ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2021
Changes in health indicator gaps between First Nations and other residents of Manitoba.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 12 citations in OpenAlex.
- Strengthening preventive cancer screening in Northern Ontario, Canada: Structural supports and systemic barriers with the all nations health partners Ontario health team.Preventive medicine reports · 2026Article
- Cultural Safety as a Catalyst for Change: Advancing Health Equity for Indigenous Peoples in Canada.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2026Article
- Indigenous oral health equity: The path forward.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025Review
- Nutritional interventions for indigenous adults in Canada - opportunities to sustain health and cultural practices: a scoping review.International journal of circumpolar health · 2024Article
- Disparities in rheumatoid arthritis outcomes for North American Indigenous populations.International journal of circumpolar health · 2023Review
- Disparities in primary and emergency health care among "off-reserve" Indigenous females compared with non-Indigenous females aged 15-55 years in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Assessing the migrant mortality advantage among foreign-born and interprovincial migrants in Manitoba, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Equity, diversity, inclusion, and social justice in CanMEDS 2025.Canadian medical education journal · 2023Article
- The rights and interests of First Nations, Métis, and Inuit in debates over deemed consent legislation for deceased organ donation in Canada: calls to action.Lancet regional health. Americas · 2023Review
- Article
- The future of medicine is here and you are its story.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Truth and Reconciliation Commission of Canada has called for better reporting of health disparities between First Nations people and other Canadians to close gaps in health outcomes. We sought to evaluate changes in these disparities using indicators of health and health care use over the last 2 decades.
methodsWe used linked, whole-population, administrative claims data from the Manitoba Centre for Health Policy for fiscal years 1994/95 to 1998/99 and 2012/13 to 2016/17. We measured indicators of health and health care use among registered First Nations and all other Manitobans, and compared differences between these groups over the 2 time periods.
resultsOver time, the relative gap between First Nations and all other Manitobans widened by 51% (95% confidence interval [CI] 42% to 60%) for premature mortality rate. For potential years of life lost, the gap widened by 54% (95% CI 51% to 57%) among women and by 32% (95% CI 30% to 35%) among men. The absolute gap in life expectancy widened by 3.14 years (95% CI 2.92 to 3.36) among men and 3.61 years (95% CI 3.38 to 3.84) among women. Relative gaps widened by 20% (95% CI 12% to 27%) for ambulatory specialist visits, by 14% (95% CI 12% to 16%) for hospital separations and by 50% (95% CI 39% to 62%) for days spent in hospital, but narrowed by 33% (95% CI -36% to -30%) for ambulatory primary care visits, by 22% (95% CI -27% to -16%) for mammography and by 27% (95% CI -40% to -23%) for injury hospitalizations.
interpretationDisparities between First Nations and all other Manitobans in many key indicators of health and health care use have grown larger over time. New approaches are needed to address these disparities and promote better health with and for First Nations.
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