Study Design: Retrospective observational cohort study.
Objectives: Estimate spinal cord injury (SCI) prevalence in First Nations and non-First Nations populations and compare healthcare utilization as an indirect marker of health inequities.
Setting: Alberta, Canada.
Methods: We created a prevalent adult SCI cohort by identifying cases between April 1, 2002 and December 31, 2017 who were followed for common SCI complications and location of healthcare access from January 1, 2018 to December 31, 2019 using administrative data sources housed within Alberta Health Services (AHS). First Nations and non-First Nations SCI cohorts were divided into SCI etiology: traumatic SCI (TSCI) and non-traumatic SCI (NTSCI). Statistical analyses compared prevalence, demographics, healthcare utilization, and SCI complication rates. A secondary analysis was performed using case matching for demographics, injury type, injury level, and comorbidities.
Results: TSCI prevalence: 248 and 117 per 100,000 in First Nations and non-First Nations cohorts, respectively. NTSCI prevalence: 74 and 50 per 100,000 in First Nations and non-First Nations cohorts, respectively. Visit rates were higher in the TSCI First Nations cohort for visits to General Practitioner (GP), Emergency Department (ED), inpatient visits, and inpatient days with higher complication rates due to pulmonary, genitourinary, skin, and 'other' causes after case matching. Visits rates were higher in the NTSCI First Nations cohort for GP and specialists without differences in complication types after case matching.
Conclusions: Significant differences exist between First Nations and non-First Nations cohorts living with SCI in Alberta, suggesting healthcare inequities against First Nations Peoples in this province.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484972 | PMC |
| http://dx.doi.org/10.1038/s41394-023-00603-4 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Intergenerational risk of preterm birth in First Nations Australians: a population-based cohort study from the Northern Territory, Australia.
BMC Pregnancy Childbirth
December 2024
Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Background: PTB increases the risk of health problems such as chronic renal disease and diabetes in later life and adverse impacts are inversely correlated with gestational age at birth. Rates of PTB in the Northern Territory (NT) of Australia are amongst the highest nationally and globally, with First Nations babies most affected. This study assessed the magnitude and potential drivers of intergenerational PTB recurrence in the NT.
View Article and Find Full Text PDFIntegrating evidence from lived experience of Aboriginal people and clinical practice guidelines to develop arthritis educational resources: a mixed-methods study.
Lancet Rheumatol
December 2024
Department of Physiotherapy, The University of Melbourne, Melbourne, VIC, Australia; School of Health Sciences and Social Work, Nathan Campus, Griffith University, Brisbane, QLD, Australia; Physiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Article Synopsis
- The study focuses on the substantial impact arthritis conditions have on First Nations Peoples, who suffer more than non-First Nations Peoples and require culturally relevant health information for better support.
- Utilizing a mixed-methods approach, the research included interviews with Aboriginal individuals about their needs for arthritis education and reviewed existing clinical practice guidelines for high-quality content.
- Findings from 30 Aboriginal participants led to recommendations for educational resources, emphasizing the effects of arthritis, access to care, and management strategies tailored to their cultural context.
The relationship between work-family conflict, stress and depression among Chinese correctional officers: a mediation and network analysis study.
BMC Public Health
November 2024
Department of Psychiatry, National Center for Mental Disorders, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Background: Numerous studies have found that depression is prevalent among correctional officers (COs), which may be related to the work-family conflict (WFC) faced by this cohort. Role conflict theory posits that WFC emerges from the incompatibility between the demands of work and family roles, which induces stress and, in turn, results in emotional problems. Thus, this study seeks to investigate the association between WFC and depression, along with examining the mediating role of stress.
View Article and Find Full Text PDFStudy protocol: Return to Country, an Australia-wide prospective observational study about returning First Nations renal patients home.
BMJ Open
November 2024
Menzies School of Health Research, Casuarina, Northern Territory, Australia
Article Synopsis
- The study addresses treatment disparities for kidney failure between First Nations people (Aboriginal and Torres Strait Islander) and non-First Nations individuals in Australia, aiming to improve home-based treatment options.
- It involves a multicenter approach to collect data from health services, staff, and patients to understand the factors affecting health outcomes and service utilization.
- The research, funded by the National Health and Medical Research Council of Australia, has received multiple ethics approvals to ensure it meets ethical standards.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!