Table 4.
Deaths and age-standardized mortality rates per 100 000 person-years at risk for urban Aboriginal adults by sex and place of residence, non-institutional population aged 25 years or older at baseline, Canada, 1991–2001
| All urban areas | Metropolitan areasa | Smaller urban centresb | |||||||
|---|---|---|---|---|---|---|---|---|---|
|
| |||||||||
| Deaths | ASMR | 95% CI | Deaths | ASMR | 95% CI | Deaths | ASMR | 95% CI | |
| Men | |||||||||
| All causes | 563 | 875.4 | (804.5-952.4) | 354 | 880.9 | (791.0-981.1) | 209 | 860.0 | (749.9-986.3) |
| Infectious diseases | 22 | 31.8 | (20.9-48.5) | 17 | 39.3 | (24.2-63.8) | 5 | 19.3 | (8.0-46.3) |
| HIV/AIDS | 15 | 21.3 | (12.8-35.4) | — | — | — | — | ||
| Other infectious diseases | 7 | 10.5 | (4.9-22.4) | — | — | — | — | ||
| Cancer | 132 | 203.8 | (171.5-242.3) | 79 | 197.9 | (157.7-248.4) | 53 | 215.6 | (164.3-282.9) |
| Trachea/bronchus/lung cancers | 51 | 79.8 | (60.4-105.4) | 32 | 83.5 | (58.2-119.8) | 19 | 76.7 | (48.7-120.9) |
| Other cancers | 81 | 124.1 | (99.6-154.6) | 47 | 114.4 | (85.5-153.1) | 34 | 138.9 | (99.0-194.9) |
| Endocrine diseases | 16 | 24.2 | (14.7-39.7) | 7 | 16.5 | (7.8-34.9) | 9 | 36.1 | (18.7-69.9) |
| Circulatory system | 178 | 285.1 | (245.6-331.0) | 107 | 279.5 | (229.6-340.3) | 71 | 299.3 | (236.5-378.9) |
| Ischemic heart disease | 116 | 185.0 | (153.8-222.5) | 71 | 189.1 | (148.6-240.8) | 45 | 193.0 | (143.6-259.4) |
| Other circulatory diseases | 62 | 100.1 | (77.7-128.9) | 36 | 90.4 | (64.5-126.7) | 26 | 106.3 | (72.0-157.0) |
| Respiratory diseases | 39 | 67.5 | (49.1-92.7) | 22 | 63.4 | (41.0-98.0) | 17 | 71.0 | (43.8-115.1) |
| Digestive system diseases | 37 | 60.2 | (42.0-86.2) | 28 | 73.5 | (49.5-109.1) | 9 | 33.8 | (17.5-65.3) |
| External causes | 97 | 138.3 | (113.3-168.8) | 64 | 142.4 | (111.4-182.0) | 33 | 132.9 | (94.4-187.1) |
| Suicide | 23 | 32.3 | (21.4-48.6) | 17 | 37.0 | (23.0-59.6) | 6 | 23.7 | (10.6-52.8) |
| Motor vehicle | 23 | 33.2 | (22.0-50.0) | 14 | 31.7 | (18.8-53.6) | 9 | 37.0 | (19.2-71.4) |
| Other external causes | 51 | 72.9 | (55.4-95.9) | 33 | 73.7 | (52.4-103.7) | 18 | 72.1 | (45.4-114.6) |
| All other causes | 42 | 64.5 | (47.5-87.6) | 30 | 68.5 | (47.8-98.2) | 12 | 51.9 | (29.3-91.9) |
| Smoking-related diseases | 81 | 130.3 | (104.4-162.5) | 51 | 137.6 | (103.3-183.1) | 30 | 122.4 | (85.3-175.8) |
| Alcohol-related diseases | 29 | 41.7 | (28.8-60.3) | 20 | 44.8 | (28.7-70.0) | 9 | 36.0 | (18.7-69.5) |
| Drug-related diseases | 15 | 20.6 | (12.4-34.2) | — | — | — | — | ||
| Amenable to medical intervention (< 75 years) | 48 | 68.6 | (51.7-91.1) | 30 | 66.3 | (46.4-94.9) | 18 | 72.7 | (45.7-115.7) |
| Women | |||||||||
| All causes | 563 | 615.9 | (566.2-670.0) | 377 | 657.3 | (593.0-728.7) | 186 | 559.4 | (478.9-653.5) |
