This study tested the assumption that geographical isolation is associated with poorer population health outcomes among First Nations in Manitoba. Our results show higher premature mortality rates (PMR) in northern communities, declining slower than for any other Manitoba communities. Our results also show lower ambulatory care sensitive conditions (ACSC) hospitalization rate in the North, suggesting barriers to prevention and early diagnosis. There remains a large gap in ACSC hospitalization rates between First Nations and all Manitobans. Further research is warranted to understand the relationship between the changes in the rates of ACSC and the difference in the rates between northern and southern communities.

中文翻译：

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地理隔离是否与北曼尼托巴原住民社区的较差结果有关？

这项研究测试了地理隔离与曼尼托巴第一民族较差的人口健康结果相关的假设。我们的结果显示，北部社区的过早死亡率 (PMR) 较高，下降速度比任何其他曼尼托巴省社区都要慢。我们的结果还显示，北方的门诊护理敏感条件 (ACSC) 住院率较低，这表明预防和早期诊断存在障碍。原住民和所有曼尼托巴人之间的 ACSC 住院率仍然存在很大差距。有必要进一步研究以了解 ACSC 发生率的变化与北部和南部社区之间发生率差异之间的关系。