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 product presents current and historical cancer incidence and cancer survival statistics in Canada, as well as links to the Cancer Record and Canadian Cancer Registry (CCR) procedures manuals.

The Annual Cancer Incidence in Canada tables provide information on the number of new cases and the rates of both cancer tumours and patients from 1992 onwards, by five-year age-groups and sex for all Canadian provinces and territories.

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.

The Cancer Record is a newsletter for cancer registries in Canada. Its purpose is to improve the quality and consistency of data submitted to the CCR.

The compendium of Canadian Cancer Registry procedures manuals set out the rules for reporting cancer data to the CCR for all provincial and territorial cancer registries.

Links are also provided to other Statistics Canada data on cancer. The health regions cancer rates are part of the Health Indicators. The Comparable Health Indicators present information on health status and health system performance, including cancer incidence age-standardized cancer.

Description:

The Internet publication, Mental Health and Well-being, from the 2002 Canadian Community Health Survey (CCHS) provides cross-sectional estimates at provincial and national levels. Topics include the prevalence of various mental disorders (depression, mania, panic disorder, agoraphobia, social phobia), mental health problems (alcohol and illicit drug dependence, gambling, suicide, eating trouble) and access to and use of mental health care services in the past 12 months.

The survey also collects information on many determinants and correlates of mental health such as socio-demographic information, income, stress, medication use and social support.

Data were collected from close to 37,000 respondents, aged 15 or older, residing in households in each province.

Description:

The main objective of the 2002 Youth Smoking Survey (YSS) is to provide current information on the smoking behaviour of students in grades 5 to 9 (in Quebec primary school grades 5 and 6 and secondary school grades 1 to 3), and to measure changes that occurred since the last time the survey was conducted in 1994. Additionally, the 2002 survey collected basic data on alcohol and drug use by students in grades 7 to 9 (in Quebec secondary 1 to 3). Results of the Youth Smoking Survey will help with the evaluation of anti-smoking and anti-drug use programs, as well as with the development of new programs.

Description:

The Joint Canada/United States Survey of Health is a collaborative project undertaken by Statistics Canada and the National Center for Health Statistics of the U.S. Center for Disease Control and Prevention. It is the first survey that asks a common set of questions to approximately 3,500 Canadians and 5,200 U.S. residents about their health status and access to health care services. The analytical report in this publication compares Canadians and U.S. residents on a broad range of health dimensions including self-perceived health, chronic conditions, functional status, life-style factors such as smoking and obesity, health care utilization and satisfaction with health care services. A public use microdata file (PUMF) has been prepared from the survey, and is available for free download in this publication. The PUMF comes with complete documentation, including a data dictionary, a user guide and a document explaining how the derived variables were created. "Bootstrap" weights for variance calculation are also provided for free download.

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: Using data from the Canadian System of Macroeconomic Accounts, this study examines how economic output, job levels, and total hours worked in the Canadian dental industry were affected by the COVID-19 pandemic. The study also examines how the industry has recovered from disruptions experienced during this period, providing an insight into how this industry appears to have returned to normalcy.

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: Little is known about the workforce utilization of Canadian men with a nursing education, who accounted for 12% of people eligible to practise nursing in 2021 (Canadian Institute for Health Information, 2022). This article compares racialized and White men aged 25 to 64 years with a nursing education in terms of their skill utilization in the workforce.

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

Description: Active commuting (AC) to and from work is associated with numerous health benefits, through increased physical activity. This study examined whether occupation types and part-time work, by sex, were associated with AC in a population-based sample of Canadian workers. This study examined the associations between occupational classifications, part-time work, and AC (i.e., walking, cycling) and public transit use, in a nationally representative sample of Canadian adults, while controlling for other relevant sociodemographic characteristics (e.g., education, income, urbanity). This study also explored how associations between occupational classifications and AC differed by sex and how AC rates may have changed over time.

Description: Physical and sexual childhood abuse are associated with suicidal ideation and mental health disorders. However, less is known about non-physical types of maltreatment. This study examined associations between non-physical types of child maltreatment (e.g., emotional abuse, interpersonal aggression, exposure to physical intimate partner violence, emotional and physical neglect) and suicidal ideation, and mental health disorders.

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 study uses data from multiple waves of the Canadian Social Survey (CSS) to examine trends in three key Quality of Life indicators, namely life satisfaction, experiences of financial hardship, and future outlook. Monitoring these well-being indicators following periods of considerable social and economic change is particularly important. Beginning in the summer of 2021, the CSS, a new quarterly survey, captured the latter part of the COVID-19 pandemic as well as the rising cost of living in Canada, allowing for an understanding of how Canadians are coping with these challenges.

Description: This infographic examines declines in Canadians’ well-being over the past few years, and how these downward changes vary across different segments of the population. Life satisfaction, financial difficulty, and future outlook, which are key quality of life indicators, are presented.

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.