Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010
Abstract Background Disparities in injury rates between Aboriginal and non-Aboriginal populations in British Columbia (BC) are well established. Information regarding the influence of residence on disparities is scarce. We sought to fill these gaps by examining hospitalization rates for all injuries...
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ftdoajarticles:oai:doaj.org/article:7277d2c4d6ef44aca748b3ecdd80c5e4 2023-05-15T16:17:02+02:00 Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 Mariana Brussoni M. Anne George Andrew Jin Christopher E. Lalonde Rod McCormick 2016-05-01T00:00:00Z https://doi.org/10.1186/s12889-016-3078-x https://doaj.org/article/7277d2c4d6ef44aca748b3ecdd80c5e4 EN eng BMC http://link.springer.com/article/10.1186/s12889-016-3078-x https://doaj.org/toc/1471-2458 doi:10.1186/s12889-016-3078-x 1471-2458 https://doaj.org/article/7277d2c4d6ef44aca748b3ecdd80c5e4 BMC Public Health, Vol 16, Iss 1, Pp 1-9 (2016) First Nations Indigenous population Indians Accidents Population surveillance Socioeconomic factors Public aspects of medicine RA1-1270 article 2016 ftdoajarticles https://doi.org/10.1186/s12889-016-3078-x 2022-12-31T07:09:39Z Abstract Background Disparities in injury rates between Aboriginal and non-Aboriginal populations in British Columbia (BC) are well established. Information regarding the influence of residence on disparities is scarce. We sought to fill these gaps by examining hospitalization rates for all injuries, unintentional injuries and intentional injuries across 24 years among i) Aboriginal and total populations; ii) populations living in metropolitan and non-metropolitan areas; and iii) Aboriginal populations living on- and off-reserve. Methods We used data spanning 1986 through 2010 from BC’s universal health care insurance plan, linked to vital statistics databases. Aboriginal people were identified by insurance premium group and birth and death record notations, and their residence was determined by postal code. “On-reserve” residence was established by postal code areas associated with an Indian reserve or settlement. Health Service Delivery Areas (HSDAs) were classified as “metropolitan” if they contained a population of at least 100,000 with a density of 400 or more people per square kilometre. We calculated the crude hospitalization incidence rate and the Standardized Relative Risk (SRR) of hospitalization due to injury standardizing by gender, 5-year age group, and HSDA. We assessed cumulative change in SRR over time as the relative change between the first and last years of the observation period. Results Aboriginal metropolitan populations living off-reserve had the lowest SRR of injury (2.0), but this was 2.3 times greater than the general British Columbia metropolitan population (0.86). For intentional injuries, Aboriginal populations living on-reserve in non-metropolitan areas were at 5.9 times greater risk than the total BC population. In general, the largest injury disparities were evident for Aboriginal non-metropolitan populations living on-reserve (SRR 3.0); 2.5 times greater than the general BC non-metropolitan population (1.2). Time trends indicated decreasing disparities, with Aboriginal ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada Indian British Columbia ENVELOPE(-125.003,-125.003,54.000,54.000) BMC Public Health 16 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
First Nations Indigenous population Indians Accidents Population surveillance Socioeconomic factors Public aspects of medicine RA1-1270 |
spellingShingle |
First Nations Indigenous population Indians Accidents Population surveillance Socioeconomic factors Public aspects of medicine RA1-1270 Mariana Brussoni M. Anne George Andrew Jin Christopher E. Lalonde Rod McCormick Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 |
topic_facet |
First Nations Indigenous population Indians Accidents Population surveillance Socioeconomic factors Public aspects of medicine RA1-1270 |
description |
Abstract Background Disparities in injury rates between Aboriginal and non-Aboriginal populations in British Columbia (BC) are well established. Information regarding the influence of residence on disparities is scarce. We sought to fill these gaps by examining hospitalization rates for all injuries, unintentional injuries and intentional injuries across 24 years among i) Aboriginal and total populations; ii) populations living in metropolitan and non-metropolitan areas; and iii) Aboriginal populations living on- and off-reserve. Methods We used data spanning 1986 through 2010 from BC’s universal health care insurance plan, linked to vital statistics databases. Aboriginal people were identified by insurance premium group and birth and death record notations, and their residence was determined by postal code. “On-reserve” residence was established by postal code areas associated with an Indian reserve or settlement. Health Service Delivery Areas (HSDAs) were classified as “metropolitan” if they contained a population of at least 100,000 with a density of 400 or more people per square kilometre. We calculated the crude hospitalization incidence rate and the Standardized Relative Risk (SRR) of hospitalization due to injury standardizing by gender, 5-year age group, and HSDA. We assessed cumulative change in SRR over time as the relative change between the first and last years of the observation period. Results Aboriginal metropolitan populations living off-reserve had the lowest SRR of injury (2.0), but this was 2.3 times greater than the general British Columbia metropolitan population (0.86). For intentional injuries, Aboriginal populations living on-reserve in non-metropolitan areas were at 5.9 times greater risk than the total BC population. In general, the largest injury disparities were evident for Aboriginal non-metropolitan populations living on-reserve (SRR 3.0); 2.5 times greater than the general BC non-metropolitan population (1.2). Time trends indicated decreasing disparities, with Aboriginal ... |
format |
Article in Journal/Newspaper |
author |
Mariana Brussoni M. Anne George Andrew Jin Christopher E. Lalonde Rod McCormick |
author_facet |
Mariana Brussoni M. Anne George Andrew Jin Christopher E. Lalonde Rod McCormick |
author_sort |
Mariana Brussoni |
title |
Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 |
title_short |
Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 |
title_full |
Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 |
title_fullStr |
Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 |
title_full_unstemmed |
Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010 |
title_sort |
injuries to aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in british columbia, canada: incidence and trends, 1986-2010 |
publisher |
BMC |
publishDate |
2016 |
url |
https://doi.org/10.1186/s12889-016-3078-x https://doaj.org/article/7277d2c4d6ef44aca748b3ecdd80c5e4 |
long_lat |
ENVELOPE(-125.003,-125.003,54.000,54.000) |
geographic |
Canada Indian British Columbia |
geographic_facet |
Canada Indian British Columbia |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Public Health, Vol 16, Iss 1, Pp 1-9 (2016) |
op_relation |
http://link.springer.com/article/10.1186/s12889-016-3078-x https://doaj.org/toc/1471-2458 doi:10.1186/s12889-016-3078-x 1471-2458 https://doaj.org/article/7277d2c4d6ef44aca748b3ecdd80c5e4 |
op_doi |
https://doi.org/10.1186/s12889-016-3078-x |
container_title |
BMC Public Health |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766002876635676672 |