Table Of Content

AlbertaHealthandWellness (2006) Reporton theHealth ofAlbertans. Edmonton: AlbertaHealthandWellness. Formoreinformationcontact: PublicHealthSurveillanceandEnvironmentalHealth PublicHealthDivision AlbertaHealthandWellness 24thFloor,Telus PlazaNorthTower 10025 JasperAvenue PO Box 1360 STNMAIN Edmonton,AlbertaT5J2N3 CANADA Telephone: 1-780-427-4518 Toll-free: 310-0000 (inAlbertaonly) Fax: 1-780-427-1470 Website: www.health.gov.ab.ca ISBN: 0-7785-3476-6 (print) ISBN: 0-7785-3477-4 (internet) NCN1227 (2006/02) Historicalcoverphoto: PolioVaccination,1959 ProvinicalArchivesofAlberta,PA2887/1 Table ofContents Introduction 9 Demographics 13 PopulationDistribution 14 Immigration 17 LifeExpectancy 19 Mortality 20 Fertility 22 PopulationGrowth 24 DeterminantsofHealth 25 Self-PerceivedHealthStatus 29 TobaccoUse 31 CancerScreening 33 BirthWeight 36 BodyWeight 39 Nutrition 42 DisabilityandFunctionalLimitations 45 AlcoholandDrugUse 47 PhysicalActivity 49 MentalHealth 51 Anxiety/Depression 54 SubstanceAbuseDisorders 58 Non-CommunicableDisease 61 HistoricalContext 61 Cancer 63 CervicalCancer 63 LungCancer 65 ProstateCancer 67 CardiovascularDisease 69 IschaemicHeartDisease 70 CerebrovascularDisease .74 Hypertension 78 ChronicRespiratoryDisease 81 Asthma 81 ChronicBronchitis 84 ChronicObstructivePulmonaryDisease (COPD) 87 Diabetes 91 ChronicRenalFailure 95 Arthritis 99 REPORT ON THE HEALTH OF ALBERTANS Injury 103 UnintentionalInjury 106 IntentionalInjury 107 SuicideandParasuicidalBehaviour 108 Homicide Ill CommunicableDisease 113 HistoricalContext 113 CommunicableDiseaseMortality 116 SexuallyTransmittedInfections 116 Chlamydia 116 Gonorrhea 118 Syphilis 121 HepatitisC 123 HIV/AIDS 124 FoodandWaterborneCommunicableDiseases 126 Campylobacteriosis 126 Giardiasis 128 HaemorraghicColitis (e-coli0157:H7) 129 Salmonellosis 131 Typhoid/Paratyphoid 132 Vaccine-PreventableCommunicableDisease 135 Diphtheria 135 A Hepatitis 137 HepatitisB 139 HaemophilusInfluenzaeTypeb 140 Influenza 143 Rubella 145 Measles 147 InvasiveMeningococcalDisease 149 Mumps 150 Pertussis 152 Poliomyelitis 153 Smallpox 157 Tetanus 159 Varicella 160 Tuberculosis 163 Conclusions 165 REPORT ON THE HEALTH OF ALBERTANS 1 List ofFigures Demographics Figure1 Albertapopulation1901to2001 Figure2 PopulationDistribution,1901 Figure3 PopulationDistribution,1921 Figure4 PopulationDistribution,1941 Figure5 PopulationDistribution,1961 Figure6 PopulationDistribution,1981 Figure7 PopulationDistribution,2001 Figure8 NetinternationalmigrationtoAlberta,1970to2000 Figure9 Netinter-provincialmigrationtoAlberta,1972to2001 Figure10 AlbertaImmigrantsbyYearandOrigin Figure1 LifeexpectancyatbirthinAlberta,1931to2001 Figure12 Ageadjustedmortalityratesper1,000populationforallcausesofdeath,Alberta, 1986to2003 Figure13 infantmortalityrateper1,000livebirths,Alberta,1983to2004 Figure14 TotalfertilityrateforAlberta,1936to2003 Figure15 Age-specificfertilityrates,Alberta1986,2004,and2003 Figure16 MeanageoffertilityinAlberta,1986to2003 Figure17 PopulationDistribution,2004andprojectedto2033 DeterminantsofHealth Figure18 Percentofthepopulationratedtheirhealthasverygoodorexcellentbyageof respondent,Alberta2003 Figure19 Percentofthepopulationreportingtheirhealthtobeverygoodorexcellent,by yearandsex,Alberta Figure20 Percentofthepopulationreportingtheirhealthtobeverygoodorexcellent, regionalhealthauthority,Alberta2003 Figure21 Selfreportedpercentageofsmokersbyage,Alberta2003 Figure22 Percentofthepopulationreportingsmokingeitheroccasionallyordaily, Alberta2003 Figure23 Percentofthepopulationreportingsmokingeitheroccasionallyordailyby