Asthma and COPD Among Aboriginals in Alberta, Canada

Sin, Don D.; Wells, Heather; Svenson, Larry; Man, S. F. Paul

doi:10.1378/chest.121.6.1841

Cited by 74 publications

(61 citation statements)

References 11 publications

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“…6,10 The results, however, differ from those of Klein-Geltink and colleagues 28 who reported that the mean number of overall ED visits among those diagnosed with COPD were 1.3 times higher among Métis compared to the general population in Ontario, while there were no differences between the two groups in the proportion of COPDspecific ED visits. 28 Discrepancies in study results may be related to differences in the analytical approach and the observation period of the studies.…”

Section: Discussioncontrasting

confidence: 56%

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Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada

Ospina

Rowe

Voaklander

et al. 2016

CJEM

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Objectives: This retrospective cohort study compared rates of emergency department (ED) visits after a diagnosis of chronic obstructive pulmonary disease (COPD) in the three Aboriginal groups (Registered First Nations, Métis and Inuit) relative to a non-Aboriginal cohort. Methods: We linked eight years of administrative health data from Alberta and calculated age-and sex-standardized ED visit rates in cohorts of Aboriginal and non-Aboriginal individuals diagnosed with COPD. Rate ratios (RR) with 95% confidence intervals (CIs) were calculated in a Poisson regression model that adjusted for important sociodemographic factors and comorbidities. Differences in ED length of stay (LOS) and disposition status were also evaluated. Results: A total of 2,274 Aboriginal people and 1,611 non-Aboriginals were newly diagnosed with COPD during the study period. After adjusting for important sociodemographic and clinical factors, the rate of all-cause ED visits in all Aboriginal people (RR = 1.72, 95% CI: 1.67, 1.77), particularly among Registered First Nations people (RR = 2.02; 95% CI: 1.97, 2.08) and Inuit (RR = 1.28; 95% CI: 1.22, 1.35), were significantly higher than that in non-Aboriginals, while ED visit rates were significantly lower in the Métis (RR = 0.94; 95% CI: 0.90, 0.98). The ED LOS in all Aboriginal groups were significantly lower than that of the nonAboriginal group. Conclusions: Aboriginal people with COPD use almost twice the amount of ED services compared to their non-Aboriginal counterparts. There are also important variations in patterns of ED services use among different Aboriginal groups with COPD in Alberta.

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Section: Discussioncontrasting

confidence: 56%

“…Analyses of administrative health data in Alberta have found that First Nations people are twice as likely to have an ED visit for COPD than non-Aboriginals. 6,10 These studies, however, combined both asthma and COPD-related visits, spanned relatively short periods of follow-up, or failed to include other Aboriginal groups in the analyses.…”

Section: Introductionmentioning

confidence: 99%

Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada

Ospina

Rowe

Voaklander

et al. 2016

CJEM

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“…In another study from Saskatchewan (3), children zero to four years of age and adults 35 to 64 years of age in the registered Indian population had a greater asthma prevalence than persons in other urban or rural populations during the study period (1991 to 1998) (3). However, a study from Alberta (4) showed that emergency and office visits for asthma and chronic obstructive pulmonary disease were greater among Aboriginal populations than non-Aboriginal populations in all age groups in 1996/1997. In an analysis of the data from the National Longitudinal Survey of Children and Youth conducted in the Yukon, Nunavut and Northwest Territories (5), the prevalence of asthma was lower in Aboriginal children than in non-Aboriginal children, whereas the prevalence of current wheeze was greater in Aboriginal children.…”

mentioning

confidence: 99%

Prevalence of and Risk Factors for Asthma in Off-Reserve Aboriginal Children and Adults in Canada

Chang

Beach

2012

Canadian Respiratory Journal

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Only a few studies have investigated asthma morbidity in Canadian Aboriginal children. In the present study, data from the 2006 Aboriginal Peoples Survey were used to determine the prevalence and risk factors for asthma in Canadian Aboriginal children six to 14 years of age and adults 15 to 64 years of age living off reserve. The prevalence of asthma was 14.3% in children and 14.0% in adults. Children and adults with Inuit ancestry had a significantly lower prevalence of asthma than those with North American Indian and Métis ancestries. Factors significantly associated with ever asthma in children included male sex, allergy, low birth weight, obesity, poor dwelling conditions and urban residence. In adults, factors associated with ever asthma varied among Aboriginal groups; however, age group, sex and urban residence were associated with ever asthma in all four Aboriginal groups. The prevalence of asthma was lower in Aboriginal children and higher in Aboriginal adults compared with that reported for the Canadian population. Variation in the prevalence of and risk factors for asthma among Aboriginal ancestry groups may be related to genetic and environmental factors that require further investigation.

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“…Indigenous peoples in Canada face great health disparities in regard to chronic health conditions (cardiovascular disease, cancer, arthritis, kidney disease, diabetes, asthma, bronchitis; e.g., Anand, Yusuf, Jacobs, & Davis, 2001;Shah, Hux, & Zinman, 2000;Sin, Wells, Svenson, & Man, 2002;Yusuf, Reddy, Ounpuu, & Anand, 2001). Those living on-reserve have a higher prevalence of chronic conditions than those living off-reserve, especially in the case of cardiovascular diseases and diabetes (Loppie Reading & Wein, 2009).…”

Section: Indigenous Peoples Of Canadamentioning

confidence: 99%

A Case Study of a Methodological Approach to Cocreating Perinatal Health Knowledge Between Western and Indigenous Communities

Kandasamy

Vanstone

Oremus

et al. 2017

International Journal of Qualitative Methods

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This article describes the methods taken to create an understanding of the perinatal health beliefs of elder Indigenous women of the Six Nations of the Grand River in Ontario, Canada. Our study paired constructivist grounded theory data collection and analysis methods with an Indigenous epistemological framework. We aimed to create knowledge that was specific to an Indigenous context, which was useful and resonant with both Indigenous and Western readers. The multidisciplinary research team included Indigenous and non-Indigenous members and worked with a common appreciation for multiple knowledge sources. We offer an account of our process and methodological principles to serve as an illustrative case study of bringing together diverse approaches when working with Indigenous communities.

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Asthma and COPD Among Aboriginals in Alberta, Canada

Cited by 74 publications

References 11 publications

Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada

Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal People in Alberta, Canada

Prevalence of and Risk Factors for Asthma in Off-Reserve Aboriginal Children and Adults in Canada

A Case Study of a Methodological Approach to Cocreating Perinatal Health Knowledge Between Western and Indigenous Communities

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