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Health Reports

Jason DeGuire, Janine Clarke, Kaitlyn Rouleau, Joel Roy, Tracey Bushnik
BACKGROUND: Hypertension, or high blood pressure, is a major cause of disability and the leading risk factor for death around the world. Ongoing surveillance is necessary to monitor and assess the population burden of hypertension in Canada. DATA AND METHODS: Using measured data from the Canadian Health Measures Survey, this analysis estimates average systolic blood pressure (BP), average diastolic BP, and hypertension prevalence, awareness, treatment and control in the population aged 20 to 79 years in the period from 2012 to 2015 by sex and age group...
February 20, 2019: Health Reports
Alexander A Leung, Tracey Bushnik, Deirdre Hennessy, Finlay A McAlister, Douglas G Manuel
BACKGROUND: Hypertension (or high blood pressure) affects almost one in four adults in Canada. Quantifying risk factors associated with hypertension may help to inform prevention efforts. DATA AND METHODS: Data from the first four cycles of the Canadian Health Measures Survey (including 13,407 respondents) were used to identify hypertension status by systolic and diastolic blood pressure levels and the use of antihypertensive medications. Logistic regression analysis was employed to estimate the association between six cardiovascular risk factors (individually and as a composite score) and hypertension...
February 20, 2019: Health Reports
Kellie Langlois, Didier Garriguet, Alejandro Gonzalez, Susan Sinclair, Cynthia K Colapinto
BACKGROUND: Free sugars are nutrients of public health concern that have been associated with negative health outcomes, including dental caries in children and excess weight gain. Since national-level free sugars data are not currently available for Canadians, total sugars intake was examined to understand sugars intake in the population. The objective of this analysis was to describe and compare total sugars consumption among Canadians in 2004 and 2015. DATA AND METHODS: Data are from the 2004 and 2015 Canadian Community Health Survey-Nutrition...
January 16, 2019: Health Reports
Sami S Qutob, Michelle O'Brien, Katya Feder, James McNamee, Mireille Guay, John Than
BACKGROUND: An increasing number of consumer laser products are available to Canadians, many being purchased from online retailers. Of particular concern are high-powered, handheld laser devices. This study was conducted to assess the impact of this influx of laser products on the number of laser-associated injuries in Canada. DATA AND METHODS: The rapid response component of the 2014 Canadian Community Health Survey collected data from 19,765 Canadians on the prevalence of laser product exposure and usage, the type of laser product used, and the incidence of eye or skin injuries...
January 16, 2019: Health Reports
Shirley Bryan, Huda Masoud, Hannah K Weir, Ryan Woods, Gina Lockwood, Leah Smith, James Brierley, Mary Gospodarowicz, Nadine Badets
This article presents national data (excluding Quebec) on cancer incidence by stage at diagnosis for lung, colorectal, female breast and prostate cancers. Data from the Canadian Cancer Registry are combined for the diagnosis years 2011 to 2015. Half of all new lung cancers were diagnosed at stage IV, and of the two types of lung cancer, small cell was more often diagnosed at this stage than non-small cell. About half of colorectal cancers were diagnosed at stages III and IV, and stage-specific incidence rates were generally higher for males than females...
December 19, 2018: Health Reports
Jean-Philippe Chaput, Jessica Yau, Deepa P Rao, Charles M Morin
This study estimates the prevalence of nighttime insomnia symptoms among Canadians aged 6 to 79, and examines trends over time (2007 to 2015). The study is based on 21,826 respondents from the 2007-to-2015 Canadian Health Measures Survey, a nationally representative, cross-sectional survey. Nighttime insomnia symptoms and duration were self-reported. A 42% increase in nighttime insomnia symptoms was observed for adults aged 18 or older (from 16.8% to 23.8%). The majority of Canadians with insomnia symptoms reported having the symptoms for more than one year...
