Health

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.

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Health Reports, published by the Health Analysis Division of Statistics Canada, is a peer-reviewed journal of population health and health services research. It is designed for a broad audience that includes health professionals, researchers, policymakers, and the general public. The journal publishes articles of wide interest that contain original and timely analyses of national or provincial/territorial surveys or administrative databases. New articles are published electronically each month.

Health Reports had an impact factor of 5.0 for 2022 and a five-year impact factor of 5.6. All articles are indexed in PubMed. Our online catalogue is free and receives more than 700,000 visits per year. External submissions are welcome.

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

Description: Monthly indexes and percentage changes for selected sub-groups of the health and personal care component of the Consumer Price Index (CPI), not seasonally adjusted, for Canada, provinces, Whitehorse and Yellowknife. Data are presented for the corresponding month of the previous year, the previous month and the current month. The base year for the index is 2002=100.

Description: In collaboration with the Public Health Agency of Canada (PHAC), this table provides Canadians and researchers with preliminary data to monitor only the confirmed cases of coronavirus (COVID-19) in Canada. Given the rapidly-evolving nature of this situation, these data are considered preliminary. This table will provide an aggregate summary of the data available in the publication 13-26-0003.

Description: In collaboration with the Public Health Agency of Canada (PHAC), this table provides Canadians and researchers with preliminary data to monitor only the confirmed cases of coronavirus (COVID-19) in Canada. Given the rapidly-evolving nature of this situation, these data are considered preliminary. This table will provide an aggregate summary of the data available in the publication 13-26-0003.

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

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Optional content to the Canadian Community Health Survey was negotiated by some provinces or territories and for some health regions. The data from that content provide information on the following variables: self esteem, mastery, alcohol dependence, sedentary activities, changes made to improve health, decision latitude at work, home care utilization, social support, influenza immunization, bicycle-helmet use, condom use, tobacco alternatives, smoking cessation aids, physical check-up, eye examination, dental visits, breast examinations and breast self-examinations, blood pressure check, suicidal thoughts and attempts, distress, moods, and spirituality.

Related tables to the Canadian Community Health Survey provide information on the following variables: unmet health-care needs, prostate-specific antigen and former smokers.

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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 and 8,000 children living in private and some collective households in the 10 provinces were selected to participate in the survey. The data were collected after the 2001 Census, in the fall of 2001.

These tables contain data on the number of adults and children with disabilities, disability rates, as well as the type and severity of disability, by age and sex, for Canada and the provinces.

Description: Body mass index (BMI), Canadian standard, by age group and sex, household population aged 20 to 64 excluding pregnant women, territories.

Description: Body mass index (BMI), International standard, by age group and sex, household population aged 20 to 64 excluding pregnant women, territories.

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The National Population Health Survey (NPHS) used the Labour Force Survey sampling frame to draw the initial sample of approximately 20,000 households starting in 1994 and for the sample top-up this third cycle. The survey is conducted every two years. The sample collection is distributed over four quarterly periods followed by a follow-up period and the whole process takes a year. In each household, some limited health information is collected from all household members and one person in each household is randomly selected for a more in-depth interview.

The survey is designed to collect information on the health of the Canadian population and related socio-demographic information. The first cycle of data collection began in 1994, and continues every second year thereafter. The survey is designed to produce both cross-sectional and longitudinal estimates. The questionnaires includes content related to health status, use of health services, determinants of health, a health index, chronic conditions and activity restrictions. The use of health services is probed through visits to health care providers, both traditional and non-traditional, and the use of drugs and other mediciations. Health determinants include smoking, alcohol use and physical activity. A special focus content for this cycle includes family medical history with questions about certain chronic conditions among immediate family members and when they were acquired. As well, a section on self care has also been included this cycle. The socio-demographic information includes age, sex, education, ethnicity, household income and labour force status.

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The National Population Health Survey (NPHS) program is designed to collect information related to the health of the Canadian population. The first cycle of data collection began in 1994. The institutional component includes long-term residents (expected to stay longer than six months) in health care facilities with four or more beds in Canada with the principal exclusion of the Yukon and the Northwest Teritories. The document has been produced to facilitate the manipulation of the 1996-1997 microdata file containing survey results. The main variables include: demography, health status, chronic conditions, restriction of activity, socio-demographic, and others.