regionalhealthauthority,Alberta2003 Figure24 Percentofwomenaged50to69yearsreportingtheyreceivedamammogram withintheprevioustwoyears,Alberta1996to2003 Figure25 Percentofwomenaged50to69yearsreportingtheyreceivedamammogram withintheprevioustwoyearsbyregionalhealthauthority,Alberta2003 Figure26 Percentofwomenreportinghavinghadapapsmearwithinthepastthreeyears, Alberta1994to2003 Figure27 Percentofwomenreportinghavinghadapapsmearwithinthepastthreeyears byage,Alberta2003 Figure28 Percentofwomenreportinghavinghadapapsmearwithinthepastthreeyears byregionalhealthauthority,Alberta2003 Figure29 Proportionoflivebirthsweighinglessthan2,500grams,Alberta1983to2004 REPORT ON THE HEALTH OF ALBERTANS Figure30 Proportionoflivebirthsweighinglessthan1,500grams,Alberta1983to2004 Figure31 Bodymassindexformalesandfemales,Alberta1994to2003 Figure32 Percentageofthepopulationwithandbodymassindexintheoverweightand obesecategoriesbyage,Alberta2003 Figure33 Percentageofthepopulationwithandbodymassindexintheoverweightand obesecategoriesbyregionalhealthauthority,Alberta2003 Figure34 PercentageofAlbertansreportingconsumingfiveormoreservingsoffruitsand vegetablesperday,Alberta2003 Figure35 PercentageofAlbertansreportingconsumingfiveormoreservingsoffruitsand vegetablesperdaybysex,Alberta2003 Figure36 PercentageofAlbertansreportingconsumingfiveormoreservingsoffruitsand vegetablesperdaybyregionalhealthauthority,Alberta2003 Figure37 Percentageofthepopulationreportingactivitylimitationbyage,Alberta2003 Figure38 Percentageofthepopulationreportingactivitylimitationbysex,Alberta1994 to2003 Figure39 Percentageofthepopulationreportingactivitylimitationbyregionalhealth authority,Alberta2003 Figure40 Percentageofindividualsreportingconsumingfiveormoredrinksonone occasion12ormoretimesperyear,byage,Alberta2003 Figure41 Percentageofindividualsreportingconsumingfiveormoredrinksonone occasion12ormoretimesperyear,bysex,Alberta1994to2003 Figure42 Percentageofindividualsreportingconsumingfiveormoredrinksonone occasion12oremoretimesperyear,byregionalhealthauthority,Alberta2003 Figure43 Percentreportingbeingactiveormoderatelyactiveduringleisuretime,Alberta 1994to2003 Figure44 Percentreportingbeingactiveormoderatelyactiveduringleisuretimeby regionalhealthauthority,Alberta2003 MentalHealth Figure45 Agestandardizedtreatedprevalenceper100populationformentalhealth problems,Alberta1983to2003 Figure46 Treatedprevalenceper100populationformentalhealthdisordersbyageand sex,Alberta1986and2003 Figure47 Regionaldifferencesinthetreatedprevalenceformentalhealthdisorders, Alberta2003 Figure48 Agestandardizedtreatedprevalenceper100foranxietydisorders/depression, Alberta1983to2003 Figure49 Agestandardizedtreatedprevalenceper100populationforanxietydisorders/ depressionproblemsbyageandsex,Alberta1986and2003 Figure50 Regionaldifferencesinthetreatedprevalenceforanxietydisorders/depression, Alberta2003 Figure51 Agestandardizedhospitalseparationratesper100,000foranxietydisorders/ depression,Alberta1979/1980to2002/2003 Figure52 Age-standardizedtreatedprevalenceper100populationforsubstanceabuse disorders,Alberta1983to2003 REPORT ON THE HEALTH OF ALBERTANS Figure53 Age-standardizedtreatedprevalenceper100populationforsubstanceabuse disordersbyageandsex,Alberta1986and2003 Figure54 Regionaldifferencesinthetreatedprevalenceofsubstanceabusedisorders, Alberta2003 Figure55 Agestandardizedhospitalseparationratesper100,000populationforsubstance abusedisorders,Alberta1979/1980to2002/2003 Non-CommunicableDisease Figure56 Age-standardizedhospitalseparationratesforcervicalcancer,Alberta1979/1980 to2002/2003 Figure57 Agestandardizedmortalityrateforcervicalcancer,Alberta1960to2003 