a representative point within each of Canada's 45,995 census Enumeration Areas. Distance to the nearest physician by their specialty is also considered.

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The period between fiscal years 1986/87 and 1994/95 has seen a reduction in the number of hospitals in Canada and fundamental changes in the way they deliver their services. During this time, the number of public hospitals fell by 14%, and the number of approved beds in these hospitals declined by 11%. As a result, the number of staffed beds per 1,000 population dropped from 6.6 to 4.1. Much of the decrease in approved beds in public hospitals can be attributed to the reduction in the hospital extended care sector. In fact, some hospitals with long-term care units have been re-designated residential care facilities. As well, a common trend emerged in all categories of public hospitals: the number of outpatient visits increased, while inpatient-days decreased. Between 1986/87 and 1991/92, public hospitals' average annual increase in operating expenses (in current dollars) was 8%. However, from 1991/92 to 1994/95, public hospitals posted negative average annual growth in their expenditures (-2.4%), which reflects efforts made by various provinces to control hospital costs. This article presents data from reports compiled by Statistics Canada: Annual Return of Health Care Facilities - Hospitals, 1986/87 to 1993/94 and Preliminary Annual Report of Hospitals, 1994/95.

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In 1997, there will be an estimated 130,800 new cases of cancer and 60,700 deaths from the disease, an increase of one third and one quarter, respectively, over 1987. These increases are due mainly to the growth and aging of the population. (All figures exclude non-melanoma skin cancer.) In 1997, three types of cancer will account for at least half of all new cases in men and women: prostate, lung and colorectal cancer for men; breast, lung and colorectal cancer for women. Lung cancer will be the leading cause of cancer death in 1997, resulting in one-third of cancer deaths for men and almost one-quarter of cancer deaths for women. Among women, overall trends in age-standardized rates of cancer incidence and mortality have remained relatively stable since 1985, as large increases in the rate of lung cancer have been offset by declining or stable rates for most other forms. Among men, the overall incidence rate is rising slightly as a result of the sharp increase in the incidence of prostate cancer. The mortality rate for men peaked in 1988 and has since declined, because of decreases in the rates for lung, colorectal and some other cancers. This article presents information on trends since the mid-1980s in cancer incidence and mortality, adapted from Canadian Cancer Statistics 1987.

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The prevalence of dementia increases sharply in old age and is higher among women than men. Alzheimer's disease, the most common form of dementia, affects a greater proportion of women. On average, the number of years lived with dementia is longer for women, and women with dementia are more likely to be living in institutions than men with the condition. This article examines age-standardized rates of dementia among men and women aged 65 and over. The data are from the 1991 Canadian Study of Health and Aging (CSHA), a joint effort of the Department of Epidemiology and Community Medicine at the University of Ottawa and the federal government's Laboratory Centre for Disease Control. Life expectancy estimates from Statistics Canada were combined with CSHA data to estimate the average proportions of life that are lived with and without dementia, in the community and in institutions.

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Between 1977 and 1994, smoking rates declined among men and women, but the decline was steeper for men. While smoking rates fell among people at all levels of education, the smallest drop was among those with high school graduation or less, particularly women. For those who had stopped smoking, health concerns had been the overriding factor. Smokers with lower education reported encountering fewer smoking restrictions in their daily activities than did those with higher education. All smokers cited the mass media as their major source of information about smoking, but those with lower education reported the mass media less often than did smokers with higher levels of attainment, and were less likely to obtain information from books, pamphlets or magazines. In addition, smaller percentages of smokers with lower education recalled printed warnings about heart disease on cigarette packages. Variations in the decline of smoking suggest that health promotion and smoking cessation programs should consider sex and educational differences when targeting the smoking population. Differences in rates of smoking among people aged 20 and over were examined by educational attainment using selected health surveys conducted between 1977 and 1994. A Health Canada-sponsored supplement to Statistics Canada's National Population Health Survey was used for data on other aspects of smoking such as cutting back or attempting to quit, sources of health information, and awareness of smoking restrictions and cigarette package warnings.