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Information in this microdata file refers to survey data collected in September - November, 1994 for persons 15 years of age and older in Canada's ten provinces. The survey's main data objectives were to measure the prevalence and patterns of alcohol and other drug use, to assess harm and other consequences of drug use and to evaluate trends in recent patterns of use. Canada's Alcohol and Other Drugs Survey (CADS) also updates and expands upon data collected in the first survey, the National Alcohol and Other Drugs Survey (NADS), conducted in 1989.

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This compendium of vital statistics includes summary data on births, deaths, marriages and divorces. The introduction covers the data sources, data quality, and methods pertaining to each event, and includes a glossary defining the terms used. The first chapter is a brief overview of vital statistics for 1996. Subsequent chapters treat marriage, divorce, birth, fetal and infant mortality, total mortality, causes of death, vital statistics by census division, and international comparisons. Most charts and tables show Canada data for 1986 though 1996, while the charts and tables for causes of death show Canada data for 1979 through1996. Data for the provinces and territories are usually shown for 1995 and 1996. Appendices include population denominator data, age-standardized mortality rate (ASMR) calculation methods, and leading causes of death methodology.

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Statistics in the tables of Section B are in two divisions. Series Bl-81 contain data on vital statistics and series B82-543 on health. Data on social welfare, formerly contained in this section, are presented separately in Section C.

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Cycle 11 collected data from persons 15 years and older and concentrated on help given or received during temporary difficult times or out of necessity due to long-term health or physical limitations in daily activities either inside or outside the household. The target population of the General Social Survey consisted of all individuals aged 15 and over living in a private household in one of the ten provinces.

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Introduction: In the current economic context, all partners in health care delivery systems, be they public or private, are obliged to identify the factors that influence the utilization of health care services. To improve our understanding of the phenomena that underlie these relationships, Statistics Canada and the Manitoba Centre for Health Policy and Evaluation have just set up a new database. For a representative sample of the population of the province of Manitoba, cross-sectional microdata on individuals' health and socio-economic characteristics were linked with detailed longitudinal data on utilization of health care services.

Data and methods: The 1986-87 Health and Activity Limitation Survey, the 1986 Census and the files of Manitoba Health were matched (without using names or addresses) by means of the CANLINK software. In the pilot project, 20,000 units were selected from the Census according to modern sampling techniques. Before the files were matched, consultations were held and an agreement was signed by all parties in order to establish a framework for protecting privacy and preserving the confidentiality of the data.

Results: A matching rate of 74% was obtained for private households. A quality evaluation based on the comparisons of names and addresses over a small subsample established that the overall concordance rate among matched pairs was 95.5%. The match rates and concordance rates varied according to age and household composition. Estimates produced from the sample accurately reflected the socio-demographic profile, mortality, hospitalization rate, health care costs and consumption of health care by Manitoba residents.

Discussion: The matching rate of 74% was satisfactory in comparison with the response rates reported in most population surveys. Because of the excellent concordance rate and the accuracy of the estimates obtained from the sample, this database will provide an adequate basis for studying the association between socio-demographic characteristics, health and health care utilization in province of Manitoba.

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From 1981 to 1994, the annual number of mammograms performed in Canada increased from less than 200,000 to more than 1.4 million. By 1994, about three in five women aged 40 and over reported having had a mammogram at some time in their lives. Most of the increase that occurred between 1985 and 1991 was because of greater use of mammography for breast screening. In the early 1990s, the annual numbers and rates stabilized as the number of mammograms performed on a fee-for-service basis declined slightly, while those conducted by provincial/territorial breast screening programs rose. Mammography is increasingly targeted to women aged 50-69 for whom screening is considered to be most effective. About 30% of Canadian women aged 50-69 have had a mammogram within the past year, although just one-fifth of these mammograms were obtained through provincial/territorial breast screening programs. Most mammography in Canada is provided through the fee-for-service system, although about 80% of fee-for-service mammograms are done for screening purposes, and the remaining 20% for diagnostic assessment. This article is based on administrative data provided by provincial/territorial departments of health and by breast screening programs, as well as on data from the National Population Health Survey. Some implications of mammography utilization for breast cancer incidence and mortality rates are assessed, but because of the long lead time between detection and death, it may be too early to reach definitive conclusions.

