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«Community Health Profile data source description [1] Statistics Canada. (2013). 2011 Census of Population. The Census of Population is Canada's ...»

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Community Health Profile data source description

[1] Statistics Canada. (2013). 2011 Census of Population.

The Census of Population is Canada's largest and most comprehensive data source. The Census collects

demographic and linguistic information on every person living in Canada. The census is the main source of data

available in a standardized format for small areas. It provides nationally comparable data that can be crossclassified to show details. It is also the main body of comprehensive statistical data at the sub-provincial level on Canada's population.

There was a major change in the methodology for the 2011 Census. Starting May 3, a letter was delivered to 60% of Canadian dwellings. This letter replaced the traditional paper questionnaire and provided information so respondents could complete the questionnaire online. The letter also contained a toll-free number respondents could call to request a paper questionnaire. Questionnaire packages were delivered to about 20% of dwellings by mail. The remaining 20% of dwellings had questionnaires dropped off by enumerators. At a small number of dwellings, enumerators conducted personal interviews.

All questionnaires explained to respondents how they could complete the census online. Questionnaires completed online require fewer edits, do not require scanning and data capture, and usually result in a higher overall item response rate.

For 2011, Statistics Canada did not use a mandatory long-form questionnaire as part of the census. Information previously collected by the mandatory long-form census questionnaire was collected as part of the new voluntary National Household Survey (NHS). Collection of the NHS began within four weeks of the May 2011 Census. Approximately 4.5 million households received the NHS questionnaire.

The 2011 Census questionnaire consisted of the same eight questions that appeared on the 2006 Census shortform questionnaire, with the addition of two questions on language.

Supporting documentation for census data published by Statistics Canada can be found at http://www12.statcan.gc.ca/census-recensement/2011/ref/index-eng.cfm. These reference materials are designed to help users make the most of census data. They cover various aspects of the census and are intended to support the use of census data.

[2] BC Stats. (2013). 2013-2036 Sub-Provincial Population Projections – P.E.O.P.L.E.

A population projection is a forecast of future population growth. BC Stats applies the Component/CohortSurvival method to project the population. This method "grows" the population from the latest base year estimate by forecasting births, deaths, and migration by age. These forecasts are based on past trends modified to account for possible future changes and, consequently, should be viewed as only one possible scenario of future population.

B.C. level projections are usually updated in January or February each year, with sub-provincialprojections following a few months after. All population estimates and projections are as of July 1st. For details, please refer to BC Stats website at http://www.bcstats.gov.bc.ca/StatisticsBySubject/Demography/PopulationProjections.aspx [3] Statistics Canada. (2013). 2011 National Household Survey.

Between May and August 2011, Statistics Canada conducted the National Household Survey (NHS) for the first time. This voluntary, self-administered survey was introduced as a replacement for the long census questionnaire,.

The NHS is designed to collect social and economic data about the Canadian population. The objective of the NHS is to provide data for small geographic areas and small population groups.

The NHS is targeted for all persons who usually live in Canada, in the provinces and the territories. The target population includes persons who live on Indian reserves and in other Indian settlements, permanent residents, non-permanent residents such as refugee claimants, holders of work or study permits, and members of their families living with them.

Foreign residents such as representatives of a foreign government assigned to an embassy, high commission or other diplomatic mission in Canada, members of the armed forces of another country stationed in Canada, and residents of another country who are visiting Canada temporarily are not covered by the NHS.The survey also excludes persons living in institutional collective dwellings such as hospitals, nursing homes and penitentiaries;

Canadian citizens living in other countries; and full-time members of the Canadian Forces stationed outside Canada. Also excluded are persons living in non-institutional collective dwellings such as work camps, hotels and motels, and student residences.

A survey's reference date is the date to which respondents refer when answering the questions. The reference date of the NHS is May 10, 2011, the date of the 2011 Census of Population.

For more information, Statistics Canada published this guide for NHS data users http://www12.statcan.gc.ca/nhs-enm/2011/ref/nhs-enm_guide/index-eng.cfm. It describes the survey's design and methodology and how the collection results are applied to the entire population. It contains helpful information on how to use and interpret the estimates produced with the data that were collected.

[4] Statistics Canada. (2013). Canadian Community Health Survey: 2011-2012 cycle.

The CCHS is a cross-sectional survey that collects information related to health status, health care utilization and health determinants for the Canadian population. It relies upon a large sample of respondents and is designed to provide reliable estimates at the health region level.

Since 2007, data collection has occurred every year. The CCHS produces an annual microdata file and a file combining two years of data. The CCHS collection years can also be combined by users to examine populations or rare characteristics.

The CCHS covers everyone in the population aged 12 years of and over living in the ten provinces and the three territories. Excluded from the survey's coverage are: persons living on reserves and other Aboriginal settlements in the provinces; full-time members of the Canadian Forces; the institutionalized population and persons living in the Quebec health regions of Région du Nunavik and Région des Terres-Cries-de-la-BaieJames. In Nunavut, the coverage is limited to the ten largest communities which represents about 70% of the Nunavut population. Altogether, these exclusions represent less than 3% of the target population.

