Chronic Diseases and Injuries in Canada最新文献_第3页

An environmental scan of policies in support of chronic disease self-management in Canada. 加拿大支持慢性病自我管理政策的环境扫描。

Chronic Diseases and Injuries in Canada Pub Date : 2014-02-01

C Liddy, K Mill

{"title":"An environmental scan of policies in support of chronic disease self-management in Canada.","authors":"C Liddy, K Mill","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The evidence supporting chronic disease self-management warrants further attention. Our aim was to identify existing policies, strategies and frameworks that support self-management initiatives.Methods: This descriptive study was conducted as an environmental scan, consisting of an Internet search of government and other publicly available websites, and interviews with jurisdictional representatives identified through the Health Council of Canada and academic networking.Results: We interviewed 16 representatives from all provinces and territories in Canada and found 30 publicly available and relevant provincial and national documents. Most provinces and territories have policies that incorporate aspects of chronic disease self-management. Alberta and British Columbia have the most detailed policies. Both feature primary care prominently and are not disease specific. Both also have provincial level implementation of chronic disease self-management programming. Canada's northern territories all lacked specific policies supporting chronic disease self-management despite a significant burden of disease.Conclusion: Engaging patients in self-management of their chronic diseases is important and effective. Although most provinces and territories have policies that incorporate aspects of chronic disease self-management, they were often embedded within other initiatives and/or policy documents framed around specific diseases or populations. This approach could limit the potential reach and effect of self-management.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"34 1","pages":"55-63"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40302141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Cancer in Canada fact sheet series #1 - thyroid cancer in Canada. 加拿大癌症概况系列#1 -加拿大甲状腺癌。

Chronic Diseases and Injuries in Canada Pub Date : 2014-02-01

A Shaw, R Semenciw, L Mery

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Validation of a deprivation index for public health: a complex exercise illustrated by the Quebec index. 公共卫生剥夺指数的验证:以魁北克指数为例的一项复杂工作。

Chronic Diseases and Injuries in Canada Pub Date : 2014-02-01

R Pampalon, D Hamel, P Gamache, A Simpson, M D Philibert

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Metabolic syndrome and chronic disease. 代谢综合征和慢性疾病。

Chronic Diseases and Injuries in Canada Pub Date : 2014-02-01

D P Rao, S Dai, C Lagacé, D Krewski

{"title":"Metabolic syndrome and chronic disease.","authors":"D P Rao, S Dai, C Lagacé, D Krewski","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Metabolic syndrome (MetS) is a combination of risk markers that appear to promote the development of chronic disease. We examined the burden of MetS in Canada through its current and projected association with chronic disease.Methods: We used measures from the Canadian Health Measures Survey 2007-2009 to identify the prevalence of MetS in Canadian adults and examine associations between sociodemographic factors and major chronic diseases. We estimated the projected cumulative incidence of diabetes and percent risk of a fatal cardiovascular event using the Diabetes Population Risk Tool (DPoRT) and Framingham algorithms.Results: After adjusting for age, we found that 14.9% of Canadian adults had MetS. Rates were similar in both sexes, but higher in those who are non-Caucasian or overweight or obese (p < .001 for all three). The importance of MetS for public health was demonstrated by its significant association with chronic disease relative to the general population, particularly for diagnosed (11.2% vs. 3.4%) and undiagnosed (6.0% vs. 1.1%) type 2 diabetes. The ten-year incidence estimate for diabetes and mean percent risk of a fatal cardiovascular disease (CVD) event were higher in those with MetS compared to those without (18.0% vs. 7.1% for diabetes, and 4.1% vs. 0.8% for CVD).Conclusion: MetS is prevalent in Canadian adults and a high proportion of individuals with MetS have diagnosed or undiagnosed chronic conditions. Projection estimates for the incidence of chronic disease associated with MetS demonstrate higher rates in individuals with this condition. Thus, MetS may be a relevant risk factor in the development of chronic disease.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"34 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40301134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Monitoring chronic diseases in Canada: the Chronic Disease Indicator Framework. 监测加拿大的慢性病:慢性病指标框架。

