Chronic disease and chronic disease risk factors among First Nations, Inuit and Métis populations of northern Canada

Author:

Bruce SG1,Riediger ND1,Lix LM1

Affiliation:

1. Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada

Abstract

Introduction

Aboriginal populations in northern Canada are experiencing rapid changes in their environments, which may negatively impact on health status. The purpose of our study was to compare chronic conditions and risk factors in northern Aboriginal populations, including First Nations (FN), Inuit and Métis populations, and northern non-Aboriginal populations.

Methods

Data were from the Canadian Community Health Survey for the period from 2005 to 2008. Weighted multiple logistic regression models tested the association between ethnic groups and health outcomes. Model covariates were age, sex, territory of residence, education and income. Odds ratios (ORs) are reported and a bootstrap method calculated 95% confidence intervals (CIs) and p values.

Results

Odds of having at least one chronic condition was significantly lower for the Inuit (OR = 0.59; 95% CI: 0.43–0.81) than for non-Aboriginal population, but similar among FN, Métis and non-Aboriginal populations. Prevalence of many risk factors was significantly different for Inuit, FN and Métis populations.

Conclusion

Aboriginal populations in Canada's north have heterogeneous health status. Continued chronic disease and risk factor surveillance will be important to monitor changes over time and to evaluate the impact of public health interventions.

Publisher

Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada

Subject

Public Health, Environmental and Occupational Health,General Medicine,Epidemiology

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