{"id":1430,"date":"2014-04-23T00:00:00","date_gmt":"2014-04-23T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/asthma-and-chronic-obstructive-pulmonary-disease-copd-prevalence-and-health-services-use-in-ontario-metis-a-population-based-cohort-study\/"},"modified":"2023-06-14T19:21:55","modified_gmt":"2023-06-14T23:21:55","slug":"asthma-and-chronic-obstructive-pulmonary-disease-copd-prevalence-and-health-services-use-in-ontario-metis-a-population-based-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/asthma-and-chronic-obstructive-pulmonary-disease-copd-prevalence-and-health-services-use-in-ontario-metis-a-population-based-cohort-study\/","title":{"rendered":"Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario M\u00e9tis: a population-based cohort study"},"content":{"rendered":"<p><strong>Introduction<\/strong> &#x2014; Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are at increased risk of asthma and chronic obstructive pulmonary disease (COPD). There is little known, however, about these diseases in the Canadian M&#xe9;tis population, who have mixed Aboriginal and European ancestry. A population-based study was conducted to quantify asthma and COPD prevalence and health services use in the M&#xe9;tis population of Ontario, Canada&#x2019;s largest province.<\/p>\n<p><strong>Methods<\/strong> &#x2014; The M&#xe9;tis Nation of Ontario Citizenship Registry was linked to provincial health administrative databases to measure and compare burden of asthma and COPD between the M&#xe9;tis and non-M&#xe9;tis populations of Ontario between 2009 and 2012. Asthma and COPD prevalence, health services use (general physician and specialist visits, emergency department visits, hospitalizations), and mortality were measured. <\/p>\n<p><strong>Results<\/strong> &#x2014; Prevalences of asthma and COPD were 30% and 70% higher, respectively, in the M&#xe9;tis compared to the general Ontario population (p&lt;0.001). General physician and specialist visits were significantly lower in M&#xe9;tis with asthma, while general physician visits for COPD were significantly higher. Emergency department visits and hospitalizations were generally higher for M&#xe9;tis compared to non-M&#xe9;tis with either disease. All-cause mortality in Metis with COPD was 1.3 times higher compared to non-Metis with COPD (p=0.01).<\/p>\n<p><strong>Conclusion<\/strong> &#x2014; There is a high burden of asthma and COPD in Ontario M&#xe9;tis, with significant prevalence and acute health services use related to these diseases. Lower rates of physician visits suggest barriers in access to primary care services.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction &#x2014; Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are at increased risk of asthma and chronic obstructive pulmonary disease (COPD). There is little known, however, about these diseases in the Canadian M&#xe9;tis population, who have mixed Aboriginal and European ancestry. A population-based study was [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[22,52],"migration-helper-qa-sample-set":[],"class_list":["post-1430","journal_article","type-journal_article","status-publish","hentry","topic-indigenous-peoples","topic-lung-health"],"acf":{"citation":"Gershon A, Khan S, Klein-Geltink J, Wilton D, To T, Crighton EJ, Pigeau L, MacQuarrie J, Allard Y, Russell SJ, Henry DA. <em>PLoS One.<\/em> 2014; 9(4):e95899.","source_url":"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3997509\/","ices_scientist":[1244,1111,1198,1266],"site":[6733,6735,6734],"research_program":[6746],"news_release":[7315],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"04A86C85-6A75-418D-AA80-10BDCBEFA9F0","sitecore_item_name":"Asthma-and-chronic-obstructive-pulmonary-disease-COPD-prevalence","sitecore_field_values":"{\n  \"__Valid from\": \"20170818T121841\",\n  \"Title\": \"Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario M\u00e9tis: a population-based cohort study\",\n  \"Short title\": \"Asthma and chronic obstructive\",\n  \"Citation\": \"<p>Gershon A, Khan S, Klein-Geltink J, Wilton D, To T, Crighton EJ, Pigeau L, MacQuarrie J, Allard Y, Russell SJ, Henry DA. <em>PLoS One.<\/em> 2014; 9(4):e95899.<\/p>\",\n  \"Abstract\": \"<p><strong>Introduction<\/strong> &mdash; Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are at increased risk of asthma and chronic obstructive pulmonary disease (COPD). There is little known, however, about these diseases in the Canadian M&eacute;tis population, who have mixed Aboriginal and European ancestry. A population-based study was conducted to quantify asthma and COPD prevalence and health services use in the M&eacute;tis population of Ontario, Canada&rsquo;s largest province.<\/p>n<p><strong>Methods<\/strong> &mdash; The M&eacute;tis Nation of Ontario Citizenship Registry was linked to provincial health administrative databases to measure and compare burden of asthma and COPD between the M&eacute;tis and non-M&eacute;tis populations of Ontario between 2009 and 2012. Asthma and COPD prevalence, health services use (general physician and specialist visits, emergency department visits, hospitalizations), and mortality were measured. <\/p>n<p><strong>Results<\/strong> &mdash; Prevalences of asthma and COPD were 30% and 70% higher, respectively, in the M&eacute;tis compared to the general Ontario population (p&lt;0.001). General physician and specialist visits were significantly lower in M&eacute;tis with asthma, while general physician visits for COPD were significantly higher. Emergency department visits and hospitalizations were generally higher for M&eacute;tis compared to non-M&eacute;tis with either disease. All-cause mortality in Metis with COPD was 1.3 times higher compared to non-Metis with COPD (p=0.01).<\/p>n<p><strong>Conclusion<\/strong> &mdash; There is a high burden of asthma and COPD in Ontario M&eacute;tis, with significant prevalence and acute health services use related to these diseases. Lower rates of physician visits suggest barriers in access to primary care services.<\/p>n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3997509\/\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{78F59D30-B0BB-458D-ADF2-EA9E469E8F29}|{6CF3F7C3-716A-435F-BFC9-A17A5FE763F9}|{978544E1-7B80-4D82-B818-2427B3896B46}\",\n  \"Related Products\": \"<h2>News release<\/h2>rn<h3><a href=\"~\/link.aspx?_id=DEEC2DCF470045F492BC641B0D631D3B&amp;_z=z\" target=\"_blank\">M&eacute;tis people living in Ontario have a higher prevalence of asthma and COPD than the rest of the Ontario population: ICES study<\/a><\/h3>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}|{5B1AF319-EC9B-4BF0-A9CD-D066ABE49D71}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}|{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}\",\n  \"ICES Scientists\": \"{BC74234B-58F2-4366-95D9-235FF40A7AE3}|{198CB764-0CEA-499E-A508-1CAAAD283C90}|{6E2DDA86-FA38-4281-A705-EE7829888BD1}|{242795DE-E521-4AAA-A4DF-93AF84CC17CA}\",\n  \"Posted Date\": \"20140423T163500\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2014\/January\/Asthma-and-chronic-obstructive-pulmonary-disease-COPD-prevalence"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario M\u00e9tis: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Introduction &#x2014; Chronic respiratory diseases cause a significant health and economic burden around the world. In Canada, Aboriginal populations are\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/asthma-and-chronic-obstructive-pulmonary-disease-copd-prevalence-and-health-services-use-in-ontario-metis-a-population-based-cohort-study\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Asthma and chronic obstructive pulmonary disease (COPD) prevalence and health services use in Ontario M\u00e9tis: a population-based cohort study\" \/>\n<meta property=\"og:description\" content=\"Introduction &#x2014; Chronic respiratory diseases cause a significant health and economic burden around the world. 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