Michael Green — PRINCIPAL INVESTIGATOR

HEAD & PROFESSOR —DEPARTMENT OF FAMILY MEDICINE, QUEEN’S UNIVERSITY

Diabetes prevalence, incidence and mortality in First Nations and other people in Ontario, 1995–2014: a population-based study using linked administrative data

First Nations people in Ontario, particularly younger individuals and women, are more likely to have diabetes than the general population. Approaches to address the high prevalence of diabetes in younger First Nations women that are First Nations–led have the potential to improve metabolic health across generations.

Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities

There are similar rates of hospitalization for ACSC in British Columbian First Nations communities that have local 24/7 access to PHC services as those living in urban centres. A significant reduction in avoidable hospitalization and premature mortality rates is associated with improved access to PHC services in First Nations communities.

Prevalence, incidence and outcomes of diabetes in Ontario First Nations children: a longitudinal population-based cohort study

In Ontario, First Nations children are shown to have had a high prevalence of diabetes, likely largely driven by an increasing incidence of type 2 diabetes. There is an urgent need to reduce disparities in modifiable risk factors for diabetes, use of diabetes management health care services and diabetes outcomes for First Nations children.

Trends in cardiovascular care and event rates among First Nations and other people with diabetes in Ontario, Canada, 1996–2015

CMAJ 2019

DOI: 10.1503/cmaj.190899

Authors: Anna Chu, Lu Han, Idan Roifman, Douglas S. Lee, Michael E. Green, Kristen Jacklin, Jennifer Walker, Roseanne Sutherland, Shahriar Khan, Eliot Frymire, Jack V. Tu and Baiju R. Shah

Over the last 20 years, the incidence of cardiac events has declined among First Nations people with diabetes, but remains higher than other people with diabetes in Ontario. For continued reductions in incidence, future efforts need to recognize First Nations people’s unique social and cultural determinants of health.

Admission to hospital for pneumonia and influenza attributable to 2009 pandemic A/H1N1 influenza in First Nations communities in three provinces of Canada

An increased risk for pH1N1-related hospital admissions was found for First Nations communities in British Columbia, Manitoba and Ontario, though it is unconfirmed whether remote communities are also at a higher risk for hospitalisations. Interprovincial differences could be partly explained by differences in age structure and socioeconomic status.