Chronic Diseases and Injuries in Canada Pub Date : 2014-01-01

M T Betancourt, K C Roberts, T-L Bennett, E R Driscoll, G Jayaraman, L Pelletier

{"title":"Monitoring chronic diseases in Canada: the Chronic Disease Indicator Framework.","authors":"M T Betancourt, K C Roberts, T-L Bennett, E R Driscoll, G Jayaraman, L Pelletier","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The Public Health Agency of Canada developed the Chronic Disease Indicator Framework (the Framework) with the goal of systematizing and enhancing chronic disease surveillance in Canada by providing the basis for consistent and reliable information on chronic diseases and their determinants.Methods: Available national and international health indicators, frameworks and national health databases were reviewed to identify potential indicators. To make sure that a comprehensive and balanced set of indicators relevant to chronic disease prevention was included, a conceptual model with \"core domains\" for grouping eligible indicators was developed. Specific selection criteria were applied to identify key measures. Extensive consultations with a broad range of government partners, non-governmental organizations and public health practitioners were conducted to reach consensus and refine and validate the Framework.Results: The Framework contains 41 indicators organized in a model comprised of 6 core domains: social and environmental determinants, early life / childhood risk and protective factors, behavioural risk and protective factors, risk conditions, disease prevention practices, and health outcomes/status. Also planned is an annual release of updated data on the proposed set of indicators, including national estimates, breakdowns by demographic and socioeconomic variables, and time trends.Conclusions: Understanding the evidence related to chronic diseases and theirdeterminants is key to interpreting trends and crucial to the development of public health interventions. The Framework and its related products have the potential of becoming an indispensable tool for evidence-informed decision making in Canada.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"34 Suppl 1 ","pages":"1-30"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32399938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Hospitalizations for unintentional injuries among Canadian adults in areas with a high percentage of Aboriginal-identity residents. 在土著居民比例高的地区，加拿大成年人因意外伤害住院的情况。

Chronic Diseases and Injuries in Canada Pub Date : 2013-09-01

P Finès, E Bougie, L N Oliver, D E Kohen

{"title":"Hospitalizations for unintentional injuries among Canadian adults in areas with a high percentage of Aboriginal-identity residents.","authors":"P Finès, E Bougie, L N Oliver, D E Kohen","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Injuries are a leading cause of death and morbidity. While individual Aboriginal identifiers are not routinely available on national administrative databases, this study examines unintentional injury hospitalization, by cause, in areas with a high percentage of Aboriginal-identity residents.Methods: Age-standardized hospitalization rates (ASHRs) and rate ratios were calculated based on 2004/2005-2009/2010 data from the Discharge Abstract Database.Results: Falls were the most frequent cause of injury. For both sexes, ASHRs were highest in high-percentage First Nations-identity areas; high-percentage Métis-identity areas presented the highest overall ASHR among men aged 20-29 years, and high-percentage Inuit-identity areas presented the lowest ASHRs among men of all age groups. Some causes, such as falls, presented a high ASHR but a rate ratio similar to that for all causes combined; other causes, such as firearm injuries among men in high-percentage First Nations-identity areas, presented a relatively low ASHR but a high rate ratio. Residents of high-percentage Aboriginal-identity areas have a higher ASHR for hospitalization for injuries than residents of low-percentage Aboriginal-identity areas.Conclusion: Residents of high-percentage Aboriginal-identity areas also live in areas of lower socio-economic conditions, suggesting that the causes for rate differences among areas require further investigation.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"33 4","pages":"204-17"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31692708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Chronic bronchitis in Aboriginal people--prevalence and associated factors. 土著居民慢性支气管炎的患病率及相关因素

Chronic Diseases and Injuries in Canada Pub Date : 2013-09-01

S Konrad, A Hossain, A Senthilselvan, J A Dosman, P Pahwa

{"title":"Chronic bronchitis in Aboriginal people--prevalence and associated factors.","authors":"S Konrad, A Hossain, A Senthilselvan, J A Dosman, P Pahwa","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Knowledge about chronic bronchitis (CB) among Aboriginal people in Canada is limited. The aim of this study was to determine the prevalence of CB and its associated factors among Aboriginal people aged 15 years plus.Methods: Logistic regression analysis was used on data from the cross-sectional 2006 Aboriginal Peoples Survey to determine risk factors associated with CB.Results: CB prevalence was 6.6% among First Nations, 6.2% among Métis and 2.4% among Inuit. Prevalence was higher among females than males (7.2% versus 5.0%). Individuals with CB were more likely to be older, living at a lower income, with a lower educational attainment and residing in rural areas. Smoking status and body mass index were also significantly associated with CB, but their effect differed by sex. Obesity was particularly significantly associated with CB among females compared with males, and current smoking and non-smoking status was significantly associated with CB among females but not males.Conclusion: These findings identify factors associated with CB among Aboriginal people. As such, they may represent potentially preventable risk factors that can inform health promotion and disease prevention practices.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"33 4","pages":"218-25"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31692709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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How we identify and count Aboriginal people--does it make a difference in estimating their disease burden? 我们如何识别和统计土著人——这对估计他们的疾病负担有影响吗?

