scholarly journals Fall-related injuries among Canadian seniors, 2005–2013: an analysis of the Canadian Community Health Survey

2015 ◽  
Vol 35 (7) ◽  
pp. 99-108 ◽  
Author(s):  
M. T. Do ◽  
V. C. Chang ◽  
N. Kuran ◽  
W. Thompson
Keyword(s):  
Community Health ◽  
Health Survey ◽  
Age Groups ◽  
Body Part ◽  
Canadian Community Health Survey ◽  
Injury Rates ◽  
Younger Age ◽  
Community Health Survey ◽  
Nationally Representative ◽  
Type Of Injury

Introduction We describe the epidemiology and trends of fall-related injuries among Canadian seniors aged 65 years and older by sex and age, as well as the circumstances and consequences of their injuries. Methods We analyzed nationally representative data from the 2005, 2009/2010 and 2013 samples of the Canadian Community Health Survey to calculate the number and rates of fall-related injuries for each survey year. Where possible, we combined data from two or more samples to estimate the proportion of fall-related injuries by type of injury, part of body injured, type of activity and type of treatment. Results The rate of fall-related injuries among seniors increased from 49.4 to 58.8 per 1000 population between 2005 and 2013, during which the number of fall-related injuries increased by 54% overall. Women had consistently higher rates than men across all survey years, while rates increased with advancing age. The upward trend in fall-related injury rates was more prominent among women and younger age groups. The most common type of injury was broken or fractured bones (37%), and the shoulder or upper arm (16%) was the most commonly injured body part. Many fall-related injuries occurred while walking on a surface other than snow or ice (45%). Over 70% of seniors seeking treatment for their injuries visited a hospital emergency department. Conclusion Given the increase in both the number and rates of fall-related injuries over time, there is a need to continue monitoring trends and injury patterns associated with falls.

scholarly journals Fall-related injury among people with arthritis, a concern among different age groups!

2017 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Diana C. Sanchez-Ramirez ◽  
Allyson Jones ◽  
Don Voaklander
Keyword(s):  
Older Adults ◽  
Community Health ◽  
Age Groups ◽  
Canadian Community Health Survey ◽  
Aggregated Data ◽  
Broken Bones ◽  
Younger Age ◽  
Community Health Survey ◽  
Main Activity ◽  
Type Of Injury

Background and objectives: The association between arthritis and falls has been study mainly in older adults, and information about fall-related injuries and arthritis in younger population is scarce. In addition, there is a gap of knowledge about the activities and types of injury associated with falls among people with arthritis in different age groups. The aims of the study were: 1) to explore the association between arthritis and fall-related injury among different age groups, and 2) to compare the main activity associated with fall-related injury and the type of injury resulted from falls between age groups in people with arthritis.Methods: This study used aggregated data from the Canadian Community Health Survey for the years 2001, 2003, 2005, 2009/2010 and 2013/2014.Results: People with arthritis were significantly more likely to report fall-related injuries than people without arthritis across all age groups. Younger people (12-19 years) were over six times more likely to fall when practicing sports, whereas all adults were more likely to slip/trip/stumble while walking. As a result of the falls, older adults (65 and over) were more likely to have broken bones and other kind of injuries (i.e., bruises, cuts, etc.), while all younger age groups reported more strains/sprains.Conclusion: Fall-related injury is a concern across all age groups in people with arthritis, and not only among older adults. In addition, the activities performed when the fall occurred and the type of injuries resulted from the falls were different between age groups. These findings contribute to reduce the gap of knowledge about fall-related injuries among people with arthritis in different age groups.

scholarly journals Using partial least squares to identify a dietary pattern associated with obesity in a nationally-representative sample of Canadian adults: Results from the Canadian Community Health Survey—Nutrition 2015

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255415
Author(s):  
Alena (Praneet) Ng ◽  
Mahsa Jessri ◽  
Mary R. L’Abbe
Keyword(s):  
Community Health ◽  
Least Squares ◽  
Partial Least Squares ◽  
Health Survey ◽  
Dietary Pattern ◽  
Representative Sample ◽  
Canadian Community Health Survey ◽  
Community Health Survey ◽  
Dietary Components ◽  
Nationally Representative

