Evidence map›Paper›PMID 23717818›Full record

ArticleCanadian respiratory journal

Marked disparity in the epidemiology of tuberculosis among Aboriginal peoples on the Canadian prairies: the challenges and opportunities.

Richard Long, Vernon Hoeppner, Pamela Orr, Martha Ainslie, Malcolm King, Sylvia Abonyi, Maria Mayan, Dennis Kunimoto, Deanne Langlois-Klassen, Courtney Heffernan and 2 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Reflecting on the relationship between residential schools and TB in Canada.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2022
    Article
  4. Article
  5. Article
  6. Tuberculosis among northern Manitoba First Nations, 2008-2012: program performance on- and off-reserve.Canadian journal of public health = Revue canadienne de sante publique · 2019
    Article
  7. Article
  8. Article
  9. Article
  10. Geographic variation in incidence and prevalence rates for rheumatoid arthritis in Saskatchewan, Canada 2001-2014.Canadian journal of public health = Revue canadienne de sante publique · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. TB in Canada-The battle is not over.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2015
    Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Richard LongDepartment of Medicine, University of Alberta, Edmonton. richard.long@ualberta.ca
Vernon Hoeppner
Pamela Orr
Martha Ainslie
Malcolm King
Sylvia Abonyi
Maria Mayan
Dennis Kunimoto
Deanne Langlois-Klassen
Courtney Heffernan
Angela Lau
Dick Menzies
University of Alberta · CAUniversity of Manitoba · CAUniversity of Saskatchewan · CAMcGill University · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundWhile it is established that Aboriginal peoples in the prairie provinces of Canada are disproportionately affected by tuberculosis (TB), little is known about the epidemiology of TB either within or across provincial borders.

methodsProvincial reporting systems for TB, Statistics Canada censuses and population estimates of Registered Indians provided by Aboriginal Affairs and Northern Development Canada were used to estimate the overall (2004 to 2008) and pulmonary (2007 to 2008) TB rates in the prairie provinces. The place of residence at diagnosis of pulmonary TB cases in 2007 to 2008 was also documented.

resultsThe age- and sex-adjusted incidence of TB in Registered Indians was 52.6 per 100,000 person-years, 38 times higher than in Canadian-born 'others'. Incidence rates in Registered Indians were highest in Manitoba and lowest in Alberta. In Alberta and Saskatchewan, on-reserve rates were more than twice that of off-reserve rates. Rates in the Métis and Registered Indians were similar in Saskatchewan (50.0 and 52.2 per 100,000 person-years, respectively). In 2007 to 2008, approximately 90% of Canadian-born pulmonary TB cases in the prairie provinces were Aboriginal. Outside of one metropolitan area (Winnipeg, Manitoba), most Registered Indian and Métis pulmonary TB cases were concentrated in a relatively small number of communities north of the 53rd parallel. Rates of pulmonary TB in 11 of these communities were >300 per 100,000 person-years. In Manitoba, 49% of off-reserve Registered Indian pulmonary cases were linked to high-incidence reserve communities.

interpretationThe epidemiology of TB among Aboriginal peoples on the Canadian prairies is markedly disparate. Pulmonary TB is highly focal, which is both a concern and an opportunity.

Indexed as

AdolescentAdultAgedAlbertaCanadaCensusesFemaleHumansIncidenceIndians, North AmericanMaleManitobaMiddle AgedRegistriesSaskatchewanTuberculosis, Pulmonary

Identifiers

PMID23717818
PMCPMC3956326
OpenAlexW2212575552

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.