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Dr. Mark Lemstra Senior Epidemiologist Saskatoon Health Region

Reduced Association Between Aboriginal Cultural Status and Health Outcomes and Behaviours After Multivariate Adjustment. Dr. Mark Lemstra Senior Epidemiologist Saskatoon Health Region. CCHS - Adult Health Survey. Data set

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Dr. Mark Lemstra Senior Epidemiologist Saskatoon Health Region

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  1. Reduced Association Between Aboriginal Cultural Status and Health Outcomes and Behaviours After Multivariate Adjustment Dr. Mark Lemstra Senior Epidemiologist Saskatoon Health Region

  2. CCHS - Adult Health Survey • Data set • Canadian Community Health Survey conducted by Statistics Canada (cycles 2001/03/05) and identical Saskatoon health survey (2007) • Sample size • N = 5,948 • Age • 12 and above • Results • Aboriginal Cultural status has a more limited association with health outcomes or behaviours after multivariate adjustment • Income status has a strong association with health outcomes and behaviours

  3. Table 1: Crude and Adjusted Associations with Self-Rated Health Reference Categories: Age: 12-44 Yrs; Family Income: > 75,000; Smoking: Occasional/Former/Never; Physical Activity: Active/Moderate; BMI: Normal/Under weight; Heart Disease: No Heart Disease; Self Rate Health: Good/Fair/Poor

  4. Table 2: Crude and Adjusted Associations with Suicide Ideation Reference Categories- Age: 12 – 44 Yrs; Family Income: > 75,000; Neighbourhood Income Type: Rural; Smoking: Occasional/Former/Never Smoker; Life Stress: Not at all; Consulted a Doctor: Zero Visits; Suicide: Yes

  5. Table 3: Crude and Adjusted Associations with Diabetes Reference Categories: Age: 12-44 Yrs; Neighbourhood Income Type: Rural; Blood Pressure: No; BMI: Normal/Under Wt; Income: > 75,000; Diabetes: Yes

  6. Table 4: Crude and Adjusted Associations with Heart Disease Reference Categories: Age: 12-44 Yrs; Gender: Female; Income: > 75,000; Has High Blood Pressure: No; Heart Disease: Yes

  7. Table 5: Crude and Adjusted Estimates for Daily Smoking Reference Categories - Age -> Than 65;Family Income -> 75,000; Neighbourhood Income Type- Rural; Education – University Graduate; Has not Considered Suicide; No Life Stress; Smoking-Daily smoker

  8. Saskatoon School Health Survey • Dataset • Questions from National Longitudinal Survey of Children and Youth (NLSCY) were used to review health outcomes and behaviours • Data collection • 2007 February • Sample Size • N = 4,093 participants • Age • 10-15 years • Results • Aboriginal cultural status a more has limited association with health outcomes or behaviours after multivariate adjustment

  9. Table 1: Crude and Adjusted Estimates for Depressed Mood among Youth Reference Categories:Culture: Caucasian; Gender: Male; Hunger: Never/Rarely; Parents’ Education: University Graduate;Self-Esteem: High; School-Outsider: Rarely/Never; Bullying: No;Alcohol: None; Anxiety: Low; Suicide: No;

  10. Table 2: Stepwise Regression Model for Depressed Mood among Youth Independent Model 0 Model 1 Model 2 Model 3 Model 4 Variables Crude OR Adj OR Adj OR Adj OR Adj OR_____ Aboriginal 2.81 2.81 2.09 1.66 1.13_______ Female 1.84 1.81 1.98 2.17 1.67_______ Hungry 3.58 3.40 2.26 2.07 Parent Low Education 1.96 1.67 1.41 1.50______ Low Self-Esteem 11.03 6.27 3.19 Felt like an Outsider 6.71 4.12 3.36 Bullied 4.06 2.86 1.88______ Alcohol Use 3.74 2.52 High Anxiety 53.32 22.17 Suicide Ideation 12.88 3.73

  11. Table 3: Crude and Adjusted Estimates of Having Been Drunk among Youth Reference categories - Caucasian cultural status;Age 9-12; Rest of Saskatoon;High self-esteem;Never skipped school 1-5 times or more; Not been bullied; None of my friends tried marijuana; Being drunk -Have not been drunk

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