Advertisement

Canadian Journal of Public Health

, Volume 91, Issue 6, pp 435–440 | Cite as

A Profile of Cardiovascular Disease in Northern Ontario: Public Health Planning Implications

  • Vic S. SahaiEmail author
  • Robert C. Barnett
  • Colette R. Roy
  • Shelley A. Stalker
  • Vinod N. Chettur
  • Shehnaz Alidina
Article

Abstract

Cardiovascular disease (CVD) is a leading cause of death in Northern Ontario and therefore considered an important issue. To this end, this paper examines CVD trends in Northern Ontario and the prevalence of known risk factors that give an insight into these trends. Ontario Health Survey 1990, Ontario Health Survey 1996, Canadian Institute for Health Information (1990–95) and Vital Statistics (1990–95) were examined. It was determined that CVD rates in Northern Ontario significantly exceeded those of the province. Further, high prevalence of modifiable risk factors, such as smoking, fat intake, physical inactivity and obesity are all experienced in Northern Ontario when compared to the province. Planning implications, as they relate to collaboration, delivery of services, determinants of health, multiple risk factors and monitoring and evaluation are also discussed.

Résumé

Les maladies cardiovasculaires (MCV) sont l’une des principales causes de décès dans le nord de l’Ontario et, par conséquent, constituent un problème important. À cet effet, l’article examine les tendances des MCV dans le nord de l’Ontario et la prévalence des facteurs de risques connus qui permettent de mieux comprendre ces tendances. L’article a fait une analyse de l’Enquête sur la santé en Ontario de 1990, de l’Enquête sur la santé en Ontario de 1996, des données de l’Institut canadien de l’information sur la santé (1990–1995) et des Statistiques vitales (1990–1995). L’article établit que le taux des MCV dans le nord de l’Ontario dépasse largement la moyenne provinciale. De plus, l’article constate que, dans le nord de l’Ontario, il existe une forte prévalence de facteurs de risques modifiables comme le tabagisme, le régime riche en gras, l’inactivité physique et l’obésité comparativement à ce qu’on trouve en Ontario. L’article aborde également des questions reliées à la planification, à l’offre des services, aux déterminants de la santé, aux facteurs à risques multiples, à la surveillance des tendances et à l’évaluation.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Robertson, LS. Injury Epidemiology Research and Control Strategies. Oxford: Oxford Press, 1998.Google Scholar
  2. 2.
    Schottenfeld D, Fraumeni JF (Eds.). Cancer Epidemiology and Prevention 2nd, Ed. Oxford: Oxford Press, 1997.Google Scholar
  3. 3.
    Mormat M, Elliott P (Eds.). Coronory Heart Disease Epidemiology. Oxford: Oxford Press, 1994.Google Scholar
  4. 4.
    Ontario Ministry of Health. Opportunities for Promoting Heart Health. Report of the Chief Medical Officer of Health. Toronto: Queen’s Printer for Ontario, 1993.Google Scholar
  5. 5.
    Northern Health Information Partnership, Cardiovascular Disease in Northern Ontario: A Quantitative Profile, November 1998.Google Scholar
  6. 6.
    Chan B, Coyle P, Heick C. Economic impact of cardiovascular disease in Canada. Can J Cardiology 1996;12(10);1000–1006.Google Scholar
  7. 7.
    Moore R, Mao Y, Zhang J, Clarke K. Economic burden of illness in Canada, 1993: Executive summary and recommendations. Chronic Disease in Canada 1997;18(2):95–96.Google Scholar
  8. 8.
    Statistics Canada, Statistical Profile of Canadian Communities: Area Profiles, 1996.Google Scholar
  9. 9.
    Ontario Ministry of Health. Ontario Health Survey 1990, Volume, II. Toronto, Ministry of Health, 1992.Google Scholar
  10. 10.
    Statistics Canada, National Population Health Survey 1996–97 (NPHS), Ministry of Health. Ontario Health Survey 1996. Toronto.Google Scholar
  11. 11.
    World Health Organization, Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, Ver.9, Geneva, 1977.Google Scholar
  12. 12.
    Ontario Ministry of Health. Ontario Ministry of Health Provincial Health Planning Database. Toronto: Queen’s Printer of Ontario, 1998.Google Scholar
  13. 13.
    Hummingbird Communication Ltd., GQL 4.2 Enterprise Query and Reporting. North York, 1998.Google Scholar
  14. 14.
    Armitage P, Berry G. Statistical Methods in Medical Research Second Edition. Boston: Scientific Publications, 1987.Google Scholar
  15. 15.
    Steinmetz KA, Potter, JD. Vegetables, fruit and cancer prevention: A review. J Amer Diet Assoc 1996;96:1027–39.CrossRefGoogle Scholar
  16. 16.
    Knutsson A. Shift work and coronary heart disease. Scand J Sco Med Suppl 1989;44:1–36.Google Scholar
  17. 17.
    Kawachi I, Colditz GA, Stampfer MJ, et al. Prospective study of shift work and risk of coronary heart disease in women. Circulation 1995;92(11):3178–82.CrossRefGoogle Scholar
  18. 18.
    Klompas N, Shapiro C. Patients working shifts: Treating the chronic effects. Can J Diagnosis 1998;February 1998:95–107.Google Scholar
  19. 19.
    Ontario Ministry of Health. Ontario Health Survey 1990 Highlights. Toronto, 1992.Google Scholar
  20. 20.
    Brunner E, Shipley MJ, Blane D, et al. When does cardiovascular risk start? Past and present socioeconomic circumstances and risk factors in adulthood. J Epidemiol Community Health 1999;53(12):757–64.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2000

Authors and Affiliations

  • Vic S. Sahai
    • 1
    Email author
  • Robert C. Barnett
    • 1
  • Colette R. Roy
    • 1
  • Shelley A. Stalker
    • 1
  • Vinod N. Chettur
    • 1
  • Shehnaz Alidina
    • 2
  1. 1.Northern Health Information PartnershipSudburyCanada
  2. 2.SudburyCanada

Personalised recommendations