Dataset Information

Intentional injury among the indigenous and total populations in British Columbia, Canada: trends over time and ecological analyses of risk.

ABSTRACT: Our objective was to explore intentional injury disparity between Indigenous populations and the total population in the province of British Columbia (BC), Canada. We focus on hospitalizations, including both self-inflicted injuries and injuries inflicted by others.We used data from BC's universal health care insurance plan, 1991 to 2010, linked to Vital Statistics databases. Indigenous people were identified through the insurance premium group, and birth and death records. Place of residence was identified through postal code. We calculated crude hospitalization incidence rates and the Standardized Relative Risk (SRR) of hospitalization, standardized by gender, 5-year age group, and Health Service Delivery Area (HSDA). With HSDA populations as the units of observation, linear regression was used to test hypothesized associations of Indigenous ethnicity, geographic, and socio-economic characteristics with SRR of injury.During the period 1991-2010, the crude rate of hospitalization for intentional injuries was 8.4 per 10,000 person-years (95% confidence interval (CI): 8.3 to 8.5) for the total BC population, compared to 45.3 per 10,000 (95% CI: 44.5 to 46.1) for the Indigenous population. For both populations, risk declined over the period for injuries self-inflicted and inflicted by others. The linear regression model predicts that the off-reserve Indigenous population will have SRR of intentional injury 3.98 greater, and the on-reserve Indigenous population 4.17, greater than the total population. The final model was an excellent fit (R2 = 0.912, F = 177.632, p < 0.001), and found that three variables - occupational risk, high school diploma, and university degree - each provide independent effects when interacting multiplicatively with Indigenous ethnicity.The observation of substantially declining rates of intentional injury for both the Indigenous and total BC populations is off-set by the high disparity in risk between the two populations, which will likely continue until Canada reduces disparity with respect to discriminatory practices, and physical, social, and economic conditions.

SUBMITTER: George MA

PROVIDER: S-EPMC5549349 | biostudies-other | 2017 Aug

REPOSITORIES: biostudies-other

ACCESS DATA

Similar Datasets

Project description:Indigenous land stewardship and mixed-severity fire regimes both promote landscape heterogeneity, and the relationship between them is an emerging area of research. In our study, we reconstructed the historical fire regime of Ne Sextsine, a 5900-ha dry, Douglas fir-dominated forest in the traditional territory of the T'exelc (Williams Lake First Nation) in British Columbia, Canada. Between 1550 and 1982 CE, we found median fire intervals of 18 years at the plot level and 4 years at the study-site level. Ne Sextsine was characterized by an historical mixed-severity fire regime, dominated by frequent, low-severity fires as indicated by fire scars, with infrequent, mixed-severity fires indicated by cohorts. Differentiating low- from mixed-severity plots over time was key to understanding the drivers of the fire regime at Ne Sextsine. Low-severity plots were coincident with areas of highest use by the T'exelc, including winter village sites, summer fishing camps, and travel corridors. The high fire frequency in low-severity plots ceased in the 1870s, following the smallpox epidemic, the forced relocation of Indigenous peoples into small reserves, and the prohibition of Indigenous burning. In contrast, the mixed-severity plots were coincident with areas where forest resources, such as deer or certain berry species, were important. The high fire frequency in the mixed-severity plots continued until the 1920s when industrial-scale grazing and logging began, facilitated by the establishment of a nearby railway. T'exelc oral histories and archeological evidence at Ne Sextsine speak to varied land stewardship, reflected in the spatiotemporal complexity of low- and mixed-severity fire plots. Across Ne Sextsine, 63% of cohorts established and persisted in the absence of fire after colonial impacts beginning in the 1860s, resulting in a dense, homogeneous landscape that no longer supports T'exelc values and is more likely to burn at uncharacteristic high severities. This nuanced understanding of the Indigenous contribution to a mixed-severity fire regime is critical for advancing proactive fire mitigation that is ecoculturally relevant and guided by Indigenous expertise.

Project description:Legionella spp. present in some human-made water systems can cause Legionnaires' disease in susceptible individuals. Although legionellae have been isolated from the natural environment, variations in the organism's abundance over time and its relationship to aquatic microbiota are poorly understood. Here, we investigated the presence and diversity of legionellae through 16S rRNA gene amplicon and metagenomic sequencing of DNA from isolates collected from seven sites in three watersheds with varied land uses over a period of 1 year. Legionella spp. were found in all watersheds and sampling sites, comprising up to 2.1% of the bacterial community composition. The relative abundance of Legionella tended to be higher in pristine sites than in sites affected by agricultural activity. The relative abundance levels of Amoebozoa, some of which are natural hosts of legionellae, were similarly higher in pristine sites. Compared to other bacterial genera detected, Legionella had both the highest richness and highest alpha diversity. Our findings indicate that a highly diverse population of legionellae may be found in a variety of natural aquatic sources. Further characterization of these diverse natural populations of Legionella will help inform prevention and control efforts aimed at reducing the risk of Legionella colonization of built environments, which could ultimately decrease the risk of human disease. IMPORTANCE Many species of Legionella can cause Legionnaires' disease, a significant cause of bacterial pneumonia. Legionella in human-made water systems such as cooling towers and building plumbing systems are the primary sources of Legionnaires' disease outbreaks. In this temporal study of natural aquatic environments, Legionella relative abundance was shown to vary in watersheds associated with different land uses. Analysis of the Legionella sequences detected at these sites revealed highly diverse populations that included potentially novel Legionella species. These findings have important implications for understanding the ecology of Legionella and control measures for this pathogen that are aimed at reducing human disease.

Dataset Information

Intentional injury among the indigenous and total populations in British Columbia, Canada: trends over time and ecological analyses of risk.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets