Health

Description:

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.

Description:

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.

Description:

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"

Description:

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.

Description:

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.

Description:

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.

Description:

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.

Description: 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.

Description:

The National Population Health Survey (NPHS) uses the Labour Force Survey sampling frame to draw a sample of approximately 22,000 households. The sample is distributed over four quarterly collection periods. In each household, some limited information is collected from all household members and one person, aged 12 years and over, in each household is randomly selected for a more in-depth interview.

The questionnaire includes content related to health status, use of health services, determinants of health and a range of demographic and economic information. For example, the health status information includes self-perception of health, a health status 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 medications. Health determinants include smoking, alcohol use, physical activity and in the first survey, emphasis has been placed on the collection of selected psycho-social factors that may influence health, such as stress, self-esteem and social support. The demographic and economic information includes age, sex, education, ethnicity, household income and labour force status.

Description: This dashboard allows users to examine the latest data for selected oral health indicators in Canada: visits to an oral health professional, dental insurance coverage, oral health characteristics (self-reported), oral health characteristics (measured), oral health care risk factors.

Description: This table allows users to explore the latest data related to visits to an oral health professional in Canada.

Description: This table allows users to explore the latest data related to dental insurance coverage in Canada.

Description: This table allows users to explore the latest data related to self-perceived oral health status in Canada.

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 data to monitor only the confirmed cases of coronavirus (COVID-19) in Canada.

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

Description: This dashboard presents data that are relevant for monitoring mortality in Canada. The interactive visualization within the dashboard features insights on weekly death trends from the Canadian Vital Statistics - Death (CVSD) database.

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: The infographic presents data on Canadian Veterans with disabilities, including the types of disabilities, prevalence amongst age groups, potential causes, unmet needs for assistive aids, devices or technologies, and the proportion of Veterans receiving disability benefits.

Description: Utilizing data from the 2022 Canadian Survey on Disability, this infographic highlights the trends and experiences of persons with pain-related disabilities. This release is part of a series of infographics that focus on specific disability types.

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: In Cycle 7 (2022), the Canadian Health Measures Survey (CHMS) introduced the OMRON (OM) IntelliSense HEM-907XL blood pressure (BP) monitor after using the BpTRU (BT) BPM-300 BP monitor for six cycles. This study assess differences between adult BP values measured by both devices and whether equations could be developed to compare BP measurements taken using the two devices.

Description: Income-related food insecurity is an important determinant of health. This study aimed to provide an update on the food security status of Canadian households using the most recent available data from a health-oriented national-level survey. This study also examined trends in food insecurity since 2017, and how these have tracked with changes in price inflation.

Description: More than half (56%) of Canadian children aged 0 to 5 years are in non-parental child care, but data on child care attendance among children with disabilities is limited. This study examines child care participation among young children with disabilities in Canada, with a focus on different disability types.

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: The paper presents analysis using data from the Survey on Access to Health Care and Pharmaceuticals during the Pandemic (SAHCPDP) to examine prevalence of prescription insurance, the impact of the pandemic on prescription insurance coverage, medication use, the relationship between appointment scheduling issues and inability to obtain new prescriptions, out-of-pocket medication spending, and the relationship between prescription insurance coverage and medication non-adherence due to cost among First Nations people living off reserve, Métis and Inuit in the provinces.

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

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.