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Aging and Health: An Examination of Differences between Older Aboriginal and non-Aboriginal People*

Published online by Cambridge University Press:  24 August 2010

Kathi Wilson*
Affiliation:
University of Toronto Mississauga
Mark W. Rosenberg
Affiliation:
Queen’s University
Sylvia Abonyi
Affiliation:
University of Saskatchewan
Robert Lovelace
Affiliation:
Fleming College
*
Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Kathi Wilson, Ph.D., Department of Geography, University of Toronto Mississauga, 3359 Mississauga Rd. N., Mississauga, ON L5L 1C6 ([email protected])

Abstract

The Aboriginal population in Canada, much younger than the general population, has experienced a trend towards aging over the past decade. Using data from the 2001 Aboriginal Peoples Survey (APS) and the 2000/2001 Canadian Community Health Survey (CCHS), this article examines differences in health status and the determinants of health and health care use between the 55-and-older Aboriginal population and non-Aboriginal population. The results show that the older Aboriginal population is unhealthier than the non-Aboriginal population across all age groups; differences in health status, however, appear to converge as age increases. Among those aged 55 to 64, 7 per cent of the Aboriginal population report three or more chronic conditions compared with 2 per cent of the non-Aboriginal population. Yet, among those aged 75 and older, 51 per cent of the Aboriginal population report three or more chronic conditions in comparison with 23 per cent of the non-Aboriginal population.

Résumé

La population autochtone au Canada, beaucoup plus jeune que la population générale, a connu une tendance au vieillissement depuis les dix dernières années. Utilisant les données de l’Enquete auprès des peuples autochtones de 2001 (EAPA) et l’Enquête sur la santé dans les collectivités canadiennes (ESCC) de 2000/2001, cet article examine les différences dans l’état de santé et les déterminants de la santé et l’utilisation de soins de santé entre la population autochtone de 55 ans et plus et la population non-autochtone. Les résultats montrent que la population plus âgée autochtone est plus malsaine que la population non-autochtone parmi tous les groupes d’âge; cependant, les différences dans l’état de santé entre les groupes d’âge semblent converger avec l’augmentation de l’âge. Parmi personnes âgées de 55 à 64 ans, 7 pour cent de la population autochtone rapport trois ou plusieurs conditions chroniques par rapport à 2 pour cent de la population non-autochtone. Pourtant, parmi personnes âgées de 75 et plus, 51 pour cent de la population autochtone rapport trois ou plusieurs conditions chroniques par rapport à 23 pour cent de la population non-autochtone.

Type
Special SEDAP Section: Canada’s Vulnerable Older Populations / Section spéciale SEDAP: Les Populations âgées vulnérables du Canada: Articles
Copyright
Copyright © Canadian Association on Gerontology 2010

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Footnotes

*

Funding for this research project was provided by the Institute of Aboriginal People’s’ Health – Canadian Institutes of Health Research (CIHR) and SEDAP-II (Social and Economic Dimensions of an Aging Population), a major collaborative research initiative funded by the Social Sciences and Humanities Research Council of Canada (SSHRC).

