Health

Description:

This article examines national and regional trends in mortality and morbidity due to abdominal aortic aneurysms from 1969 to 1991. Annual age-adjusted mortality and hospital separation rates were calculated for men and women aged 55 and older whose underlying cause of death was abdominal aortic aneurysm, or who were hospitalized with a primary diagnosis of abdominal aortic aneurysm. In recent decades, abdominal aortic aneurysm mortality rates remained stable, in contrast to substantial declines in mortality rates for cerebrovascular disease and cardiovascular disease. The pattern was similar for both sexes, although rates were four to five times higher among men than among women. In 1991, age-adjusted rates were around 31.0 per 100,000 men aged 55 and over and 8.5 per 100,000 women aged 55 and over. Over the 1969 to 1991 period mortality rates in all regions tended to coverage. Although mortality rates were stable, hospital separation rates for abdominal aortic aneurysms increased sharply, particularly for unruptured aneurysms. Screening programs have been able to detect asymptomatic abdominal aortic aneurysms, and surgical intervention can substantially reduce mortality. However, the costs and benefits of screnning programs should be assessed. If current mortality rates persist, as the baby boom ages there will be an absolute increase in the number of deaths from abdominal aortic aneurysms.

Description:

In the early 1990s, Canadians were less likely to be hospitalized than they had been a decade before. And when they did enter hospital, their stays tended to be shorter. As well, hospitalization for surgical procedures was less frequent and required less time in hospital.

Nonetheless, a few patterns persisted throughout the decade. Females were more likely than males to be admitted to hospital - largely a reflection of obstetrical procedures - but females' average length of stay was slightly less than that of male patients. However, with advancing age, the likelihood of hospitalization and the duration of stays increased for both sexes.

Description:

Between 1992 and 1993, the life expectancy at birth of Canadians fell slightly, from 78.06 to 77.95 years. This decline reflected an unusually sharp upturn in the number of deaths in 1993, which was attributable, to some extent, to an influenza outbreak in early spring that year, and to substantial increases in tobaccorelated deaths among women. The overall decline in life expectancy occurred in every province except Nova Scotia, and affected both sexes, although it was more pronounced among females.

Description:

The survey, begun in February 1994, monitors the smoking patterns of Canadians over a 12 month period and to measure any changes in smoking resulting from the decrease in taxes in cigarettes which took place in February 1994 in some provinces. It is related to MDF 82M0006. Updates are included in the microdata file price. A guide for this microdata file is available.

Description:

Lack of sleep is not the only cause of daytime sleepiness; many other things can induce it, including excessive warmth, boredom, or performing a demanding but uninteresting task. This study measures tiredness based on respondent assessment of drowsiness during working hours.

Description:

More than one-quarter of all time-loss claims due to work accidents are for back injuries. This article traces the pattern of growth in back-injury claims accepted by Workers' Compensation Boards during the last decade.

Description:

Alcohol and drug abuse is one of the most important social issues in Canada today. Using results from the National Alcohol and Drug Survey, this article profiles the extent of alcohol and illegal drug use of Canadians by level of education, income and occupation.

Description:

There were nearly 400,000 disabled workers in Canada in 1986 - less than a third of working age Canadians with a disability. What are the characteristics of disabled workers? This study compares disabled workers with the non-disabled in the work force and with disabled persons outside of the work force.

Description: This survey was conducted to collect accident information in Canada.

Description: The Hospital Morbidity Database (HMDB) is a national database containing demographic, administrative and clinical data on inpatient hospitalizations in Canada.

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:

The 2001 Participation and Activity Limitation Survey (PALS) is a post-censal survey of adults and children who are limited because of a physical 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 or collective households in the 10 provinces were selected to participate in the survey. The data were collected in the fall of 2001.

These tables contain data on the use of and need for supports for adults with disabilities, by sex and age groups, for Canada and the provinces.

Note: For a detailed analysis, please see the document A Profile of Disability in Canada, 2001 (Catalogue no. 89-577-XIE).

Description:

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.

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 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:

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.

Description:

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.

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 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: 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.