Background Hybrid methods of dietary patterns analysis have emerged as a unique and informative way to study diet-disease relationships in nutritional epidemiology research. Objective To identify an obesogenic dietary pattern using weighted partial least squares (wPLS) in nationally representative Canadian survey data, and to identify key foods and/or beverages associated with the defined dietary pattern. Design Data from one 24-hr dietary recall data from the cross-sectional Canadian Community Health Survey-Nutrition (CCHS) 2015 (n = 12,049) were used. wPLS was used to identify an obesogenic dietary pattern from 40 standardized food and beverage categories using the variables energy density, fibre density, and total fat as outcomes. The association between the derived dietary pattern and likelihood of obesity was examined using weighted multivariate logistic regression. Key dietary components highly associated with the derived pattern were identified. Results Compared to quartile one (i.e. those least adherent to an obesogenic dietary pattern), those in quartile four had 2.40-fold increased odds of being obese (OR = 2.40, 95% CI = 1.91, 3.02, P-trend< 0.0001) with a monotonically increasing trend. Using a factor loading significance cut-off of ≥|0.17|, three food/beverage categories loaded positively for the derived obesogenic dietary pattern: fast food (+0.32), carbonated drinks (including energy drinks, sports drinks and vitamin water) (+0.30), and salty snacks (+0.19). Seven categories loaded negatively (i.e. in the protective direction): whole fruits (-0.40), orange vegetables (-0.32), “other” vegetables (-0.32), whole grains (-0.26), dark green vegetables (-0.22), legumes and soy (-0.18) and pasta and rice (-0.17). Conclusion This is the first study to apply weighted partial least squares to CCHS 2015 data to derive a dietary pattern associated with obesity. The results from this study pinpoint key dietary components that are associated with obesity and consumed among a nationally representative sample of Canadians adults.

scholarly journals Is Self-Reported Physical Activity Participation Associated with Lower Health Services Utilization among Older Adults? Cross-Sectional Evidence from the Canadian Community Health Survey

2015 ◽  
Vol 2015 ◽  
pp. 1-14 ◽  
Author(s):  
Koren L. Fisher ◽  
Elizabeth L. Harrison ◽  
Bruce A. Reeder ◽  
Nazmi Sari ◽  
Karen E. Chad
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Services ◽  
Community Health ◽  
Health Survey ◽  
Age Groups ◽  
Canadian Community Health Survey ◽  
Cross Sectional ◽  
Services Utilization ◽  
Community Health Survey

Purpose. To examine relationships between leisure time physical activity (LTPA) and health services utilization (H) in a nationally representative sample of community-dwelling older adults.Methods. Cross-sectional data from 56,652 Canadian Community Health Survey respondents aged ≥ 50 years (48% M; 52% F; mean age 63.5 ± 10.2 years) were stratified into three age groups and analysed using multivariate generalized linear modeling techniques. Participants were classified according to PA level based on self-reported daily energy expenditure. Nonleisure PA (NLPA) was categorized into four levels ranging from mostly sitting to mostly lifting objects.Results. Active 50–65-year-old individuals were 27% less likely to report any GP consultationsORadj=0.73; P<0.001and had 8% fewer GP consultations annually(IRRadj=0.92; P<0.01)than their inactive peers. Active persons aged 65–79 years were 18% less likely than inactive respondents to have been hospitalized overnight in the previous year(ORadj=0.82, P<0.05). Higher levels of NLPA were significantly associated with lower levels of HSU, across all age groups.Conclusion. Nonleisure PA appeared to be a stronger predictor of all types of HSU, particularly in the two oldest age groups. Considering strategies that focus on reducing time spent in sedentary activities may have a positive impact on reducing the demand for health services.

scholarly journals Plant-based dietary practices in Canada: examining definitions, prevalence and correlates of animal source food exclusions using nationally representative data from the 2015 Canadian Community Health Survey–Nutrition

