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Respondents in the Canadian Dietetic Association survey of dietetic personnel in British Columbia : a… University of British Columbia. Health Manpower Research Unit Jan 26, 1979

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... .. RESPONDENTS IN THE CANADIAN DIETETIC ASSOCIATION SURVEY ·OF DIETETIC PERSONNEL IN BRITISH COLUMBIA I.A~ Cl.Lt.. '=l1 ~ "{ Report ·s:4 Prepared by: .A Pre 1 i mi nary Report Health Manpower Research Uni t Divisi on of Health Services Research and Development University of Br i t ish Columbia for t he Canadi an Dietetic Association January 26, 1979 • t - ii -TABLE OF CONTENTS Page List of Tables iii Map of Regional Hospital Districts in 8.C. vi Introduction 1 Methodology 2 Results . 1. Response Rates 2. Demographic Characteristics 3. Professional Memberships 4. Education 5. Employment Summary 2 5 7 8 13 20 - iii -LIST OF TABLES Page Table 1: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia, by Regional Hospital District of Residence for Total Roster and for Respondents; Response Rates; Number of Dietitians and Nutritionists per 10,000 Population for Total 4 Roster and for Respondents, 1978 II 2: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Age and Sex, 1978 5 II 3: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Marital Status, 5 1978 II 4: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Place of Birth, 6 1978 II 5: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Citizenship 6 Status, 1978 II 6: Memberships Held in Various Professional Organizations by Dietitians and Nutritionists in British Columbia by 7 Number of Respondents and Percentage of Total, 1978 II 7: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Major Subject of 8 Undergraduate Degree and Year of Graduation, 1978 II 8: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Name and/or Place of University of Undergraduate Training and Year of 9 Graduation, 1978 II 9: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Means of Entering 10 C.D.A. Membership, 1978 It 10: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Who Completed C.D.A. Approved Internship, by Location of Internship 10 r Institution and Concentration, 1978 - iv -l Page Table 11: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia with Graduate Degrees in Dietetics or Nutrition by Name of Highest II 12: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia with Graduate Degrees in Dietetics or Nutrition, by Regional 11 Hospital District of Residence and by Age, 1978 II 13: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia with Other Graduate Degrees, Diplomas or Certificates, by Name of Degree, 12 Diploma or Certificate, 1978 II 14: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Participation in Continuing Education Activities Related to Profession 12 in Past Two Years II 15: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia, by Regional Hospital District of Residence and Current Employment 13 Status, 1978 II 16: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia by Current 14 Employment Status and Age, 1978 II 17: Number and Percentage Distribution of Full-Time Employed Dietitians and Nutritionists in British Columbia by Principal Type of Employing Institution/ 14 Agency and Duration of Present Employment, 1978 II 18: Number and Percentage Distribution of Part-Time Employed Dietitians and Nutritionists in British Columbia by Principal Type of Employing Institution/ 15 Agency and Duration of Present Employment, 1978 II 19: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Employed Part-Time in Field, Not Employed in Field, or