Quarter of Outaouais will be over 65 by 2041, CISSSO report finds
K.C. Jordan – LJI Reporter
A new report from Outaouais health authority CISSSO outlines the state of health of people aged 65 and
over in the region, including numbers specific to the Pontiac.
The report, released at a press conference on Apr. 28, was a collaboration between a number of community partners, and according to CISSSO’s public health director Dr. Brigitte Pinard, offers statistics and identifies challenges to helping the region’s seniors age in good health.
“[The goal was] to inform about the health of the population of 65 and older and its determinants, highlight certain actions that are currently being deployed in our communities, and propose action plans to promote aging in health,” she said in the press conference.
The report estimates that by 2041 nearly a quarter of the Outaouais’ population will be over 65 years of age, increasing in number from 72,000 in 2021 to 112,000. The number of people in age groups 75-plus and 85-plus will also double in that same time frame.
It also found that a greater portion of Outaouais residents aged 65 and older are smokers, are inactive or rarely active, consume cannabis, and are being prescribed medication containing opioids, as compared to provincial averages.
Cancer is the leading cause of death in the Outaouais, responsible for 30.5 per cent of deaths of people 65 and over, a rate two per cent higher than provincial average. Heart disease caused 18.8 per cent of Outaouais deaths, a bit higher than the provincial average of 17.4. The Outaouais also has higher rates of lower respiratory tract illness (5 per cent in Outaouais vs. 4 per cent province-wide) and diabetes (2.8 vs. 1.7).
At the local service network (RLS) level, the Collines-de-l’Outaouais RLS has the highest proportion of deaths attributable to malignant tumours in the region (42.6%), while the Pontiac RLS has the highest proportion of deaths due to heart disease (23.3%).
Karine Paquette, a CISSSO specialist in public health and preventative medicine as well as an author of the report, said many of these statistics were not unexpected, but they give the authority a better picture of what it will need to do to meet the needs of an aging public.
“It is a phenomenon that is already present, but that will be accelerating in the coming years,” she said. “We still have a lot of work to do to prevent health problems and try to modify the lifestyle habits that will allow people to age in good health.”
The report also found high levels of chronic diseases, finding that one in two people aged over 65 in the region live with arterial hypertension, and one in four with diabetes.
“The quality of life and the overall health of our population are affected, among other things, by chronic diseases,” said Dr. Pinard.
Paquette said this also was not unexpected, citing a relative lack of physical activity and a high number of smokers among the over-65 population in the region. “There weren’t necessarily any surprises, I think it confirmed certain things we were expecting,” she said.
Dr. Pinard said the CISSSO as well as other community groups will try to encourage healthy and active living among the older population.
“It has been known for a long time and it encourages us to work even more to create environments that will allow people to move more, to eat better, and hopefully to reduce health problems as much as possible.”
Paquette said there is still work to be done when it comes to making sure older people are having their basic needs met, such as housing, citing the report’s findings that the number of places in CHSLDs is less than the projected and current needs.
“There is still an important percentage of older people whose basic needs are not being met, whether it is housing, revenue, or food security for example,” she said. “Nearly one in 10 people over 65 suffers from food insecurity.”
Pontiac challenges
The report also released information specific to the 65-plus population of the Pontiac, finding that the population is aging at a faster rate than in other regions of the Outaouais.
“The Pontiac is already facing this reality of having a larger proportion of the population being older,” said Dr. Pinard. “When we look at the whole region, we have not yet reached one person out of four who is 65 years or older, but in certain regions this reality is already present or almost present.”
Gougeon said her organization is seeing issues on the ground, such as a lack of adequate housing.
“The Pontiac is one of the regions where there is a concentration of aging people, and it’s true that they are not safe from issues like housing,” she said. “[Living] in a rural environment means that these issues are perhaps more intensely experienced, in the sense that home support is not always accessible.”
She said the report will help her organization continue to find solutions to keep people at home for longer.
“These people are forced to exile themselves into an urban environment, and we don’t want to uproot them,” she said. “It’s about trying to find ways to develop services collectively and to be able to help each other.”
Report to help identify priorities
Patricia Gougeon, assistant director general for the Table de concertation des aînés et retraités de l’Outaouais (TCARO), was glad to see the results of the report were ones her organization had already largely identified.
“A report like this one is excellent news for us, and it’s a tool that will be really valuable and will really be able to guide us,” she said. “There are several elements in there that touch on priorities TCARO had already raised, including home support, housing and finances.”
She said the report will help her organization better identify what to prioritize going forward and how best to collaborate with other community groups.
“The way to mobilize is [ . . . ] to go to the meetings of the organizations and to present this report to them, to have discussions with them, and to look for their pieces of the solution.”
Paquette said CISSSO plans to use this report to maximize collaboration efforts with members of the community. “What we wanted with this report was action, to be able to mobilize partners in each of the territories of the Outaouais so that we can work with all of our forces together,” she said.
She said CISSSO wants to prioritize the prevention of chronic diseases by encouraging healthy lifestyles, which will hopefully result in people staying at home longer instead of in institutions. “We want to work as hard as possible to prevent health problems and to make sure that people will be able to stay healthy at home as long as possible.”
Paquette said the authority has already begun meeting with local service networks to define what the priorities should be going forward based on the results of the report. “We have already started meetings in each of the territories to present the data and have a reflective activity [ . . . ] to define what our priorities should be to meet these needs,” she said.
“It’s definitely something that will be discussed in each of the territories [ . . . ] based on the data that we have already collected in terms of initiatives to make better decisions in the region.”
The CISSSO will be hosting a “Together in aging” event on May 22 at 2 rue Second in Campbell’s Bay starting at 9 a.m.. Results from the report will be discussed and members of the community are invited to provide their feedback and experiences.
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