Mortality rates among children and teenagers living in Inuit Nunangat, 1994 to 2008.
BACKGROUND
Because Vital Statistics data do not include information on Inuit identity in all jurisdictions, mortality rates cannot be calculated specifically for Inuit. However, Inuit in Canada are geographically concentrated--78% live in Inuit Nunangat, and 82% of the area's total population identify as Inuit. While there are limitations, geographic approaches can be employed to calculate mortality for the population of that area.


METHODS
The Vital Statistics Database (1994 to 2008) and population estimates were used to calculate age-standardized mortality rates (ASMRs) in five-year intervals around the 1996 and 2006 Census years. Mortality rates were calculated for 1- to 19-year-olds living in Inuit Nunangat and those living elsewhere in Canada.


RESULTS
The ASMR in 2004-2008 for 1- to 19-year-olds in Inuit Nunangat was 188.0 deaths per 100,000 person-years at risk, five times the rate (35.3) elsewhere in Canada. The disparity had not narrowed over the previous decade. In Inuit Nunangat, injuries were responsible for 64% of deaths of children and teenagers, compared with 36% in the rest of Canada.


CONCLUSIONS
The persistently high mortality rates for children and teenagers living in Inuit Nunangat, compared with the rest of Canada, are important in understanding the health and socio-economic situation of residents of this region.
Research Data Centre at Simon Fraser University. lisa.oliver@statcan.gc.ca
Lisa N
LN
Oliver
Paul A
PA
Peters
Dafna E
DE
Kohen
D000293:Adolescent; D017677:Age Distribution; D002170:Canada / Q000453:epidemiology; D002423:Cause of Death; D002648:Child; D046688:Child Mortality / Q000208:ethnology / Q000639:trends; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000208:ethnology / Q000639:trends; D007231:Infant, Newborn; D004930:Inuit / Q000706:statistics & numerical data*; D008297:Male; D009026:Mortality / Q000208:ethnology* / Q000639:trends; D017678:Sex Distribution; D055815:Young Adult