Not Employed, by 15 Desire for (Increased) Employment in Field, 1978 II 20: Number and Percentage Distribution of Dietitians and r - v -Page Table 20, continued Nutritionists in British Columbia Not Employed in the Field, by Type of Present Employment, 1978 16 II 21: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Employed Full-Time in Field, by Regional Hospital District of Residence 17 and Principal Type of Responsibility, 1978 II 22: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Employed Part-Time in Field, by Regional Hospital District of Residence 18 and Principal Type of Responsibility, 1978 II 23: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Employed Full-Time in Field, by Principal Type of Responsibility and by 19 Age, 1978 II 24: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Employed Part-Time in Field, by Principal Type of Responsibility and by 19 Age, 1978 II 25: Number and Percentage Distribution of Self-Employed Dietitians and Nutritionists in British Columbia by Principal Type of Responsibility and by Age, 1978 20 \.~~'· \ ', \ \ Regional Hospital District 1 East Kootenay 2 Central Kootenay 2a Kootenay Boundary 3 Okanagan-Similkameen 4 Columbia-Shus\o1ap 5 !lorth Okanagan 6 Central Okanagan 7 Thompson-Nicola 8 Cariboo 9 Squamish-Lillooet 10 Fraser-Cheam 11 Central Fraser Valley 12 Dewdney-Alouctte 13 Greater Vancouver 14 Sunshine Coast is Powell River 16 Mount Waddington 161 Central Coast 17 Skeena-Queen Charlotte .18 Kitimat-St1k1ne 19 Bulkley-Nechako 20 Fraser:..Fort George 21 Peace River-Lf ard 22 Stikine. *23 Capf tal 24 Cowf chan Valley 25 flanaf mo 26 Albernf-Clayoquot 27 Comox-Strathcona 22 * Capital Regional Hospital District includes Victoria and surrounding municipalities. REGIONAL HOSPITAL DISTRICTS OF BRITISH COLUMBIA < ...... - 1 -PRELIMINARY ANALYSIS OF RESPONDENTS IN THE CDA SURVEY OF DIETETIC PERSONNEL IN BRITISH COLUMBIA INTRODUCTION: As a result of a changing economy and changing patterns of health care delivery in Canada, there have been many modifications in the roles of workers in the nutrition field, and many more are projected. Several manpower questions have been posed to the Canadian Dietetic Association by these changes. How many dietitians are working in Canada at the present time and where are they working? What changes are foreseen in health care delivery which will affect the roles of nutrition workers and ultimately the competencies required to fill those roles? How many people will be required to fill vacancies and future new openings? With these and other questions in mind, the Canadian Dietetic Association decided in 1977 to undertake a Canada-wide study of the need for nutrition personnel, which would have as its objectives the following: 1. The establishment of standards of nutritional service necessary to ensure an adequate nutritional level in the population. 2. The defining of roles for each level of nutritional worker in the health field and description of those competencies required to fulfill that role. 3. The establishment of an inventory (data base) of employers of nutritional workers and a basic data file on workers employed at these institutions and agencies. 4. The projection of trends in stock, based upon certain policy decisions. 