Mental Health, Cardiovascular Disease and Declining Economies in British Columbia Mining Communities

نویسندگان

  • Janis Shandro
  • Mieke Koehoorn
  • Malcolm Scoble
  • Aleck Ostry
  • Nancy Gibson
  • Marcello Veiga
  • Norman B. Keevil
چکیده

The purpose of this study was to investigate the relationship between community-level exposure to changes in economic conditions and the incidence and prevalence of mental disorders and cardiovascular disease in 29 resource-based communities (with a focus on mining communities) in British Columbia (BC) during a period of time marked by an economic downturn (1991–2002) The investigation relied on Labour Force Survey (LFS) and Statistics Canada Census data, and health records from the British Columbia Ministry of Health (MoH). Age and sex adjusted prevalence and incidence rates were calculated for each community from 1991 to 2002 and the development of an economic change indicator defined using Census data and industry/government documents allowed for yearly assessment of community-level exposure to economic conditions. The relationship between exposure to economic change and rates of acute and chronic cardiovascular disease and mental disorders across the 29 study communities was investigated using a generalized linear model (stratified by type of community, and OPEN ACCESS

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تاریخ انتشار 2011