Health

Description:

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.

Description:

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.

Description:

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.

Description:

The special ten year anniversary edition of Canadian cancer statistics 1997 represents a collaborative effort between Statistics Canada, the National Cancer Institute of Canada, Health Canada, the Canadian Cancer Society, and provincial/territorial cancer registries. This 71 page monograph contains estimates of cancer incidence and mortality for 1997, historical (actual and estimated) data from 1969 to 1997, and selected indicators on the burden of cancer. Estimates were produced by modelling actual cancer incidence and mortality data by province for selected cancer sites. The special topic this year is a comparison of the burden of cancer in Canada in 1997 to that reported in the first edition in 1987.

Description:

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.

Description:

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.

Description:

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.

Description:

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.

Description:

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:

Live births, induced abortions, and miscarriages/ stillbirths are usually examined seperately. This article comines the three outcomes to focus on pregnancy in Canada from 1974 to 1992.

Description:

This product presents current and historical cancer incidence and cancer survival statistics in Canada, as well as links to the Cancer Record and Canadian Cancer Registry (CCR) procedures manuals.

The Annual Cancer Incidence in Canada tables provide information on the number of new cases and the rates of both cancer tumours and patients from 1992 onwards, by five-year age-groups and sex for all Canadian provinces and territories.

The Cancer Survival Statistics tables provide site-specific five-year observed and relative survival estimates for cases diagnosed from 1992 onwards. In addition to age-specific and age-standardized national (excl. Quebec) estimates, all ages (15 to 99 years) and age-standardized provincial estimates are available.

The Cancer Record is a newsletter for cancer registries in Canada. Its purpose is to improve the quality and consistency of data submitted to the CCR.

The compendium of Canadian Cancer Registry procedures manuals set out the rules for reporting cancer data to the CCR for all provincial and territorial cancer registries.

Links are also provided to other Statistics Canada data on cancer. The health regions cancer rates are part of the Health Indicators. The Comparable Health Indicators present information on health status and health system performance, including cancer incidence age-standardized cancer.

Description:

The Internet publication, Mental Health and Well-being, from the 2002 Canadian Community Health Survey (CCHS) provides cross-sectional estimates at provincial and national levels. Topics include the prevalence of various mental disorders (depression, mania, panic disorder, agoraphobia, social phobia), mental health problems (alcohol and illicit drug dependence, gambling, suicide, eating trouble) and access to and use of mental health care services in the past 12 months.

The survey also collects information on many determinants and correlates of mental health such as socio-demographic information, income, stress, medication use and social support.

Data were collected from close to 37,000 respondents, aged 15 or older, residing in households in each province.

Description:

The main objective of the 2002 Youth Smoking Survey (YSS) is to provide current information on the smoking behaviour of students in grades 5 to 9 (in Quebec primary school grades 5 and 6 and secondary school grades 1 to 3), and to measure changes that occurred since the last time the survey was conducted in 1994. Additionally, the 2002 survey collected basic data on alcohol and drug use by students in grades 7 to 9 (in Quebec secondary 1 to 3). Results of the Youth Smoking Survey will help with the evaluation of anti-smoking and anti-drug use programs, as well as with the development of new programs.

Description:

The Joint Canada/United States Survey of Health is a collaborative project undertaken by Statistics Canada and the National Center for Health Statistics of the U.S. Center for Disease Control and Prevention. It is the first survey that asks a common set of questions to approximately 3,500 Canadians and 5,200 U.S. residents about their health status and access to health care services. The analytical report in this publication compares Canadians and U.S. residents on a broad range of health dimensions including self-perceived health, chronic conditions, functional status, life-style factors such as smoking and obesity, health care utilization and satisfaction with health care services. A public use microdata file (PUMF) has been prepared from the survey, and is available for free download in this publication. The PUMF comes with complete documentation, including a data dictionary, a user guide and a document explaining how the derived variables were created. "Bootstrap" weights for variance calculation are also provided for free download.

Description:

The Cancer Survival Statistics tables provide site-specific five-year observed and relative survival estimates for cases diagnosed from 1992 onwards. In addition to age-specific and age-standardized national (excl. Quebec) estimates, all ages (15 to 99 years) and age-standardized provincial estimates are available.

Description:

The annual Cancer Incidence in Canada tables provide information on the number of new cases and rates of cancer tumours and patients from 1992 onwards by five-year age-groups and sex for all Canadian provinces and territories as well as information on the primary ICD-O-3 sites of cancer.