| Infectious diseases | 20 | 20.9 | (13.5-32.4) | 12 | 20.0 | (11.4-35.3) | 8 | 23.6 | (11.7-47.2) |
| HIV/AIDS | 6 | 6.1 | (2.8-13.6) | — | — | — | — | ||
| Other infectious diseases | 14 | 14.8 | (8.7-25.0) | — | — | — | — | ||
| Cancer | 153 | 162.9 | (139.0-190.9) | 98 | 166.9 | (136.8-203.6) | 55 | 158.5 | (121.5-206.8) |
| Trachea/bronchus/lung cancers | 36 | 38.6 | (27.9-53.6) | 26 | 45.9 | (31.2-67.5) | 10 | 27.3 | (14.6-50.9) |
| Breast cancers | 26 | 27.1 | (18.4-39.8) | 14 | 23.1 | (13.7-39.1) | 12 | 34.7 | (19.7-61.2) |
| Other cancers | 91 | 97.2 | (79.1-119.4) | 58 | 97.9 | (75.6-126.7) | 33 | 96.5 | (68.4-136.1) |
| Endocrine | 23 | 25.2 | (16.7-37.9) | 17 | 28.6 | (17.7-46.0) | 6 | 18.6 | (8.4-41.6) |
| Circulatory system | 154 | 178.4 | (151.4-210.3) | 108 | 197.3 | (162.3-240.0) | 46 | 158.2 | (111.3-224.9) |
| Ischemic heart disease | 72 | 83.5 | (65.7-106.2) | 50 | 89.0 | (67.2-117.8) | 22 | 78.9 | (47.7-130.7) |
| Other circulatory diseases | 82 | 94.9 | (75.8-119.0) | 58 | 108.3 | (82.6-142.2) | 24 | 79.3 | (48.6-129.4) |
| Respiratory diseases | 34 | 37.9 | (26.8-53.5) | 23 | 41.5 | (27.3-62.9) | 11 | 30.0 | (16.6-54.3) |
| Digestive system diseases | 53 | 55.9 | (42.7-73.2) | 38 | 62.6 | (45.5-86.1) | 15 | 43.5 | (26.2-72.5) |
| External causes | 58 | 59.9 | (46.3-77.5) | 43 | 70.5 | (52.2-95.1) | 15 | 42.6 | (25.7-70.8) |
| Suicide | 14 | 14.3 | (8.5-24.1) | — | — | — | — | ||
| Motor vehicle | 15 | 15.6 | (9.4-26.0) | 11 | 18.1 | (10.0-32.6) | 4 | 11.4 | (4.3-30.4) |
| Other external (excluding suicide) | 29 | 30.0 | (20.8-43.1) | — | — | — | — | ||
| Other external (including suicide) | 43 | 44.2 | (32.8-59.7) | 32 | 52.4 | (37.0-74.1) | 11 | 31.2 | (17.3-56.5) |
| All other causes | 68 | 74.9 | (58.8-95.3) | 38 | 70.0 | (50.1-97.8) | 30 | 84.3 | (58.9-120.8) |
| Smoking-related diseases | 54 | 57.8 | (44.3-75.6) | 36 | 62.5 | (45.0-86.8) | 18 | 49.1 | (30.8-78.0) |
| Alcohol-related diseases | 33 | 34.2 | (24.3-48.1) | 24 | 39.3 | (26.4-58.7) | 9 | 25.4 | (13.2-48.9) |
| Drug-related diseases | 24 | 24.5 | (16.4-36.6) | 17 | 27.5 | (17.1-44.3) | 7 | 19.6 | (9.3-41.1) |
| Amenable to medical intervention (< 75 years) | 86 | 92.1 | (74.5-113.8) | 60 | 101.5 | (78.8-130.8) | 26 | 77.0 | (52.4-113.4) |
Source: 1991–2001 Canadian census mortality follow-up study.
Abbreviations: —, suppressed due to disclosure rules or not applicable; AIDS, acquired immune deficiency syndrome; ASMR, age-standardized mortality rates; CI, confidence interval; HIV, human immunodeficiency virus.
Reference population (person-years at risk) for age standardization was taken from the Aboriginal age distribution (5-year age groups).
a
Population ≥ 100 000
b
Population ≥ 10 000