Health

Description:

This paper describes the sample design used to satisfy the objectives and logistics of the Canadian Health Measures Survey. Among the challenges in developing the design were the need to select respondents close to clinics, the difficulty of achieving the desired sample size for young people, and subsampling for measures associated with exposure to environmental contaminants. The sample design contains solutions to those challenges: the establishment of collection sites, the use of more than one sample frame, and a respondent selection strategy.

Description:

The National Health and Nutrition Examination Surveys (NHANES) is one of a series of health-related programs sponsored by the United States National Center for Health Statistics. A unique feature of NHANES is the administration of a complete medical examination for each respondent in the sample. To standardize administration, these examinations are carried out in mobile examination centers (MECs). The examination includes physical measurements, tests such as eye and dental examinations, and the collection of blood and urine specimens for laboratory testing. NHANES is an ongoing annual health survey of the noninstitutionalized civilian population of the United States. The major analytic goals of NHANES include estimating the number and percentage of persons in the U.S. population and in designated subgroups with selected diseases and risk factors. The sample design for NHANES needs to create a balance between the requirements for efficient annual and multiyear samples and the flexibility that allows changes in key design parameters to make the survey more responsive to the needs of the research and health policy communities. This paper discusses the challenges involved in designing and implementing a sample selection process that satisfies the goals of NHANES.

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:

This table contains 84672 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Age group (14 items: Total; 12 years and over; 12 to 19 years; 15 to 19 years; 12 to 14 years ...) Sex (3 items: Both sexes; Males; Females ...) Contact with health professionals about mental health (4 items: Total population for the variable contact with health professionals about mental health; No contact with health professionals about mental health in the past 12 months; Contact with health professionals about mental health in the past 12 months; not stated; Contact with health professionals about mental health in the past 12 months ...) Characteristics (8 items: Number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons; Low 95% confidence interval; number of persons ...).

Description:

This table contains 2016 series, with data for years 1994 - 2003 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (14 items: Canada; Newfoundland and Labrador; Nova Scotia; Prince Edward Island ...) Sex (3 items: Both sexes; Females; Males ...) Probability of depression (4 items: Total population for the variable probability of depression; Probability of depression; less than 0.9;Probability of depression; 0.9 or greater ...) Characteristics (12 items: Number of persons; Low 95% confidence interval; number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons ...).

Description:

This table contains 1512 series, with data for years 2000 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (14 items: Canada; Newfoundland and Labrador; Nova Scotia; Prince Edward Island ...) Sex (3 items: Both sexes; Females; Males ...) Patient satisfaction, community-based health care (3 items: Received community-based health care in past 12 months; Very or somewhat satisfied with community-based health care received; Quality of community-based health care received rated as excellent or good ...) Characteristics (12 items: Number of persons; Coefficient of variation for number of persons; Low 95% confidence interval; number of persons; High 95% confidence interval; number of persons ...).

Description:

This table contains 27840 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years), and is no longer being released. This table contains data described by the following dimensions (Not all combinations are available): Geography (29 items: Quebec; Région du Bas-Saint-Laurent, Quebec; Région du Saguenay - Lac-Saint-Jean, Quebec; Région de la Capitale Nationale, Quebec; ...); Age group (10 items: Total, 15 to 74 years; 15 to 19 years; 20 to 34 years; 20 to 24 years; ...); Sex (3 items: Both sexes; Males; Females); Decision latitude at work (4 items: Total population for the variable decision latitude at work; High decision latitude at work; Low or medium decision latitude at work; Decision latitude at work, not stated); Characteristics (8 items: Number of persons; Low 95% confidence interval, number of persons; High 95% confidence interval, number of persons; Coefficient of variation for number of persons; ...).

Description:

This table contains 552 series, with data for years 2003 - 2003 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (23 items: Canada; Newfoundland and Labrador ...), Breastfeeding practices (6 items: Did not breastfeed; Breastfed at least 4 months; Breastfed at least 4 months exclusively; Initiated breastfeeding ...), Characteristics (4 items: Percent; Low 95% confidence interval; percent; Coefficient of variation for percent; High 95% confidence interval; percent ...).

Description:

This table contains 16128 series, with data for years 2003 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (14 items: Canada; Newfoundland and Labrador ...), Age group (12 items: Total; 15 years and over;15 to 19 years;20 to 24 years;20 to 34 years ...), Sex (3 items: Both sexes; Females; Males ...), Contact with telephone health line (4 items: Total population for the variable contact with telephone health line; Contact with telephone health line in the past 12 months; No contact with telephone health line in the past 12 months; Contact with telephone health line in the past 12 months; not stated ...), Characteristics (8 items: Number of persons; Low 95% confidence interval; number of persons; High 95% confidence interval; number of persons; Coefficient of variation for number of persons ...).