Description:

The 2001 Participation and Activity Limitation Survey (PALS) is a post-censal survey of adults and children whose everyday activities are limited because of a condition or health problem. A sample of those persons who answered 'Yes' to the 2001 Census disability filter questions were included in the PALS survey population. Approximately 35, 000 adults (aged 15 and over) and 8,000 children (aged 0 to 14) living in private or collective households in the 10 provinces were selected to participate in the survey. Persons living in institutions, on Indian reserves, and in the Yukon, the Northwest Territories and Nunavut were excluded from the survey. The data were collected after the 2001 Census, in the fall of 2001.

These tables contain data on the educational attainment, labour force activity and income of adults with and without disabilities.

Description:

Cycle 16 of the 2002 General Social Survey (GSS) was on 'Aging and Social Support.' Data were collected over an 11-month period from February to December 2002 with a sample of approximately 25,000 respondents representing the non-institutionalized population in the 10 provinces.

These tables contain data on the prevalence of care received by seniors because of long-term health problems, the prevalence of informal care given to seniors because of long-term health problems and consequences of providing care to seniors. All tables are available by sex and age groups, and for Canada and the provinces.

Note: For a detailed analysis, please see the document 'The Consequences of Caring for an Aging Society' (Catalogue no. 89-582-XIE).

Description:

The 2001 Participation and Activity Limitation Survey (PALS) is a post-censal survey of adults and children whose everyday activities are limited because of a condition or health problem. A sample of those persons who answered " Yes" to the 2001 Census disability filter questions were included in the PALS survey population. Approximately 8,000 children (aged 0 to 14) living in households in the 10 provinces were selected to participate in the children's component of the survey. Persons living in institutions, on Indian reserves and in the Yukon, Northwest Territories or Nunavut were excluded. The data were collected after the 2001 Census, between September 2001 and January 2002. Note that information on children with disabilities was gathered through interviews with their parents or guardians.

These tables contain PALS data on children aged 5 to 14 who have disabilities and the impact of their disability on the daily activities and employment situation of their families.Specific themes covered are:-help with everyday activities received by children with disabilities;-parents access to help; formal and informal-impacts of the child's disability on the family's employment situation;-children's access to specialized aids and services; and household income.

Tables are presented by severity of disability of children with disabilities, for Canada and provinces.

Description:

The Cancer Survival Statistics tables provide site-specific five-year observed and relative survival estimates for cases diagnosed from 1992 onwards (colorectal, lung, prostate and female breast cancer cases only). In addition to age-specific and age-standardized national (excl. Quebec) estimates, all ages (15 to 99 years) and age-standardized provincial estimates are available.

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: Work arrangements changed during the COVID-19 pandemic, as organizations switched to working from home on a large scale and used digital technologies to adapt to physical distancing mandates. It is largely unknown how changes to work arrangements since the onset of the COVID-19 pandemic have impacted persons with disabilities (PWDs) in Canada. This article focuses on whether needs and unmet needs for workplace accommodations (WPAs) among employed Canadians with disabilities have changed since 2017, with the widespread deployment of working from home and digital technologies.

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

Description: An extensive literature shows wide variations in life expectancy (LE) across various subnational geographic areas. However, little is known about these variations across very small levels of geographic disaggregation in Canada. This study expands the boundaries for such analyses by focusing on metropolitan areas, allowing an examination of small area variations in LE that cannot be ascribed to provincial or federal-level health, social, and other policies and programs, as more than one metropolitan area per province can be studied.

Description: Income-related food insecurity is an important determinant of health. Persons with disabilities are at a higher risk of experiencing household food insecurity (HFI) than those without disabilities. The main objectives of this study were to estimate the prevalence of HFI for persons with different types, numbers, and severity of disabilities, and to examine sociodemographic correlates of HFI among this group.

Description: This infographic details the prevalence of vitamin D inadequacy among the Canadian population aged 3 to 79 by focusing on risk factors as well as behaviours that can reduce the likelihood of low vitamin D.

Description: Individuals who are nearing death report a preference to be cared for and to die outside of hospital. The reasons for this preference are complex and multifactorial. This study examined differences in the use of end-of-life acute care and the location of death among residents with dementia in rural long-term care homes, compared with those in urban long-term care homes, in Ontario, Canada.

Description: Mental health disparity is associated with diverse characteristics, such as gender, socioeconomic status, Indigenous identity, immigrant status, race, disability, and sexual orientation. However, intersectional studies on women’s mental health have been rare, particularly during the COVID-19 pandemic period. To fill this research gap, this study examines women’s and girls’ self-reported mental health before and during the COVID-19 pandemic using seven characteristics, including Indigenous identity, immigrant status, racialized background, LGB+ sexual orientation, disability, and socioeconomic status (low income and unemployment).

