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Ce rapport vise à dresser un portrait de santé de la population ontarienne âgée de 65 ans et plus selon le groupe de langue officielle et les sous-régions de la province — l’Est, le Nord et le Sud-Ouest — à partir des données de l’Enquête sur la santé dans les collectivités canadiennes (ESCC) de Statistique Canada. Il présente le profil sociodémographique des personnes aînées, leurs comportements et habitudes de vie, leurs problèmes de santé et limitations d’activités, ainsi que certains...

La plupart des maladies mentales apparaissent à l’adolescence ou au début de la vie adulte ; elles influent sur les réussites scolaires, les possibilités et les succès professionnels ainsi que les relations personnelles et peuvent avoir des répercussions tout au long de la vie. Bien que la majorité des jeunes traversent leur adolescence sans problèmes, une proportion suffisamment importante montre toutefois un profil préoccupant dont il faut prendre acte. L’objectif de cet article est de...

L’Enquête sur la santé dans les collectivités canadiennes (ESCC)1 est une initiative de l'Institut canadien d'information sur la santé (ICIS), Statistique Canada et Santé Canada pour améliorer les systèmes d’information sur la santé et les rendre utiles à la planification de la santé. L’ESCC est une enquête transversale qui vise à recueillir des renseignements sur l'état de santé, l'utilisation des services de santé et les déterminants de la santé de la population canadienne. Elle est...

Bien que la plupart des études considèrent l’importance des déterminants sociaux sur l’existence des troubles mentaux, aucune ne désagrège les données en fonction de l’appartenance à une communauté de langue officielle en situation minoritaire, un fait pourtant reconnu pouvant avoir un impact sur la santé. L’incidence des langues et de la communication sur l’accès, la qualité et la sécurité des soins acquiert une portée plus grande dans le contexte canadien où coexistent deux langues...

L’objectif de ce rapport est d’examiner la mortalité selon la situation socioéconomique des francophones et des anglophones du Canada vivant à l’extérieur du Québec et d’évaluer les effets indépendants du niveau de scolarité, du niveau de compétence professionnelle et du quintile de revenu sur la mortalité selon le sexe et le groupe linguistique. Il s’agit d’une analyse secondaire des données couplées de l’étude canadienne de suivi de la mortalité et du cancer selon le recensement, 1991 à...

The objective of this report is to examine mortality by socioeconomic status among Canadian Francophones and Anglophones living outside Québec, and to assess the independent effects of education, occupational skill level and income quintile on mortality by gender and language group. This is a secondary analysis of linked data from the Canadian Census Mortality and Cancer Followup Study, 1991-2006 created by Statistics Canada (Wilkins et al., 2008). Approximately 2.7 million people (15% of...

Dans cet article, nous présentons une synthèse de plusieurs analyses récentes réalisées par notre groupe de recherche à partir de données administratives de santé pour mesurer la qualité et la sécurité des services de santé offerts aux francophones et allophones en Ontario, Canada. Les résultats de nos analyses démontrent que les Ontariennes et les Ontariens qui reçoivent des soins dans leur principale langue d’usage ont généralement de meilleurs résultats cliniques comparés à ceux qui...

Research on linguistic minorities have revealed important disparities in Canada. Numerous analyses have identified the need for further studies looking at health status, healthcare utilization access barriers and quality of care affecting francophone living in a minority contexts (FLMCs) in Canada.1 The value and need to improve access and use of valid health information to support the planification of health and social services is well documented; however, important gaps and challenges...

Background: Approximately half of decedents in Ontario, Canada, receive some palliative care, but little is known about the influence of language on the nature of these services. Objective: To examine differences between English- and French-speaking residents of Ontario in end-of-life care and outcomes (e.g., health care costs and location of death). Design: A retrospective cohort study using multiple linked databases. Setting/Subjects: A population-based cohort of decedents in Ontario...

Background Language barriers between Canadian patients and health care providers are associated with poorer health outcomes, including decreased patient safety and quality of care, misdiagnosis and longer treatment initiation times, and increased mortality. However, research exploring language as a social determinant of health is limited, as Canadian health data are scattered across many jurisdictions, each with its own policies and procedures. This fragmentation makes it difficult...

Background Patients who live in minority language situations are generally more likely to experience poor health outcomes, including harmful events. The delivery of healthcare services in a language-concordant environment has been shown to mitigate the risk of poor health outcomes related to chronic disease management in primary care. However, data assessing the impact of language-concordance on the risk of in-hospital harm are lacking. We conducted a population-based study to determine...

Objective Research examining the impact of language barriers on patient safety is limited. We conducted a population-based study to determine whether patients whose primary language is not English are more likely to experience harm when admitted to hospitals in Ontario, Canada. Methods We used linked administrative health records to establish a retrospective cohort of home care recipients (from 2010 to 2015) who were subsequently admitted to hospital. Patient language (obtained from home...

Background Hospitalizations carry considerable risks for frail, elderly patients; this is especially true for patients with dementia, who are more likely to experience delirium, falls, functional decline, iatrogenic complications, and infections when compared to their peers without dementia. Since up to two thirds of patients in long-term care (LTC) facilities have dementia, there is interest in identifying factors associated with transitions from LTC facilities to hospitals. The purpose of...

Background: Research considering the impact of language on health care utilization is limited. We conducted a population-based study to: (1) investigate the association between residents’ preferred language and hospital-based health care utilization; and (2) determine whether this association is modified by dementia, a condition which can exacerbate communication barriers. Methods: We used administrative databases to establish a retrospective cohort study of home care recipients...

Abundant research shows that linguistic barriers can have a negative impact on access to and quality of health care, as well as a patient's health outcomes. Establishing a culturally appropriate environment, by providing care to nursing home residents in their preferred language, is key in providing good-quality long-term care (LTC) services. French is one of Canada's 2 official languages. In Ontario, Canada, studies using population-based data have shown that Francophones have a lower...

Abstract Background Language barriers can impact health care and outcomes. Valid and reliable language data is central to studying health inequalities in linguistic minorities. In Canada, language variables are available in administrative health databases; however, the validity of these variables has not been studied. This study assessed concordance between language variables from administrative health databases and language variables from the Canadian Community Health Survey (CCHS) to identify Francophones in Ontario.

Objectives This study compared quality indicators across linguistic groups and sought to determine whether disparities are influenced by resident-facility language discordance in long-term care. Design Population-based retrospective cohort study using linked databases. Setting and Participants Retrospective cohort of newly admitted residents of long-term care facilities in Ontario, Canada, between 2010 and 2016 (N=47,727). Individual residents' information was obtained from the Resident...