5. The establishment of requirements for nutrition workers based upon trends in stock and possible policy decisions. It was felt that before a study of the entire country could take place a pilot project should be conducted to develop the required methodology. Accordingly, a steering - 2 -committee was establ.ished.by the CDA which undertook to fulfill the objectives of the study within the piJot project. As a first step in fulfilling this goal a survey was made of all known dietitians and nutritionists in the province to collect data which would eventually be of assistance in projecting requirements. T~is report describes the findings of the survey. METHODOLOGY: The questionnaire, developed jointly by the CDA Manpower Steering Committee and the Health Manpower Research Unit, was examined by provincial executives and pre-tested at the CDA Annual Convention in Winnipeg for appropriateness for use at the national level. The questionnaire, when completed, was mailed to all known dietitians and nutritionists in the province, 448 in number. Because the dietitian/nutritionist population in B.C. is not required to be licenced, the "known" list is likely incomplete. It was therefore decided to enclose additional questionnaires with those being mailed to known dietitian/nutritionists, with a request that they pass them on to friends, acquaintances and co-workers who were dietitian/ nutritionists but had not received questionnaires. The first mailing was made in October, 1978 and resulted in a response rate of .approximately 50 percent. A second mailing was undertaken one month later and brought the·response rate to 72.9 percent. At that stage it was decided to analyze the questionnaires which had been returned. RESULTS: 1. Response Rates A total of 448 individuals were surveyed from the lists provided, which included the memberships of the Canadian Dietetic Association, the B.C. Dietetic Association and its - 3 -auxiliary and the Nutrition Council of B.C. Only members known to be residing in B.C. were surveyed. Thirteen were removed (duplicates, non-dietitians or non-residents of B.C.), leaving a population of 435 dietitian/nutritionists. When computer analysis commenced in January of 1979, 317 had returned questionnaires for a response rate of 72.9 percent. In a 1 ion, questionnaires had been returned from dietitians not within the original sample - these are not included in this report. Response rates by regional hospital district of residence are shown in Table 1. As can be seen, the response rate is somewhat lower for the Greater Vancouver Regional District (70.2%) than for either the Capital Regional District (80.0%) or the Non-Metropolitan regions of the Province taken in total (75.7%). Approximately three-quarters of both total roster and respondents are from the two metropolitan regions of the Province. The overall percentage distributions are very similar and there is no reason to suppose that the respondent dietitians and nutritionists are not representative of the total roster. Also on Table 1 are the number on the roster and the number of respondents per 10,000 population in British Columbia. There are 2.5 dietitian/nutritionists per 10,000 population in both of the large metropolitan regions, compared to only 0.8 per 10,000 population for the rest of the Province. . . - 4 -Table l: ll!!IC>!r l!!CI Ptrceft\fAt D1str1button of pt1tttt1ns 11M1 •utr1tt .. 1ats tn lr1t1sh Col..m>t1, by Reafon1l Hosptt1l lhtr1st tf a.t1dence for Tttll •nter 1nd for bspo!!!l!ntsj lnponH lltet; ..,r of D11tttt1ns 1nd lutr1t1on1st5 Mr 10.000 P!eulatton for Toyl loster alMI for bsponcl!nts, 1178 l19ton11 llo1pU11 Total Total Dtstrtct• Total loster Total ... ,..nse 1t78 lo~~tr Res~!_idents _ a -lestdence --- -- - ""¥ ....... ,.,. . 1v,-vvv ~ '"•---Populltton Popul1tfon 1!178 1!178 ...!... _1_ ...!... __!_. _s_ -·- ...!... ...!... Mon-MetroDOl ttan: Eu t 11Coote111y 6 1.4 4 1.3 16.7 49,142 1.2 0.8 Centre 1 11Coote111y 3 0.7 3 o.t 100.0 50,630 0.6 0.6 ICooteftly loundary 1 0.2 1 0.3 100.0 31,830 0.3 0. 