Health

Description:

The healthy immigrant effect observed in other countries also prevails in Canada. Immigrants, especially recent immigrants, are less likely than the Canadian-born population to have chronic conditions or disabilities. The effect is most evident among those from non-European countries, who constitute the majority of recent immigrants to Canada. This article compares the health status, health care utilization, and health-related behaviour of immigrants with the Canadian-born population, and is based on self-reported data from the 1994-95 National Population Health Survey. Health status is examined in terms of chronic conditions, disability and health-related dependency. The indicators of health care utilization are hospitalization, contact with physicians and dentists, unmet needs for health services. The health- related and behaviours analysed are smoking and leisure time physical activity.

Description:

This article examines the prevalence and severity of chronic pain and its impact on individual health status and health care utilization, based on data from 16,889 respondents aged 15 and over from the 1994-95 National Population Health Survey (NPHS).

Description:

Since the early 1980s, in relation to the size of the population,g eneral and psychiatric hospitals have seen a drop in separations for mental disorders. This trend relects a tendency throughout the 1980s and early 1990s to hospitalize only patients with more serious mental disorders. As a result, the average length of stay in both types of institutions has risen, as has the total number of days of care for mental disorders.

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: The public use microdata file (PUMF) from the Canadian Community Health Survey (CCHS) provides data for health regions and combinations of health regions across Canada. Over the two year period, data are based on interviews with approximately 130,000 respondents aged 12 or older, residing in households in all provinces and territories.

The files include information on a wide range of topics, including: physical activity, height and weight, smoking, exposure to second hand smoke, alcohol consumption, general health, chronic health conditions, injuries, and use of health care services. It also provides information on the socio-demographic, income and labour force characteristics of the population.

Description: This dashboard allows users to examine data on barriers to accessibility experienced by persons with disabilities. These are barriers encountered in different aspects of daily living including those found in public spaces; communicating in different situations; using the Internet and barriers related to behaviours, misconceptions or assumptions by others. The data can be organized by province, gender and other characteristics such as age group. This dashboard is based on the 2022 Canadian Survey on Disability.

Description: Differences in the number and proportions of persons with disabilities who experienced one or more barriers to accessibility, by the type of disability, age group and gender, Canada.

Description: Differences in the number and proportions of persons with disabilities who experienced one or more barriers to accessibility, by the severity of the disability, age group and gender, Canada.

Description: Differences in the number and proportions of persons with disabilities who experienced a barrier to accessibility, Canada, provinces and territories.

Description:

Distribution of market, total and after-tax income by disability status for persons aged 16 years and over and persons aged 25 to 54, Canada and regions, annual.

Description:

Income of individuals by disability status, age group, sex and income source, Canada, annual.

Description:

Distribution of employment income of individuals by disability status, sex and work activity, Canada, annual.

Description:

Poverty and low-income statistics by disability status, age group, sex and economic family type, Canada, annual.

Description: Number and percentage of persons by household food security status and economic family type, Canada and provinces.

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: 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: Respondents to typical household surveys tend to significantly underreport their potential use of food aid distributed by associations. This underreporting is most likely related to the social stigma felt by people experiencing great financial difficulty. As a result, survey estimates of the number of recipients of that aid are much lower than the direct counts from the associations. Those counts tend to overestimate due to double counting. Through its adapted protocol, the Enquête Aide alimentaire (EAA) collected in late 2021 in France at a sample of sites of food aid distribution associations, controls the biases that affect the other sources and determines to what extent this aid is used.

Description: As the importance of subjective well-being to health continues to garner increasing attention from researchers and policy makers, community belonging has emerged as a potential population health target that has been linked to several self-rated measures of health and well-being in Canada. This study assessed novel area-level community belonging measures derived using small area estimation and examined associations with individual-level measures of community belonging and self-rated health.

Description: Canada is experiencing rapid population aging, which has a wide range of implications, including an increased need for health care services. However, very few studies have examined use of specialized health care services (e.g., visits to medical specialists, non-emergency tests, and surgeries) among older Canadians. Using data from the 2019/2020 Canadian Health Survey on Seniors, this study examines the prevalence of specialized health care service use and evaluates the association of predisposing factors, enabling resources, and need-related factors with specialized health care service use in the past 12 months among Canadians aged 65 or older.

Description: The Quality of Life Framework includes indicators that are meaningful in measuring a person's happiness and well-being like life satisfaction, for instance. Using data from Wave 10 of the Canadian Social Survey (collected from July 14, 2023 to September 07, 2023), this infographic looks at levels of life satisfaction amongst the Canadian population aged 15 years and older in Canada's 10 provinces. Survey respondents were asked: "Using a scale of 0 to 10, where 0 means 'Very dissatisfied' and 10 means 'Very satisfied,' how do you feel about your life as a whole right now?"

Description: The COVID-19 pandemic has highlighted several issues among health care workers in Canada’s long-term care and seniors’ (LTCS) homes, including labour shortages, staff retention difficulties, overcrowding, and precarious working conditions. There is currently a lack of information on the health, well-being, and working conditions of health care workers in LTCS homes—many of them immigrants—and a limited understanding of the relationship between them. Using data from the 2021 Survey on Health Care Workers’ Experiences During the Pandemic, this paper examines differences between immigrant and non-immigrant workers’ health outcomes and precarious working conditions during the pandemic.

Description: The COVID-19 pandemic interrupted routine and preventive dental services until precautions could be implemented to limit virus transmission. Access to services for dental emergencies was maintained. This study describes self-reported access to oral health care services in Canada during the first 12-month period of the COVID-19 pandemic, including the reported need for routine or emergency oral health care. It also compares the access to, and the unmet need for, dental services by various sociodemographic characteristics, including by province.

Description: This infographic examines where youth aged 15 to 17 in Canada typically get their sexual health information, using data from the Canadian Health Survey on Children and Youth (CHSCY) 2019.

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.