Report on the health of Albertans

2006·13.5 MB·English

by  Alberta. Alberta Health and Wellness

AlbertaHealthandWellness (2006) Reporton theHealth ofAlbertans.
Edmonton: AlbertaHealthandWellness.
Formoreinformationcontact:
PublicHealthSurveillanceandEnvironmentalHealth
PublicHealthDivision
AlbertaHealthandWellness
24thFloor,Telus PlazaNorthTower
10025 JasperAvenue
PO Box 1360 STNMAIN
Edmonton,AlbertaT5J2N3
CANADA
Telephone: [phone]
Toll-free: 310-0000 (inAlbertaonly)
Fax: [phone]
Website: www.health.gov.ab.ca
ISBN: 0-7785-3476-6 (print)
ISBN: 0-7785-3477-4 (internet)
NCN1227 (2006/02)
Historicalcoverphoto: PolioVaccination,1959 ProvinicalArchivesofAlberta,PA2887/1
Table ofContents
Introduction 9
Demographics 13
PopulationDistribution 14
Immigration 17
LifeExpectancy 19
Mortality 20
Fertility 22
PopulationGrowth 24
DeterminantsofHealth 25
Self-PerceivedHealthStatus 29
TobaccoUse 31
CancerScreening 33
BirthWeight 36
BodyWeight 39
Nutrition 42
DisabilityandFunctionalLimitations 45
AlcoholandDrugUse 47
PhysicalActivity 49
MentalHealth 51
Anxiety/Depression 54
SubstanceAbuseDisorders 58
Non-CommunicableDisease 61
HistoricalContext 61
Cancer 63
CervicalCancer 63
LungCancer 65
ProstateCancer 67
CardiovascularDisease 69
IschaemicHeartDisease 70
CerebrovascularDisease .74
Hypertension 78
ChronicRespiratoryDisease 81
Asthma 81
ChronicBronchitis 84
ChronicObstructivePulmonaryDisease (COPD) 87
Diabetes 91
ChronicRenalFailure 95
Arthritis 99
REPORT ON THE HEALTH OF ALBERTANS
Injury 103
UnintentionalInjury 106
IntentionalInjury 107
SuicideandParasuicidalBehaviour 108
Homicide Ill
CommunicableDisease 113
HistoricalContext 113
CommunicableDiseaseMortality 116
SexuallyTransmittedInfections 116
Chlamydia 116
Gonorrhea 118
Syphilis 121
HepatitisC 123
HIV/AIDS 124
FoodandWaterborneCommunicableDiseases 126
Campylobacteriosis 126
Giardiasis 128
HaemorraghicColitis (e-coli0157:H7) 129
Salmonellosis 131
Typhoid/Paratyphoid 132
Vaccine-PreventableCommunicableDisease 135
Diphtheria 135
A
Hepatitis 137
HepatitisB 139
HaemophilusInfluenzaeTypeb 140
Influenza 143
Rubella 145
Measles 147
InvasiveMeningococcalDisease 149
Mumps 150
Pertussis 152
Poliomyelitis 153
Smallpox 157
Tetanus 159
Varicella 160
Tuberculosis 163
Conclusions 165
REPORT ON THE HEALTH OF ALBERTANS
1
List ofFigures
Demographics
Figure1 Albertapopulation1901to2001
Figure2 PopulationDistribution,1901
Figure3 PopulationDistribution,1921
Figure4 PopulationDistribution,1941
Figure5 PopulationDistribution,1961
Figure6 PopulationDistribution,1981
Figure7 PopulationDistribution,2001
Figure8 NetinternationalmigrationtoAlberta,1970to2000
Figure9 Netinter-provincialmigrationtoAlberta,1972to2001
Figure10 AlbertaImmigrantsbyYearandOrigin
Figure1 LifeexpectancyatbirthinAlberta,1931to2001
Figure12 Ageadjustedmortalityratesper1,000populationforallcausesofdeath,Alberta,
1986to2003
Figure13 infantmortalityrateper1,000livebirths,Alberta,1983to2004
Figure14 TotalfertilityrateforAlberta,1936to2003
Figure15 Age-specificfertilityrates,Alberta1986,2004,and2003
Figure16 MeanageoffertilityinAlberta,1986to2003
Figure17 PopulationDistribution,2004andprojectedto2033
DeterminantsofHealth
Figure18 Percentofthepopulationratedtheirhealthasverygoodorexcellentbyageof
respondent,Alberta2003
Figure19 Percentofthepopulationreportingtheirhealthtobeverygoodorexcellent,by
yearandsex,Alberta
Figure20 Percentofthepopulationreportingtheirhealthtobeverygoodorexcellent,
regionalhealthauthority,Alberta2003
Figure21 Selfreportedpercentageofsmokersbyage,Alberta2003
Figure22 Percentofthepopulationreportingsmokingeitheroccasionallyordaily,
Alberta2003
Figure23 Percentofthepopulationreportingsmokingeitheroccasionallyordailyby
