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[A geographic analysis of regional disparities in temporal accessibility of emergency services to traffic accident victims in Quebec].

https://arctichealth.org/en/permalink/ahliterature219162
Source
Can J Public Health. 1994 Jan-Feb;85(1):41-6
Publication Type
Article
Author
M F Joly
A. Rannou
Author Affiliation
Département de médecine sociale et préventive, Université de Montréal, Québec.
Source
Can J Public Health. 1994 Jan-Feb;85(1):41-6
Language
French
Publication Type
Article
Keywords
Accidents, Traffic
Analysis of Variance
Emergency medical services
Health Services Accessibility - statistics & numerical data
Humans
Quebec
Time Factors
Wounds and Injuries
Abstract
This study provides a geographic analysis of variation in temporal accessibility to emergency services by accident victims within regional municipalities in Quebec. The model employed takes account of various post-accident variables (supply and demand; the service organization) which existed in Quebec in 1987. The study population consisted of 8,989 accident victims who required ambulance service between June 1 and August 31, 1987. The study concludes that the time between the accident and the arrival of the victim at the hospital was longer than one hour (the "Golden Hour") in 25% of the regional municipalities in distant regions and in the areas close to Ontario and the United States. Emergency interventions took less than 40 minutes in suburbs to the North and South of Montreal Island. Forty-eight percent of the variance is linked to the presence and the type of emergency services with an ATLS professional available and 20% is linked with the variables of distance and time.
PubMed ID
8180924 View in PubMed
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Geographical variations of motor-vehicle injuries in Quebec, 1983-1988.

https://arctichealth.org/en/permalink/ahliterature227196
Source
Soc Sci Med. 1991;33(4):415-21
Publication Type
Article
Date
1991
Author
J P Thouez
M F Joly
A. Rannou
Y. Bussière
R. Bourbeau
Author Affiliation
Département de géographie, Université de Montréal, Hôtel-Dieu de Montréal, Québec, Canada.
Source
Soc Sci Med. 1991;33(4):415-21
Date
1991
Language
English
Publication Type
Article
Keywords
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Aged
Female
Humans
Male
Middle Aged
Quebec - epidemiology
Risk factors
Wounds and Injuries - epidemiology
Abstract
Data furnished by the Régie de l'Assurance Automobile du Québec (RAAQ) were used to describe the geography of motor vehicle accidents in the province of Quebec for the period 1983-1988. These were also used to evaluate the risk factors associated with zones of high risk with regards to accidents for the 97 Municipalités Régionales de Comté (MRC). The results demonstrate that non-severe accidents are more frequent in the urban context. On the other hand, severe accidents are more frequent in the rural context. The Standard Morbidity Ratio (SMR) highlights those MRC's with the risk of severe or non-severe accidents, where risks are twice that of Quebec as a whole. The demographic characteristics (age, sex) of the driver and passengers and the place of the accident (region, density) were used in the model LOGIT to evaluate risk factors associated with high risk zones. Results of the model for those severely injured are different from those for non-severely injured people. This holds true for the location of accidents as well as for demographic characteristics. In both models, women and people over 65 years of age are low-risk groups for accidents. The authors indicate certain action to be undertaken in Quebec by the Government to improve this situation.
PubMed ID
1948154 View in PubMed
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[Geo-pathologic considerations on the most frequent tumors in Quebec presented in 1984-1986 and 1989-1991].

