Primary care visits due to injuries among the Aboriginal off-reserve population of British Columbia, Canada, 1991–2010

International Journal for Equity in Health

Research

Mariana Brussoni¹  M. Anne George²  Christopher E. Lalonde³  Andrew Jin⁴  Rod McCormick⁵ 

[1] Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada;Child and Family Research Institute, Vancouver, British Columbia, Canada;School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada;Current address: BC Injury Research & Prevention Unit, Vancouver, British Columbia, Canada;Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada;Child and Family Research Institute, Vancouver, British Columbia, Canada;School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada;Current address: Child and Family Research Institute, Room F508, 4480 Oak Street, V6H 3V4, Vancouver, BC, Canada;Department of Psychology, Faculty of Social Sciences, University of Victoria, Victoria, British Columbia, Canada;Epidemiology consultant, Surrey, British Columbia, Canada;Faculty of Human, Social and Educational Development, Thompson Rivers University, Kamloops, British Columbia, Canada;

关键词: Wounds and injuries (MeSH);    Indians, North American (MeSH);    Indigenous population (MeSH);    “First Nations”;    British Columbia (MeSH);    Canada (MeSH);    Epidemiology (MeSH);    Population surveillance (MeSH);   

DOI  :  10.1186/s12939-015-0269-5

 received in 2015-03-10, accepted in 2015-11-10,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundAboriginal people in British Columbia (BC) have higher injury incidence than the general population. This report describes variability in visits to primary care due to injury, among injury categories, time periods, geographies, and demographic groups.MethodsWe used BC’s universal health care insurance plan as a population registry, linked to practitioner payment and vital statistics databases. We identified Aboriginal people by insurance premium group and birth and death record notations. Within that population we identified those residing off-reserve according to postal code. We calculated crude incidence and Standardized Relative Risk (SRR) of primary care visit due to injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC.ResultsDuring 1991 through 2010, the crude rate of primary care visit due to injury in BC was 3172 per 10,000 person-years. The Aboriginal off-reserve rate was 4291 per 10,000 and SRR was 1.41 (95 % confidence interval: 1.41 to 1.42). Northern and non-metropolitan HSDAs had higher SRRs, within both total BC and Aboriginal off-reserve populations. In every age and gender category, the HSDA-standardized SRR was higher among the Aboriginal off-reserve than among the total population. For all injuries combined, and for the categories of trauma, poisoning, and burn, between 1991 and 2010, crude rates and SRRs declined substantially, but proportionally more rapidly among the Aboriginal off-reserve population, so the gap between the Aboriginal off-reserve and total populations is narrowing, particularly among metropolitan residents.ConclusionsThese findings corroborate our previous reports regarding hospitalizations due to injury, suggesting that our observations reflect real disparities and changes in the underlying incidence of injury, and are not merely artefacts related to health care utilization.

【 授权许可】

CC BY   
© Jin et al. 2015