C. Pelletier, S. Dai, K. C. Roberts, A. Bienek, J. Onysko, L. Pelletier
{"title":"Report summary. Diabetes in Canada: facts and figures from a public health perspective.","authors":"C. Pelletier, S. Dai, K. C. Roberts, A. Bienek, J. Onysko, L. Pelletier","doi":"10.24095/HPCDP.33.1.07","DOIUrl":"https://doi.org/10.24095/HPCDP.33.1.07","url":null,"abstract":"\"Diabetes in Canada: facts and figures from a public health perspective\" is the first comprehensive diabetes surveillance report published by the Public Health Agency of Canada. The report aims to support public health professionals and organizations in developing effective, evidence-based public health policies and programs to prevent and manage diabetes and its complications. The report, developed in collaboration with provincial and territorial governments, the Canadian Diabetes Association, Juvenile Diabetes Research Foundation, CNIB, Health Canada and the academic community, uses data from national health surveys and vital statistics, as well as population-based administrative data from the Canadian Chronic Disease Surveillance System (CCDSS). For the first time, the CCDSS contains data from all 13 Canadian jurisdictions. Using CCDSS data representing cases of diagnosed diabetes among Canadians aged one year and older, Diabetes in Canada presents prevalence and incidence national rates from the fiscal year 2008/2009 and national trends from 1998/1999 onwards. The report also outlines sub-populations at higher risk, ways of reducing the risks of developing the disease and its complications, and estimates of related economic costs. In addition, it contains sections on specific populations, including children and youth and First Nations, Inuit and Métis populations.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"25 1","pages":"53-4"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84174647","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}
{"title":"Emergency department surveillance of injuries associated with bunk beds: the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), 1990-2009.","authors":"S. Mcfaull, M. Fréchette, R. Skinner","doi":"10.24095/HPCDP.33.1.05","DOIUrl":"https://doi.org/10.24095/HPCDP.33.1.05","url":null,"abstract":"INTRODUCTION\u0000Due to space constraints, bunk beds are a common sleeping arrangement in many homes. The height and design of the structure can present a fall and strangulation hazard, especially for young children. The primary purpose of this study was to describe bunk bed-related injuries reported to the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), 1990-2009.\u0000\u0000\u0000METHODS\u0000CHIRPP is an injury and poisoning surveillance system operating in 11 pediatric and 4 general emergency departments across Canada. Records were extracted using CHIRPP product codes and narratives.\u0000\u0000\u0000RESULTS\u0000Over the 20-year surveillance period, 6002 individuals presented to Canadian emergency departments for an injury associated with a bunk bed. Overall, the frequency of bunk bed-related injuries in CHIRPP has remained relatively stable with an average annual percent change of 21.2% (21.8% to 20.5%). Over 90% of upper bunk-related injuries were due to falls and children 3-5 years of age were most frequently injured (471.2/100 000 CHIRPP cases).\u0000\u0000\u0000CONCLUSION\u0000Children with bunk bed-related injuries continue to present to Canadian emergency departments, many with significant injuries. Injury prevention efforts should focus on children under 6 years of age.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"10 1","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74403466","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}
I. Hyman, D. Patychuk, Q. Zaidi, D. Kljujic, Y. Shakya, J. Rummens, M. Creatore, B. Vissandjée
{"title":"Self-management, health service use and information seeking for diabetes care among recent immigrants in Toronto.","authors":"I. Hyman, D. Patychuk, Q. Zaidi, D. Kljujic, Y. Shakya, J. Rummens, M. Creatore, B. Vissandjée","doi":"10.24095/HPCDP.33.1.02","DOIUrl":"https://doi.org/10.24095/HPCDP.33.1.02","url":null,"abstract":"INTRODUCTION\u0000Our objective was to explore self-management practices, health services use and information-seeking for type 2 diabetes care among adult men and women from four recent immigrant communities in Toronto.\u0000\u0000\u0000METHODS\u0000A structured questionnaire was adapted for the Canadian context and translated into 4 languages. A total of 184 participants with type 2 diabetes-130 recent immigrants and 54 Canadian-born-were recruited in both community and hospital settings.\u0000\u0000\u0000RESULTS\u0000Recent immigrants were significantly less likely than the Canadian-born group to perform regular blood glucose and foot checks and significantly more likely than the Canadian-born group to be non-smokers, participate in regular physical activity and reduce dietary fat. Recent immigrants were significantly less likely than the Canadian-born group to use a specialist, alternative provider and dietician and less likely to report using dieticians, nurses and diabetes organizations as sources of diabetes-related information. Important differences were observed by sex and country of origin.\u0000\u0000\u0000CONCLUSION\u0000Findings suggest that diabetes prevention and management strategies for recent immigrants must address linguistic, financial, informational and systemic barriers to information and care.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"51 1","pages":"12-8"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90855001","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}
S. Bondy, L. Diemert, J. Victor, P. McDonald, J. Cohen