Description:

This table contains 136080 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (126 items: Canada; Central Regional Integrated Health Authority; Newfoundland and Labrador; Newfoundland and Labrador; Eastern Regional Integrated Health Authority; Newfoundland and Labrador ...), Age group (5 items: Total; 18 years and over;18 to 34 years ...), Sex (3 items: Both sexes; Males; Females ...), Body mass index (BMI), self-reported (9 items: Total population for the variable body mass index; self-reported; Normal weight; body mass index; self-reported 18.5 to 24.9;Overweight; body mass index; self-reported 25.0 to 29.9;Underweight; body mass index; self-reported under 18.5 ...), Characteristics (8 items: Number of persons; Low 95% confidence interval; number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons ...).

Description:

This table contains 127008 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (126 items: Canada; Newfoundland and Labrador; Central Regional Integrated Health Authority; Newfoundland and Labrador; Eastern Regional Integrated Health Authority; Newfoundland and Labrador ...), Age group (6 items: Total; 12 years and over;12 to 19 years ...), Sex (3 items: Both sexes; Females; Males ...), Self-rated mental health (7 items: Good self-rated mental health; Total population for the variable self-rated mental health; Excellent self-rated mental health; Very good self-rated mental health ...), Characteristics (8 items: Number of persons; Low 95% confidence interval; number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons ...).

Description:

This table contains 205632 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (160 items: Canada; Eastern Regional Integrated Health Authority; Newfoundland and Labrador; Central Regional Integrated Health Authority; Newfoundland and Labrador; Newfoundland and Labrador ...), Age group (14 items: Total; 12 years and over;12 to 19 years;12 to 14 years;15 to 19 years ...), Sex (3 items: Both sexes; Females; Males ...), Arthritis or rheumatism (4 items: Total population for the variable arthritis or rheumatism; Arthritis or rheumatism; not stated; With arthritis or rheumatism; Without arthritis or rheumatism ...), Characteristics (8 items: Number of persons; Low 95% confidence interval; number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons ...).

Description:

This table contains 257040 series, with data for years 2005 - 2005 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (160 items: Canada; Eastern Regional Integrated Health Authority; Newfoundland and Labrador; Central Regional Integrated Health Authority; Newfoundland and Labrador; Newfoundland and Labrador ...), Age group (14 items: Total; 12 years and over;12 to 14 years;15 to 19 years;12 to 19 years ...), Sex (3 items: Both sexes; Females; Males ...), Frequency of having 5 or more drinks on one occasion (5 items: Total population for the variable population reporting drinking; Never 5 or more drinks on one occasion;5 or more drinks on one occasion; 12 or more times a year;5 or more drinks on one occasion; less than 12 times a year ...), Characteristics (8 items: Number of persons; Coefficient of variation for number of persons; High 95% confidence interval; number of persons; Low 95% confidence interval; number of persons ...).

Description: As the utility of digital technologies continues to rise, individuals are spending an increasing amount of time online and on their smartphones. While these technologies have created many new opportunities for individuals, there is also growing interest in the connection between these technologies and well-being. Using data from the Canadian Internet Use Survey, this article examines the complex relationship between digital technology use and various measures of well-being, including mental health and interpersonal relationship satisfaction.

Description: Using data from the Canadian Community Health Survey, this study examines men’s and women’s coverage for four types of drug insurance plans (government-sponsored, employer-sponsored, association-sponsored and private drug insurance plans), disaggregated by various socioeconomic, demographic and geographical factors. The study further examines the extent of cost-related medication non-adherence among men and women, disaggregated by type of drug insurance plan.

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

Description: Research in organizational psychology, occupational health, and other disciplines in the social sciences has established the importance of employee psychological health for organizations, irrespective of their sector or size. This study assesses employee psychological health, a wide range of workplace psychosocial factors as predictors of employee psychological health, and several individual and organizational outcomes of employee psychological health in a Canadian public service organization during the COVID-19 pandemic.

Description: The validity of survival estimates from cancer registry data depends, in part, on the identification of the deaths of deceased cancer patients. People whose deaths are missed seemingly live on forever and are informally referred to as “immortals”, and their presence in registry data can result in inflated survival estimates. This study assesses the issue of immortals in the Canadian Cancer Registry (CCR) using a recently proposed method that compares the survival of long-term survivors of cancers for which “statistical” cure has been reported with that of similar people from the general population.

Description: StatCan's accessibility plan aims to ensure that all StatCan and Statistical Survey Operations employees are supported in a barrier-free environment, with their accessibility needs met. Statistics Canada: Road to Accessibility 2023-25 is intended to be evergreen. As we make progress toward achieving an accessible and inclusive StatCan, our actions and commitments will change and evolve, and the Plan will be updated to ensure a continued and relevant focus on the areas needing it most.

Description: This study uses data from the Canadian COVID-19 Antibody and Health Survey to describe the current COVID-19 landscape, including infection, reinfection, and acute and long-term symptoms. This study also examines how peoples’ experiences with the virus have evolved in the context of growing immunity, emerging variants, new treatments, and relaxation of public health measures.

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 features the highlights of the Canadian Survey on Disability, 2022.

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.