Chronic Diseases and Injuries in Canada Pub Date : 2013-09-01

W W Chan, C Ng, T K Young

{"title":"How we identify and count Aboriginal people--does it make a difference in estimating their disease burden?","authors":"W W Chan, C Ng, T K Young","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: We examined the concordance between the Canadian Community Health Survey (CCHS) \"identity\" and \"ancestry\" questions used to estimate the size of the Aboriginal population in Canada and whether the different definitions affect the prevalence of selected chronic diseases.Methods: Based on responses to the \"identity\" and \"ancestry\" questions in the CCHS combined 2009-2010 microdata file, Aboriginal participants were divided into 4 groups: (A) identity only; (B) ancestry only; (C) either ancestry or identity; and (D) both ancestry and identity. Prevalence of diabetes, arthritis and hypertension was estimated based on participants reporting that a health professional had told them that they have the condition(s).Results: Of participants who identified themselves as Aboriginal, only 63% reported having an Aboriginal ancestor; of those who claimed Aboriginal ancestry, only 57% identified themselves as Aboriginal. The lack of concordance also differs according to whether the individual was First Nation, Métis or Inuit. The different method of estimating the Aboriginal population, however, does not significantly affect the prevalence of the three selected chronic diseases.Conclusion: The lack of concordance requires further investigation by combining more cycles of CCHS to compare discrepancy across regions, genders and socio-economic status. Its impact on a broader list of health conditions should be examined.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"33 4","pages":"277-80"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31692715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Knowledge exchange systems for youth health and chronic disease prevention: a tri-provincial case study. 青少年健康和慢性疾病预防的知识交流系统:一个三省案例研究。

Chronic Diseases and Injuries in Canada Pub Date : 2013-09-01

D Murnaghan, W Morrison, E J Griffith, B L Bell, L A Duffley, K McGarry, S Manske

{"title":"Knowledge exchange systems for youth health and chronic disease prevention: a tri-provincial case study.","authors":"D Murnaghan, W Morrison, E J Griffith, B L Bell, L A Duffley, K McGarry, S Manske","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The research teams undertook a case study design using a common analytical framework to investigate three provincial (Prince Edward Island, New Brunswick and Manitoba) knowledge exchange systems. These three knowledge exchange systems seek to generate and enhance the use of evidence in policy development, program planning and evaluation to improve youth health and chronic disease prevention.Methods: We applied a case study design to explore the lessons learned, that is, key conditions or processes contributing to the development of knowledge exchange capacity, using a multi-data collection method to gain an in-depth understanding. Data management, synthesis and analysis activities were concurrent, iterative and ongoing. The lessons learned were organized into seven \"clusters.\"Results: Key findings demonstrated that knowledge exchange is a complex process requiring champions, collaborative partnerships, regional readiness and the adaptation of knowledge exchange to diverse stakeholders.Discussion: Overall, knowledge exchange systems can increase the capacity to exchange and use evidence by moving beyond collecting and reporting data. Areas of influence included development of new partnerships, expanded knowledge-sharing activities, and refinement of policy and practice approaches related to youth health and chronic disease prevention.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"33 4","pages":"257-66"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31692713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Methodology of the 2009 Survey on Living with Chronic Diseases in Canada--hypertension component. 2009年加拿大慢性病患者生活调查的方法————高血压成分。

Chronic Diseases and Injuries in Canada Pub Date : 2013-09-01

A S Bienek, M E Gee, R P Nolan, J Kaczorowski, N R Campbell, C Bancej, F Gwadry-Sridhar, C Robitaille, R L Walker, S Dai

{"title":"Methodology of the 2009 Survey on Living with Chronic Diseases in Canada--hypertension component.","authors":"A S Bienek, M E Gee, R P Nolan, J Kaczorowski, N R Campbell, C Bancej, F Gwadry-Sridhar, C Robitaille, R L Walker, S Dai","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The Survey on Living with Chronic Diseases in Canada--hypertension component (SLCDC-H) is a 20-minute cross-sectional telephone survey on hypertension diagnosis and management. Sampled from the 2008 Canadian Community Health Survey (CCHS), the SLCDC-H includes Canadians (aged ≥ 20 years) with self-reported hypertension from the ten provinces.Methods: The questionnaire was developed by Delphi technique, externally reviewed and qualitatively tested. Statistics Canada performed sampling strategies, recruitment, data collection and processing. Proportions were weighted to represent the Canadian population, and 95% confidence intervals (CIs) were derived by bootstrap method.Results: Compared with the CCHS population reporting hypertension, the SLCDC-H sample (n = 6142) is slightly younger (SLCDC-H mean age: 61.2 years, 95% CI: 60.8-61.6; CCHS mean age: 62.2 years, 95% CI: 61.8-62.5), has more post-secondary school graduates (SLCDC-H: 52.0%, 95% CI: 49.7%-54.2%; CCHS: 47.5%, 95% CI: 46.1%-48.9%) and has fewer respondents on hypertension medication (SLCDC-H: 82.5%, 95% CI: 80.9%-84.1%; CCHS: 88.6%, 95% CI: 87.7%-89.6%).Conclusion: Overall, the 2009 SLCDC-H represents its source population and provides novel, comprehensive data on the diagnosis and management of hypertension. The survey has been adapted to other chronic conditions--diabetes, asthma/chronic obstructive pulmonary disease and neurological conditions. The questionnaire is available on the Statistics Canada website; descriptive results have been disseminated by the Public Health Agency of Canada.","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"33 4","pages":"267-76"},"PeriodicalIF":0.0,"publicationDate":"2013-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31692714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0