Perceived Access to Healthcare of Indigenous Peoples in Canada With Rheumatoid Arthritis and Their First-Degree Relatives
Authors' conclusion
FN peoples living in remote communities, particularly those with an established RA diagnosis, report more problems accessing health care. Sex-based inequities exist, with FN female individuals reporting greater difficulties in accessing appropriate health care, regardless of RA diagnosis.
Study context
- Population
- First Nations individuals from urban and remote communities in Canada, longitudinal study of rheumatoid arthritis (RA) risk, 2005 to 2017
- Participants
- 831 First Nations individuals
- Exposure
- Participants with RA vs first-degree relatives; remote vs urban; female vs male
- Outcome
- Perceived healthcare access (survey of concerns with healthcare access)
- Follow-up
- Initial enrollment visit
Methodological detailssurvey at initial enrollment visit of a longitudinal cohort, logistic regression
- Survey at initial enrollment visit of a longitudinal cohort
- Logistic regression
Main finding
As reported in the abstract
Poor access to care
- Female participants perceived access more difficult than male, in both urban and remote cohorts
- P < 0.001
- Access in remote communities appeared to improve over study duration
- P = 0.01
Observational data: associations, not effects.
Further findings
Independent predictors of poor access to care (logistic regression)
- Female sex, remote location and older age independent predictors of poor access
- In participants with RA, predictors also included female sex, remote location and older age
Original publication
Perceived Access to Healthcare of Indigenous Peoples in Canada With Rheumatoid Arthritis and Their First-Degree Relatives. J Rheumatol. Published 1 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →