Health

Description:

In the last two decades, considerable international effort has been put into the development of summary measures of population health that integrate information of mortality and non-fatal health outcomes and international policy interest in such indicators is increasing. There are two main classes of summary measures of population health: health gaps and health expectancies. The Disability-Adjusted Life Year (DALY) is the best known health gap measure and quantifies the gap between a population's actual health and a normative health goal, defined in terms of a global standard life table specifying the healthy years of life lost due to a death at any given age.

This paper gives an overview of the Global Burden of Disease (GBD) conceptual framework, the relationship of the DALY to other measures of population health, and the GBD analytical approach, with particular attention to issues in (1) dealing with biased and missing data, (2) dealing with uncertainty and (3) specific technical issues in ensuring cross-population comparability. The latter include dealing with variations in quality and completeness of cause of death information, explicit use of a comprehensive framework and internal consistency checks for improving comparability of estimates of incidence, prevalence and mortality for causes, the assessment of disability weights, and techniques for improving the comparability of the assessment of the disease burden attributable to risk factors.

Description:

During the last three decades, there has been general acceptance of an approach to describing health states of individuals in terms of multiple domains of health, and in developing self-report instruments that seek information on each of these domains. A health state is thus a multi-dimensional attribute of an individual that reflects his or her levels on the various components or domains of health. Thus, a health state differs from pathology, risk factors or etiology, and from health service encounters or interventions.

How to describe health states, is a central challenge in undertaking the measurement of health. The relationship of health states to other aspects of health such as future non-fatal health outcomes or risk of mortality need to be examined. The way people report their own health varies consistently with factors such as education, sex, age, or other cultural factors. Various people use different response category cut-points across cultures or population sub-groups, and this 'response shift' implies that self-report categorical data are not comparable across individuals. The responses cannot be directly used to measure health without adjustment.

In recognition of this the WHO World Health Surveys (WHS), used a set of questions across a core set of domains to measure health states and employed vignettes to detect and correct for biases in self-report in order to adjust for response category cut-point shifts. This paper will describe the instrument used in the WHS and the methods used to provide cross population comparable data. It will present results from the WHS demonstrating the existence of systematic reporting biases, the ability of respondents to rate vignettes and their use to adjust for biases in order to make data more comparable. Future strategies to address these problems will be discussed.

Description:

In this presentation, Mr. Murray discusses the notion of functional health status and proposes an agenda for developing comparable methods of measuring this concept.

Description:

We describe statistical disclosure control methods (SDC) developed for a public release Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) micro-data file. CHIRPP is a national injury surveillance database managed by the Public Health Agency of Canada (PHAC). After describing CHIRPP, the paper includes a brief overview of basic SDC concepts, as an introduction to the process for selecting and developing the appropriate SDC methods for CHIRPP given its specific challenges and requirements. We then summarize some key results. The paper concludes with a discussion of the implication of this work for the health information field and closing remarks with respect to the some methodological issues for consideration.

Description:

The process of public-use micro-data files creation involves a number of components. One of its key elements is RTI International's innovative MASSC methodology. However, there are other major components in this process such as treatment of non-core identifying variables and extreme outcomes for extra protection. The statistical disclosure limitation is designed to counter both inside and outside intrusion. The components of the process are accordingly designed.

Description:

In 1999, the first nationally representative survey of the mental health of children and young people aged 5-15 was carried out in Great Britain. A second survey was carried out in 2004. The aim of these surveys was threefold: to estimate the prevalence of mental disorders among young people, to look at their use of health, social and educational services, and to investigate risk factors associated with mental disorders. The achieved number of interviews was 10,500 and 8,000 respectively. Some key questions had to be addressed on a large number of methodological issues and the factors taken into account to reach decisions on all these issues are discussed.

Description:

In accordance with an effort to design a set of questions for the Current Population Survey (CPS) to measure disability, potential questions were drawn from existing surveys, cognitively and field tested. Based on an analysis of the test data, a set of seven questions was identified, cognitively tested, and placed in the February 2006 CPS for testing. Analysis of the data revealed a lower overall disability rate as measured in the CPS than in the field test, with lower positive response rates for each question. The data did not indicate that there was an adverse effect on the response rates.

Description:

On behalf of Statistics Canada, I would like to welcome you all, friends and colleagues, to Symposium 2006. This the 23rd International Symposium organized by Statistics Canada on survey methodology.

Description:

Now that we have come to the end of a day of workshops plus two very full days of sessions, I have the very pleasant task of offering a few closing remarks and, more importantly, of recognizing the efforts of those who have contributed to the success of this year's symposium. And it has clearly been a success.

Description:

General population health surveys often include small samples of smokers. Few longitudinal studies specific to smoking have been carried out. We discuss development of the Ontario Tobacco Survey (OTS) which combines a rolling longitudinal, and repeated cross-sectional components. The OTS began in July 2005 using random selection and data-collection by telephones. Every 6 months, new samples of smokers and non-smokers provide data on smoking behaviours and attitudes. Smokers enter a panel study and are followed for changes in smoking influences and behaviour. The design is proving to be cost effective in meeting sample requirements for multiple research objectives.

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 data file 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.

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: This table provides Canadians and researchers with provisional data to monitor weekly death trends by age and sex in Canada. Given the delays in receiving the data from the provincial and territorial vital statistics offices, these data are considered provisional. Data in this table will be available by province and territory.

Description:

This table provides Canadians and researchers with provisional data to monitor weekly death trends in Canada. Given the delays in receiving the data from the provincial and territorial vital statistics offices, these data are considered provisional. Data in this table will be available by province and territory.

Description:

This table provides Canadians and researchers with provisional data to monitor weekly death trends by selected grouped causes of death in Canada. Given the delays in receiving the data from the provincial and territorial vital statistics offices, these data are considered provisional. Data in this table will be available by province and territory.

Description: The table displays weekly age standardized mortality rates for every province in Canada (excluding territories), by sex, since 2019. The standardization is done using the 2011 Canadian population.

Description: This dashboard provides an interactive view of eight indicators from the Quality of Life Framework for Canada: Life satisfaction, sense of meaning and purpose, future outlook, loneliness, someone to count on, sense of belonging to local community, perceived mental health, and perceived health. The data can be organized by province, gender and other characteristics such as age group. This dashboard is based on quarterly data from the Canadian Social Survey.

Description: Differences in the number and proportion of persons with and without disabilities, by age group and gender, Canada, provinces and territories.

Description: Oral health is a crucial component of overall health, influencing both physical and mental well-being. Yet, despite the important role that access to and use of oral health care services play in maintaining optimal oral health, substantial disparities remain in access to oral health care services across population groups in Canada. Using data from the 2022 Canadian Community Health Survey, this study examines the association of dental insurance with oral health care access and use in Canada while accounting for income and sociodemographic factors. It contributes to a baseline of oral health care disparities before the implementation of the Canadian Dental Care Plan.

Description: Children’s oral health can affect functional capacities, psychological well-being, and social integration. Additionally, health behaviours established in childhood extend into adulthood and can influence oral health outcomes later in life. Using data from the 2019 Canadian Health Survey on Children and Youth, this study investigates the association between dental insurance, income, and dental care access for Canadian children and youth aged 1 to 17 years. It contributes to a baseline understanding of oral health care use before the implementation of the Canadian Dental Care Plan.

Description:

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: This infographic provides estimates on health care workers' stress, alcohol consumption and positive health behaviours during the COVID-19 pandemic. Estimates are provided across three primary health care worker groups: nurses, physicians, and Personal Support Workers/Care Aides (PSWs/CAs).

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: This infographic investigates sandwich caregiving in Canada in 2022, defined as providing care in the past 12 months to both children under 15 years old and care-dependent adults and youth over 15 years old with a long-term condition or disability. The infographic explores the prevalence of sandwich caregiving, the types of relationships involved, and the impacts of this type of caregiving.

Description: Using data from the 2022 Canadian Social Survey Wave 6 (Well-being and caregiving), this study explores unpaid caregiving in the past 12 months for care-dependent groups (children under 15 years old or adults and youth over 15 years old with a long-term condition or disability). This paper explores: Who are the unpaid caregivers, including "sandwich" caregivers? How much unpaid care is provided and to whom? What are the impacts of this unpaid caregiving on well-being, especially the gendered differences?

