ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2005
Epidemiology of severe trauma among status Aboriginal Canadians: a population-based study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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41 citing papers in PubMed.
- Disparities in Access to Trauma Care in Canada: A Geospatial Analysis of Census Data.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
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- Low Earth Orbit Communication Satellites: A Positively Disruptive Technology That Could Change the Delivery of Health Care in Rural and Northern Canada.Journal of medical Internet research · 2025Article
- Trauma and Substance Use among Indigenous Peoples of the United States and Canada: A Scoping Review.Trauma, violence & abuse · 2023Article
- Patterns and characteristics of maxillofacial fractures in women.Oral and maxillofacial surgery · 2023Article
- Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis.EClinicalMedicine · 2022Article
- Examining the barriers and facilitators for Māori accessing injury and rehabilitation services: a scoping review protocol.BMJ open · 2022Article
- POIS-10 Māori: Outcomes and Experiences in the Decade Following Injury.Methods and protocols · 2021Article
- Estimation of the burden of out-of-hospital traumatic cardiac arrest in Karachi, Pakistan, using a cross-sectional capture-recapture analysis.International journal of emergency medicine · 2020Article
- Injury-related health services use and mortality among Métis people in Alberta.Canadian journal of public health = Revue canadienne de sante publique · 2019Article
- Conceptualizing and Managing Medical Emergencies Where No Formal Paramedical System Exists: Perspectives from a Remote Indigenous Community in Canada.International journal of environmental research and public health · 2018Article
- Suicide Ideation and Attempts among First Nations Peoples Living On-Reserve in Canada: The Intergenerational and Cumulative Effects of Indian Residential Schools.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Article
- Fractures in indigenous compared to non-indigenous populations: A systematic review of rates and aetiology.Bone reports · 2017Review
- Rates and consequences of posttraumatic distress among American Indian adults with type 2 diabetes.Journal of behavioral medicine · 2016Article
- Suicidal ideation in a community-based sample of elementary school children: A multilevel and spatial analysis.Canadian journal of public health = Revue canadienne de sante publique · 2016Article
- Injuries to Aboriginal populations living on- and off-reserve in metropolitan and non-metropolitan areas in British Columbia, Canada: Incidence and trends, 1986-2010.BMC public health · 2016Article
- Narrative descriptions of miyo-mahcihoyān (physical, emotional, mental, and spiritual well-being) from a contemporary néhiyawak (Plains Cree) perspective.International journal of mental health systems · 2016Article
- Aboriginal community-level predictors of injury-related hospitalizations in British Columbia, Canada.Prevention science : the official journal of the Society for Prevention Research · 2015Article
- Traumatic and other non-natural childhood deaths in Manitoba, Canada: a retrospective autopsy analysis (1989-2010).Canadian journal of public health = Revue canadienne de sante publique · 2014Article
- The Complexities of Accessing Care and Treatment: Understanding Alcohol Use by Aboriginal Persons Living with HIV and AIDS.Canadian journal of Aboriginal community-based HIV/AIDS research · 2014Article
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Abstract
backgroundAboriginal Canadians are considered to be at increased risk of major trauma. However, population-based studies characterizing the distribution, determinants and outcomes of major trauma in this group are lacking. We sought to measure the impact of ethnicity, as reflected by Aboriginal status, on the incidence of severe trauma and to broadly define the epidemiologic characteristics of severe trauma among status Aboriginal Canadians in a large health region.
methodsThis population-based, observational study involves all adults (people > or = 16 years) resident in the Calgary Health Region between Apr. 1, 1999, and Mar. 31, 2002. Stratification of the population into status Aboriginal Canadians and the reference population was performed by Alberta Health and Wellness using an alternate premium arrangement field within the personal health care number. Injury incidence was determined by identifying all injuries with severity scores of 12 or greater in the Alberta Trauma Registry, regional corporate data and the Office of the Medical Examiner.
resultsAboriginal Canadians were at much higher risk than the reference population in the Calgary Health Region of sustaining severe trauma (257.2 v. 68.8 per 100,000; relative risk [RR] 3.7, 95% confidence interval [CI] 3.0-4.6). Aboriginal Canadians were found to be at significantly increased risk of injuries resulting from motor vehicle crashes (RR 4.8, 95% CI 3.5-6.5), assault (RR 11.1, 95% CI 6.2-18.6) and traumatic suicide (RR 3.1, 95% CI 1.4-6.1). A trend toward higher median injury severity scores was observed among Aboriginal Canadians (21 v. 18, p = 0.09). Although the case-fatality rate among Aboriginal Canadians was less than half that in the reference population (14/93 [15%] v. 531/1686 [31%], p < 0.0001), population mortality was almost 2 times greater (RR = 1.8, 95% CI 1.0-3.0, p = 0.046).
interpretationSevere trauma disproportionately affects Aboriginal Canadians.
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