Discipline of Family Medicine, Faculty of Medicine, Memorial University, St. John's, NL, Canada.
Innu Nation, Sheshatshiu, NL, Canada.
Int J Circumpolar Health. 2024 Dec;83(1):2378581. doi: 10.1080/22423982.2024.2378581. Epub 2024 Aug 2.
In Canada, most people prefer to die at home. However, the proportion of deaths that occur in hospital has increased over time. This study examined mortality rates and proportionate mortality in Innu communities in Labrador, and compared patterns to other communities in Labrador and Newfoundland. We conducted a cross-sectional ecological study with mortality data from the vital statistics system. This included information about all deaths in Newfoundland and Labrador from 1993 to 2018. We used descriptive statistics and rates to examine patterns by age, sex, cause and location. During the 2003 to 2018 period the leading cause of death in the Innu communities (excluding external causes) was cancer, followed by circulatory disease and respiratory disease. Between 1993 and 2018, there was a lower percentage of hospital deaths and a higher percentage of at home deaths in Innu communities than in the rest of the province. The majority of deaths among Innu were due to cancer and chronic diseases. We found a higher percentage of at home deaths in Innu communities compared to the rest of the province.
在加拿大，大多数人更喜欢在家中去世。然而，随着时间的推移，在医院去世的比例有所增加。本研究考察了拉布拉多的因纽特社区的死亡率和比例死亡率，并将其与拉布拉多和纽芬兰的其他社区进行了比较。我们进行了一项横断面生态研究，使用了来自生命统计系统的死亡率数据。这包括 1993 年至 2018 年期间纽芬兰和拉布拉多省所有死亡的信息。我们使用描述性统计和比率来按年龄、性别、原因和地点检查模式。在 2003 年至 2018 年期间，因纽特社区（不包括外部原因）的主要死亡原因是癌症，其次是循环系统疾病和呼吸系统疾病。1993 年至 2018 年间，因纽特社区的医院死亡比例较低，在家中死亡的比例较高。因纽特人死亡的主要原因是癌症和慢性疾病。与该省其他地区相比，我们发现因纽特社区的在家中死亡比例更高。