Description: This article provides insights into the rates of COVID-19 mortality among First Nations peoples and Métis living in private dwellings and the social determinants of COVID-19 mortality among these populations using data from the 2016 Canadian Census Health and Environment Cohorts linked to the Canadian Vital Statistics – Death Database from 2016 to 2021.

Description: Health regions are defined by the provinces and represent administrative areas or regions of interest to health authorities. This product contains correspondence files (linking health regions to latest Census geographic codes) and digital boundary files. User documentation provides an overview of health regions, sources, methods, limitations and product description (file format and layout).

In addition to the geographic files, this product also includes Census data (basic profile) for health regions.

Description:

This report deals with Indigenous identity, Indigenous ancestry, Indigenous group, Registered or Treaty Indian status, Membership in a First Nation or Indian band, Membership in a Métis organization or Settlement, and Enrollment under an Inuit land claims agreement, and contains explanations of concepts, data quality, historical comparability and comparability with other sources, as well as information on data collection, processing and dissemination.

Description:

Created in collaboration with the Public Health Agency of Canada (PHAC), this user guide with appended data dictionary provides Canadians and researchers with required information to be able to utilize the Detailed preliminary information on confirmed cases of COVID-19 (Revised) table.

The user guide with appended data dictionary describes background information of COVID-19 as well as objectives, coverage, content, limitations and data quality concerns of the table.

Description: The Canadian Survey on Disability (CSD) is a national survey of Canadians aged 15 and over whose everyday activities are limited because of a long-term condition or health-related problem. The 2022 CSD Concepts and Methods Guide is designed to assist CSD data users by providing relevant information on survey content and concepts, sampling design, collection methods, data processing, data quality and product availability.

Description: The Canadian Index of Multiple Deprivation (CIMD) is an area-based index which uses Census of Population microdata to measure four key dimensions of deprivation at the dissemination area (DA)-level: residential instability, economic dependency, situational vulnerability and ethno-cultural composition.

The CIMD allows for an understanding of inequalities in various measures of health and social well-being. While it is a geographically-based index of deprivation and marginalization, it can also be used as a proxy for an individual. The CIMD has the potential to be widely used by researchers on a variety of topics related to socio-economic research. Other uses for the index may include: policy planning and evaluation, or resource allocation.

Description:

The Canadian Index of Multiple Deprivation (CIMD) is an area-based index which uses Census of Population microdata to measure four key dimensions of deprivation at the dissemination area (DA)-level: residential instability, economic dependency, situational vulnerability and ethno-cultural composition. The CIMD allows for an understanding of inequalities in various measures of health and social well-being. While it is a geographically-based index of deprivation and marginalization, it can also be used as a proxy for an individual. The CIMD has the potential to be widely used by researchers on a variety of topics related to socio-economic research. Other uses for the index may include: policy planning and evaluation, or resource allocation.

Description: This electronic publication presents the methodology underlying the production of the life tables for Canada, provinces and territories.

Description:

The User Guide for the Canadian Index of Multiple Deprivation (CIMD) outlines uses for the index, as well as it provides a brief description of the methodology behind the development of the index. This User Guide also provides instructions on how to use the index, and lists considerations when using the CIMD data.

Description:

The mandate of the Analytical Studies Branch (ASB) is to provide high-quality, relevant and timely information on economic, health and social issues that are important to Canadians. The branch strategically makes use of expert knowledge and a large range of statistical sources to describe, draw inferences from, and make objective and scientifically supported deductions about the evolving nature of the Canadian economy and society. Research questions are addressed by applying leading-edge methods, including microsimulation and predictive analytics using a range of linked and integrated administrative and survey data. In supporting greater access to data, ASB linked data are made available to external researchers and policy makers to support evidence-based decision making. Research results are disseminated by the branch using a range of mediums (i.e., research papers, studies, infographics, videos, and blogs) to meet user needs. The branch also provides analytical support and training, feedback, and quality assurance to the wide range of programs within and outside Statistics Canada.

Description:

This paper describes the process that led to the creation of the new Disability Screening Questions (DSQ), jointly developped by Statistics Canada and Employment and Social Development Canada. The DSQ form a new module which can be put on general population surveys to allow comparisons of persons with and without a disability. The paper explains why there are two versions of the DSQ—a long and a short one—, the difference between the two, and how each version can be used.