Health

Description: This survey collects data on the prevalence of several neurological conditions in long-term care facilities.

Description: The objectives of the BCPCHC Survey are: - To provide more information on how people manage their chronic conditions; - To identify barriers to care for those living with chronic conditions including economic and travel related barriers; - To identify barriers to self-management of chronic conditions.

Description: The health effects reported by individuals living in communities in close proximity to noise sources such as traffic, airports, railways and wind turbine installations are not fully understood due to limited scientific research in this area. The CNHS was developed to address this gap by investigating the prevalence of health effects or health indicators among a sample of Canadians exposed to these noise sources using both self-reported and objective health measures.

Description: This survey collects data on non-acute health care facilities that provide medical or professional nursing supervision or some higher level of care to residents.

Description: The objective of the Canadian National Health Survey (CNHS) is to gather information about the health of Canadians.

Description: The Canadian Health Survey on Children and Youth (CHSCY) is designed to paint a portrait of the health and well-being of Canadian children and youth by collecting information about factors influencing their physical and mental health. The survey covers a broad range of topics related to the overall health of children and youth including chronic conditions, injuries, physical activity, nutrition and their social environment (family, friends, and communities).

Description: The purpose of this survey is to better understand the transition to civilian life, its impact on the health of released Canadian Armed Forces members, as well as to provide information that may help to improve Department of National Defence and Veterans Affairs Canada programs and services offered to transitioning Canadian Armed Forces members and their families.

Description: The main objective of the Survey on Opioid Awareness is to better understand the current level of knowledge of the general Canadian population regarding opioids. This survey will also collect information regarding the willingness and ability of Canadians to act in the event of an opioid overdose.

Description: The program collects and disseminates financial operating data concerning government controlled and not-for-profit residential care facilities. Data may be used to develop national and regional economic policies and programs.

Description: The survey will be used in conjunction with other data sources to understand how the planned legalization of cannabis for non-medical use could impact the Canadian economy as well as other health and social services.

Description: Differences in the number and proportion of persons with disabilities in terms of the reasons for experiencing difficulty in finding work, by age group and gender, Canada.

Description: Differences in the number and proportion of persons with disabilities in terms of those who used and did not use the Internet for personal use from any location, during the past 12 months.

Description: Differences in the number and proportion of employees with disabilities in terms of their perceived qualification level for their current job, by age group and gender, Canada.

Description: Differences in the number and proportion of persons with disabilities who are not in the labour force, by main reason for not looking for work (grouped), aged 15 years and over, Canada.

Description: Differences in the number and proportion of persons with disabilities who are employed in part-time work by main reason (grouped) for working less than 30 hours a week and age group.

Description: Differences in the number and proportion of youth with disabilities who are not in employment, education, or training (NEET) by province or territory and gender.

Description: Differences in the number and proportion of current or recent students with disabilities in terms of requirements for different educational accommodations or modifications (grouped) and if these needs are met or unmet.

Description: Differences in the number and proportion of persons with disabilities in terms of those who have the potential to work, or no potential to work (based on an updated definition) by age group and gender.

Description: Differences in the number and proportion of employed persons with disabilities in terms of met and unmet needs for required workplace accommodations by age group and gender.

Description: Differences in the number and proportion of persons with disabilities in terms of those who use or do not use information and communication technology-related (ICT-related) assistive aids, devices, or technologies by province, age group and gender.

Description:

This aritcle analyzes abdominal aortic aneurysm (AAA) surgery rates by sex for inpatients of Canadian hospitals. Possible reasons for the observed gender differences in surgery rates are discussed.

Description: This article examines the characteristics associated with getting or not getting a mammogram, focusing on women aged 50-59.

Description: This article updates recently published information on Canadian breast cancer mortality, highlighting a lower rate in 1995, a marked decline in the rate since 1990, and possible factors contributing to this trend.

Description:

Using Canadian mortality data from 1974 to 1995, this article examines seasonal and daily patterns of death by cause.

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:

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.