Long-term trends in health status and determinants of health among the off-reserve Indigenous population in Canada, 1991–2012

The Indigenous population in Canada totals approximately 1.6 million individuals, representing about 5% of the total population. The off-reserve Indigenous population represents the fastest growing segment of the Indigenous population, with over 50% living in urban settings. Despite the size of the off-reserve population, research on the health of Indigenous peoples tends to remain focused on reserve-based populations. The purpose of this paper is to contribute to a better understanding of health and social determinants of health among off-reserve Indigenous peoples in Canada. Using data from the 1991 and 2012 Aboriginal Peoples Surveys this paper examines changes in health status and the social determinants of health over a 20-year time span. Results show a decline in health care use and self-reported health status in the period between 1991 and 2012. The results may be related to urbanization, aging, and increased prevalence of some chronic conditions. The findings may also be tied to barriers to achieving adequate off-reserve health care—jurisdictional disputes, disjointed program coverage, systemic racism, and a lack of equity-oriented health services. There remains a pressing need for Indigenous and non-Indigenous governments, researchers, and policymakers to build new relationships that bridge these gaps in health and access to timely care.     

The year 1009: St Bruno of Querfurt between Poland and Rus'

This paper deals with the last mission of St Bruno of Querfurt (d.9 March 1009) which has received controversial treatment from a number of scholars working independently of each other. This state of affairs may be explained not only by reference to different preferences of scholarly research in the countries of east-central Europe, but also to the fact that the very sources of the martyrdom are rather problematic in themselves. Our research has shown that accounts produced by Peter Damian or Ademar of Chabannes must be taken more seriously than was the case up to now, since they provide details that, taken together with other sources, show that the martyrdom in question caused a mutual rivalry between Polish and Rus'ian rulers, Boleslaw and Vladimir, for the benefits that might have been derived from St Bruno's glorious death and possession of his relics. It is also to be emphasised that St Bruno's last mission was most promising to the local ruler named Nethimer who received baptism but finally failed to secure the gains of his new status as a Christian ruler. This tug of war between Polish and Rus' rulers may, at least in part, account for the fact that after some initial steps the incipient cult of St Bruno became extinct in their respective countries and his memory was condemned to the long centuries of virtual oblivion.