Unintentional injury hospitalizations and socio-economic status in areas with a high percentage of First Nations identity residents

Health Rep. 2014 Feb;25(2):3-12.

Abstract

Background: Few national studies of hospitalizations due to injuries among the First Nations population have been conducted.

Data and methods: Based on 2004/2005 to 2009/2010 data from the Discharge Abstract Database, this study examines associations between unintentional injury hospitalizations, socio-economic status and location relative to an urban core in Dissemination Areas (DAs) with a high percentage of First Nations identity residents versus a low percentage of Aboriginal identity residents.

Results: Unintentional injury hospitalization rates were higher in the less affluent and the most remote DAs. When DAs with the same socio-economic status and location were compared, the risk of hospitalizations was greater in high-percentage First Nations identity DAs relative to low-percentage Aboriginal identity DAs.

Interpretation: Socio-economic conditions and remote location accounted for some, but not all, of the differences in unintentional injury hospitalizations between high-percentage First Nations identity and low-percentage Aboriginal identity DAs. This suggests that characteristics not measured in this analysis--such as environmental, behavioural or other factors--play an additional role in DA-level unintentional injury hospitalization risk.

Keywords: Aboriginal; hospital records; wounds.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Canada / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Hospitalization / statistics & numerical data*
  • Humans
  • Indians, North American / statistics & numerical data*
  • Infant
  • Infant, Newborn
  • Inuit / statistics & numerical data*
  • Male
  • Middle Aged
  • Social Class*
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / ethnology*