Figure58 Agestandardizedhospitalseparationratesper100,000forlungcancer,Alberta 1979/1980to2002/2003 Figure59 Age-standardizedlungcancermortalityrates,Alberta1961 to2003 Figure60 Age-standardizedhospitalseparationratesforprostatecancer,Alberta 1979/1980to2002/2003 Figure61 Age-standardizedmortalityratesattributedtoprostatecancer,Alberta1961 to2003 Figure62 Age-standardizedtreatedprevalenceper100populationforcardiovascular disease,Alberta1983to2003 Figure63 Age-specifictreatedprevalenceper100populationforcardiovasculardisease, Alberta1986and2003 Figure64 Age-standardizedtreatedprevalenceper100populationforischaemicheart disease,Alberta1983to2003 Figure65 Age-specifictreatedprevalenceper100populationforischaemicheartdisease, Alberta1983to2003 Figure66 Regionaldifferencesinthetreatedprevalenceofischaemicheartdisease, Alberta2003 Figure67 Age-standardizedhospitalseparationratesper100,000populationforischaemic heartdisease,Alberta1979/1980to2002/2003 Figure68 Age-standardizedmortalityrateper100,000populationforischaemicheart disease,Alberta1961 to2003 Figure69 Age-standardizedtreatedprevalenceper100populationforcerebrovascular disease,Alberta1983to2003 Figure70 Age-specifictreatedprevalenceper100forcerebrovasculardisease,Alberta1986 and2003 Figure71 Regionaldifferencesinthetreatedprevalenceofcerebrovasculardisease, Alberta2003 Figure72 Age-standardizedhospitalseparationrateper100,000populationfor cerebrovasculardisease,Alberta1979/1980to2002/2003 Figure73 Age-standardizedmortalityratesper100,000forcerebrovasculardisease,Alberta 1961 to2003 Figure74 Age-standardizedtreatedprevalenceper100populationforhypertension, Alberta1983to2003 REPORT ON THE HEALTH OF ALBERTANS Figure75 Age-specifictreatedprevalenceper100forhypertension,Alberta1986and2003 Figure76 Regionaldifferencesinthetreatedprevalenceofhypertension,Alberta2003 Figure77 Age-standardizedasthmatreatedprevalenceper100,Alberta1983to2003 Figure78 Age-specifictreatedprevalenceofasthmaper100population,Alberta1986 and2003 Figure79 Regionaldifferencesinthetreatedprevalenceofasthma,Alberta2003 Figure80 Age-standardizedhospitalseparationratesper100,000populationattributedto asthma,Alberta1979/1980to2002/2003 Figure81 Age-standardizedtreatedprevalenceforchronicbronchitisper100population, Alberta1983to2003 Figure82 Age-specifictreatedprevalenceforchronicbronchitis,Alberta1986and2003 Figure83 Regionaldifferencesinthetreatedprevalenceofchronicbronchitis,Alberta2003 Figure84 Age-standardizedhospitalseparationratesper100,000populationforchronic bronchitis,1979/1980to2002/2003 Figure85 Age-standardizedtreatedprevalenceofCOPDper100,Alberta1983to2003 Figure86 Age-specifictreatedprevalenceper100forCOPD,Alberta1986and2003 Figure87 RegionaldifferencesinthetreatedprevalenceofCOPD,Alberta2003 Figure88 Age-standardizedtreatedprevalenceper100fordiabetes,Alberta1986to2003 Figure89 Age-specifictreatedprevalenceper100populationfordiabetes,Alberta1986 and2003 Figure90 Regionaldifferencesinthetreatedprevalenceofdiabetes,Alberta2003 Figure91 Age-standardizedhospitalseparationratesper100,000populationfordiabetes, Alberta1979/1980to2002/2003 Figure92 Age-standardizedmortalityrateper100,000populationfordiabetes,Alberta 1960to2003 Figure93 Age-standardizedtreatedprevalenceper100populationforchronicrenalfailure, Alberta1983to2003 Figure94 Age-specifictreatedprevalenceper100populationforchronicrenalfailure, Alberta1986and2003 Figure95 Regionaldifferencesinthetreatedprevalenceofchronicrenalfailure, Alberta2003 Figure96 Age-standardizedhospitalseparationratesper100,000populationforchronic renalfailure,Alberta1979/1980and2002/2003 Figure97 