https://arctichealth.org/en/permalink/ahliterature211106
Source
Sante. 1996 Sep-Oct;6(5):309-16
Publication Type
Article
Author
J P Thouez
J. Latreille
A. Rannou
P. Ghadirian
Author Affiliation
Unité de recherche en épidémiologie, Hôtel-Dieu de Montréal, Québec.
Source
Sante. 1996 Sep-Oct;6(5):309-16
Language
French
Publication Type
Article
Keywords
Breast Neoplasms - epidemiology - mortality
Bronchial Neoplasms - epidemiology - mortality
Colonic Neoplasms - epidemiology - mortality
Female
Humans
Incidence
Life Style
Lung Neoplasms - epidemiology - mortality
Male
Neoplasms - epidemiology - mortality
Prostatic Neoplasms - epidemiology - mortality
Quebec - epidemiology
Sex Factors
Tracheal Neoplasms - epidemiology - mortality
Abstract
This study describes the geographical variations in the incidence of, and mortality due to, the most frequent cancers in Quebec. They are breast, colon and tracheal, bronchial, and lung cancers in women and prostate, colon and trachea, bronchial and lung cancers in men. Data for the periods 1984 to 1986 and 1989 to 1991 for the whole of the Quebec Community Health Department are reviewed. A direct method of standardization, with the world population as the reference population, was used to allow comparison of geographical units. The ranking correlation method was used to test correlations for the various cancer sites. There were significant coefficients between the two periods only for lung cancer for both sexes, for both incidence and mortality. The spatial autocorrelation method was used to determine the presence or absence of a geographical configuration from the estimated rates. Moran I values were positive and significant for the two periods for lung cancer associated mortality and for the incidence of breast cancer. This implicates local factors (probably associated with lifestyle). The results for the incidence of lung cancer among men and women were similar for the period 1989 to 1991. The advantages and limitations of the methods used and also the data available are considered.
PubMed ID
8998594 View in PubMed
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Obesity, hypertension, hyperuricemia and diabetes mellitus among the Cree and Inuit of northern Quebec.

https://arctichealth.org/en/permalink/ahliterature2469
Source
Arctic Medical Research. 1990 Oct; 49(4):180-188.
Publication Type
Article
Date
1990
Author
J P Thouez
J M Eko�???�??�?�©
P M Foggin
M. Verdy
M. Nadeau
P. Laroche
A. Rannou
P. Ghadirian
Author Affiliation
Department of Geography, University of Montreal.
Source
Arctic Medical Research. 1990 Oct; 49(4):180-188.
Date
1990
Language
English
Geographic Location
Canada
Publication Type
Article
Physical Holding
Alaska Medical Library
Keywords
Hyperuricemia
Health status
Adolescent
Adult
Aged
Diabetes Mellitus - epidemiology - ethnology
Female
Humans
Hypertension - epidemiology - ethnology
Indians, North American
Inuits
Male
Middle Aged
Obesity - epidemiology - ethnology
Quebec - epidemiology
Research Support, Non-U.S. Gov't
Uric Acid - blood
Abstract
In the last thirty years, sociocultural and political changes have profoundly affected the way of life of the Cree and Inuit of Northern Qu�??�?�©bec. Their health status profile has also changed. This study presents the main results of a health survey performed among the Cree and Inuit in 1982-1984 by a multidisciplinary team. Obesity, arterial hypertension, hyperuricemia and diabetes mellitus while almost unknown in the past, have now been added to the list of Cree and Inuit health problems. Crees have the highest risk for obesity, hypertension and diabetes mellitus. Hyperuricemia for unknown reasons seems more prevalent among the Inuit. Our findings suggest that further in-depth studies of chronic conditions in these communities are needed.
Notes
From: Fortuine, Robert et al. 1993. The Health of the Inuit of North America: A Bibliography from the Earliest Times through 1990. University of Alaska Anchorage. Citation number 1407.
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The other face of development: native population, health status and indicators of malnutrition--the case of the Cree and Inuit of northern Quebec.

https://arctichealth.org/en/permalink/ahliterature3251
Source
Soc Sci Med. 1989;29(8):965-74
Publication Type
Article
Date
1989
Author
J P Thouez
A. Rannou
P. Foggin
Author Affiliation
Department of Geography, University of Montreal, Quebec, Canada.
Source
Soc Sci Med. 1989;29(8):965-74
Date
1989
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Female
Food Habits - ethnology
Health status
Humans
Indians, North American
Inuits
Life Style
Male
Middle Aged
Nutrition Disorders - epidemiology
Quebec - epidemiology
Research Support, Non-U.S. Gov't
Abstract
The cultural setting of the isolated Cree Indian and Inuit communities is described and measures of their health examined. Questionnaires were employed to consider both epidemiological and socio-cultural facets and physical examination evaluated serological indicators of nutritional status. Changes of lifestyle toward store purchased food and a lessened reliance on hunting and fishing along with the non-native nature of the health services available seem to be leading to heart conditions, hypertension and diabetes all of which give cause for concern.
PubMed ID
2814583 View in PubMed
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