What is the comparative health status and associated risk factors for the Métis? A population-based study in Manitoba, Canada

摘要: Metis are descendants of early 17th century relationships between North American Indians and Europeans. This study's objectives were: (1) to compare the health status people all other residents Manitoba, Canada; (2) analyze factors in predicting likelihood diabetes related lower limb amputation. Using de-identified administrative databases plus Population Database housed at Manitoba Centre for Health Policy, age/sex-adjusted rates mortality disease were calculated (n = 73,016) Manitobans 1,104,672). Diseases included: hypertension, arthritis, diabetes, ischemic heart (age 19+); osteoporosis 50+); acute myocardial infarction (AMI) stroke 40+); total respiratory morbidity (TRM, ages). logistic regression, predictors (2004/05-2006/07) diabetes-related lower-limb amputations (2002/03-2006/07) analyzed. Disease higher compared others: premature before age 75 (4.0 vs. 3.3 per 1000, p < .001); (9.7 8.4 injury (0.58 0.51 .03); Potential Years Life Lost (64.6 54.6 all-cause 5-year with (20.8% 18.6%, .02); hypertension (27.9% 24.8%, arthritis (24.2% 19.9%, .001), TRM (13.6% 10.6%, (11.8% 8.8%, amputation (24.1 16.2 (12.2% 8.7%, 12.3%, NS), dialysis initiation (0.46% 0.34%, AMI (5.4 4.3 (3.6 2.9 .001). Controlling geography, age, sex, income, continuity care comorbidities, more likely have (aOR 1.29, 95% CI 1.25-1.34), but not 1.13, 0.90-1.40, NS). Continuity was associated decreased risk both provincially 0.71, 0.62-0.81) alone 0.62, 0.40-0.96). Despite universal healthcare, Metis' illness mostly higher. Although elevated persists even after adjusting sociodemographic, healthcare comorbidity variables, appears access rather than ethnicity.