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 8064 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 (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 ...) Physical check-up (6 items: Total; physical check-up; Physical check-up; 1 year to less than 3 years ago; Physical check-up; within past 12 months; Physical check-up; 3 or more years ago ...) 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 4032 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 (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 ...) Eye examinations (6 items: Total; eye examinations; Eye examination; within past 12 months; Eye examination; 1 year to less than 3 years ago; Eye examination; 3 or more 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 155232 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 (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 ...) Dental visits (6 items: Total; dental visits; Dental visits; 3 or more years ago; Dental visits; 1 year to less than 3 years ago; Dental visits; within past 12 months ...) - 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 39072 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 (74 items: 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 (11 items: Total; 18 years and over; 18 to 34 years; 18 to 24 years; 25 to 34 years ...) Breast examinations (6 items: Total; breast examinations; Breast examination; within past 12 months; Breast examination; 1 year to less than 5 years ago; Breast examination; 5 or more 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 48048 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 (11 items: Total; 18 years and over; 25 to 34 years; 18 to 34 years; 18 to 24 years ...) Breast self-examinations (6 items: Total; breast self-examinations; Breast self-examination; every 2 to 3 months; Breast self-examination; less than every 2 to 3 months; Breast self-examination; monthly ...) - 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 58464 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 (29 items: 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);Newfoundland and Labrador ...) Age group (14 items: Total; 12 years and over; 15 to 19 years; 12 to 19 years; 12 to 14 years ...) Sex (3 items: Both sexes; Females; Males ...) Level of distress (6 items: Total; level of distress; Level of distress; higher than usual; Level of distress; lower than usual; Level of distress; about the same as usual ...) 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 30240 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 (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 ...) Mood (5 items: Total; mood; Mood; pretty happy; Mood; not too happy; Mood; very happy ...) 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 94080 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 (70 items: Newfoundland and Labrador; Health and Community Services Eastern Region; Newfoundland and Labrador; Health and Community Services St. John's Region; Newfoundland and Labrador ...) 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 ...) Probability of depression (4 items: Total population for the variable probability of depression; Probability of depression; 0.9 or greater; Probability of depression; less than 0.9 ...) 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 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 ...) 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 ...) Patient satisfaction, community-based health care (3 items: Received community-based health care in the past 12 months; Quality of community-based health care received rated as excellent or good; Very or somewhat satisfied with community-based health care received ...) 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 447552 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 (14 items: Canada; Newfoundland and Labrador; Nova Scotia; Prince Edward Island ...) Urban-rural status (9 items: Total; urban-rural status; Urban; Urban fringe; Urban core ...) Sex (3 items: Both sexes; Females; Males ...) Health profile (156 items: Total population for the variable self-rated health; Very good or excellent self-rated health; Excellent self-rated health; Very good 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: Respondents to typical household surveys tend to significantly underreport their potential use of food aid distributed by associations. This underreporting is most likely related to the social stigma felt by people experiencing great financial difficulty. As a result, survey estimates of the number of recipients of that aid are much lower than the direct counts from the associations. Those counts tend to overestimate due to double counting. Through its adapted protocol, the Enquête Aide alimentaire (EAA) collected in late 2021 in France at a sample of sites of food aid distribution associations, controls the biases that affect the other sources and determines to what extent this aid is used.

Description: As the importance of subjective well-being to health continues to garner increasing attention from researchers and policy makers, community belonging has emerged as a potential population health target that has been linked to several self-rated measures of health and well-being in Canada. This study assessed novel area-level community belonging measures derived using small area estimation and examined associations with individual-level measures of community belonging and self-rated health.

Description: Canada is experiencing rapid population aging, which has a wide range of implications, including an increased need for health care services. However, very few studies have examined use of specialized health care services (e.g., visits to medical specialists, non-emergency tests, and surgeries) among older Canadians. Using data from the 2019/2020 Canadian Health Survey on Seniors, this study examines the prevalence of specialized health care service use and evaluates the association of predisposing factors, enabling resources, and need-related factors with specialized health care service use in the past 12 months among Canadians aged 65 or older.

Description: The Quality of Life Framework includes indicators that are meaningful in measuring a person's happiness and well-being like life satisfaction, for instance. Using data from Wave 10 of the Canadian Social Survey (collected from July 14, 2023 to September 07, 2023), this infographic looks at levels of life satisfaction amongst the Canadian population aged 15 years and older in Canada's 10 provinces. Survey respondents were asked: "Using a scale of 0 to 10, where 0 means 'Very dissatisfied' and 10 means 'Very satisfied,' how do you feel about your life as a whole right now?"

Description: The COVID-19 pandemic has highlighted several issues among health care workers in Canada’s long-term care and seniors’ (LTCS) homes, including labour shortages, staff retention difficulties, overcrowding, and precarious working conditions. There is currently a lack of information on the health, well-being, and working conditions of health care workers in LTCS homes—many of them immigrants—and a limited understanding of the relationship between them. Using data from the 2021 Survey on Health Care Workers’ Experiences During the Pandemic, this paper examines differences between immigrant and non-immigrant workers’ health outcomes and precarious working conditions during the pandemic.

Description: The COVID-19 pandemic interrupted routine and preventive dental services until precautions could be implemented to limit virus transmission. Access to services for dental emergencies was maintained. This study describes self-reported access to oral health care services in Canada during the first 12-month period of the COVID-19 pandemic, including the reported need for routine or emergency oral health care. It also compares the access to, and the unmet need for, dental services by various sociodemographic characteristics, including by province.

Description: This infographic examines where youth aged 15 to 17 in Canada typically get their sexual health information, using data from the Canadian Health Survey on Children and Youth (CHSCY) 2019.

Description: This article provides an in-depth look at trends in fertility in Canada from 1921 to 2022. The evolution of the total fertility rate (TFR) over time is examined, with a special focus on shifts that have occurred following the onset of the COVID-19 pandemic. The shifts observed in Canada's TFR from 2019 to 2022 are situated in an international context, and differences among the provincial and territories are explored. Also, year-over-year changes in the monthly number of births are analyzed and contrasted with the experience of other countries. Lastly, trends in age-specific fertility rates and the average age of childbearing in Canada are described, as well the cumulated fertility of different cohorts of women to date.

Description: Sexual health education delivered in school, provided by parents, or provided by other formal sources has been associated with increased rates of condom use and improvements in many other sexual risk behaviours. Friends and the internet are other information sources, although quality and accuracy of information are not always as high. The objective of this study is to update Canadian information about sources of sex education self-reported by adolescents and the related resource of having an adult to talk with about puberty and sexual health. Data from the 2019 Canadian Health Survey on Children and Youth were used to examine the sources typically used to obtain sexual health information by 15- to 17-year-olds, as well as the prevalence and characteristics of adolescents reporting not having an adult to talk with about sexual health and puberty.

Description: Immunization against vaccine-preventable diseases such as shingles and pneumococcal disease play an important role in the overall health and well being of older Canadians. However, vaccine uptake remains low. Using data from The Canadian Health Survey on Seniors – 2019/2020, this study examined the prevalence and factors associated with shingles and pneumococcal vaccination among individuals aged 65 and older living in the community.

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.