Macaulay Alexander, Orr Pamela, Macdonald Sharon, Elliott Lawrence, Brown Rosemary, Durcan Anne, Martin Bruce
J.A. Hildes Northern Medical Unit, Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
Int J Circumpolar Health. 2004;63 Suppl 2:80-5. doi: 10.3402/ijch.v63i0.17819.
The Kivalliq region of Nunavut, Canada, had a 1996 population of 7,131, of which 87% were Inuit. An attempt was made to characterize patterns of mortality in the region.
Descriptive regional mortality study, based on 10-year retrospective review of health records data.
All deaths and stillbirths of Kivalliq residents during the study period were identified. Available health records data were reviewed for each death, including medical charts, death certificates and coroner's reports where applicable. Age-standardized mortality rates, both overall and cause-specific, were calculated and compared to both Canadian national rates and territorial rates from the same time period.
The infant mortality rate was 32.3/1,000 live births, five times Canada's rate. Leading causes of infant deaths were prematurity and Sudden Infant Death Syndrome (SIDS). The overall mortality rate was 1.8 times that of Canada, with leading causes of death being cancers (especially lung cancer), circulatory disease, respiratory disease, unintentional injury and suicide.
Identified areas of concern included mortality due to premature birth, SIDS, unintentional injuries, suicides, respiratory disease and lung cancer. It is hoped that this study's results will assist territorial leaders, health workers and citizens in health planning activities.
加拿大努纳武特地区的基瓦利克地区在1996年有7131人，其中87%为因纽特人。本研究旨在描述该地区的死亡模式。
基于对健康记录数据进行10年回顾性分析的描述性区域死亡率研究。
确定研究期间基瓦利克地区居民的所有死亡和死产情况。对每例死亡的现有健康记录数据进行审查，包括病历、死亡证明以及适用情况下的验尸官报告。计算总体和特定原因的年龄标准化死亡率，并与同期加拿大全国和地区的死亡率进行比较。
婴儿死亡率为每1000例活产32.3例，是加拿大婴儿死亡率的5倍。婴儿死亡的主要原因是早产和婴儿猝死综合征（SIDS）。总体死亡率是加拿大的1.8倍，主要死因是癌症（尤其是肺癌）、循环系统疾病、呼吸系统疾病、意外伤害和自杀。
已确定的关注领域包括早产、婴儿猝死综合征、意外伤害、自杀、呼吸系统疾病和肺癌导致的死亡。希望本研究结果将有助于地区领导人、卫生工作者和公民开展健康规划活动。