References

Aldrich, J.H., & Nelson, F.D. (1984). Linear probability, logit, and probit models. Beverly Hills, CA: Sage Publications.Google Scholar
Assembly of First Nations. (2009). First nations regional longitudinal health survey (RHS). Ottawa, ON, Canada: Assembly of First Nations. Retrieved September 30, 2009, from http://www.rhs-ers.ca/english/Google Scholar
Beland, Y. (2001). Canadian community health survey—Methodological overview. Health Reports, 13(3), 9–14.Google Scholar
Buchignani, N., & Armstrong-Esther, C. (1999). Informal care and older Native Canadians. Ageing and Society, 19(1), 3–32.Google Scholar
Cattarinich, X., Gibson, N., & Cave, A. J. (2001). Assessing mental capacity in Canadian Aboriginal seniors. Social Science and Medicine, 53(11), 1469–1479.Google Scholar
Chandola, T., & Jenkinson, C. (2000). Validating self-rated health in different ethnic groups. Ethnicity and Health, 5(2), 151–159.CrossRefGoogle ScholarPubMed
Cleary, P.D., & Jette, A.M. (1984). The validity of self-reported physician utilization measures. Medical Care, 22, 796–803.Google Scholar
Coleman, H., Grant, C., & Collins, J. (2001). Inhalant use by Canadian Aboriginal youth. Journal of Child and Adolescent Substance Abuse, 10(3), 1–20.Google Scholar
Collings, P. (2001). “If you got everything, it’s good enough”: Perspectives on successful aging in a Canadian Inuit community. Journal of Cross-Cultural Gerontology, 16(2), 127–155.Google Scholar
Crosato, K.E., Ward-Griffin, C., & Leipert, B. (2007). Aboriginal women caregivers of the elderly in geographically isolated communities. Rural and Remote Health 7: 796 online. http://www.rrh.org.au/publishedarticles/article_print_796.pdfGoogle Scholar
Edge, L., & McCallum, T. (2006). Métis identity: Sharing traditional knowledge and healing practices at Métis elders’ gatherings. Pimatisiwin: A Journal of Aboriginal and Indigenous Community Health, 4(2), 83–115.Google Scholar
Fuller-Thomson, E. (2005). Canadian first nations grandparents raising grandchildren: A portrait in resilience. International Journal of Aging and Human Development, 60(4), 331–342.CrossRefGoogle ScholarPubMed
Health Canada. (2003). A statistical profile on the health of the first nations in Canada. Ottawa, ON, Canada: Government of Canada.Google Scholar
Hernández-Quevedo, C., Jones, A.M., & Rice, N. (2008). Reporting bias and heterogeneity in self-assessed health. Evidence from the British Household Panel Survey. Cuardernos de ICE, No. 75: 11–20.Google Scholar
Hoffman-Goetz, L., & Friedman, D.B. (2007). A qualitative study of Canadian Aboriginal women’s beliefs about ‘credible’ cancer information on the Internet. Journal of Cancer Education, 22(2), 124–128.Google Scholar
Kaufert, J.M. (1999). Cultural mediation in cancer diagnosis and end of life decision-making: The experience of Aboriginal patients in Canada. Anthropology and Medicine, 6(3), 405–421.CrossRefGoogle Scholar
Kerkhofs, M., & Lindeboom, M. (1995) Subjective health measures and state dependent reporting errors. Health Economics 4(3), 221–35.Google Scholar
Kirmayer, L., Boothroyd, L.J., & Hodgins, S. (1998). Attempted suicide among Inuit youth: Psychosocial correlates and implications for prevention. Canadian Journal of Psychiatry, 43, 816–822.Google Scholar
Lindeboom, M., & van Doorslaer, E. (2004). Cut-point shifts and index shift in self-reported health. Journal of Health Economics, 23(6), 1083–1099.Google Scholar
Loppie, C. (2005). Grandmothers’ voices: Mi’kmaq women’s vision of mid-life change. Pimatisiwin: A Journal of Indigenous and Aboriginal Community Health, 3(2), 45–78.Google Scholar
MacNeil, M. (2008). An epidemiologic study of Aboriginal adolescent risk in Canada: The meaning of suicide. Journal of Child and Adolescent Psychiatric Nursing, 21(1), 3–12.Google Scholar
McLeod-Shabogesic, P. (1998). What is an elder? Anishinabek News, 10(11), 31.Google Scholar
Miilunpalo, S., Vuori, I., Oja, P., Pasanen, M., & Urponen, H. (1997). Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. Journal of Clinical Epidemiology, 50, 517–528.Google Scholar
Peters, E., and Robillard, V. (2009). “Everything you want is there”: The place of the reserve in First Nations’ homeless mobility. Urban Geography 6, 652–680.CrossRefGoogle Scholar
Reading, J. and Elias, B. (1999) An Examination of Residential Schools and Elder Health. Ottawa: First Nations and Inuit Regional Health Survey Steering Committee.Google Scholar