December 19, 2018: Health Reports
Rachel C Colley, Gregory Butler, Didier Garriguet, Stephanie P Prince, Karen C Roberts
BACKGROUND: Self-reported and accelerometer-measured physical activity levels generally exhibit low correlation and agreement. The objective of this study is to compare estimates of physical activity among adults from a newly developed Canadian questionnaire with those obtained objectively by accelerometry. DATA AND METHODS: Data for 18- to 79-year-olds (N = 2,372) were collected in 2014 and 2015 as part of the Canadian Health Measures Survey (CHMS). Moderate-to-vigorous physical activity (MVPA) was reported on the household questionnaire by domain (transportation, recreation, and occupational or household) as part of the new Physical Activity Adult Questionnaire (PAAQ) and measured objectively using the Actical accelerometer...
December 19, 2018: Health Reports
Linda D VanTil, MaryBeth MacLean, Jill Sweet, Kristofer McKinnon
BACKGROUND: Planning for the future needs of Canadian veterans requires comprehensive and detailed data on the size of the Canadian veteran population and their health. This article describes current veteran population estimates and examines the health of two eras of veterans compared with the health of Canadians in general. DATA AND METHODS: This study describes the size and age structure of the Canadian veteran population forecasted by Veterans Affairs Canada (VAC)...
November 21, 2018: Health Reports
Jason R Guertin, Brittany Humphries, David Feeny, Jean-Éric Tarride
BACKGROUND: Utility scores are frequently used as preference weights when estimating quality-adjusted life years within cost-utility analyses or health-adjusted life expectancies. Though previous Canadian estimates for specific chronic conditions have been produced, these may no longer reflect current patient populations. DATA AND METHODS: Data from the 2013 and 2014 Canadian Community Health Survey were used to provide Canadian utility score norms for 17 chronic conditions...
November 21, 2018: Health Reports
Heather Gilmour
BACKGROUND: Unmet home care needs have been linked to poor health, increased use of other health services, admission to nursing homes and reduced emotional well-being. DATA AND METHODS: Using data from the 2015/2016 Canadian Community Health Survey, this article describes home care use and unmet home care needs by type (i.e., home health care [HHC] and support services) in community-dwelling adults. Among the population with home care needs, the degree to which needs were met, partially met or unmet is presented, as well as information about the barriers to obtaining home care services and the places services were sought...
November 21, 2018: Health Reports
Gisèle Carrière, Rochelle Garner, Claudia Sanmartin
Hospitalizations due to opioid poisonings are increasing. While considerable information is available on the demographic and geographic distribution of opioid-related events, national data on the social and economic circumstances of those experiencing these events are limited. This study uses data from the National Household Survey (2011) linked to the Discharge Abstract Database (2011 to 2016) to provide the first national-level estimates of the socio-economic characteristics of individuals experiencing opioid-related hospitalizations...
October 17, 2018: Health Reports
Maxime Roy, Lindsey Sherrard, Ève Dubé, Nicolas L Gilbert
BACKGROUND: In Canada, vaccine coverage for seasonal influenza remains below targets. Few studies have sought to determine the sociodemographic factors associated with non-vaccination using a Canada-wide survey. This study aims to identify the determinants of, and the reasons for, non-vaccination. DATA AND METHODS: Data from the 2013/2014 Canadian Community Health Survey (CCHS) were used. Respondents were divided into three groups: adults aged 18 to 64 years with a chronic medical condition (CMC), adults in the same age group with no CMC, and adults aged 65 years and older...
October 17, 2018: Health Reports
Tracey Bushnik, William K Evans
BACKGROUND: Thyroid cancer incidence in Canada has increased rapidly over the past 25 years. This study examines thyroid cancer incidence and relative risk according to individual-level sociodemographic characteristics in two population-based cohorts. DATA AND METHODS: The analysis uses data from the 1991 and 2001 Canadian Census Health and Environment Cohorts (CanCHECs). Using nine years of cancer follow-up for both time periods, age-standardized incidence rates of thyroid cancer were estimated by sex-with sex-specific estimates produced by immigrant status, ethnicity, educational attainment and family income-and by histology type...
