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

Background Aboriginal 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. Methods We used BC’s universal health...

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Vydáno v:International journal for equity in health Ročník 14; číslo 1; s. 136
Hlavní autoři: Jin, Andrew, George, M. Anne, Brussoni, Mariana, Lalonde, Christopher E., McCormick, Rod
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 19.11.2015
BioMed Central Ltd
Springer Nature B.V
Témata:
Adolescent
Adult
Age groups
Aged
Aged, 80 and over
British Columbia - epidemiology
British Columbia - ethnology
Care and treatment
Censuses
Child
Child, Preschool
Confidence intervals
Delivery of Health Care - statistics & numerical data
Demographic aspects
Demography
Emergency medical care
Equality and Human Rights
Family physicians
Female
Gender
Health care
Health disparities
Health Policy
Health Promotion and Disease Prevention
Health services
Health Services Research
Humans
Incidence
Indians, North American - statistics & numerical data
Infant
Injuries
Insurance
Male
Medicine
Medicine & Public Health
Middle Aged
National health insurance
Native North Americans
Nurse practitioners
Personal health
Population
Population (statistical)
Population Surveillance - methods
Primary care
Primary Health Care - statistics & numerical data
Primary Health Care - utilization
Primary nursing
Public Health
Social Justice
Social Policy
Vital statistics
Wages & salaries
Wounds and injuries
Wounds and Injuries - complications
Wounds and Injuries - etiology
British Columbia
Canada
British Columbia Canada
Indians, North American (MeSH)
First Nations
Epidemiology (MeSH)
Wounds and injuries (MeSH)
British Columbia (MeSH)
Canada (MeSH)
Population surveillance (MeSH)
Indigenous population (MeSH)
ISSN:1475-9276, 1475-9276
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Shrnutí:Background Aboriginal 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. Methods We 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. Results During 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. Conclusions These 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.
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ISSN:1475-9276
1475-9276
DOI:10.1186/s12939-015-0269-5