3 OU111gan St•flklMln 5 1.1 2 0.6 40.0 55,027 0.9 0.4 ColUllbta-Shu1111p 1 0.2 1 0.3 100.0 17,540 0.3 0. 3 lorth Ou111gan 7 1.li Ii 1.9 15.7 51,188 1.3 1.2 Cantrel Dunegan 10 2.3 5 1.6 50.0 79,685 1.3 0.6 Thollpson licoh 13 3.0 t Z.8 19.2 18,676 1.3 0.9 Clrfboo 4 O.t 3 O.t 75.0 56,520 0.7 0.5 Sque~tsh-L111~t 1 0.2 1 0.3 100.0 16,844 0.6 0.6 Fruer-Cheam 2 0.2 2 O.li 100.0 53,563 0.4 0.4 Central Fraser V111ey 6 1.4 5 1.6 13.3 tt,864 0. 6 0.5 Daldney-Alouette 1 1.6 6 1.t 15.7 17,364 1.2 1.0 Sunshine tout 3 0.7 3 O.t 100. 0 13,649 2.2 2.2 Powe 11 R her 2 0.2 2 0.6 100.0 ZO,Ot3 1.0 1.0 Mount llllddtngton 0 o.o o. o.o - 13,303 o.o o.o Centr11 tout 0 o.o 0 o.o - 4,172 o.o 0.0 Steene-~een Ctllrlotte 3 0.7 2 0.6 16.7 12,807 1.3 0.9 lft1•t-St1ktne 2 0.2 2 o.& 100.0 Jt,275 0.5 0. 5 lu1k11y.-echlto 1 0.2 1 0.3 100.0 14,806 0.3 0.3 Fraser-Fort &eorge 5 1.1 4 1.3 IO.O 15,717 0.6 0.5 Pelee Rtver-Lterd 3 0.7 z O.li 16.7 45,180 0.7 0.4 Sttkfne 0 o.o 0 o.o - 1,575 o.o o.o Cowichln V111ey 2 0.2 2 0.6 100.0 50,345 0.4 0.4 11111111Cl 10 Z.3 ' Z.8 to.O 17,428 1.5 1.3 Albernf-Cl1yoquot 3 0.7 2 O.li 16.7 32,345 0.9 0.6 ec.ix-Str1thco111 _3 ..!.:1. -1 ..!.:! _Hd 11.122 .hl g Total lon..fletropolttan 103 23.7 78 Z4.li 75.7 1.230,490 0.8 0. 6 ,r .. ter Vencouver Z72 IZ.5 1t1 •• 3 70.2 1,11111,005 Z.5 1.7 Clpttal 60 13.8 CB 15.1 IO.O MO,IGB 2.5 2.0 Total 435 100.0l 317 100.DI 72.ts Z,579,403 1.7 1.2 • See •P on 111111 vt for 1ecat1on of 11Dsp1ta1 ltstrtcts. - 5 -2. Demographic Characteristics The distribution of the 317 respondent dietitian/ nutritionists by age and by sex is shown in Table 2. There are only two males. The number of females in three of the four age groups are very similar, 25.l percent being u11der 30 years, 27.9 percent 30 to 3-9 years and 26.7 percent 50 years or over. Table 2: Number 1nd Percentage Dfstrfbutfon of Dfetftfans 1nd Nutrftfonfsts fn British Columbia by Age and Sex, 1978 (317 Respcindents) Age Sex Total (years) Male Female .JL. _s -1L _s .JL. _s Under 30 0 o.o 79 25.1 79 24.9 30 - 39 l 50.0 88 27.9 89 28. l 40 - 49 0 o.o 60 19.0 60 18.9 50 and Over 1 50.0 84 26.7 85 26.8 Unknown 0 o.o 4 1.3 4 1.3 Total 2 100.0 315 100.0 317 100.0 Seventy percent of respondents are married (Table 3). Table 3: llumber 1nd Percentage Df strfbutfon of Dfetftf1ns 1nd Nutrftfonfsts 1n British COlianbia bv Marital Status, 1978 (317 Resr10ndentsJ Marital Status N1111ber Percentage Single 68 21.5 Married 222 70.0 Other 25 7.9 Unknown 2 0.6 Total 317 100.0 - 6 -Canada was the place of birth for 83.3 percent of respondents (Table 4), with another 3 to 4 percent born in each of the United States, Great Britain, China and the Philippines. Next to British Columbia (27.8%), the most common provinces of birth were Alberta (13.6%) and Ontario (13 . 2%} . Table 4: tlumber and Percentage Distribution of Dietitians and Nutritionists in lr1t1sh Co1Uiiib1a bv Place of Birth, 1978 (Jl7 •••.PDnd•nts) Place of Birth Number Percentage Canada: British Columbia 88 27.8 Alberta 43 13.6 Saskatchewan 30 9.5 Manitoba 28 8.8 Ontario 42 13.2 Quebec 17 5.4 New Brunswick 7 2.2 Nova Scotia 7 2.2 Prince Ed"'8rd Island 1 0.3 Newfoundland _1 _Qd Sub-Total 264 83.3 United States g 2.8 Great Britain 12 3.8 China 8 2.5 Phfl fppfnes 11 3.5 Other 13 4.1 Total 317 100.0 Almost 94 percent claimed Canadian citizenship. Table 5: Number and Percenta9t Dfstributfon of Dfetftians and Nutritionists in British co1iii61a by 1t1zensh1p Status, 1978 tJl7 •••pondentsJ Country II umber Percentage Clnada 297 93.7 United States 8 2.5 Trinidad and Tobago 1 0.3 Netherlands 1 0.3 Phfl ippines 2 0.6 Unknown 8 2.5 Total 317 100.0 - 7 -3. Professional Memberships Respondent