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The First Nations Regional Health Survey (RHS) Phase 2 - 2008/10 Selected Results


  1. The First Nations Regional Health Survey (RHS) Phase 2 - 2008/10 Selected Results

  2. ����������������������������������������� ������������������� • Offer scientifically and culturally validated information • Enhance First Nations capacity and control over research • Provide First Nations with key information for planning, policy & advocacy at community, regional and national levels. • Assist First Nations in assessing their communities’ progress in health • Serve as a model for Community Based Research

  3. More than “just another survey” • The RHS is the “only” national research project under complete First-Nations control • RHS is rooted in self-determination, nationhood, self-governance and nation re-building • RHS core values: trust and respect for First Nations peoples, communities and nations.

  4. ��������������� • National political mandate comes from the Assembly of First Nations (AFN) Chiefs’ Committee on Health (CCOH) • Most significant AFN national resolution – passed at the AGA in PEI (No. 32/2004). • Regional support resolutions have also been passed by the regional political organization. • New Dec. 2009 ( Resolution No. 48) – AFN Special Chiefs Assembly approval to create the First Nations Information Governance Center (FNIGC) and transfer RHS to FNIGC.

  5. ������������ �!����������� • First Nations Information Governance Centre • National • Assembly of First Nations (Ex-Officio) • Union of Nova Scotia Indians • Regional • Union of New Brunswick Indians • First Nation of Quebec and Labrador Health and Social Services Commission • Chiefs of Ontario • Assembly of Manitoba Chiefs • Federation of Saskatchewan Indian Nations • Albert First Nations Information Governance Centre (for Treaty 6, 7,and 8) • Dene National Office • Council of Yukon First Nations • BC First Nations Health Authority (B.C.) Soon!

  6. DATA IS IMPORTANT TO FIRST NATIONS DATA INFORMATION KNOWLEDGE and EVIDENCE CHANGE HEALTH STATUS & WELL BEING

  7. ����"�#������ ����� ��������� ��������� ������ ������ ����������� ����������� ����������� ������������ ���������� ��������� � ��������� � ��������� �

  8. $���%����������� : All First Nation in Canada except James Bay Cree (N. Quebec) and Labrador Innu • RHS Phase 2 (2008/10) • RHS Phase 1 (2002/03) • 216 First Nation comm. • 238 First Nations comm. • 72.5% target sample • 80% target sample achieved achieved • 22,602 surveys • 21,757 surveys – 10,962 adults – 11,043 adults (18+) – 4,983 youth – 4,837 youth (12-17) – 6,657 children – 5,877 children (0-11)

  9. ����������&��&''()*'� National 55 sub-regions YK 216 Communities 6 Sub- 5.3% of total pop regions NT 15 Comms 5 sub-regions NF 16 Comms 1 Region 1 Comm BC SK 4 sub- 11 Tribal regions NS/PEI QC Councils 36 Comms 2 Regions 9 Nations 35 Comms 14 Comms AB MB 22 Comms 3 Treaty 8 Tribal ON Areas Councils 5 NB 16 Comms 30 Comms PTO/Ind. 1 Region 24 Comms 7 Comms

  10. +�����"��#���������& • Diabetes • Demographics • Physical Activity • Household Characteristics • Nutrition and Traditional foods • Employment and Income • Smoking • Education • Alcohol and Drug use • Language and Culture • Sexual Health • Disability and Home care • Healthcare Access/NIHB • Chronic Disease • Traditional Medicine • Injuries • Housing • Dental care and Access • Residential Schools • Mental Health • Care giving • Depression • Community Wellness • Migration • Gambling • Health Utilities Index • Food Security • Violence

  11. ,�����"��#���������& • Demographics • Diabetes • Physical Activity • Household Characteristics • Nutrition and Traditional foods • Education • Smoking • Language and Culture • Alcohol and Drug use • Chronic Disease • Sexual Health • Injuries • Healthcare Access/NIHB • Traditional Medicine • Dental care and Access • Residential Schools • Mental Health – Suicide • Community Wellness

  12. !�����"��#���������& • Demographics • Diabetes • Household Characteristics • Physical Activity • Education • Nutrition and Traditional – Current grade – Head Start foods • Language and Culture • Residential Schools • Acute and Chronic Disease • Immunization • Injuries • Dental care, BBTD, and Access to care • Childcare

  13. ����!�##������������� ������& NEW • 1������2�������� � • -.�������-������#��� �������� • ������������/������������� • ��������������� • ������������������ • ��������������� • -#����#��������-����#��� • ������������� • 0������#��� /������� • -�������� • 3���������

  14. ����/����������������% 4������� 5����������6 ����������� +#�������/������-����#���0������#���� 6 1����� 7�8�����������������3�����#��� 4��������9���������������������6 0����#������������������� 4��������������������1����&'': 4��������������&�; 1��������<���� 5����������6 �����������������������

  15. ����������*�6 /����������������% “Compared to … surveys of Indigenous people from around the world, … RHS was unique in First Nations ownership of the research process, its explicit incorporation of First Nations values into the research design and in the intensive collaborative engagement of First Nations people … at each stage of the research process.” Source: Review of the First Nations Regional Longitudinal Health Survey (RHS) 2002/2003, April 2006. Harvard University - Harvard Project on American Indian Economic Development

  16. ����!�����������#�%��<

  17. Adult (18+ Years)

  18. Demographics Roughly 30% of First Nations • ��� adults are younger than 30 years of age ����� • 47.2% of First Nations adults ��������� ������ ����� ���� were working for pay, compared to over 60% of the general Canadian ����� adult population ����� • 39.9% of First Nations adults �� �� �� � � � �� �� �� �������������� reported having less than a high school education 23.8% in general Canadian pop .

  19. Working for pay by education level 80.0% 71.8% Percentage of First Nations Adults 70.0% 64.8% 60.0% 53.7% 50.0% 40.0% 32.50% 30.0% 20.0% 10.0% 0.0% Less than High School High School Post Secondary Graduate

  20. Demographics • Percentage reporting 70.0% household income of less than 57.6% 60.0% Less than $20,000 Percentage of FN Adults $10,000 per year has increased 50.0% $80,000 + from 11.7% to 16.8% 40.0% 30.0% 25.0% 20.0% 20.0% 10.0% • 57.6% earned less than 0.9% 0.0% First Nations adults living in First First Nations adults not living in $20,000/year compared to 20% Nations Communities First Nations Communities not living in First Nations communities Living in First Nations or Non-First Nations Community

  21. Migration 59.2% of First Nations adults have lived outside their community % of First • A significantly higher Nations proportion of males adults Main Reason Gender move away for reasons for Moving of employment, while the M F Employment reverse is true for 36.3 15.4 education Education 25.0 31.2

  22. Reasons for returning 70.0% Family and Connection to Home 59.9% are top 2 reasons for returning 60.0% home 50.0% 40.0% 31.1% 30.0% 21.0% 20.0% 16.4% 10.0% 0.0% Family Connection to home Job opportunities Housing became available

  23. Housing Crowding 23.4% -- up • 50.9 % living in homes with mould from 17.2% in 2002/03 or mildew compared to 44% in 2002/03 •On average 4.2 household occupants • 70.8% of First Nations households require some type of repair •Of those requiring repair, 37.3% were considered major 9.1% in general Canadian Pop.

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