Stieb D, Davies K
Ecosystems Consulting Inc., Orleans, Ontario, Canada.
Arctic Med Res. 1995 Oct;54(4):170-83.
This paper reviews the literature on the health status of native people in the Hudson Bay/James Bay region of Canada, and explores the role of development in explaining discrepancies between observed and expected demographic and health trends. Relevant scientific literature was identified using computerised searches of bibliographic databases, as well as manual searches of selected journals and contact with experts. Although there was evidence that native people in Hudson Bay/James Bay have experienced significant improvements in health status, overall health status remains much worse than that of other Canadians. In many native communities, the prevalence and incidence of formerly infrequent chronic diseases have now surpassed those observed in non-native populations, and injuries, poisonings and violence are at epidemic levels. While these trends may be attributable to a variety of factors, environmental contamination and accompanying social, economic and cultural changes appear to play an important role.
本文回顾了关于加拿大哈德逊湾/詹姆斯湾地区原住民健康状况的文献，并探讨了发展在解释观察到的与预期的人口和健康趋势差异方面所起的作用。通过对书目数据库进行计算机检索，以及对选定期刊进行人工检索并与专家联系，确定了相关科学文献。尽管有证据表明哈德逊湾/詹姆斯湾地区的原住民健康状况有了显著改善，但总体健康状况仍比其他加拿大人差得多。在许多原住民社区，以前不常见的慢性病的患病率和发病率现在已经超过了非原住民人群，而且伤害、中毒和暴力事件处于流行水平。虽然这些趋势可能归因于多种因素，但环境污染以及随之而来的社会、经济和文化变化似乎起到了重要作用。