{"title":"Assessing the reach of nicotine replacement therapy as a preventive public health measure.","authors":"S. Bondy, L. Diemert, J. Victor, P. McDonald, J. Cohen","doi":"10.24095/HPCDP.33.1.03","DOIUrl":"https://doi.org/10.24095/HPCDP.33.1.03","url":null,"abstract":"INTRODUCTION\u0000Access to Nicotine Replacement Therapy (NRT) is a key public health intervention to reduce smoking. We assessed prevalence and correlates of use of NRT in Ontario, where NRT is available without prescription.\u0000\u0000\u0000METHODS\u0000Participants were a representative sample of 2262 adult smokers in the Ontario Tobacco Survey cohort. Prospectively measured use of NRT over a 6-month period was reported in relation to smoking behaviour and history, attempts to quit, receipt of other supports for cessation supports and attitudes toward NRT.\u0000\u0000\u0000RESULTS\u0000Overall, 11% of smokers used NRT over the six-month follow-up period. Prevalence was 25% among the 27% of smokers matching clinical guidelines that recommend NRT as a therapeutic option, and low among smokers not trying to quit.\u0000\u0000\u0000CONCLUSION\u0000With increasing accessibility of NRT, further surveillance and research are warranted to determine the impact of the reach and benefits of NRT, considering both the general and targeted smoking populations.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"62 1","pages":"19-28"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86378593","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}
{"title":"National Fall Prevention Workshop: stepping up pan-Canadian coordination.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>About one in three Canadian seniors will experience a fall at least once each year. Such falls are the leading cause of injury-related hospitalizations among older people. Apart from causing injury, falls can result in chronic pain, reduced quality of life and, in severe cases, death. Psychological effects of a fall may cause a post-fall syndrome that includes dependence on others for daily activities, loss of autonomy, confusion, immobilization and depression. Falls and the resulting injuries often occur due to a combination of factors, including health conditions associated with aging such as vision problems, osteoporosis, dementia and symptoms of a chronic disease. They can be due to the side effects of medications, environmental hazards and risk-taking behaviours. Fall prevention initiatives and strategies are taking place in all provinces and territories and at the national level. To enhance the collaborative understanding of these initiatives, a National Fall Prevention Workshop was held at the Canadian Injury Prevention and Safety Promotion Conference in Vancouver, British Columbia, on 17 November 2011. The Workshop was co-hosted by the British Columbia Injury Research and Prevention Unit (BCIRPU) and the Public Health Agency of Canada (PHAC). Fall prevention leads from each province and territory were invited to present their most recent activities and their plans.</p>","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"32 4","pages":"227-8"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30960569","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}
{"title":"Using national surveys for mental health surveillance of individuals with intellectual disabilities in Canada.","authors":"I. Bielska, H. Ouellette-Kuntz, D. Hunter","doi":"10.24095/HPCDP.32.4.03","DOIUrl":"https://doi.org/10.24095/HPCDP.32.4.03","url":null,"abstract":"INTRODUCTION\u0000Individuals with intellectual disabilities have a higher prevalence of health problems, including psychiatric and behavioural conditions, than the general population. However, there is little population-based information in Canada about individuals with a dual diagnosis of psychiatric disorder and intellectual impairment. The aim of this study was to determine whether the 2005 Canadian Community Health Survey (CCHS) and the 2006 Participation and Activity Limitation Survey (PALS) could be used to estimate the prevalence of dual diagnosis in Canada.\u0000\u0000\u0000METHODS\u0000We undertook a secondary analysis of two population-based surveys to determine if these could be used to estimate the prevalence of psychiatric or behavioural conditions among adults with intellectual disabilities in Canada.\u0000\u0000\u0000RESULTS\u0000The surveys reflect prevalence estimates of intellectual disabilities (CCHS: 0.2% and PALS: 0.5%) that are considerably lower than those published in the literature. While it was possible to calculate the proportion of individuals with a dual diagnosis (CCHS: 30.6% and PALS: 44.3%), the surveys were of limited use for detailed analyses. The estimates of prevalence derived from the surveys, especially from the CCHS, were of unacceptable quality due to high sampling variability and selection bias.\u0000\u0000\u0000CONCLUSION\u0000The estimates should be interpreted with caution due to concerns regarding the representativeness of the sample with intellectual disabilities in the national surveys.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"1 1","pages":"194-9"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88372534","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}
L. Lix, R. Walker, H. Quan, R. Nesdole, J. Yang, Guanmin Chen, Chep-Ortf Hypertension Outcomes, Surveillance Team