Remillard, S. (1991). Evolution and demographic characteristics of native groups in Canada, 1986-2011. Cahiers québéc de démographie, 20(1), 69–94.Google Scholar
Rohrer, J.E., Young, R., Sicola, V., & Houston, M. (2007). Overall self-rated health: A new quality indicator for primary care. Journal of Evaluation in Clinical Practice, 13(1), 150–153.Google Scholar
Romanow, R. (2002). Building on values: The future of health care in Canada. Ottawa, ON, Canada: Commission on the Future of Health Care in Canada.Google Scholar
Royal Commission on Aboriginal Peoples. (1996). Volume 1: Looking forward, looking back. Ottawa, ON, Canada: Canada Communication Group – Publishing.Google Scholar
Samson, C., & Pretty, J. (2006). Environmental and health benefits of hunting diets and lifestyles for the Innu of Labrador. Food Policy, 31(6), 528–553.CrossRefGoogle Scholar
Sibthorpe, B., Anderson, I., & Cunningham, J. (2001). Self-assessed health among indigenous Australians: How valid is a global question? American Journal of Public Health, 91(10), 1660–1663.CrossRefGoogle ScholarPubMed
Statistics Canada. (2003a) Aboriginal peoples of Canada: A demographic profile. Ottawa, ON, Canada: Statistics Canada. Retrieved from March 20, 2010, from http://www12.statcan.ca/english/census01/products/analytic/companion/abor/canada.cfm#2Google Scholar
Statistics Canada. (2003b). Aboriginal peoples survey 2001—Initial findings: Well-being of the non-reserve Aboriginal population. Ottawa, ON, Canada: Statistics Canada. Retrieved March 20, 2010. http://www.statcan.gc.ca/pub/89-592-x/pdf/4200082-eng.pdfGoogle Scholar
Statistics Canada. (2007). 2006 census: Age and sex. The Daily. Tuesday, July 17, 2007. Ottawa, ON, Canada: Author. Retrieved March 20, 2010, from http://www.statcan.gc.ca/daily-quotidien/070717/dq070717a-eng.htmGoogle Scholar
Statistics Canada. (2008). Aboriginal identity population by age groups, median age and sex, 2006 counts, for Canada, provinces and territories—20% sample data. Retrieved March 20, 2010, from http://www12.statcan.ca/english/census06/data/highlights/Aboriginal/pages/Page.cfm?Lang=E&Geo=PR&Code=01&Table=1&Data=Count&Sex=1&Age=10&StartRec=1&Sort=2&Display=PageGoogle Scholar
Statistics Canada. (2009a). 2006 census: Aboriginal peoples in Canada in 2006: Inuit, Métis and first nations, 2006 census. Ottawa, ON, Canada: Author. Retrieved March 20, 2010, from http://www12.statcan.ca/census-recensement/2006/as-sa/97-558/p2-eng.cfmGoogle Scholar
Statistics Canada. (2009b) 2006 census: Aboriginal peoples in Canada in 2006: Inuit, Métis and first nations, 2006 census. Ottawa, ON, Canada: Author. Retrieved March 20, 2010, from http://www12.statcan.ca/census-recensement/2006/as-sa/97-558/p4-eng.cfmGoogle Scholar
Stiegelbauer, S.M. (1996). What is an elder? What do elders do? First Nations elders as teachers in culture-based urban organizations. Canadian Journal of Native Studies, 16(1), 37–66.Google Scholar
Waldram, J.B. (1993). Aboriginal spirituality in corrections: A Canadian case study in religion and therapy. American Indian Quarterly, 18(2), 197–215.CrossRefGoogle Scholar
Waldram, J.B., Herring, D.A., & Young, K.T. (1995). Aboriginal health in Canada: Historical, cultural and epidemiological perspectives. Toronto, ON, Canada: University of Toronto Press.Google Scholar
Waldram, J.B., Herring, D.A., & Young, K.T. (2006). Aboriginal health in Canada: Historical, cultural and epidemiological perspectives 2nd Edition. Toronto, ON, Canada: University of Toronto Press.Google Scholar
Walker, R. C (2008) Aboriginal self-determination and social housing in urban Canada: A story of convergence and divergence. Urban Studies 45(1) 185–205.Google Scholar
Wilson, K., & Young, T.K. (2008). An overview of Aboriginal health research in social sciences: Current trends and future directions. International Journal of Circumpolar Health, 67(2–3), 179–189.CrossRefGoogle ScholarPubMed
Winter, L., Lawton, M., Langston, C., Ruckdeschel, K., & Sando, R. (2007). Symptoms, affects, and self-rated health: Evidence for a subjective trajectory of health. Journal of Aging and Health, 19(3), 453–469.CrossRefGoogle ScholarPubMed
Young, T.K. (2003). Review of research on Aboriginal populations in Canada: Relevance to their health needs. BMJ, 327, 419–422.CrossRefGoogle ScholarPubMed
Zhang, Y., Rohrer, J., Borders, T., & Farrell, T. (2007). Patient satisfaction, self-rated health status, and health confidence: An assessment of the utility of single-item questions. American Journal of Medical Quality, 22(1), 42–49.CrossRefGoogle ScholarPubMed