What is the comparative health status and associated risk factors for the Métis? A population-based study in Manitoba, Canada

Martens, Patricia J.; Bartlett, Judith; Prior, Heather J.; Sanguins, Julianne; Burchill, Charles; Burland, Elaine; Carter, Sheila

doi:10.1186/1471-2458-11-814

Cited by 45 publications

(63 citation statements)

References 18 publications

(35 reference statements)

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“…For example, within the Manitoba province of Canada, rates of LEA in one First Nation community is 6.2 per 1000, twice that of other First Nations provinces (3.1 per 1000) [26]. Yet, others report 24.1 per 1000 in population linked data studies comparing the Metis people to all other residents in Manitoba [52]. Some of these disparities can probably be attributed to methodological differences between studies [49].…”

Section: Lower Extremity Amputations In Indigenous People With Diabetesmentioning

confidence: 99%

Diabetic foot disease in Indigenous people

Schoen

Norman²

2014

Diabetes Management

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This article will examine what is known about the epidemiology of diabetic foot disease in Indigenous people and what strategies have been used to manage the problem. The prevalence of diabetes is several-fold higher in Indigenous people compared with non-Indigenous people. The prevalence of diabetic peripheral neuropathy varies but in general it appears to be more common and start at a younger age in Indigenous compared with non-Indigenous people. Peripheral artery disease is also more prevalent and the incidence of lower extremity amputation is higher. Various strategies have been shown to be effective in the delivery healthcare for diabetic foot disease in Indigenous people. There are, however, social and political barriers to the implementation and success of these interventions.

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Section: Lower Extremity Amputations In Indigenous People With Diabetesmentioning

confidence: 99%

Diabetic foot disease in Indigenous people

Schoen

Norman²

2014

Diabetes Management

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“…Many authors point out that the level of the health status and mortality is different for different regions of Poland. It also varies among different social and ethnic groups, professions, sex and age [62][63][64][65][66][67][68][69][70][71][72][73]. The age obviously influences the mortality rate.…”

Section: Determinants Of Premature Mortality In a City Population O Rmentioning

confidence: 99%

Determinants of premature mortality in a city population: An eight-year observational study concerning subjects aged 18–64

Maniecka-Bryła¹,

Dziankowska-Zaborszczyk²,

Bryła³

et al. 2013

International Journal of Occupational Medicine and Environmental Health

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Background: Premature deaths constitute 31.1% of all deaths in Łódź. Analysis of the causes of premature deaths may be helpful in the evaluation of health risk factors. Moreover, findings of this study may enhance prophylactic measures. Material and Methods: In 2001, 1857 randomly selected citizens, aged 18-64, were included in the Countrywide Integrated Noncommunicable Diseases Intervention (CINDI) Programme. In 2009, a follow-up study was conducted and information on the subjects of the study was collected concerning their health status and if they continued to live in Łódź. The Cox proportional hazards model was used for evaluation of hazard coefficients. We adjusted our calculations for age and sex. The analysis revealed statistically significant associations between the number of premature deaths of the citizens of Łódź and the following variables: a negative self-evaluation of health -HR = 3.096 (95% CI: 1.729-5.543), poor financial situation -HR = 2.811 (95% CI: 1.183-6.672), occurring in the year preceding the study: coronary pain -HR = 2.754 (95% CI: 1.167-6.494), depression -HR = 2.001 (95% CI: 1.222-3.277) and insomnia -HR = 1.660 (95% CI: 1.029-2.678). Our research study also found a negative influence of smoking on the health status -HR = 2.782 (95% CI: 1.581-4.891). Moreover, we conducted survival analyses according to sex and age with Kaplan-Meier curves. Conclusions: The risk factors leading to premature deaths were found to be highly significant but possible to reduce by modifying lifestyle-related health behaviours. The confirmed determinants of premature mortality indicate a need to spread and intensify prophylactic activities in Poland, which is a post-communist country, in particular, in the field of cardiovascular diseases. Attempts to find reasons of deaths in the first decade of the 21st century may lead to a detailed and long-term research which would focus on determining a wide spectrum of factors contributing to the mortality of Łódź citizens. This in turn, may lead to implementation of a multidimensional prophylaxis which would contribute to improving the state of health of the inhabitants of Łódź as well as other cities and industrial populations, where the population of Łódź may act as a representative. THE AIM OF THE STUDYThe study aimed at listing factors which determine premature mortality of the citizens of Łódź, basing on the results of empirical data the sources of which are multidirectional epidemiological studies. Researchers attempt to identify factors influencing the phenomenon of premature deaths.

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“…Buffalo Lake Métis Settlement, located 180 km from the nearest major city, shares a history of colonisation and marginalisation with other Aboriginal communities in Canada, experiencing disproportionate rates of social, health and economic burdens compared to the non-Aboriginal population in Canada (Martens et al 2011). …”

Section: Background To the Researchmentioning

confidence: 99%

“…Despite this, the Métis are overlooked within Aboriginal health research and addressed primarily within pan-Aboriginal studies (Driben 1985;Findlay 2011;Lamouche 2002;Martens et al 2011;Tjepkema et al 2011;Younge 2003). As of 2006, the Aboriginal population in Canada was 1 172 790, representing 3.7 per cent of the total population; of that total, the Métis number 389 785, and are the fastest growing Aboriginal group in Canada (Gionet 2009).…”

Section: Background To the Researchmentioning

confidence: 99%

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Needs and readiness assessments: Tools for promoting community-university engagement with Aboriginal communities

et al. 2013

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Community-based participatory research (CBPR) is an important means of connecting the perspectives of community members with critical social issues, such as health and wellness. As beneficial as CBPR can be, effective engagement with community members remains a difficult goal to achieve. In this article, we draw on the international literature around needs and readiness assessments to explore their potential for establishing solid foundations for engaged research. We examine the stages and dimensions identified in the literature, and use these as a framework for a needs and readiness assessment project undertaken with a Métis Settlement community in Alberta, Canada. We share how the needs and readiness assessments helped to foster the emergence of community priorities, informing the next steps in research design, program content and evaluation methods, and heightening community-university engagement. It is our hope that our example of engagement, which focuses on the role of needs and readiness assessments in strengthening community-university partnerships, will better inform engagement approaches so that they become relevant, culturally appropriate and community specific. Keywords: Métis, Aboriginal, community-based participatory research, needs assessment, readiness assessment, community-university partnership

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What is the comparative health status and associated risk factors for the Métis? A population-based study in Manitoba, Canada

Cited by 45 publications

References 18 publications

Diabetic foot disease in Indigenous people

Diabetic foot disease in Indigenous people

Determinants of premature mortality in a city population: An eight-year observational study concerning subjects aged 18–64

Needs and readiness assessments: Tools for promoting community-university engagement with Aboriginal communities

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