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Analyses based on census data, vital statistics, and data from the Health and Activity Limitation Surveys show that immigrants, especially those from non-European countries, had a longer life expectancy and more years of life free of disability and dependency than did the Canadian-born. But while immigrants were less likely than the Canadian-born to be disabled, they were only slightly less likely to be dependent on others for help with activities of daily living. The reasons for immigrants' longevity and good health are likely related to the "health immigrant effect"

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From 1974 to 1994, the number of children Canadian women are likely to have during their lifetime decreased. This downturn in fertility meant that the annual number of live births rose only slightly during this period, even though it marked the prime childbearing years for the baby-boom generation. As they pursued higher education and employment in the paid workforce, women have postponed childbearing. Consequently, the average age of women giving birth has risen. More than a quarter of women over age 30 who have a baby are first-time mothers. And by starting families later in life, women tend to have fewer children. In addition, largely because of the growing number of common-law relationships, over a quarter of all births are to unmarried women. Using data provided by the provincial and territorial Vital Statistics Registries, this article examines national and provincial/territorial trends in births and fertility from 1974 to 1994.

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The increase in life expectancy that would result from the elimination of certain diseases and the resulting change in hospital utilization vary, depending on the disease. In some cases, life expectancy would rise and total days spent in hospital would decline, while in others, the gain in life expectancy would be accompanied by a increase in hospital days. For instance, if mental health disorders were eliminated, the increase in life expectancy at age 45 would be minimal: from 34.9 to 35.3 years, but time spent in hospital would decline from 168 to 151 days. By contrast, if diseases of the circulatory system were eliminated, life expectancy at age 45 would rise from 34.9 to 41.6 years, but time spent in hospital would also rise: from 168 to 290 days. Elimination of not only mental illnesses but also injuries and poisoning and diseases of the nervous system has the potential of both increasing life expectancy and reducing hospital use.

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Abridged life tables centred on 1991 were produced from the 1991 Canadian census, net census undercoverage estimates, and death data from 1990 to 1992. The sensitivity of life table values to differing methods of estimation and population estimates was investigated. The results from four methods by Greville, Chiang, and Keyfitz were compared, and population undercoverage, were used to test the effects of method and type of population estimate on life table values. The results indicate that the method used to derive the estimates had much less influence on the life table values than did the choice of population estimate. The change life expectancy at birth due to the method of calculation chosen was at most 15 days, whereas the change due to the population estimate chosen was about 73 days. Since there are age, sex and provincial variations in net undercoverage rates, life expectancies differed accordingly.

Description: The official 1990-92 detailed life tables show a continuation of the trend toward longer life expenctancy for Canadians. Life expectancy at birth has reached an all-time high: 80.89 years for females and 74.55 years for males. Recent improvements in life expectancy are attributable to many factors, including declines in infant mortality, cerebrovascular and cardiovascular disease, and mortality from accidents and poisoning.

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As the population ages, discussion increasingly focuses on how to keep people in the community and out of health care instituions. But when health fails, the only option may be long-term residential care.

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This paper evaluates the results of the questions related to activity limitation and its impact on labour market activity from the January 1993 Survey of Labour and Income Dynamics (SLID) test.

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Using data from Statistics Canada's 1988 and 1993 General Social Survey (GSS), this article examines the incidence and consequences of accidents in Canada and the characteristics of respondents aged 15 and over who were involved in them. In 1993, an estimated 3.9 million Canadians reported that they had been involved in 4.8 million accidents in the previous 12 months. Motor vehicle accidents and sports accidents were the most frequent, each accounting for about 27% of incidents, followed by accidents at work (21%) and at home (14%). Accidents were most common among young people, particularly men. However, from 1988 to 1993, there was a decline in the proportion of adults reporting accidents, and the sharpest drop was for the age group most at risk - 15-to 24-year-olds. Most of the downturn was attributable to a decrease in the motor vehicle accident rate. Since alcohol is known to be associated with accidents, reduced consumption during the same period may have been partly responsible for the decline in accident rates. Other factors that may have contributed include stricter enforcement of impaired driving legislation and speeds limits, and improvements in automobile safety. Nonetheless, despite the decline in accidents rates, the toll taken by accidents reported in 1993 was considerable: 80% of accidents caused personal injury, and almost half of these resulted in medical attention in a hospital. Overall, 62% of accidents resulted in activity-loss days, and 29% involved bed-disability days. Hospital utilization costs associated with these accidents in 1993 were about $1.5 billion. As well, about one-third of accidents involved out-of-pocket expenses, totalling $791 million. Moreover, accidents continue to be the leading cause of death among persons under age 44.

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Introductory video for the survey provided to respondents at the household and posted on the Canadian Health Measures Survey Respondent relations (Statcan) website.

