Shah C P, Farkas C S
CMAJ. 1985 Nov 1;133(9):859-63.
It is well known that Canadian native people living on reserves have high morbidity and mortality rates, but less is known about the health of those who migrated to urban centres. Several studies have shown that these people have high rates of mental health problems, specific diseases, injuries, infant death and hospital admission. In addition, there is evidence that cultural differences create barriers to their use of health care facilities. The low socioeconomic status, cultural differences and discrimination that they find in cities are identified as the primary blocks to good health and adequate health care. More epidemiologic studies need to be done to identify health problems, needs and barriers to health care. Federal, provincial and civic governments along with the appropriate departments of faculties of medicine should begin working with native organizations to improve the health of native people living in Canada's cities.
众所周知，居住在保留地的加拿大原住民发病率和死亡率很高，但对于那些移居到城市中心的人的健康状况却知之甚少。多项研究表明，这些人心理健康问题、特定疾病、受伤、婴儿死亡和住院率都很高。此外，有证据表明文化差异对他们利用医疗保健设施造成了障碍。他们在城市中面临的低社会经济地位、文化差异和歧视被认为是影响良好健康状况和获得充足医疗保健的主要障碍。需要开展更多的流行病学研究来确定健康问题、需求以及医疗保健的障碍。联邦、省和市政府以及医学院的相关部门应开始与原住民组织合作，以改善居住在加拿大城市的原住民的健康状况。
