Grant: Travel Awards - Institute Community Support

Métis citizens of Canada have a rich history that began from unions of First Nations women and European men, which resulted in an ethnogenesis of a distinct culture, way of life and people. Like many marginalized populations and other Indigenous populations, Métis-specific health outcomes are largely understudied. This is also due to the pan-indigenization of Indigenous peoples and their health. Although there is limited information available, a past study suggests that Metis citizens of Ontario had a higher prevalence of various cardiovascular diseases compared to the general population. Cardiovascular diseases are risk factors for Stroke, so we expect to observe similar outcomes to the previously mentioned studies. This study will use existing administrative health data linkages between the MNO and ICES to analyze the incidence and prevalence of stroke in the Métis population of Ontario between 2014 and 2024. The registered persons database and the Métis Nation of Ontario will be used to define the cohorts with age, sex, and identifier code. The Discharge Abstract Database and the National Ambulatory Care Reporting System will be used to identify individuals who have had a stroke. Furthermore, using the Ontario Stroke registry with data from 2003 to 2013, this study will consider stroke severity (using NIHSS), outcomes after stroke, including death, entering long-term care or additional support hired, and other medical complications such as neurological disability (using mRS). Analyses will be used to compare MNO citizens who have had or have not had a stroke by age and sex. They will also be conducted to observe individuals who have had a stroke from 2003-2013 by severity and outcomes (including death, neurological disability, and other medical complications). Any trends in stroke prevalence and incidence in the Métis population of Ontario will be noted. Any trends in post-hospital outcomes will also be observed.