Agestandardizedtreatedprevalenceper100forarthritisinAlberta,1983to2003 Figure98 Age-specifictreatedprevalenceper100populationforarthritis,Alberta1986 and2003 Figure99 Regionaldifferencesinthetreatedprevalenceofarthritis,Alberta2003 Figure100 Agestandardizedhospitalseparationratesper100,000populationforarthritis, Alberta1979/1980to2002/2003 REPORT ON THE HEALTH OF ALBERTANS 1 Injury Figure101 Age-standardizedtreatedprevalenceper100populationforinjuries,Alberta 1983to2003 Figure102 Age-specifictreatedprevalenceper100populationforinjuries,Alberta1986 and2003 Figure103 Regionaldifferencesinthetreatedprevalenceofinjury,Alberta2003 Figure104 Agestandardizedhospitalseparationratesforunintentionalinjury,Alberta 1979/1980to2002/2003 Figure105 Age-standardizedmortalityper100,000populationattributedtounintentional injuryinAlberta,1960to2003 Figure106 Agestandardizedhospitalseparationratesforintentionalinjury,Alberta 1979/1980to2002/2003 Figure107 Age-standardizedhospitalseparationrateper100,000forsuicide,Alberta 1979/1980to2002/2003 Figure108 Age-standardizedmortalityrateper100,000duetosuicide,Alberta1960to2003 Figure109 Age-specificmortalityrateper100,000duetosuicide,Alberta1986and2003 Figure110 Regionaldifferencesintheage-standardizedsuicidemortalityrateper100,000 population,Alberta2001-2003combined Figure11 Agestandardizedhomicidemortalityrateper100,000population,Alberta1960 to2003 Figure112 Age-specificmortalityrateper100,000duetohomicide,Alberta1986and2003 Figure113 Regionaldifferencesintheage-standardizedhomicidemortalityrateper100,000 population,Alberta2001-2003combined CommunicableDisease Figure114 Communicablediseasemortalityratesper100,000population,Alberta1961 to2003 Figure115 Chlamydiaincidenceper100,000,Alberta1989to2002 Figure116 Gonorrheaincidenceper100,000,Alberta1941 to2003 Figure117 InfectiousSyphilisincidenceper100,000population,Alberta1944to2003 Figure118 Age-standardizedhepatitisCincidence,Alberta1984to2003 Figure119 HiVincidenceper100,000population,Alberta1998to2003 Figure120 Campylobacteriosisincidenceper100,000population,Alberta1983to2003 Figure121 Giardiasisincidenceper100,000population,Alberta1983to2002 Figure122 Haemorraghiccolitisincidenceper100,000population,Alberta1983to2003 Figure123 Salmonellaincidenceper100,000population,Alberta1960to2003 Figure124 Typhoidincidenceper100,000population,Alberta1919to2003 Figure125 Diphtheriaincidenceper100,000population,Alberta,1920to2003 Figure126 HepatitisAincidenceper100,000population,Alberta1945to2003 Figure127 HepatitisBincidenceper100,000population,Alberta1969to2003 Figure128 HaemophilusinfluenzaetypeBincidenceper100,000population,Alberta,1978 to2003 REPORT ON THE HEALTH OF ALBERTANS Figure129 AgeStandardizedinfluenzaincidenceper100,Alberta1986to2003 Figure130 Agestandardizedmortalityattributabletoinfluenzaper100population,Alberta 1986to2003 Figure131 Incidenceofreportedrubellacases,Alberta1928to2003 Figure132 Measlesincidenceper100,000population,Alberta1919to2003 Figure133 Invasivemeningococcaldiseaseincidenceper100,000population,Alberta,1924 to2003 Figure134 Mumpsincidenceper100,000population,Alberta1979to2003 Figure135 Pertussisincidenceper100,000population,Alberta,1919to2003 Figure136 Poliomyelitisincidenceper100,000population,Alberta,1919to2003 Figure137 Smallpoxincidenceper100,000population,Alberta,1919to2003 Figure138 Varicella(chickenpox)incidencerateper100,000populationunderagefive, Alberta,1986to2004 Figure139 Varicella(chickenpox)incidencerateper100,000populationagetenyearsand younger,Alberta1986and2003 Figure140 Tuberculosisincidenceper100,000population,Alberta1919to2003 REPORT ON THE HEALTH OF ALBERTANS