Tjepkema M, Wilkins R, Goedhuis N, Pennock J
Health Analysis Division, Statistics Canada, Ottawa, Ontario, Canada.
Chronic Dis Inj Can. 2012 Sep;32(4):200-7.
To compare cardiovascular disease mortality patterns between First Nations people and non-Aboriginal adults by sex and by income adequacy quintile and level of educational attainment.
A 15% sample of 1991 Canadian census respondents aged 25 years or older was previously linked to 11 years of mortality data. In this study, First Nations people were defined by North American Indian ethnic origin (ancestry), registration under the Indian Act, and/or membership in an Indian band or First Nation. The cohort included 62 400 First Nations people and 2 624 300 non-Aboriginal people.
Compared to non-Aboriginal cohort members, the age-standardized cardiovascular disease mortality rate was 30% higher for First Nations men and 76% higher for First Nations women. This represented an excess of 58 deaths and 71 deaths per 100 000 person-years at risk, for First Nations men and women, respectively. Within each income adequacy quintile (adjusted for family size and region of residence) and level of educational attainment, the risk of dying from cardiovascular disease was higher for First Nations people compared to their non-Aboriginal counterparts.
First Nations people had higher rates of death from cardiovascular disease than non-Aboriginal Canadians within each income quintile and level of education. Income and education accounted for 67% and 25% of the excess mortality of First Nations men and women respectively.
按性别、收入充足程度五分位数和教育程度，比较原住民与非原住民成年人的心血管疾病死亡模式。
先前已将1991年加拿大人口普查中25岁及以上受访者的15%样本与11年的死亡率数据相链接。在本研究中，原住民由北美印第安族裔出身（血统）、《印第安人法》登记以及/或者印第安部落或原住民成员身份界定。该队列包括62400名原住民和2624300名非原住民。
与非原住民队列成员相比，原住民男性的年龄标准化心血管疾病死亡率高出30%，原住民女性高出76%。这分别相当于原住民男性和女性每10万人年有58例和71例额外死亡。在每个收入充足程度五分位数（根据家庭规模和居住地区调整）和教育程度内，原住民死于心血管疾病的风险高于其非原住民对应人群。
在每个收入五分位数和教育程度内，原住民的心血管疾病死亡率高于非原住民加拿大人。收入和教育分别占原住民男性和女性额外死亡率的67%和25%。