{"title":"Features of physician services databases in Canada.","authors":"L. Lix, R. Walker, H. Quan, R. Nesdole, J. Yang, Guanmin Chen, Chep-Ortf Hypertension Outcomes, Surveillance Team","doi":"10.24095/HPCDP.32.4.02","DOIUrl":"https://doi.org/10.24095/HPCDP.32.4.02","url":null,"abstract":"INTRODUCTION\u0000Physician services databases (PSDs) are a valuable resource for research and surveillance in Canada. However, because the provinces and territories collect and maintain separate databases, data elements are not standardized. This study compared major features of PSDs.\u0000\u0000\u0000METHODS\u0000The primary source was a survey of key informants that collected information about years of data, patient/provider characteristics, database inclusions/exclusions, coding of diagnoses, procedures and service locations. Data from the Canadian Institute for Health Information's (CIHI) National Physician Database were used to examine physician remuneration methods, which may affect PSD completeness. Survey data were obtained for nine provinces and two territories.\u0000\u0000\u0000RESULTS\u0000Most databases contained post-1990 records. Diagnoses were frequently recorded using ICD-9 codes. Other coding systems differed across jurisdictions and time, although all PSDs identified in-hospital services and distinguished family medicine from other specialties. Capture of non-fee-for-service records varied and CIHI data revealed an increasing proportion of non-fee-for-service physicians over time.\u0000\u0000\u0000CONCLUSION\u0000Further research is needed to investigate the potential effects of PSD differences on comparability of findings from pan-Canadian studies.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"41 1","pages":"186-93"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84111329","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}
M. Tjepkema, R. Wilkins, R. Wilkins, N. Goedhuis, J. Pennock
{"title":"Cardiovascular disease mortality among First Nations people in Canada, 1991-2001.","authors":"M. Tjepkema, R. Wilkins, R. Wilkins, N. Goedhuis, J. Pennock","doi":"10.24095/HPCDP.32.4.04","DOIUrl":"https://doi.org/10.24095/HPCDP.32.4.04","url":null,"abstract":"OBJECTIVE\u0000To compare cardiovascular disease mortality patterns between First Nations people and non-Aboriginal adults by sex and by income adequacy quintile and level of educational attainment.\u0000\u0000\u0000METHODS\u0000A 15% sample of 1991 Canadian census respondents aged 25 years or older was previously linked to 11 years of mortality data. In this study, First Nations people were defined by North American Indian ethnic origin (ancestry), registration under the Indian Act, and/or membership in an Indian band or First Nation. The cohort included 62 400 First Nations people and 2 624 300 non-Aboriginal people.\u0000\u0000\u0000RESULTS\u0000Compared to non-Aboriginal cohort members, the age-standardized cardiovascular disease mortality rate was 30% higher for First Nations men and 76% higher for First Nations women. This represented an excess of 58 deaths and 71 deaths per 100 000 person-years at risk, for First Nations men and women, respectively. Within each income adequacy quintile (adjusted for family size and region of residence) and level of educational attainment, the risk of dying from cardiovascular disease was higher for First Nations people compared to their non-Aboriginal counterparts.\u0000\u0000\u0000CONCLUSION\u0000First Nations people had higher rates of death from cardiovascular disease than non-Aboriginal Canadians within each income quintile and level of education. Income and education accounted for 67% and 25% of the excess mortality of First Nations men and women respectively.","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"59 1","pages":"200-7"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74217305","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}
L M Lix, R Walker, H Quan, R Nesdole, J Yang, G Chen
{"title":"Features of physician services databases in Canada.","authors":"L M Lix, R Walker, H Quan, R Nesdole, J Yang, G Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Physician services databases (PSDs) are a valuable resource for research and surveillance in Canada. However, because the provinces and territories collect and maintain separate databases, data elements are not standardized. This study compared major features of PSDs.</p><p><strong>Methods: </strong>The primary source was a survey of key informants that collected information about years of data, patient/provider characteristics, database inclusions/exclusions, coding of diagnoses, procedures and service locations. Data from the Canadian Institute for Health Information's (CIHI) National Physician Database were used to examine physician remuneration methods, which may affect PSD completeness. Survey data were obtained for nine provinces and two territories.</p><p><strong>Results: </strong>Most databases contained post-1990 records. Diagnoses were frequently recorded using ICD-9 codes. Other coding systems differed across jurisdictions and time, although all PSDs identified in-hospital services and distinguished family medicine from other specialties. Capture of non-fee-for-service records varied and CIHI data revealed an increasing proportion of non-fee-for-service physicians over time.</p><p><strong>Conclusion: </strong>Further research is needed to investigate the potential effects of PSD differences on comparability of findings from pan-Canadian studies.</p>","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"32 4","pages":"186-93"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30962213","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}
M Cardinal, J Crain, M T Do, M Fréchette, S McFaull, R Skinner, W Thompson
{"title":"Report summary - injury in review, 2012 edition: spotlight on road and transport safety.","authors":"M Cardinal, J Crain, M T Do, M Fréchette, S McFaull, R Skinner, W Thompson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Injury in Review, 2012 Edition: Spotlight on Road and Transport Safety, the first national public health report of its kind, synthesizes road- and transport-related injury statistics from a variety of sources. It profiles injury patterns among Canadians aged up to 24 years, explains risks and protective factors, and makes recommendations for action. The findings inform the development of targeted injury prevention efforts.</p>","PeriodicalId":50696,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"32 4","pages":"229-30"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30960570","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}