Description: This publication presents key highlights and results from the General Social Survey on the topics of caregiving and care receiving; social identity; giving, volunteering and participating; victimization; time use; and family.

Description: Growing Up in Québec is a longitudinal population survey that began in the spring of 2021 at the Institut de la statistique du Québec. Among the children targeted by this longitudinal follow-up, some will experience developmental difficulties at some point in their lives. Those same children often have characteristics associated with higher sample attrition (low-income family, parents with a low level of education). This article describes the two main challenges we encountered when trying to ensure sufficient representativeness of these children, in both the overall results and the subpopulation analyses.

Description:

The User Guide to Record Linkage Feedback Reports C1 and C2 is intended for the users of the reports. The reports were developed to facilitate the exchange of information and decisions between the Canadian Cancer Registry and the Provincial and Territorial Cancer Registries.

Description:

The User Guide to Record Linkage Feedback Reports C1 and C2 is intended for the users of the reports. The reports were developed to facilitate the exchange of information and decisions between the Canadian Cancer Registry and the Provincial and Territorial Cancer Registries.

Description:

The user guide to Death Clearance Feedback Reports is intended for users of the feedback reports. The feedback reports were developed to facilitate the exchange of information and decisions between the Canadian Cancer Registry and the Provincial and Territorial Cancer Registries.

Description:

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.

Description:

The Death Clearance Overview document describes the Death Clearance module of the Canadian Cancer Registry, its structure, its function and its role in the operation of the national cancer registry. Inputs and outputs are listed and briefly described, as well as the different steps constituting the Death Clearance process.

Description:

The Guidelines for Abstracting and Determining Death Certificate Only Cases are intended for use by all provincial and territorial cancer registries during their Death Clearance Process. The guidelines should be used when performing a comparison between the Death Certificate Notification and the cancer registry database.

Description:

This document examines the functional limitations, physical, emotional and social, related to the musculoskeletal conditions having the largest impact on the health of Canadians. These functional limitations are described and classified using the Classification and Measurement System of Functional Health (CLAMES).

These descriptions and classifications are the first step in a new approach to measuring the health of Canadians that examines what factors are adversely affecting population health and how to address them. This document also provides health professionals, advocacy groups, and individual Canadians with an overview of how living with certain musculoskeletal conditions affects day-to-day functioning.

Description:

This report describes the design, methodology, and results of the first study undertaken by Statistics Canada to measure the impact on Canadian cause of death trends of a new revision of the World Health Organization's International Classification of Diseases (ICD).

Using 1999 Canadian mortality data, Statistics Canada carried out a comparability, or "bridge-coding", study by dual-coding deaths to both the Ninth and Tenth Revisions of the International Classification of Diseases (ICD-9 and ICD-10). The preliminary results of this exercise were used to generate comparability ratios; these ratios measure the net effect of the new revision, with ratios above 1.00 indicating a net increase in deaths classified to a cause of death, and ratios below 1.00 indicating a net decrease.

The comparability ratios derived from dual-coding medical certificates of cause of death presented in this report estimate the size and direction of the disruption to cause of death trends due to the implementation of ICD-10. Researchers and analysts using Canadian mortality data should use these summary measures to calculate comparability-modified death counts and mortality rates to bridge the gap between ICD-9 and ICD-10.

Description:

This document examines the functional limitations-physical, emotional and social-related to the most common types of diabetes and the conditions that result from the disease. These functional limitations are described and classified using the Classification and Measurement System of Functional Health (CLAMES).

These descriptions and classifications are the first step in a new approach to measuring the health of Canadians that examines what factors are adversely affecting population health and how to address them. This document also provides health professionals, advocacy groups, and individual Canadians with an overview of how living with diabetes affects day-to-day functioning.

Description:

This document examines the functional limitations - physical, emotional and social -experienced by patients at the time of diagnosis of cancer and as they undergo various treatments, remission, and palliative and terminal care. These functional limitations are described and classified using the Classification and Measurement System of Functional Health (CLAMES).

These descriptions and classifications are the first step in a new approach to measuring the health of Canadians that examines what factors are adversely affecting population health and how to address them. This document also provides health professionals, advocacy groups, and individual Canadians with an overview of how living with cancer affects day-to-day functioning.