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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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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 Health Outcomes and Behaviours After Multivariate Adjustment

  • 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


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


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


Table 3: Crude and Adjusted Associations with Diabetes Ideation

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

Diabetes: Yes


Table 4: Crude and Adjusted Associations with Heart Disease Ideation

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


Table 5: Crude and Adjusted Estimates for Daily Smoking Ideation

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


Saskatoon School Health Survey Ideation

  • 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


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


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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