Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study.
INTRODUCTION: Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are at increased risk of asthma and chronic obstructive pulmonary disease (COPD). There is little known, however, about these diseases in the Canadian Métis p...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2014-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC3997509?pdf=render |
id |
doaj-29cfdb080e774222952c6f3ba197a49b |
---|---|
record_format |
Article |
spelling |
doaj-29cfdb080e774222952c6f3ba197a49b2020-11-25T02:15:31ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9589910.1371/journal.pone.0095899Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study.Andrea S GershonSaba KhanJulie Klein-GeltinkDrew WiltonTeresa ToEric J CrightonLisa PigeauJo MacquarrieYvon AllardStorm J RussellDavid A HenryINTRODUCTION: Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are at increased risk of asthma and chronic obstructive pulmonary disease (COPD). There is little known, however, about these diseases in the Canadian Métis population, who have mixed Aboriginal and European ancestry. A population-based study was conducted to quantify asthma and COPD prevalence and health services use in the Métis population of Ontario, Canada's largest province. METHODS: The Métis Nation of Ontario Citizenship Registry was linked to provincial health administrative databases to measure and compare burden of asthma and COPD between the Métis and non-Métis populations of Ontario between 2009 and 2012. Asthma and COPD prevalence, health services use (general physician and specialist visits, emergency department visits, hospitalizations), and mortality were measured. RESULTS: Prevalences of asthma and COPD were 30% and 70% higher, respectively, in the Métis compared to the general Ontario population (p<0.001). General physician and specialist visits were significantly lower in Métis with asthma, while general physician visits for COPD were significantly higher. Emergency department visits and hospitalizations were generally higher for Métis compared to non-Métis with either disease. All-cause mortality in Métis with COPD was 1.3 times higher compared to non-Métis with COPD (p = 0.01). CONCLUSION: There is a high burden of asthma and COPD in Ontario Métis, with significant prevalence and acute health services use related to these diseases. Lower rates of physician visits suggest barriers in access to primary care services.http://europepmc.org/articles/PMC3997509?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrea S Gershon Saba Khan Julie Klein-Geltink Drew Wilton Teresa To Eric J Crighton Lisa Pigeau Jo Macquarrie Yvon Allard Storm J Russell David A Henry |
spellingShingle |
Andrea S Gershon Saba Khan Julie Klein-Geltink Drew Wilton Teresa To Eric J Crighton Lisa Pigeau Jo Macquarrie Yvon Allard Storm J Russell David A Henry Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study. PLoS ONE |
author_facet |
Andrea S Gershon Saba Khan Julie Klein-Geltink Drew Wilton Teresa To Eric J Crighton Lisa Pigeau Jo Macquarrie Yvon Allard Storm J Russell David A Henry |
author_sort |
Andrea S Gershon |
title |
Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study. |
title_short |
Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study. |
title_full |
Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study. |
title_fullStr |
Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study. |
title_full_unstemmed |
Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario Métis: a population-based cohort study. |
title_sort |
asthma and chronic obstructive pulmonary disease (copd) prevalence and health services use in ontario métis: a population-based cohort study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2014-01-01 |
description |
INTRODUCTION: Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are at increased risk of asthma and chronic obstructive pulmonary disease (COPD). There is little known, however, about these diseases in the Canadian Métis population, who have mixed Aboriginal and European ancestry. A population-based study was conducted to quantify asthma and COPD prevalence and health services use in the Métis population of Ontario, Canada's largest province. METHODS: The Métis Nation of Ontario Citizenship Registry was linked to provincial health administrative databases to measure and compare burden of asthma and COPD between the Métis and non-Métis populations of Ontario between 2009 and 2012. Asthma and COPD prevalence, health services use (general physician and specialist visits, emergency department visits, hospitalizations), and mortality were measured. RESULTS: Prevalences of asthma and COPD were 30% and 70% higher, respectively, in the Métis compared to the general Ontario population (p<0.001). General physician and specialist visits were significantly lower in Métis with asthma, while general physician visits for COPD were significantly higher. Emergency department visits and hospitalizations were generally higher for Métis compared to non-Métis with either disease. All-cause mortality in Métis with COPD was 1.3 times higher compared to non-Métis with COPD (p = 0.01). CONCLUSION: There is a high burden of asthma and COPD in Ontario Métis, with significant prevalence and acute health services use related to these diseases. Lower rates of physician visits suggest barriers in access to primary care services. |
url |
http://europepmc.org/articles/PMC3997509?pdf=render |
work_keys_str_mv |
AT andreasgershon asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT sabakhan asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT juliekleingeltink asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT drewwilton asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT teresato asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT ericjcrighton asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT lisapigeau asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT jomacquarrie asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT yvonallard asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT stormjrussell asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy AT davidahenry asthmaandchronicobstructivepulmonarydiseasecopdprevalenceandhealthservicesuseinontariometisapopulationbasedcohortstudy |
_version_ |
1724895769557729280 |