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 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 401184 series, with data for years 2000 - 2000 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (199 items: Canada; Newfoundland and Labrador; Health and Community Services St. John's Region; Newfoundland and Labrador (Peer group H);Health and Community Services Eastern Region; Newfoundland and Labrador (Peer group D) ...), Age group (14 items: Total; 12 years and over;12 to 14 years;12 to 19 years;15 to 19 years ...), Sex (3 items: Both sexes; Females; Males ...), Former smokers (6 items: Total; former smokers; Former smokers; quit 3 to 5 years ago; Former smokers; quit less than one year ago; Former smokers; quit 1 to 2 years ago ...), Characteristics (8 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 401184 series, with data for years 2000 - 2000 (not all combinations necessarily have data for all years). This table contains data described by the following dimensions (Not all combinations are available): Geography (199 items: Canada; Newfoundland and Labrador; Health and Community Services Eastern Region; Newfoundland and Labrador (Peer group D);Health and Community Services St. John's Region; Newfoundland and Labrador (Peer group H) ...), 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; Females; Males ...), Blood pressure check (6 items: Total; blood pressure check; Blood pressure check; within past 12 months; Blood pressure check; 2 or more years ago; Blood pressure check; 1 year to less than 2 years ago ...), 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 126720 series, with data for years 2000 - 2000 (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 (12 items: Total; 15 years and over;20 to 34 years;20 to 24 years;15 to 19 years ...), Sex (3 items: Both sexes; Females; Males ...), Suicidal thoughts and attempts (5 items: Total; suicidal thoughts and attempts; Suicide; considered in past 12 months; Suicide; attempted in past 12 months; Suicide; never contemplated ...), 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 32928 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 (14 items: Total; 12 years and over; 12 to 19 years; 15 to 19 years; 12 to 14 years ...) Sex (3 items: Both sexes; Females; Males ...) Pain or discomfort that affects activities (7 items: Total population for the variable pain or discomfort that affects activities; Pain or discomfort; does not prevent activity; Pain or discomfort; prevents a few or some activities; No pain or discomfort that affects activities ...) Characteristics (8 items: Number of persons; High 95% confidence interval; number of persons; Coefficient of variation for number of persons; Low 95% confidence interval; number of persons ...).

Description:

This table contains 32928 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 (14 items: 12 to 19 years; 12 to 14 years; 15 to 19 years; Total; 12 years and over ...) Sex (3 items: Both sexes; Females; Males ...) Pain or discomfort by severity (7 items: Total population for the variable pain or discomfort by severity; No pain or discomfort; Moderate pain or discomfort; Mild pain or discomfort ...) Characteristics (8 items: Number of persons; High 95% confidence interval; number of persons; Coefficient of variation for number of persons; Low 95% confidence interval; number of persons ...).

Description:

This table contains 12096 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 34 years; 20 to 24 years ...) Sex (3 items: Both sexes; Males; Females ...) Patient satisfaction, telephone health line services (3 items: Used telephone health line services in the past 12 months; Quality of telephone health line services used rated as excellent or good; Very or somewhat satisfied with telephone health line services ...) 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; Eastern Regional Integrated Health Authority; Newfoundland and Labrador; Central 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 health (7 items: Total population for the variable self-rated health; Very good self-rated health; Good self-rated health; Excellent self-rated health ...) 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 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; Central Regional Integrated Health Authority; Newfoundland and Labrador; Eastern Regional Integrated Health Authority; Newfoundland and Labrador; Newfoundland and Labrador ...) Age group (6 items: Total; 12 years and over; 12 to 19 years ...) Sex (3 items: Both sexes; Males; Females ...) Smoking status (7 items: Total population for the variable smoking status; Daily smoker; Occasional smoker; Former smoker ...) 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 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; Males; Females ...) Regular medical doctor (7 items: Total population for the variable regular medical doctor; Has not looked for a regular medical doctor; Cannot find a regular medical doctor; Has a regular medical doctor ...) 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 study examines functional health difficulties among lesbian, gay, and bisexual (LGB) men and women aged 18 and older in Canada. Using data from the Canadian Community Health Survey (2017 to 2018), this release provides an overview of self-reported general health, mental health, and difficulty in the six Washington Group functional health components (vision, hearing, mobility, cognition, self-care and communication) by sexual orientation and gender.

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

Description: This infographic presents information on pedestrian fatalities collected from the Canadian Coroner and Medical Examiner Database (CCMED). This infographic illustrates demographic profile of the deceased such as sex and age. The product also summarizes information on select circumstances surrounding pedestrian fatalities.

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

Description: The COVID-19 pandemic had a detrimental impact on the physical activity and screen time of youth, in particular among girls. Using The Canadian Community Health Survey, the purpose of this study is to give an update on the screen time and physical activity habits of Canadian youth in 2021 by providing a comparison with values previously reported before and during the first year of the pandemic. This study takes a focused look at how the physical activity and screen time of boys and girls were affected differently.

Description: Canadian and international research have shown that the COVID-19 pandemic led to changes in health behaviours, including participation in physical activity and screen time. Using The Canadian Community Health Survey, the purpose of this study is to compare screen time and physical activity before and during the 2020 and 2021 pandemic years among Canadian adults and older adults.

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

Description: Using combined data from the Canadian Community Health Survey (CCHS) from 2017 to 2020, this study examines various indicators of access to primary health care providers (referred to as regular health care providers in the CCHS) and usual places of care among First Nations people living off reserve, Métis and Inuit. These indicators are explored by various socio-demographic characteristics, including sex, age, income, region, and remoteness.

Description: Using data from the Survey on Accessible Print Material (SAPM), this American Sign Language video examines access to alternate format material among Canadians who had difficulties with print material.

Description: Using data from the Survey on Accessible Print Materials (SAPM), this factsheet examines the experiences of persons who have difficulties with print materials. It provides information on the usage of assistive aids, devices and technologies for a difficulty with print material. As well as information on the usage of alternate formats, how these formats are accessed and barriers encountered in obtaining them.

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.