Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender
BACKGROUND: To examine inequalities in health status of Registered First Nations Manitobans compared to all other Manitobans. METHODS: Three mortality indicators - premature mortality rate (PMR) defined as an age-and sex-adjusted rate of death before age 75 years; life expectancy from birth; and pot...
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976163/ http://www.ncbi.nlm.nih.gov/pubmed/15686151 https://doi.org/10.1007/BF03405314 |
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ftpubmed:oai:pubmedcentral.nih.gov:6976163 2023-05-15T16:15:10+02:00 Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender Martens, Patricia J. Sanderson, Doreen Jebamani, Laurel S. 2005-01-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976163/ http://www.ncbi.nlm.nih.gov/pubmed/15686151 https://doi.org/10.1007/BF03405314 en eng Springer International Publishing http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976163/ http://www.ncbi.nlm.nih.gov/pubmed/15686151 http://dx.doi.org/10.1007/BF03405314 © The Canadian Public Health Association 2005 Article Text 2005 ftpubmed https://doi.org/10.1007/BF03405314 2020-02-09T01:22:59Z BACKGROUND: To examine inequalities in health status of Registered First Nations Manitobans compared to all other Manitobans. METHODS: Three mortality indicators - premature mortality rate (PMR) defined as an age-and sex-adjusted rate of death before age 75 years; life expectancy from birth; and potential years of life lost (PYLL) - are compared between Registered First Nations (RFN) people and all other Manitobans (AOM) by geographical areas of Manitoba. Data were derived from the Population Health Research Data Repository, linked to the federal Status Verification System (SVS) files for the years 1995 through 1999. RESULTS: First Nations experienced double the PMR compared to all other Manitobans (6.6 versus 3.3 deaths per thousand, p<0.05), an eight-year gap in life expectancy (males: 68.4 versus 76.1 years; females 73.2 versus 81.4 years), and over twice the PYLL (males 158.3 versus 62.5 years of life lost per thousand; females 103.3 versus 36.5). RFN male life expectancy was geographically-related (better health status in the north), and inversely related to the corresponding regional AOM life expectancy (r = -0.61, 9 df, one-tailed, p<0.03). As regional percentage of RFN decreased, male life expectancy decreased (r = 0.77, 9 df, one-tailed, p<0.003). In contrast, RFN female indicators showed no such relationship. CONCLUSION: The inequality in health status between RFN and all other Manitobans is large, but also shows differential geographical and gender effects. Text First Nations PubMed Central (PMC) Canadian Journal of Public Health 96 S1 S33 S38 |
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Article Martens, Patricia J. Sanderson, Doreen Jebamani, Laurel S. Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender |
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description |
BACKGROUND: To examine inequalities in health status of Registered First Nations Manitobans compared to all other Manitobans. METHODS: Three mortality indicators - premature mortality rate (PMR) defined as an age-and sex-adjusted rate of death before age 75 years; life expectancy from birth; and potential years of life lost (PYLL) - are compared between Registered First Nations (RFN) people and all other Manitobans (AOM) by geographical areas of Manitoba. Data were derived from the Population Health Research Data Repository, linked to the federal Status Verification System (SVS) files for the years 1995 through 1999. RESULTS: First Nations experienced double the PMR compared to all other Manitobans (6.6 versus 3.3 deaths per thousand, p<0.05), an eight-year gap in life expectancy (males: 68.4 versus 76.1 years; females 73.2 versus 81.4 years), and over twice the PYLL (males 158.3 versus 62.5 years of life lost per thousand; females 103.3 versus 36.5). RFN male life expectancy was geographically-related (better health status in the north), and inversely related to the corresponding regional AOM life expectancy (r = -0.61, 9 df, one-tailed, p<0.03). As regional percentage of RFN decreased, male life expectancy decreased (r = 0.77, 9 df, one-tailed, p<0.003). In contrast, RFN female indicators showed no such relationship. CONCLUSION: The inequality in health status between RFN and all other Manitobans is large, but also shows differential geographical and gender effects. |
format |
Text |
author |
Martens, Patricia J. Sanderson, Doreen Jebamani, Laurel S. |
author_facet |
Martens, Patricia J. Sanderson, Doreen Jebamani, Laurel S. |
author_sort |
Martens, Patricia J. |
title |
Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender |
title_short |
Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender |
title_full |
Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender |
title_fullStr |
Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender |
title_full_unstemmed |
Mortality Comparisons of First Nations to All Other Manitobans: A Provincial Population-based Look at Health Inequalities by Region and Gender |
title_sort |
mortality comparisons of first nations to all other manitobans: a provincial population-based look at health inequalities by region and gender |
publisher |
Springer International Publishing |
publishDate |
2005 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976163/ http://www.ncbi.nlm.nih.gov/pubmed/15686151 https://doi.org/10.1007/BF03405314 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6976163/ http://www.ncbi.nlm.nih.gov/pubmed/15686151 http://dx.doi.org/10.1007/BF03405314 |
op_rights |
© The Canadian Public Health Association 2005 |
op_doi |
https://doi.org/10.1007/BF03405314 |
container_title |
Canadian Journal of Public Health |
container_volume |
96 |
container_issue |
S1 |
container_start_page |
S33 |
op_container_end_page |
S38 |
_version_ |
1766000880806526976 |