Health

Description:

Now that we have come to the end of a day of workshops plus two very full days of sessions, I have the very pleasant task of offering a few closing remarks and, more importantly, of recognizing the efforts of those who have contributed to the success of this year's symposium. And it has clearly been a success.

Description:

General population health surveys often include small samples of smokers. Few longitudinal studies specific to smoking have been carried out. We discuss development of the Ontario Tobacco Survey (OTS) which combines a rolling longitudinal, and repeated cross-sectional components. The OTS began in July 2005 using random selection and data-collection by telephones. Every 6 months, new samples of smokers and non-smokers provide data on smoking behaviours and attitudes. Smokers enter a panel study and are followed for changes in smoking influences and behaviour. The design is proving to be cost effective in meeting sample requirements for multiple research objectives.

Description:

When Chiang's "standard" method is used, calculating life expectancy for (small) census agglomerations in Canada can produce estimates whose confidence intervals are too wide to be useful. However, we have been able to show that by combining small area estimation methods and simulation methods, we can obtain narrower confidence intervals.

Description:

Immigrants have health advantages over native-born Canadians, but those advantages are threatened by specific risk situations. This study explores cardiovascular health outcomes in districts of Montréal classified by the proportion of immigrants in the population, using a principal component analysis. The first three components are immigration, degree of socio-economic disadvantage and degree of economic disadvantage. The incidence of myocardial infarction is lower in districts with large immigrant populations than in districts dominated by native-born Canadians. Mortality rates are associated with the degree of socio-economic disadvantage, while revascularization is associated with the proportion of seniors in the population.

Description:

The classification and identification of locations where persons report to be more or less healthy or have more or less social capital, within a specific area such as a health region, is tremendously helpful for understanding place and health associations. The objective of the proposed study is to classify and map areas within the Zone 6 Health Region (Figure 1) of Nova Scotia (Halifax Regional Municipality and Annapolis Valley regions) according to health status (Dimension 1) and social capital (Dimension 2). We abstracted responses to questions about self-reported health status, mental health, and social capital from the master files of the Canadian Community Health Survey (Cycles 1.1, 1.2 and 2.1), National Population Health Survey (Cycle 5), and the General Social Survey (Cycles 13, 14, 17, and 18). Responses were geocoded using the Statistics Canada Postal Code Conversion File (PCCF+) and imported into a geographical information system (GIS) so that the postal code associated with the response will be assigned to a latitude and longitude within the Nova Scotia Zone 6 health region. Kernel density estimators and additional spatial interpolators were used to develop statistically-smoothed surfaces of the distribution of respondent values for each question. The smoothing process eliminates the possibility of revealing individual respondent location and confidential Statistics Canada sampling frame information. Using responses from similar questions across multiple surveys improves the likelihood of detecting heterogeneity among the responses within the health region area, as well as the accuracy of the smoothed map classification.

Description:

Approaches used to select records for tabulation of national injury hospitalization data were identified. Three of the approaches were based on the principal diagnosis in the hospital separation record; the other three required that the record contain a code for an external cause of injury. Differences within these two main groups resulted in identification of six distinct approaches. Each approach was applied to the same set of hospital separation data. The numbers and types of injury records retrieved with the six approaches are compared and implications of the findings for injury surveillance are discussed.

Description:

Traditionally administrative hospital discharge databases have been mainly used for administrative purposes. Recently, health services researchers and population health researchers have been using the databases for a wide variety of studies; in particular health care outcomes. Tools, such as comorbidity indexes, have been developed to facilitate this analysis. Every time the coding system for diagnoses and procedures is revised or a new one is developed, these comorbidity indexes need to be updated. These updates are important in maintaining consistency when trends are examined over time.

Description:

Using survey and contact attempt history data collected with the 2005 National Health Interview Survey (NHIS), a multi-purpose health survey conducted by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), we set out to explore the impact of participant concerns/reluctance on data quality, as measured by rates of partially complete interviews and item nonresponse. Overall, results show that respondents from households where some type of concern or reluctance (e.g., "too busy," "not interested") was expressed produced higher rates of partially complete interviews and item nonresponse than respondents from households where concern/reluctance was not expressed. Differences by type of concern were also identified.

Description:

Accurate information about the timing of access to primary mental health care is critically important in order to identify potentially modifiable factors which could facilitate timely and on-going management of care. No "gold standard" measure of mental health care utilization exists, so it useful to know how strengths, gaps, and limitations in different data sources influence study results. This study compares two population-wide measures of primary mental health care utilization data: the Canadian Community Health Survey of Mental Health and Well-being (CCHS, cycle 1.2) and provincial health insurance records in the province of British Columbia. It explores four questions: (1) Is 12-month prevalence of contacts with general practitioners for mental heath issues the same regardless of whether survey data or administrative data are used? (2) What is the level of agreement between the survey data and administrative data for having had any contact with a general practitioner for mental heath issues during the 12 month period before the survey interview? (3) Is the level of agreement constant throughout the 12-month period or does it decline over more distant sub-timeframes within the 12-month period? (4) What kinds of respondent characteristics, including mental disorders, are associated with agreement or lack of agreement? The results of this study will provide useful information about how to use and interpret each measure of health care utilization. In addition, it will contribute to survey design research, and to research which aims to improve the methods for using administrative data for mental health services research.

Description:

National Food and Nutrition Surveys provide critical information to support the understanding the complex relationship between health and diet in the population. Many of these surveys use 24 hour recall methodology which collects at a detailed level all food and beverages consumed over a day. Often it is the longer term intake of foods and nutrients that is of interest and a number of techniques are available that allow estimation of population usual intakes. These techniques require that at least one repeat 24 hour recall be collected from at least a subset of the population in order to estimate the intra individual variability of intakes. Deciding on the number of individuals required to provide a repeat is an important step in the survey design that must recognize that too few repeat individuals compromises the ability to estimate usual intakes, but large numbers of repeats are costly and pose added burden to the respondents. This paper looks at the statistical issues related to the number of repeat individuals, assessing the impact of the number of repeaters on the stability and uncertainty in the estimate of intra individual variability and provides guidance on required number of repeat responders .

Description: This interactive dashboard permits the visualization of various fertility indicators and how they have changed over time for Canada, provinces and territories. The dashboard shows the total fertility rate, the average age of childbearing, the fertility rate by age group of mother, the number of births and the associated annual change. Data can be visualized for Canada or for a selected province or territory by single year as well as historically.

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Number of live births, by place of residence of mother (Canada, province or territory, and outside Canada) and place of occurrence (Canada, province or territory, and the United States), 1991 to most recent year.

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Number and percentage of live births, by month of birth, 1991 to most recent year.

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Number and percentage of live births, by age group of mother, 1991 to most recent year.

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Mean age of mother at time of delivery, 1991 to most recent year.

Description: Crude birth rates, age-specific fertility rates and total fertility rates (live births), 2000 to most recent year.

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Crude birth rates, age-specific fertility rates and total fertility rates (live births). Data are available beginning from 2000.

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Number and percentage of live births, by marital status of mother, 1991 to most recent year.

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Number and percentage of live births, by age group and marital status of mother, 1991 to most recent year.

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Number and percentage of live births, by age group and parity of mother, 1991 to most recent year.

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: This video features the highlights of the Canadian Survey on Disability, 2022, using American Sign Language (ASL).

Description: This report presents a conceptual framework of Canada’s care economy. This framework is based on a review of Canadian and international research on the topic as well as consultations with key stakeholders and experts. The report summarizes relevant research on the care economy, delineates the scope and boundaries for the Canadian context, and proposes key definitions of paid and unpaid care work.

Description: The Health of Canadians infographic aims to provide a snapshot into the population health of Canadians by highlighting health data from the annual report. It includes key statistics on population health such as health outcomes (e.g., chronic conditions), health behaviours (e.g., smoking and alcohol consumption) and access to health care.

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

Description: At the onset of the COVID-19 pandemic, there was an overrepresentation of males in COVID-19 deaths worldwide, with Canada reporting more female COVID-19 deaths. This study examines the overrepresentation of female COVID-19 deaths in Canada, with an immigration lens. This study also evaluates whether there is a sex difference in COVID-19 deaths by immigrant status in Canada and, if so, for which age groups and in which provinces or census metropolitan areas (CMAs).

Description: On average, 45% of Canadian adults meet the recommended 150 minutes per week of moderate-to-vigorous physical activity. Using six combined cycles of the Canadian Health Measures Survey (2007 to 2019), this study examines how the percentage of Canadian males and females aged 18 to 79 years meeting the physical activity recommendation differs across socio-demographic, family arrangement and health factors. The purpose of this paper is to determine how sex, age and family arrangement intersect with known risk factors for physical inactivity to identify groups within the Canadian population most at risk of not meeting the physical activity recommendation.

Description: This survey collects the financial and operating data needed to develop national and regional economic policies and programs.

Description: The main objective of the Survey on Maternal Health is to collect information from biological mothers about their pregnancy and postpartum experiences.

Description: The data contain detailed confirmed cases of coronavirus disease (COVID-19) in Canada, which is compiled by the Public Health Agency of Canada, with the contribution from provincial and territorial Health ministries.

Description: The purpose of this crowdsource questionnaire is to understand the impacts of COVID-19 on Canadian health care workers, with particular focus on access to personal protective equipment (PPE) and infection prevention and control (IPC) measures in the workplace.

Description: The Simcoe Muskoka Opioid Overdose Cohort (SMOOC) is an expansion of a pilot project that had previously been conducted with the province of British Columbia to better understand the characteristics of people who experienced an opioid overdose. The objective of the SMOOC was to create a cohort of individuals who experienced a fatal or non-fatal overdose in the Simcoe Muskoka area between January 2018 and December 2019.

Description: The purpose of this survey is to understand the impact of the COVID-19 pandemic on health care workers in Canada.

Description: This survey covers topics such as the use of and access to primary health care and specialist care, care coordination, barriers to care, prescription medications, and out-of-pocket expenses. The results may be used by Health Canada, the Public Health Agency of Canada, and provincial ministries of health to help inform the delivery of health care services and develop and improve programs and policies to better serve all Canadians.