2020 ◽  
pp. 1-10
Author(s):  
Mirjana Valdes ◽  
Annalijn Conklin ◽  
Gerry Veenstra ◽  
Jennifer L Black
Keyword(s):  
Community Health ◽  
Health Survey ◽  
Public Discourse ◽  
Canadian Community Health Survey ◽  
Red Meat ◽  
Dietary Practices ◽  
Animal Source ◽  
Community Health Survey ◽  
Nationally Representative ◽  
Animal Source Food

Abstract Objective: While plant-based dietary practices (PBDPs) have been recommended to improve both population health and environmental sustainability outcomes, no nationally representative Canadian studies have described the prevalence or correlates of excluding animal source foods. The current study therefore: (1) created operationalised definitions of PBDPs based on animal source food exclusions to estimate the prevalence of Canadians who adhere to PBDPs and (2) examined key correlates of PBDPs. Design: Population representative, cross-sectional data were from the 2015 Canadian Community Health Survey–Nutrition. Respondents’ PBDPs were categorised as: (1) vegan (excluded red meat, poultry, fish, eggs and dairy); (2) vegetarian (excluded red meat, poultry and fish); (3) pescatarian (excluded red meat and poultry) and (4) red meat excluder (excluded red meat). Descriptive statistics and multivariable regression analyses were used to examine the prevalence and correlates of these PBDP categories. Setting: All ten provinces in Canada. Participants: Canadians aged 2 years and above (n 20 477). Results: In 2015, approximately 5 % of Canadians reported adhering to any PBDP (all categories combined) with the majority (2·8 %) categorised as a red meat excluder, 1·3 % as vegetarian, 0·7 % as pescatarian and 0·3 % as vegan. South Asian cultural identity (OR 19·70 (95 % CI 9·53, 40·69)) and higher educational attainment (OR 1·97 (95 % CI 1·02, 3·80)) were significantly associated with reporting a vegetarian/vegan PBDP. Conclusions: Despite growing public discourse around PBDPs, only 5 % of Canadians reported PBDPs in 2015. Understanding the social and cultural factors that influence PBDPs is valuable for informing future strategies to promote environmentally sustainable dietary practices.

scholarly journals Consumption and Sources of Saturated Fatty Acids According to the 2019 Canada Food Guide: Data from the 2015 Canadian Community Health Survey

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 1964 ◽  
Author(s):  
Stéphanie Harrison ◽  
Didier Brassard ◽  
Simone Lemieux ◽  
Benoît Lamarche
Keyword(s):  
Fatty Acids ◽  
Community Health ◽  
Health Survey ◽  
Saturated Fatty Acids ◽  
Age Groups ◽  
Population Level ◽  
Canadian Community Health Survey ◽  
Food Sources ◽  
Dietary Intakes ◽  
Community Health Survey

The 2019 revised version of Canada’s Food Guide (CFG) recommends limiting the consumption of processed foods that are high in saturated fatty acids (SFA). Yet, the contributions of each CFG group to the total SFA intake of Canadians are not specifically known. The objectives of this study were to quantify the total SFA intake of Canadians, determine the sources of SFA consumed by Canadian adults, and identify potential differences in these sources. A nation representative sample from the Canadian Community Health Survey (CCHS – Nutrition 2015) was used for these analyses. Dietary intakes were measured using a single 24-h recall. Food sources of SFA were classified according to the revised 2019 CFG categories. We have also examined the contribution of foods not included in these three categories to total SFA intake. Among Canadian adults, total SFA contributed to 10.4 ± 0.1% (SE) of total energy intake (E). The “Protein foods” (47.7 ± 0.5% with 23.2 ± 0.4% from milk and alternatives and 24.5 ± 0.4% from meats and alternatives) and “All other foods” (44.2 ± 0.5%) categories were the main sources of total SFA intake. Few differences in SFA sources were identified between sexes, age groups, education levels, and body mass index (BMI) categories. These data show that the mean SFA consumption is greater than the 10% E cut-off previously proposed in Canada. Future studies should examine which food substitution is most likely to contribute to a greater reduction in SFA intake at the population level.

