The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening
Introduction A 2002 report described the gap in health status between First Nations (FN) and all other Manitobans (AOM). That report was widely quoted in the context of other initiatives recognizing the inequities in Canadian society. Objectives and Approach We analyzed linked administrative data he...
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Swansea University
2020
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ftdoajarticles:oai:doaj.org/article:cc6a6f41384546978f8a201457edb630 2023-05-15T16:14:56+02:00 The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening Alan Katz Kathi Avery Kinew Leona Star Carole Taylor Ina Koseva 2020-12-01T00:00:00Z https://doi.org/10.23889/ijpds.v5i5.1474 https://doaj.org/article/cc6a6f41384546978f8a201457edb630 EN eng Swansea University https://ijpds.org/article/view/1474 https://doaj.org/toc/2399-4908 doi:10.23889/ijpds.v5i5.1474 2399-4908 https://doaj.org/article/cc6a6f41384546978f8a201457edb630 International Journal of Population Data Science, Vol 5, Iss 5 (2020) Demography. Population. Vital events HB848-3697 article 2020 ftdoajarticles https://doi.org/10.23889/ijpds.v5i5.1474 2022-12-31T14:33:21Z Introduction A 2002 report described the gap in health status between First Nations (FN) and all other Manitobans (AOM). That report was widely quoted in the context of other initiatives recognizing the inequities in Canadian society. Objectives and Approach We analyzed linked administrative data held in the Manitoba Population Research Data Repository to determine the health status and health care use of First Nations people. To provide context to the findings we compared First Nations to all other Manitobans, disaggregated by on-reserve off-reserve status, and presented our findings by Region and Tribal Council area. The 35 indicators were chosen to address First Nations priorities and provide comparisons with the previous study. Results were age and sex adjusted. Results The gap between FN and AOM has grown. Premature mortality rates are 3x higher for FN compared to AOM. Rates of death by suicides and suicide attempts are 5x higher for FN compared to AOM. Rates of opioid prescribing are 2.5x higher for single prescription, and 4.5x higher for multiple prescriptions for FN compared to AOM. Colorectal cancer screening rates are 2x higher among all other Manitobans compared to FN. Continuity of care is much lower in FN than in AOM. For FN, primary care is less likely to be provided close to home than for AOM Conclusion / Implications Despite initiatives like the Truth and Reconciliation Commission, and Indian Residential School survivors pursuing healing, the gap in health outcomes has increased. Underlying causes such as ongoing systemic racism and colonialism within health governance should be addressed. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Indian International Journal of Population Data Science 5 5 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Demography. Population. Vital events HB848-3697 |
spellingShingle |
Demography. Population. Vital events HB848-3697 Alan Katz Kathi Avery Kinew Leona Star Carole Taylor Ina Koseva The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening |
topic_facet |
Demography. Population. Vital events HB848-3697 |
description |
Introduction A 2002 report described the gap in health status between First Nations (FN) and all other Manitobans (AOM). That report was widely quoted in the context of other initiatives recognizing the inequities in Canadian society. Objectives and Approach We analyzed linked administrative data held in the Manitoba Population Research Data Repository to determine the health status and health care use of First Nations people. To provide context to the findings we compared First Nations to all other Manitobans, disaggregated by on-reserve off-reserve status, and presented our findings by Region and Tribal Council area. The 35 indicators were chosen to address First Nations priorities and provide comparisons with the previous study. Results were age and sex adjusted. Results The gap between FN and AOM has grown. Premature mortality rates are 3x higher for FN compared to AOM. Rates of death by suicides and suicide attempts are 5x higher for FN compared to AOM. Rates of opioid prescribing are 2.5x higher for single prescription, and 4.5x higher for multiple prescriptions for FN compared to AOM. Colorectal cancer screening rates are 2x higher among all other Manitobans compared to FN. Continuity of care is much lower in FN than in AOM. For FN, primary care is less likely to be provided close to home than for AOM Conclusion / Implications Despite initiatives like the Truth and Reconciliation Commission, and Indian Residential School survivors pursuing healing, the gap in health outcomes has increased. Underlying causes such as ongoing systemic racism and colonialism within health governance should be addressed. |
format |
Article in Journal/Newspaper |
author |
Alan Katz Kathi Avery Kinew Leona Star Carole Taylor Ina Koseva |
author_facet |
Alan Katz Kathi Avery Kinew Leona Star Carole Taylor Ina Koseva |
author_sort |
Alan Katz |
title |
The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening |
title_short |
The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening |
title_full |
The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening |
title_fullStr |
The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening |
title_full_unstemmed |
The Gap in Health Status Between Manitoba First Nations and All Other Manitobans Is Widening |
title_sort |
gap in health status between manitoba first nations and all other manitobans is widening |
publisher |
Swansea University |
publishDate |
2020 |
url |
https://doi.org/10.23889/ijpds.v5i5.1474 https://doaj.org/article/cc6a6f41384546978f8a201457edb630 |
geographic |
Indian |
geographic_facet |
Indian |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Population Data Science, Vol 5, Iss 5 (2020) |
op_relation |
https://ijpds.org/article/view/1474 https://doaj.org/toc/2399-4908 doi:10.23889/ijpds.v5i5.1474 2399-4908 https://doaj.org/article/cc6a6f41384546978f8a201457edb630 |
op_doi |
https://doi.org/10.23889/ijpds.v5i5.1474 |
container_title |
International Journal of Population Data Science |
container_volume |
5 |
container_issue |
5 |
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1766000667219984384 |