October 17, 2018: Health Reports
Larry F Ellison
BACKGROUND: Monitoring the progress of cancer survival in a population over time is an important part of cancer surveillance. DATA AND METHODS: Data are from the Canadian Cancer Registry with mortality follow-up through record linkage to the Canadian Vital Statistics Death Database and tax files. Net survival (NS) was derived using the Pohar Perme method. Predicted estimates of NS for the period from 2012 to 2014 were calculated using the period method. Age-standardized and age-specific changes in five-year NS between the periods from 1992 to 1994 and 2012 to 2014 were determined for 30 individual cancers...
September 19, 2018: Health Reports
Heather Gilmour
BACKGROUND: Formal home care services (those typically delivered by health care providers or volunteer organizations) are different from informal home care services (given by family, friends or neighbours), and thus represent a partial picture of all home care provided. Home care has been associated with decreased mortality, improved quality of life, and reduced hospitalizations and health care costs. DATA AND METHODS: New data from the annual Canadian Community Health Survey (CCHS) 2015/2016 are used to estimate, for the first time, the number and percentage of households in which at least one person of any age received formal home care services in Canada during the previous year...
September 19, 2018: Health Reports
Pamela L Ramage-Morin, Marc Gosselin
BACKGROUND: Health and safety legislation is designed to protect workers from hazards, including excessive noise. However, some workers are not required to use hearing protection when exposed to loud noise and may be vulnerable to adverse outcomes, including hearing difficulties and tinnitus. DATA AND METHODS: Data for 19- to 79-year-olds (n=6,571) were collected from 2012 through 2015 as part of the Canadian Health Measures Survey. People exposed to loud workplace noise were defined as those who had to raise their voices to communicate at arm's length...
August 15, 2018: Health Reports
Gisèle Carrière, Claudia Sanmartin, Patricia Murison
BACKGROUND: National population information about the surgical treatment rate for primary cancers, including breast cancer, has remained a significant data gap in Canada. This gap has implications for cancer care planning and evaluating health system performance. New linkages between the Canadian Cancer Registry and hospital discharge records were conducted by Statistics Canada in 2016. Using already existing, routinely collected health administrative data, these linkages allow viable reporting of surgical cancer treatment for the first time for all provinces and territories (except Quebec)...
August 15, 2018: Health Reports
Edward Ng, Dominique Elien Massenat, George Giovinazzo, David Ponka, Claudia Sanmartin
BACKGROUND: While the incidence of active tuberculosis (TB) in Canada is among the lowest in the world, the rates of TB among immigrants and Indigenous people remain high. In fact, the majority of new active TB cases are disproportionately found among immigrants. This study profiles TB-related acute care hospitalizations among new immigrants to Canada by selected characteristics. DATA AND METHODS: This study is based on the 2000-to-2013 Longitudinal Immigration Database (IMDB) linked to the Canadian Institute for Health Information's Discharge Abstract Database (DAD) from 2001/2002 to 2013/2014...
July 18, 2018: Health Reports
Michelle Rotermann, Marie-Michèle Pagé
BACKGROUND: The Canadian federal government has committed to legalizing non-medical cannabis use by adults in 2018. Medical use was legalized in 2001; however, not all people reporting medical use have medical authorization. To prepare for monitoring the effects of the policy change, a greater understanding of the prevalence of cannabis use and the characteristics of all cannabis users is needed. DATA AND METHODS: Data from the 2015 Canadian Tobacco, Alcohol and Drugs Survey (CTADS) were used to estimate prevalence and examine reasons for medical use and factors associated with people who reported using cannabis Non-Medically Only (NMO), compared with people who reported Self-Defined Medical and Non-Medical use (SDMNM), including use of other drugs and the non-therapeutic use of psychoactive pharmaceuticals...
July 18, 2018: Health Reports
Gisèle Carrière, Bougie Bougie, Dafna Kohen
BACKGROUND: National information about acute care hospitalizations for mental/behavioural disorders among Aboriginal people in Canada is limited. DATA AND METHODS: This study describes acute care hospitalizations for mental /behavioural disorders among First Nations people living on and off reserve. The 2006 Census was linked to the Discharge Abstract Database from 2006/2007 through 2008/2009 for all provinces (except Ontario and Quebec) and the three territories...
June 20, 2018: Health Reports
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