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Men constitute a small minority of registered nurses (RNs) in Canada, but their numbers have risen sharply in the last decade. In 1995, almost 4% of RNs were men, up from just over 2% in 1985. The proportion of male nurses is particularly high in Quebec, where the 1995 figure was 8%. Some areas of nursing are more likely than others to employ male nurses: psychiatry, critical care, emergency care, and administration. By contrast, relatively few male RNs have jobs in maternal/newborn care, pediatrics, or community care. Rising male enrollement in college and university nursing programs suggests that men's representation in nursing will continue to rise. The older age profile of male nurses may indicate that some men are choosing nursing as a second career. As well, a shift in the age distribution of male nurses would seem to suggest that those who enter the profession tend to stay. This analysis of the demographic and employment characteristics of male nurses is based on information compiled annually in the Registered Nurses Database maintained by Statistics Canada. Figures on enrolment and graduation in nursing are collected by Statistics Canada as part of annual surveys.

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Breast cancer is the leading form of cancer diagnosed in Canadian women (excluding non-melanoma skin cancer), accounting for about 30% of all new cases. After age 30, incidence rates begin to rise, and the highest rates are among women aged 60 and over. Canadian incidence rates have increased slowly and steadily since 1969, rising most rapidly among women aged 50 and over. Canada's rates are among the highest of any country in the world, ranking second only to those in the United States. After decades of little change, breast cancer mortality rates for all ages combined have declined slightly since 1990. While not dramatic, this decline is statistically significant and is consistent with similar decreases in the United Kingdom, the United States, and Australia. Breast cancer survival rates are relatively more favourable than those of other forms of cancer. Survival rates are better for younger women and for women whose cancer was detected at an early stage. This article presents breast cancer data from the Canadian Cancer Registry, the National Cancer Incidence Reporting System, and vital statistics mortality data, all of which are maintained by the Health Statistics Division of Statistics Canada. These data are provided to Statistics Canada by the provincial and territorial cancer and vital statistics registrars.

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This paper describes the methodology for fertility projections used in the 1993-based population projections by age and sex for Canada, provinces and territories, 1993-2016. A new version of the parametric model known as the Pearsonian Type III curve was applied for projecting fertility age pattern. The Pearsonian Type III model is considered as an improvement over the Type I used in the past projections. This is because the Type III curve better portrays both the distribution of the age-specific fertility rates and the estimates of births. Since the 1993-based population projections are the first official projections to incorporate the net census undercoverage in the population base, it has been necessary to recalculate fertility rates based on the adjusted population estimates. This recalculation resulted in lowering the historical series of age-specific and total fertility rates, 1971-1993. The three sets of fertility assumptions and projections were developed with these adjusted annual fertility rates.

It is hoped that this paper will provide valuable information about the technical and analytical aspects of the current fertility projection model. Discussions on the current and future levels and age pattern of fertility in Canada, provinces and territories are also presented in the paper.

Description: The general purpose of the survey is to measure Canadians' experiences with health care, specifically, experiences with various types of doctors and clinics, access to different types of health care including emergency room and prescription medication use. Special attention was given to respondents diagnosed with certain chronic conditions in terms of their general experiences and their participation in managing their own health care.

Description: The Longitudinal and International Study of Adults collects information from people across Canada about their jobs, education, health and family. The study is also interested in how changes in these areas have affected people's lives. This survey aims to help improve education, employment, training and social services in Canada.

Description: The purpose of the Canadian Community Health Survey - Healthy Aging is to collect new information about the factors, influences and processes that contribute to healthy aging. The survey focuses on the health of Canadians aged 45 and over.

Description: Statistics Canada is conducting a test of new survey modules on mental health stigma and discrimination. In addition to the new modules, the test questionnaire includes Canadian Community Health Survey modules on general health, health status, income and sociodemographic characteristics.

Description: The purpose of the Survey on Living with Chronic Diseases in Canada (SLCDC) is to provide information on the impact of chronic disease on individuals, as well as how people with chronic disease manage their health condition.

Description: This is a national longitudinal survey that collects information on the transition from military to civilian life, general health and well-being, chronic conditions, labour force participation and other related information. An important goal of the survey is to understand the transition period from military to civilian life and health outcomes in Canadian Veterans.

Description: The purpose of the Survey on Living with Neurological Conditions in Canada is to collect new information about Canadians' experiences with chronic neurological conditions. The survey will report on various factors that impact on health for individuals living with these conditions, their families and caregivers.

Description: This pilot survey asks both smokers and non-smokers about their past and present smoking habits, their attitudes towards smoking, and other related issues.

Description: The purpose of the Childhood National Immunization Coverage Survey is to collect information on national immunization coverage for childhood vaccines.

Description: This survey collects data on the prevalence of several neurological conditions in long-term care facilities.