A 10-year undertaking to track Indigenous health in BC has found improvements in five key areas; however, the gap between the health status of Indigenous and non-Indigenous residents continued to widen in three of those areas.
A report released by the First Nations Health Authority and the Office of the Provincial Health Officer summarizes the results of tracking life expectancy, mortality, youth suicide, infant mortality, and diabetes rates between 2005 and 2015.
Key findings include:
- Life expectancy among Status First Nations people improved between 2005 and 2015, but the life expectancy for other residents of BC improved at a faster rate, so the health status gap actually widened.
- The age-standardized mortality rate, which measures death from all causes, improved somewhat since 2005, but the health status gap increased.
- The youth suicide rate decreased, and although the gap with other BC residents did not quite meet the targeted 50% reduction it did decline substantially (by 38%).
- The infant mortality rate decreased slightly since 2005, but the gap between the population groups increased.
- The diabetes prevalence rate continued to increase for both population groups, but the rate of increase for First Nations people declined, resulting in an overall decrease in the health status gap that exceeded the 33% reduction target.
The Transformative Change Accord: First Nations Health Plan committed First Nations leadership and the Governments of British Columbia and Canada to achieve specific health targets by 2015 on seven core health indicators. The Office of the Provincial Health Officer and the First Nations Health Authority have agreed to continue to jointly monitor the health and well-being of First Nations people in BC for the next 10 years with an expanded suite of 22 indicators of health and well-being, called the Indigenous Population Health and Wellness Agenda.
The 22 indicators that will be tracked and reported on regularly over the next decade include measures developed in consultation with First Nations communities, such as cultural wellness, community strength and resilience, and ecological health. Cultural wellness, for example, will be a combined indicator reporting on traditional language, traditional foods, traditional medicine/healing, and a sense of belonging to one’s First Nations community.
The baseline report for the Indigenous Population Health and Wellness Agenda will be released in 2019. Read the full 2018 Report on Indigenous Health and Well-being at www.fnha.ca/about/news-and-events/news/indigenous-health-improves-but-health-status-gap-with-other-british-columbians-widens.
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org