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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 2012 CSD Concepts and Methods Guide is designed to assist data users by providing relevant information on survey content and concepts, sampling design, collection methods, data processing, data quality and product availability. Chapter 1 of this guide provides an overview of the 2012 CSD by introducing the survey's background and objectives. Chapter 2 explains the key concepts and definitions and introduces the indicators measured by the CSD questionnaire modules. Chapters 3 to 6 cover important aspects of survey methodology, from sampling design to data collection and processing. Chapters 7 and 8 cover issues of data quality, including the approaches used to minimize and correct errors throughout all stages of the survey. Users are cautioned against making comparisons with data from previous Participation and Activity Limitations Surveys. Chapter 9 outlines the survey products that are available to the public, including data tables, a fact sheet and reference material. Appendices provide more detail on survey indicators as well as a glossary of terms.

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Mental illnesses largely involve alterations in mood, thinking, and behaviour, as well as other domains of mental functioning, and affect almost all Canadians in some way, either directly or indirectly. They routinely cause significant impairments in emotional functioning, which may lead to social or physical limitations. In some cases, such as in agoraphobia, individuals cannot even leave their homes due to intense anxiety; depression can cause an individual to lose all interest in life. This document describes the mental illnesses that have the greatest impact on Canadians in terms of prevalence or severity of disability, and how they affect the health status of Canadians.

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This report presents the results of the 3rd Consensus Conference on Health Indicators that was convened in March 2009, including information that was presented at the conference, a summary of the consultation process leading up to the event, and the priority health areas deemed most important for future indicator development work.

The conference marked the 10th anniversary of the Health Indicators project, a collaboration between Statistics Canada and Canadian Institute for Health Information (CIHI). The goal of the project is to provide health regions, health care providers and the public in general with reliable and comparable data on the health of Canadians and to assist stakeholders and decision makers in the use and interpretation of the indicator data.

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Since 2007/2008, Statistics Canada has centred analysis of data holdings related to health as well as our program of dissemination of health research within the new Health Information and Research Division (HIRD).

The new division has launched a comprehensive approach to analytical planning including environmental scanning and consultation; establishment of strategic multi-year priorities for health research at Statistics Canada; a process of project selection and review that ensures that analytical effort addresses our priorities; metrics to measure our adherence to priorities and the impact of our analytical effort; and communication and dissemination of analytical plans.

This multi-year analytical plan identifies the key high-level priority areas for Statistics Canada's investment in health research for 2008/2009 to 2010/2011, and serves as a blueprint for subsequent operational research planning.

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This special methodological paper will help readers understand and assess reports that rank the health status or health system performance of a country, province or jurisdiction. The report outlines the components and processes that underlie health rankings, explores why such rankings can be difficult to interpret and includes a plain-language checklist to use as a critical evaluative resource when reading health-ranking reports.

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This report highlights the latest developments and rationale behind recent cycles of the General Social Survey (GSS). Starting with an overview of the GSS mandate and historic cycle topics, we then focus on two recent cycles related to families in Canada: Family Transitions (2006) and Family, Social Support and Retirement (2007). Finally, we give a summary of what is to come in the 2008 GSS on Social Networks, and describe a special project to mark 'Twenty Years of GSS'.

The survey collects data over a twelve month period from the population living in private households in the 10 provinces. For all cycles except Cycles 16 and 21, the population aged 15 and older has been sampled. Cycles 16 and 21 sampled persons aged 45 and older.

Cycle 20 (GSS 2006) is the fourth cycle of the GSS to collect data on families (the first three cycles on the family were in 1990, 1995 and 2001). Cycle 20 covers much the same content as previous cycles on families with some sections revised and expanded. The data enable analysts to measure conjugal and fertility history (chronology of marriages, common-law unions, and children), family origins, children's home leaving, fertility intentions, child custody as well as work history and other socioeconomic characteristics. Questions on financial support agreements or arrangements (for children and the ex-spouse or ex-partner) for separated and divorced families have been modified. Also, sections on social networks, well-being and housing characteristics have been added.

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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.

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The Record Linkage Overview describes the process used in annual internal record linkage of the Canadian Cancer Registry. The steps include: preparation; pre-processing; record linkage; post-processing; analysis and resolution; resolution entry; and, resolution processing.

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The Record Linkage Overview describes the process used in annual internal record linkage of the Canadian Cancer Registry. The steps include: preparation; pre-processing; record linkage; post-processing; analysis and resolution; resolution entry; and, resolution processing.