A detailed description of the CCHS methodology is available at http://www.statcan.gc.ca/pub/82-003x/2001003/article/6099-eng.pdf.

[5] Ministry of Health. (2011). BC health - population, practitioners, services and expenditures by Local Health Area, from MSP: 2009-2010 fiscal year.

Medical practitioners are practitioners with the BC College of Physicians and Surgeons who practice in British Columbia. Specialists refer to medical practitioners with specialties other than General Practice. Supplementary practitioners are practitioners who provide services insured through the MSP Supplementary Benefits program or the Midwifery program and who are approved for licensure by their respective Colleges/Associations. Data on total population, number of practitioners (general practitioners, medical specialists, other health practitioners) by local health area, using fee-for-service for 2009-10 fiscal year were obtained from the DataBC catalogue at http://catalogue.data.gov.bc.ca/dataset/bc-health-population-practitioners-services-andexpenditures-by-local-health-authority-from-msp.

[6] Human Early Learning Partnership. (2013). Early Development Instrument: 2011/12 - 2012/13.

The Early Development Instrument (EDI) is a questionnaire developed by Dr. Dan Offord and Dr. Magdalena Janus at the Offort Centre for Child Studies at McMaster University. The questionnaire has 103 questions and measures five core areas of early child development that are known to be good predictors of adult health, education and social outcomes (including physical health & well-being, language & cognitive development, social competence, emotional maturity, and communication skills & general knowledge).

In BC, the EDI questionnaire is completed by kindergarten teachers from across the province for all children in their classes. Children living on First Nations reserves may not be included in the sample. The data is collected and managed by Human Early Learning Partnership (HELP) based at the University of British Columbia. The EDI is a population-level research tool that is commonly used to understand the vulnerability of the population of children at various levels of geography - provincial, regional, and neighbourhood.

More information is available from the HELP EDI website at http://earlylearning.ubc.ca/edi/.

[7] Vital Statistics. (2011). Annual Report 2011.

BC Vital Statistics Agency is responsible for the ascertainment, registration, and certification of vital events through the administration of the Vital Statistics Act, Marriage Act, and Name Act. Vital statistics data included in the BC Community Health Profiles were obtained from BC Vital Statistics Agency’s 2011 annual report.

Although the Vital Statistics Act requires registration of events that occurred in the province, and Section 44 specifically requires that these be reported, vital events are often a reflection of the health status of the population; therefore, most of the information in this report pertains to residents. Specifically, live birth, stillbirth, and death statistics summarize events that occurred in the province to BC residents only, and exclude events to non-residents except where noted. Marriage statistics summarize all events that occurred in the province to either residents or non-residents. Vital events that occurred to BC residents outside the province are not shown in this report. More information on BC Vital Statistics Agency’s 2011 annual report is available at https://www.vs.gov.bc.ca/stats/annual/2011/.

[8] Centre for Addictions Research of BC. (2014). BC Alcohol and Other Drug (AOD) Monitoring Project:

Alcohol consumption.

The BC Alcohol and Other Drug (AOD) Monitoring Project consists of ten different research components each collecting and analysing data from different sources. Together they form a picture of risky substance use and associated harms in British Columbia.

The Alcohol Consumption component of the BC Alcohol and Other Drug Monitoring Project assembles timeseries data on alcohol sales in different geographic regions of British Columbia. Such data can be used to better understand epidemiological issues related to alcohol consumption, policy development, evaluation, and interventions. Specifically, the estimates of total absolute alcohol consumption for health regions in BC were based on two data sources, the sale alcohol data and the Ubrew/Uvin data from the BC Liquor Distribution Branch.

Detailed information is available from University of Victoria Centre for Addictions Research of BC website at http://www.carbc.ca/FactsStats/AODMonitoring/AlcoholConsumption.aspx.

[9] Provincial Health Services Authority. (2013). BC Community Health Atlas.

The BC Community Health Atlas is a web-based interactive mapping tool that displays indicators of population health by geographic area. The Atlas is a free, user-friendly platform for visualizing and comparing data related to population health, demographics as well as developmental, socio-economic, and environmental determinants of health. Data sources for the BC Community Health Atlas include BC Stats (the BC Stats SocioEconomic Profiles), the Ministry of Health (Chronic Disease Registries and Vital Statistics), Statistics Canada (2006 and 2011 Census of Canada), and the Ministry of Education (School Satisfactory Survey, Foundational Skills Assessment).

Data on student health behaviours were based on the School Satisfaction Survey, which is an annual survey of students in grades 4, 7, 10, and 12, their parents, and school staff administered since 2002 in British Columbia public schools. Students living on First Nations reserves may not be included in the sample.

The BC Community Health Atlas is available at: http://www.phsa.ca/communityhealthatlas.

[10] BC Stats. (2014). Life expectancy: 2007-2011 average.

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