Socio-demographic and geographic analysis of overweight and obesity in Canadian adults using the Canadian Community Health Survey (2005)

2009 ◽  
Vol 30 (1) ◽  
pp. 3-14
Author(s):  
J. Slater ◽  
C. Green ◽  
G. Sevenhuysen ◽  
B. Edginton
Keyword(s):  
High Risk ◽  
Community Health ◽  
Health Survey ◽  
Age Groups ◽  
Risk Groups ◽  
Canadian Community Health Survey ◽  
Population Based ◽  
Overweight And Obesity ◽  
Obesity Prevalence ◽  
Community Health Survey

Abstract Using the 2005 Canadian Community Health Survey, this study examined how overweight and obesity in Canadian adults are distributed across socio-demographic and geographic groupings. Overweight and obesity prevalence were modeled against socio-demographic indicators using Poisson regression and were assessed geographically using choropleth maps. The Gini coefficient was used to assess the distribution of prevalence across risk groups. The potential impacts of high risk versus population-based prevention approaches on the population prevalence of obesity were also examined. Of adults aged 25 to 64 years, 17% were obese and 53% were overweight or obese, with the highest proportions observed in older age groups, among those who were physically inactive, white or non-immigrant, with low educational levels, and living in the prairie and east coast regions. Recalculation of obesity rates under the different prevention scenarios demonstrated that population-based approaches could achieve a four-fold greater decrease in obesity cases than high risk approaches, highlighting the need for broader population strategies for obesity prevention in Canada.

scholarly journals Consumption of Milk and Alternatives and Their Contribution to Nutrient Intakes among Canadian Adults: Evidence from the 2015 Canadian Community Health Survey—Nutrition

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1948 ◽  
Author(s):  
Auclair ◽  
Han ◽  
Burgos
Keyword(s):  
Community Health ◽  
Health Survey ◽  
Age Groups ◽  
Saturated Fat ◽  
Canadian Community Health Survey ◽  
Descriptive Statistics ◽  
Nutrient Intakes ◽  
Nutrient Adequacy ◽  
Canadian Population ◽  
Community Health Survey

As a staple food and dense source of nutrients, milk and alternatives play an important role in nutrient adequacy. The aims of this study were to quantify the consumption of milk and alternatives within Canadian self-selected diets and determine their contribution to intakes of nutrients and energy. First, 24-h dietary recalls from the 2015 Canadian Community Health Survey—Nutrition were used to assess 1-d food and nutrient intakes among Canadian adults ≥19 y (n = 13,616). Foods were classified as milk and alternatives according to the 2007 Canada’s Food Guide. Descriptive statistics were used to calculate daily servings of milk and alternatives by different age groups and demographic characteristics. Population ratios were used to discern their contribution to total intakes of nutrients and energy. Mean daily servings (±SE) were highest for milk (0.60 ± 0.02) and cheese (0.42 ± 0.01), intermediate for frozen dairy (0.16 ± 0.01) and yoghurt (0.14 ± 0.01), and lowest for soy and other dairy (<0.03). Intakes were lowest among Canadians 51+ y (1.3 ± 0.03), females (1.25 ± 0.03), non-Caucasians (1.06 ± 0.05), those with less than a secondary education (1.19 ± 0.05), and British Columbians (1.17 ± 0.05). Milk and alternatives contributed >20% to total intakes of calcium (52.62 ± 0.46%), vitamin D (38.53 ± 0.78%), saturated fat (28.84 ± 0.51%), vitamin B12 (27.73 ± 0.57%), vitamin A (26.16 ± 0.58%), phosphorus (24.76 ± 0.35%), and riboflavin (24.43 ± 0.37%), of which milk was the top source. Milk and alternatives contribute substantially to nutrient intakes and thus warrant further attention in terms of mitigating nutrient inadequacy among the Canadian population.

scholarly journals Gambling and Problem Gambling in Canada in 2018: Prevalence and Changes Since 2002: Le Jeu et le Jeu Problématique au Canada en 2018 : Prévalence et Changements Depuis 2002

2020 ◽  
pp. 070674372098008
Author(s):  
Robert J. Williams ◽  
Carrie A. Leonard ◽  
Yale D. Belanger ◽  
Darren R. Christensen ◽  
Nady el-Guebaly ◽  
...  
Keyword(s):  
Problem Gambling ◽  
Community Health ◽  
Health Survey ◽  
Canadian Community Health Survey ◽  
Problem Gamblers ◽  
Type Of Gambling ◽  
Community Health Survey ◽  
Electronic Gambling ◽  
Time Periods ◽  
Electronic Gambling Machine

Objective: The purpose of this study was to provide an updated profile of gambling and problem gambling in Canada and to examine how the rates and pattern of participation compare to 2002. Method: An assessment of gambling and problem gambling was included in the 2018 Canadian Community Health Survey and administered to 24,982 individuals aged 15 and older. The present analyses selected for adults (18+). Results: A total of 66.2% of people reported engaging in some type of gambling in 2018, primarily lottery and/or raffle tickets, the only type in which the majority of Canadians participate. There are some significant interprovincial differences, with perhaps the most important one being the higher rate of electronic gambling machine (EGM) participation in Manitoba and Saskatchewan. The overall pattern of gambling in 2018 is very similar to 2002, although participation is generally much lower in 2018, particularly for EGMs and bingo. Only 0.6% of the population were identified as problem gamblers in 2018, with an additional 2.7% being at-risk gamblers. There is no significant interprovincial variation in problem gambling rates. The interprovincial pattern of problem gambling in 2018 is also very similar to what was found in 2002 with the main difference being a 45% decrease in the overall prevalence of problem gambling. Conclusions: Gambling and problem gambling have both decreased in Canada from 2002 to 2018 although the provincial patterns are quite similar between the 2 time periods. Several mechanisms have likely collectively contributed to these declines. Decreases have also been reported in several other Western countries in recent years and have occurred despite the expansion of legal gambling opportunities, suggesting a degree of inoculation or adaptation in the population.

Determinants of food insecurity among elderly people: findings from the Canadian Community Health Survey

2021 ◽  
pp. 1-15
Author(s):  
Moses Mosonsieyiri Kansanga ◽  
Yujiro Sano ◽  
Isaac Bayor ◽  
Joseph Asumah Braimah ◽  
Abraham Marshall Nunbogu ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Community Health ◽  
Elderly People ◽  
Health Survey ◽  
Policy Issue ◽  
Integrated Approach ◽  
Canadian Community Health Survey ◽  
Health Concern ◽  
Community Health Survey

Abstract Food insecurity among elderly people is a major public health concern due to its association with several health conditions. Despite growing research and implementation of diverse income-based policy measures, food insecurity among elderly people remains a major policy issue in Canada. Additional research could inform food policy beyond strategies that target improving the financial resources of elderly people. Drawing data from the Canadian Community Health Survey (N = 24,930), we explored the correlates of food insecurity among older adults using negative log-log logistic regression techniques. Our findings show that certain categories of elderly people are more prone to food insecurity. These segments include seniors who are visible minorities (OR = 1.29, p < 0.01), live alone (OR = 1.13, p < 0.05), have a very weak sense of community belonging (OR = 1.40, p < 0.001), in poor physical health (OR = 1.20, p < 0.01), and those in lower age and income categories. These findings corroborate previous studies that demonstrate that food insecurity among elderly people is a complex phenomenon influenced by diverse socio-economic factors. In Canada, food security policies targeted at elderly people have largely prioritised poverty alleviation through income support programmes. While these programmes can improve the purchasing power of elderly people, they may not be sufficient in ensuring food security. There is a need to embrace and further investigate an integrated approach that pays attention to other contextual socio-economic dynamics.

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