regionalhealthauthority,Alberta2003
Figure24 Percentofwomenaged50to69yearsreportingtheyreceivedamammogram
withintheprevioustwoyears,Alberta1996to2003
Figure25 Percentofwomenaged50to69yearsreportingtheyreceivedamammogram
withintheprevioustwoyearsbyregionalhealthauthority,Alberta2003
Figure26 Percentofwomenreportinghavinghadapapsmearwithinthepastthreeyears,
Alberta1994to2003
Figure27 Percentofwomenreportinghavinghadapapsmearwithinthepastthreeyears
byage,Alberta2003
Figure28 Percentofwomenreportinghavinghadapapsmearwithinthepastthreeyears
byregionalhealthauthority,Alberta2003
Figure29 Proportionoflivebirthsweighinglessthan2,500grams,Alberta1983to2004
REPORT ON THE HEALTH OF ALBERTANS
Figure30 Proportionoflivebirthsweighinglessthan1,500grams,Alberta1983to2004
Figure31 Bodymassindexformalesandfemales,Alberta1994to2003
Figure32 Percentageofthepopulationwithandbodymassindexintheoverweightand
obesecategoriesbyage,Alberta2003
Figure33 Percentageofthepopulationwithandbodymassindexintheoverweightand
obesecategoriesbyregionalhealthauthority,Alberta2003
Figure34 PercentageofAlbertansreportingconsumingfiveormoreservingsoffruitsand
vegetablesperday,Alberta2003
Figure35 PercentageofAlbertansreportingconsumingfiveormoreservingsoffruitsand
vegetablesperdaybysex,Alberta2003
Figure36 PercentageofAlbertansreportingconsumingfiveormoreservingsoffruitsand
vegetablesperdaybyregionalhealthauthority,Alberta2003
Figure37 Percentageofthepopulationreportingactivitylimitationbyage,Alberta2003
Figure38 Percentageofthepopulationreportingactivitylimitationbysex,Alberta1994
to2003
Figure39 Percentageofthepopulationreportingactivitylimitationbyregionalhealth
authority,Alberta2003
Figure40 Percentageofindividualsreportingconsumingfiveormoredrinksonone
occasion12ormoretimesperyear,byage,Alberta2003
Figure41 Percentageofindividualsreportingconsumingfiveormoredrinksonone
occasion12ormoretimesperyear,bysex,Alberta1994to2003
Figure42 Percentageofindividualsreportingconsumingfiveormoredrinksonone
occasion12oremoretimesperyear,byregionalhealthauthority,Alberta2003
Figure43 Percentreportingbeingactiveormoderatelyactiveduringleisuretime,Alberta
1994to2003
Figure44 Percentreportingbeingactiveormoderatelyactiveduringleisuretimeby
regionalhealthauthority,Alberta2003
MentalHealth
Figure45 Agestandardizedtreatedprevalenceper100populationformentalhealth
problems,Alberta1983to2003
Figure46 Treatedprevalenceper100populationformentalhealthdisordersbyageand
sex,Alberta1986and2003
Figure47 Regionaldifferencesinthetreatedprevalenceformentalhealthdisorders,
Alberta2003
Figure48 Agestandardizedtreatedprevalenceper100foranxietydisorders/depression,
Alberta1983to2003
Figure49 Agestandardizedtreatedprevalenceper100populationforanxietydisorders/
depressionproblemsbyageandsex,Alberta1986and2003
Figure50 Regionaldifferencesinthetreatedprevalenceforanxietydisorders/depression,
Alberta2003
Figure51 Agestandardizedhospitalseparationratesper100,000foranxietydisorders/
depression,Alberta1979/1980to2002/2003
Figure52 Age-standardizedtreatedprevalenceper100populationforsubstanceabuse
disorders,Alberta1983to2003
REPORT ON THE HEALTH OF ALBERTANS
Figure53 Age-standardizedtreatedprevalenceper100populationforsubstanceabuse
disordersbyageandsex,Alberta1986and2003
Figure54 Regionaldifferencesinthetreatedprevalenceofsubstanceabusedisorders,
Alberta2003
Figure55 Agestandardizedhospitalseparationratesper100,000populationforsubstance
abusedisorders,Alberta1979/1980to2002/2003
Non-CommunicableDisease
Figure56 Age-standardizedhospitalseparationratesforcervicalcancer,Alberta1979/1980
to2002/2003
Figure57 Agestandardizedmortalityrateforcervicalcancer,Alberta1960to2003
Figure58 Agestandardizedhospitalseparationratesper100,000forlungcancer,Alberta
1979/1980to2002/2003
Figure59 Age-standardizedlungcancermortalityrates,Alberta1961 to2003
Figure60 Age-standardizedhospitalseparationratesforprostatecancer,Alberta
1979/1980to2002/2003
Figure61 Age-standardizedmortalityratesattributedtoprostatecancer,Alberta1961
to2003
Figure62 Age-standardizedtreatedprevalenceper100populationforcardiovascular
disease,Alberta1983to2003
Figure63 Age-specifictreatedprevalenceper100populationforcardiovasculardisease,
Alberta1986and2003
Figure64 Age-standardizedtreatedprevalenceper100populationforischaemicheart
disease,Alberta1983to2003
Figure65 Age-specifictreatedprevalenceper100populationforischaemicheartdisease,
Alberta1983to2003
Figure66 Regionaldifferencesinthetreatedprevalenceofischaemicheartdisease,
Alberta2003
Figure67 Age-standardizedhospitalseparationratesper100,000populationforischaemic
heartdisease,Alberta1979/1980to2002/2003
Figure68 Age-standardizedmortalityrateper100,000populationforischaemicheart
disease,Alberta1961 to2003
Figure69 Age-standardizedtreatedprevalenceper100populationforcerebrovascular
disease,Alberta1983to2003
Figure70 Age-specifictreatedprevalenceper100forcerebrovasculardisease,Alberta1986
and2003
Figure71 Regionaldifferencesinthetreatedprevalenceofcerebrovasculardisease,
Alberta2003
Figure72 Age-standardizedhospitalseparationrateper100,000populationfor
cerebrovasculardisease,Alberta1979/1980to2002/2003
Figure73 Age-standardizedmortalityratesper100,000forcerebrovasculardisease,Alberta
1961 to2003
Figure74 Age-standardizedtreatedprevalenceper100populationforhypertension,
Alberta1983to2003
REPORT ON THE HEALTH OF ALBERTANS
Figure75 Age-specifictreatedprevalenceper100forhypertension,Alberta1986and2003
Figure76 Regionaldifferencesinthetreatedprevalenceofhypertension,Alberta2003
Figure77 Age-standardizedasthmatreatedprevalenceper100,Alberta1983to2003
Figure78 Age-specifictreatedprevalenceofasthmaper100population,Alberta1986
and2003
Figure79 Regionaldifferencesinthetreatedprevalenceofasthma,Alberta2003
Figure80 Age-standardizedhospitalseparationratesper100,000populationattributedto
asthma,Alberta1979/1980to2002/2003
Figure81 Age-standardizedtreatedprevalenceforchronicbronchitisper100population,
Alberta1983to2003
Figure82 Age-specifictreatedprevalenceforchronicbronchitis,Alberta1986and2003
Figure83 Regionaldifferencesinthetreatedprevalenceofchronicbronchitis,Alberta2003
Figure84 Age-standardizedhospitalseparationratesper100,000populationforchronic
bronchitis,1979/1980to2002/2003
Figure85 Age-standardizedtreatedprevalenceofCOPDper100,Alberta1983to2003
Figure86 Age-specifictreatedprevalenceper100forCOPD,Alberta1986and2003
Figure87 RegionaldifferencesinthetreatedprevalenceofCOPD,Alberta2003
Figure88 Age-standardizedtreatedprevalenceper100fordiabetes,Alberta1986to2003
Figure89 Age-specifictreatedprevalenceper100populationfordiabetes,Alberta1986
and2003
Figure90 Regionaldifferencesinthetreatedprevalenceofdiabetes,Alberta2003
Figure91 Age-standardizedhospitalseparationratesper100,000populationfordiabetes,
Alberta1979/1980to2002/2003
Figure92 Age-standardizedmortalityrateper100,000populationfordiabetes,Alberta
1960to2003
Figure93 Age-standardizedtreatedprevalenceper100populationforchronicrenalfailure,
Alberta1983to2003
Figure94 Age-specifictreatedprevalenceper100populationforchronicrenalfailure,
Alberta1986and2003
Figure95 Regionaldifferencesinthetreatedprevalenceofchronicrenalfailure,
Alberta2003
Figure96 Age-standardizedhospitalseparationratesper100,000populationforchronic
renalfailure,Alberta1979/1980and2002/2003
