Canadian Indian mortality during the 1980s

Trovato, Frank

doi:10.1080/19485565.2000.9989015

Cited by 13 publications

(15 citation statements)

References 28 publications

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“…Demographic and socio-economic determinants, including sex, income level, education level, marital status, ethnicity, regional differences, as well as wider structural and environmental factors, can influence the transition process and lead to unequal health outcomes. In this review, we observed sex differentials in mortality over time (46, 49, 51, 73, 80, 81, 86, 94, 106, 118, 123, 132, 157); regional disparities in mortality (57, 60, 62, 72, 74, 76, 77, 85, 102, 146, 148, 172); social, economic, and mortality disparities across different ethnic groups (48, 49, 90, 98, 121, 125, 156); and climatic factors as determinants of mortality transition (115, 124, 153). …”

Section: Discussionmentioning

confidence: 99%

The development and experience of epidemiological transition theory over four decades: a systematic review

Santosa

Wall

Fottrell

et al. 2014

Global Health Action

145

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BackgroundEpidemiological transition (ET) theory, first postulated in 1971, has developed alongside changes in population structures over time. However, understandings of mortality transitions and associated epidemiological changes remain poorly defined for public health practitioners. Here, we review the concept and development of ET theory, contextualising this in empirical evidence, which variously supports and contradicts the original theoretical propositions.DesignA Medline literature search covering publications over four decades, from 1971 to 2013, was conducted. Studies were included if they assessed human populations, were original articles, focused on mortality and health or demographic or ET and were in English. The reference lists of the selected articles were checked for additional sources.ResultsWe found that there were changes in emphasis in the research field over the four decades. There was an increasing tendency to study wide-ranging aspects of the determinants of mortality, including risk factors, lifestyle changes, socio-economics, and macro factors such as climate change. Research on ET has focused increasingly on low- and middle-income countries rather than industrialised countries, despite its origins in industrialised countries. Countries have experienced different levels of progress in ET in terms of time, pace, and underlying mechanisms. Elements of ET are described for many countries, but observed transitions have not always followed pathways described in the original theory.ConclusionsThe classic ET theory largely neglected the critical role of social determinants, being largely a theoretical generalisation of mortality experience in some countries. This review shows increasing interest in ET all over the world but only partial concordance between established theory and empirical evidence. Empirical evidence suggests that some unconsidered aspects of social determinants contributed to deviations from classic theoretical pathways. A better-constructed, revised ET theory, with a stronger basis in evidence, is needed.

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Section: Discussionmentioning

confidence: 99%

The development and experience of epidemiological transition theory over four decades: a systematic review

Santosa

Wall

Fottrell

et al. 2014

Global Health Action

145

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“…Aux États-Unis, le taux de suicide des autochtones de 19 ans et moins en 1997-1998 est de 9,1/100 000 comparativement à un taux de 2,9/100 000 pour les Américains d'origine caucasienne (Centers for Disease Control and Prevention, 2003). À cela, il faut ajouter que l'incidence des morts accidentelles est d'ampleur similaire à celle du suicide chez les jeunes autochtones du Canada (Trovato, 2000).…”

Section: L'étendue Du Suicide En Milieu Autochtoneunclassified

Comprendre et agir sur le suicide chez les Premières Nations

Tousignant

Laliberté

Bibeau

et al. 2009

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Résumé Depuis trois ans, une équipe multidisciplinaire s’est engagée à réfléchir et à développer des stratégies sur la prévention du suicide en milieu autochtone dans le cadre d’un vaste programme de recherche. Une telle entreprise pose des défis inusités à toutes les étapes de son développement. Dans cet article, l’équipe de recherche indique les difficultés rencontrées et les pistes de solution élaborées. La première partie décrit la dimension épidémiologique du suicide en milieu autochtone et elle présente les premiers résultats. La deuxième partie décrit le volet prévention et fait un bilan des essais entrepris. La troisième partie résume une recherche auprès des familles visant à mieux comprendre le contexte de socialisation dans trois milieux contrastés. Suit une brève description de l’objectif de formation de jeunes chercheurs autochtones. La discussion porte sur la capacité à répondre aux besoins de la famille autochtone contemporaine.

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“…Cancer mortality is approximately 10% higher in the NWT compared with the national level (Inuit Tapiriit Kanatami, 2008, 2009; Public Health Agency of Canada, 2009). Cancer, followed by heart disease, is now the leading cause of death in Canadian territories, and rates are increasing (Trovato, 2000;NWT Health and Social Services, 2005;Statistics Canada, 2009).…”

mentioning

confidence: 99%

Prevalence and risk factors for self‐reported chronic disease amongst Inuvialuit populations

Erber¹,

Beck²,

Roose³

et al. 2010

J Human Nutrition Diet

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Background: Chronic disease prevalence amongst Canadian Arctic populations is increasing, but the literature amongst Inuvialuit is limited. The present study aimed to provide baseline data that could be used to monitor changes in chronic disease risk factors and long‐term health in the Arctic by determining prevalence and risk factors of self‐reported chronic disease amongst adult Inuvialuit in remote communities. Methods: Self‐reported demographics and history of chronic disease (hypertension, heart disease, diabetes and cancer) were collected in three communities between July 2007 and July 2008 in the Northwest Territories. Food frequency questionnaires recorded dietary intake, International Physical Activity Questionnaires recorded physical activity and anthropometric measures of height and weight were obtained. Results: Response rates ranged from 65–85%. More than 20% of the 228 participants aged 19–84 years reported having a chronic disease. Age‐adjusted prevalence was 28, 9, 9 and 6 per 100 for hypertension, heart disease, diabetes and cancer, respectively. Compared with non‐cases, participants reporting hypertension were more likely to have a higher body mass index and a lower level of education. Hypertension was more common amongst participants reporting heart disease and diabetes than Inuvialuit not reporting these morbidities. Conclusions: Inuvialuit participants in this study were most affected by hypertension and diabetes compared with heart disease or any cancer. Female participants had a higher prevalence of heart disease compared with the Canadian average. Primary preventive strategies are necessary to mitigate the increasing rates of chronic disease risk factors in this population. Further studies with a larger sample size and measured chronic disease are necessary to confirm the findings obtained in the present study.

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Canadian Indian mortality during the 1980s

Cited by 13 publications

References 28 publications

The development and experience of epidemiological transition theory over four decades: a systematic review

The development and experience of epidemiological transition theory over four decades: a systematic review

Comprendre et agir sur le suicide chez les Premières Nations

Prevalence and risk factors for self‐reported chronic disease amongst Inuvialuit populations

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