Reduced Association Between Aboriginal Cultural Status and Health Outcomes and Behaviours After Mult...
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Reduced Association Between Aboriginal Cultural Status and Health Outcomes and Behaviours After Multivariate Adjustment. Dr. Mark Lemstra Senior Epidemiologist Saskatoon Health Region. CCHS - Adult Health Survey. Data set

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Dr. Mark Lemstra Senior Epidemiologist Saskatoon Health Region

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Dr mark lemstra senior epidemiologist saskatoon health region

Reduced Association Between Aboriginal Cultural Status and Health Outcomes and Behaviours After Multivariate Adjustment

Dr. Mark Lemstra

Senior Epidemiologist

Saskatoon Health Region


Dr mark lemstra senior epidemiologist saskatoon health region

CCHS - Adult Health Survey

  • Data set

    • Canadian Community Health Survey conducted by Statistics Canada (cycles 2001/03/05) and identical Saskatoon health survey (2007)

  • Sample size

    • N = 5,948

  • Age

    • 12 and above

  • Results

    • Aboriginal Cultural status has a more limited association with health outcomes or behaviours after multivariate adjustment

    • Income status has a strong association with health outcomes and behaviours


Dr mark lemstra senior epidemiologist saskatoon health region

Table 1: Crude and Adjusted Associations with Self-Rated Health

Reference Categories: Age: 12-44 Yrs; Family Income: > 75,000; Smoking: Occasional/Former/Never; Physical Activity: Active/Moderate; BMI: Normal/Under weight; Heart Disease: No Heart Disease; Self Rate Health: Good/Fair/Poor


Dr mark lemstra senior epidemiologist saskatoon health region

Table 2: Crude and Adjusted Associations with Suicide Ideation

Reference Categories- Age: 12 – 44 Yrs; Family Income: > 75,000; Neighbourhood Income Type: Rural; Smoking: Occasional/Former/Never Smoker; Life Stress: Not at all; Consulted a Doctor: Zero Visits; Suicide: Yes


Dr mark lemstra senior epidemiologist saskatoon health region

Table 3: Crude and Adjusted Associations with Diabetes

Reference Categories: Age: 12-44 Yrs; Neighbourhood Income Type: Rural; Blood Pressure: No; BMI: Normal/Under Wt; Income: > 75,000;

Diabetes: Yes


Dr mark lemstra senior epidemiologist saskatoon health region

Table 4: Crude and Adjusted Associations with Heart Disease

Reference Categories: Age: 12-44 Yrs; Gender: Female; Income: > 75,000; Has High Blood Pressure: No; Heart Disease: Yes


Dr mark lemstra senior epidemiologist saskatoon health region

Table 5: Crude and Adjusted Estimates for Daily Smoking

Reference Categories - Age -> Than 65;Family Income -> 75,000; Neighbourhood Income Type- Rural; Education – University Graduate; Has not Considered Suicide; No Life Stress; Smoking-Daily smoker


Dr mark lemstra senior epidemiologist saskatoon health region

Saskatoon School Health Survey

  • Dataset

    • Questions from National Longitudinal Survey of Children and Youth (NLSCY) were used to review health outcomes and behaviours

  • Data collection

    • 2007 February

  • Sample Size

    • N = 4,093 participants

  • Age

    • 10-15 years

  • Results

    • Aboriginal cultural status a more has limited association with health outcomes or behaviours after multivariate adjustment


Dr mark lemstra senior epidemiologist saskatoon health region

Table 1: Crude and Adjusted Estimates for Depressed Mood among Youth

Reference Categories:Culture: Caucasian; Gender: Male;

Hunger: Never/Rarely; Parents’ Education: University Graduate;Self-Esteem: High; School-Outsider: Rarely/Never; Bullying: No;Alcohol: None; Anxiety: Low;

Suicide: No;


Table 2 stepwise regression model for depressed mood among youth

Table 2: Stepwise Regression Model for Depressed Mood among Youth

Independent Model 0 Model 1 Model 2 Model 3 Model 4

Variables Crude OR Adj OR Adj OR Adj OR Adj OR_____

Aboriginal 2.81 2.81 2.09 1.66 1.13_______

Female 1.84 1.81 1.98 2.17 1.67_______

Hungry 3.58 3.40 2.26 2.07

Parent

Low Education 1.96 1.67 1.41 1.50______

Low Self-Esteem 11.03 6.27 3.19

Felt like an Outsider 6.71 4.12 3.36

Bullied 4.06 2.86 1.88______

Alcohol Use 3.74 2.52

High Anxiety 53.32 22.17

Suicide Ideation 12.88 3.73


Dr mark lemstra senior epidemiologist saskatoon health region

Table 3: Crude and Adjusted Estimates of Having Been Drunk among Youth

Reference categories - Caucasian cultural status;Age 9-12; Rest of Saskatoon;High self-esteem;Never skipped school 1-5 times or more; Not been bullied; None of my friends tried marijuana; Being drunk -Have not been drunk


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