BackgroundCanada, the United States, Australia, and New Zealand consistently place near the top of the United Nations Development Programme's Human Development Index (HDI) rankings, yet all have minority Indigenous populations with much poorer health and social conditions than non-Indigenous peoples. It is unclear just how the socioeconomic and health status of Indigenous peoples in these countries has changed in recent decades, and it remains generally unknown whether the overall conditions of Indigenous peoples are improving and whether the gaps between Indigenous peoples and other citizens have indeed narrowed. There is unsettling evidence that they may not have. It was the purpose of this study to determine how these gaps have narrowed or widened during the decade 1990 to 2000.MethodsCensus data and life expectancy estimates from government sources were used to adapt the Human Development Index (HDI) to examine how the broad social, economic, and health status of Indigenous populations in these countries have changed since 1990. Three indices – life expectancy, educational attainment, and income – were combined into a single HDI measure.ResultsBetween 1990 and 2000, the HDI scores of Indigenous peoples in North America and New Zealand improved at a faster rate than the general populations, closing the gap in human development. In Australia, the HDI scores of Indigenous peoples decreased while the general populations improved, widening the gap in human development. While these countries are considered to have high human development according to the UNDP, the Indigenous populations that reside within them have only medium levels of human development.ConclusionThe inconsistent progress in the health and well-being of Indigenous populations over time, and relative to non-Indigenous populations, points to the need for further efforts to improve the social, economic, and physical health of Indigenous peoples.

Background. As the population ages, a greater demand for long-term care services and, in particular, nursing homes is expected. Policy analysts continue to search for alternative, less costly forms of care for the elderly and have attempted to develop programs to delay or prevent nursing-home entry. Health care administrators require information for planning the future demand for nursing-home services. This study assesses the relative importance of predisposing, enabling, and need characteristics in predicting and understanding nursing-home entry.

BackgroundAustralia, Canada, and New Zealand are all developed nations that are home to Indigenous populations which have historically faced poorer outcomes than their non-Indigenous counterparts on a range of health, social, and economic measures. The past several decades have seen major efforts made to close gaps in health and social determinants of health for Indigenous persons. We ask whether relative progress toward these goals has been achieved.MethodsWe used census data for each country to compare outcomes for the cohort aged 25–29 years at each census year 1981–2006 in the domains of education, employment, and income.ResultsThe percentage-point gaps between Indigenous and non-Indigenous persons holding a bachelor degree or higher qualification ranged from 6.6% (New Zealand) to 10.9% (Canada) in 1981, and grew wider over the period to range from 19.5% (New Zealand) to 25.2% (Australia) in 2006. The unemployment rate gap ranged from 5.4% (Canada) to 16.9% (Australia) in 1981, and fluctuated over the period to range from 6.6% (Canada) to 11.0% (Australia) in 2006. Median Indigenous income as a proportion of non-Indigenous median income (whereby parity = 100%) ranged from 77.2% (New Zealand) to 45.2% (Australia) in 1981, and improved slightly over the period to range from 80.9% (Canada) to 54.4% (Australia) in 2006.ConclusionsAustralia, Canada, and New Zealand represent nations with some of the highest levels of human development in the world. Relative to their non-Indigenous populations, their Indigenous populations were almost as disadvantaged in 2006 as they were in 1981 in the employment and income domains, and more disadvantaged in the education domain. New approaches for closing gaps in social determinants of health are required if progress on achieving equity is to improve.

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Using data from the 2006 Census, this study examines the socio-economic characteristics of First Nations and non-Aboriginal teenage mothers, and compares these to those of non-teenage mothers in a cohort of women aged 25 to 29 years old. Results indicated that First Nations women were more likely than non-Aboriginal women to be teenage mothers. In general, teenage mothers were less likely to have graduated high school, more likely to live in overcrowded housing, and in a home in need of major repair. Furthermore, teenage mothers had lower household incomes after adjusting for the composition the household. Characteristics also differed significantly between First Nations and non-Aboriginal women, as well as between Registered Indian women living on- and off-reserve.

Objective To compare mortality patterns for urban Aboriginal adults with those of urban non-Aboriginal adults. Methods Using the 1991–2001 Canadian census mortality follow-up study, our study tracked mortality to December 31, 2001, among a 15% sample of adults, including 16 300 Aboriginal and 2 062 700 non-Aboriginal persons residing in urban areas on June 4, 1991. The Aboriginal population was defined by ethnic origin (ancestry), Registered Indian status and/or membership in an Indian band or First Nation, since the 1991 census did not collect information on Aboriginal identity. Results Compared to urban non-Aboriginal men and women, remaining life expectancy at age 25 years was 4.7 years and 6.5 years shorter for urban Aboriginal men and women, respectively. Mortality rate ratios for urban Aboriginal men and women were particularly elevated for alcohol-related deaths, motor vehicle accidents and infectious diseases, including HIV/AIDS. For most causes of death, urban Aboriginal adults had higher mortality rates compared to other urban residents. Socio-economic status played an important role in explaining these disparities. Conclusion Results from this study help fill a data gap on mortality information of urban Aboriginal people of Canada.

This article reviews literature on the gradual construction of teenage pregnancy as a social issue in North America. It shows how teen motherhood emerged not as an issue unto itself, but as a microcosm of numerous, closely intertwined phenomena including: the evolution of Western views on human sexuality and gender roles; the place of religious values in society; and the emergence of various modern technologies, the social and medical sciences, and how such disciplines view childhood, motherhood, and women in society. In particular, it shows that even as teen pregnancy is today viewed primarily through public health and/or socioeconomic lenses, it has never been completely divorced from its original construction – as an indicator of failure to adhere to social, religious, and moral values. The article closes with an informal content analysis of several First Nations-related documents that highlight both similarities and differences to the non-Aboriginal perspective.

Toward the end of the 20 th century, the number of persons reporting Aboriginal ancestry in the Canadian Census increased in a rather dramatic manner. For example, in the 2001 Canadian Census, over 1.3 million Canadians reported an Aboriginal origin, which is an increase of about 20 percent over the previous census in 1996. Given that much confusion and inadequate information characterises public discussions of the demographics of Canada's Aboriginal population, this paper will review the most fundamental data sources and definitions that have been used in documenting the characteristics of this population, as well as outline some of the most important obstacles to be faced in enacting meaningful quantitative research in this context.