Figure97 Agestandardizedtreatedprevalenceper100forarthritisinAlberta,1983to2003
Figure98 Age-specifictreatedprevalenceper100populationforarthritis,Alberta1986
and2003
Figure99 Regionaldifferencesinthetreatedprevalenceofarthritis,Alberta2003
Figure100 Agestandardizedhospitalseparationratesper100,000populationforarthritis,
Alberta1979/1980to2002/2003
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1
Injury
Figure101 Age-standardizedtreatedprevalenceper100populationforinjuries,Alberta
1983to2003
Figure102 Age-specifictreatedprevalenceper100populationforinjuries,Alberta1986
and2003
Figure103 Regionaldifferencesinthetreatedprevalenceofinjury,Alberta2003
Figure104 Agestandardizedhospitalseparationratesforunintentionalinjury,Alberta
1979/1980to2002/2003
Figure105 Age-standardizedmortalityper100,000populationattributedtounintentional
injuryinAlberta,1960to2003
Figure106 Agestandardizedhospitalseparationratesforintentionalinjury,Alberta
1979/1980to2002/2003
Figure107 Age-standardizedhospitalseparationrateper100,000forsuicide,Alberta
1979/1980to2002/2003
Figure108 Age-standardizedmortalityrateper100,000duetosuicide,Alberta1960to2003
Figure109 Age-specificmortalityrateper100,000duetosuicide,Alberta1986and2003
Figure110 Regionaldifferencesintheage-standardizedsuicidemortalityrateper100,000
population,Alberta2001-2003combined
Figure11 Agestandardizedhomicidemortalityrateper100,000population,Alberta1960
to2003
Figure112 Age-specificmortalityrateper100,000duetohomicide,Alberta1986and2003
Figure113 Regionaldifferencesintheage-standardizedhomicidemortalityrateper100,000
population,Alberta2001-2003combined
CommunicableDisease
Figure114 Communicablediseasemortalityratesper100,000population,Alberta1961
to2003
Figure115 Chlamydiaincidenceper100,000,Alberta1989to2002
Figure116 Gonorrheaincidenceper100,000,Alberta1941 to2003
Figure117 InfectiousSyphilisincidenceper100,000population,Alberta1944to2003
Figure118 Age-standardizedhepatitisCincidence,Alberta1984to2003
Figure119 HiVincidenceper100,000population,Alberta1998to2003
Figure120 Campylobacteriosisincidenceper100,000population,Alberta1983to2003
Figure121 Giardiasisincidenceper100,000population,Alberta1983to2002
Figure122 Haemorraghiccolitisincidenceper100,000population,Alberta1983to2003
Figure123 Salmonellaincidenceper100,000population,Alberta1960to2003
Figure124 Typhoidincidenceper100,000population,Alberta1919to2003
Figure125 Diphtheriaincidenceper100,000population,Alberta,1920to2003
Figure126 HepatitisAincidenceper100,000population,Alberta1945to2003
Figure127 HepatitisBincidenceper100,000population,Alberta1969to2003
Figure128 HaemophilusinfluenzaetypeBincidenceper100,000population,Alberta,1978
to2003
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Figure129 AgeStandardizedinfluenzaincidenceper100,Alberta1986to2003
Figure130 Agestandardizedmortalityattributabletoinfluenzaper100population,Alberta
1986to2003
Figure131 Incidenceofreportedrubellacases,Alberta1928to2003
Figure132 Measlesincidenceper100,000population,Alberta1919to2003
Figure133 Invasivemeningococcaldiseaseincidenceper100,000population,Alberta,1924
to2003
Figure134 Mumpsincidenceper100,000population,Alberta1979to2003
Figure135 Pertussisincidenceper100,000population,Alberta,1919to2003
Figure136 Poliomyelitisincidenceper100,000population,Alberta,1919to2003
Figure137 Smallpoxincidenceper100,000population,Alberta,1919to2003
Figure138 Varicella(chickenpox)incidencerateper100,000populationunderagefive,
Alberta,1986to2004
Figure139 Varicella(chickenpox)incidencerateper100,000populationagetenyearsand
younger,Alberta1986and2003
Figure140 Tuberculosisincidenceper100,000population,Alberta1919to2003
REPORT ON THE HEALTH OF ALBERTANS