Dietitian/Nutritionists are members of a great variety of professional organizations, as can be seen in Table 6, most colTITlonly the Canadian Dietetic Association (86.1%) and the B.C. Dietetic Association (59.0%). About 20 percent belong to each of the B.C. ·Dietetic Association Auxiliary, the B.C. Nutrition Council and the Nutrition Today Society. Among the "other professional 11 organizations named by 35 individuals are 44 separate organizations, interested in many topics (Dietetics, Nutrition, Food Services, Home Economics, Diabetes, Allergy, Nephrology, Public Health, Perinatal Health, Education, Anthropology, etc.) and centered in many geographic locations {Canada, British Columbia, Alberta, Ontario, United States, Great Britain, Latin America). Chief amongst these are the Canadian Diabetic Association (13 respondents), the American Institute of Nutrition (4 respondents) and the Ontario Dietetic Association (3 respondents). Table 6: Professional Organfzation Number Percent with of Total Membership Respondents ..!.... _s_ Canadfan Dietetfc Assocfatfon 273 86.1 B.C. Dfetetic Assocfatfon 187 59.0 B.C. Dietetic Assocfatfon (Auxfl.) 65 20.5 American Dfetetic Assocfatfon: Regfstered 13 4.1 Noh Registered 8 2.5 B.C./Canadfan Home Econornfcs Assocfation 24 7.6 B.C. Food Service Supervfsors Assocfation 1 0.3 B.C. Nutrftion Councfl 62 19.6 Socfety for Nutrftion Educatfon 19 6.0 Nutrition Today Society 66 20.8 Canadfan Nutrftfon Society 5 1.6 C.n1df1n lnstftute of Food Scfence and Technology 1 0.3 Other 35 11.0 - 8 -4. Education The distribution of respondents by major subject of undergraduate degree and year of graduation is shown in Table 7. Dietetics (28.4%), Foods and Nutrition (23.7%) and Nutrition (16.7%) were the principal major subjects. Over 40 percent of respondents graduated prior to 1960. Table 7: and ltltr1t1on1 t5 fn rftfsh Col1111bf1 Illa or :iuo·ect Year of 6raduatfon Major Subject d940 1940-19411 1950-111511 1960-19611 1970-1978 Not Answered ...!... ...!... ...!... ...!... ...!... ...!... Of etetf cs 4 12 23 21 30 0 Nutrf tf on 2 10 8 18 15 0 Foods and Nutrftfon 5 11 16 17 26 0 Nutrftfon - D1etet1cs 0 0 0 6 111 0 HDllle Ecol'IOllf cs 4 4 2 5 5 0 Foods 1 2 3 1 0 0 lnstftutfonal Managanent 1 0 3 1 0 0 Other 2 6 5 5 5 1 Unknown 1 4 1 5 0 1 Total 26 49 61 79 100 2 (1.21) (15.51) (lt.21) (24.n) (31.51) (0.61) Principal universities of undergraduate training, shown in Table 8, are University of British Columbia (38.8%), University of Alberta (10.1%), University of Manitoba (9.8%) and University of Saskatchewan (8.8%). Total -"- _1_ 90 28.4 53 16.7 75 23 . 7 25 7.9 20 6.3 7 2.2 5 1.6 24 7. 6 18 5.7 317 100.0 (100.0I) - 9 -Table 8: .._ end or Place of Y11r Df lir1du1tion Hime end/Dr Pl1ce Total of University •1140 1141-1949 1150-11159 1960-1969 1970-1978 Not Answered ..!.. ..!.. ..!.. ..!.. ..!.. ...!L " 'I Canada: Western Provinces University of British Columbia 0 12 25 43 43 0 123 38.8 University of Alberta 5 8 5 4 10 0 32 10.1 University of Slskatch"'8n 9 10 5 0 4 0 28 8.e University of Manitoba 3 7 11 6 4 0 31 9.8 Ontario University of Toronto 4 3 2 3 0 0 12 3.8 University of Western Ontario 0 1 1 2 10 0 14 4.4 University of Guelph 1 0 0 1 9 0 11 3.5 University of Ottawa g_ g_ Q ! ..Q. Q J. Rd Total Ontario 5 4 3 7 Ill 0 38 12.0 ()iebec McGill University 2 2 3 2 3 0 12 3.8 University of Montreal 0 1 0 0 3 0 4 1.3 Laval University 0 0 0 1 1 0 2 0.6 University of Sherbrooke R Q R ! Q Q J. 0.3 Total ~ebec 2 3 3 4 7 0 19 6.0 New Brunswick Mt. Allison University l l 0 4 2 0 8 2.5 University of Moncton g_ Q g_ R ! R ! Rd Total llew Brunswick l 1 0 4 3 0 9 2.8 love Scotia St. Francis X1vier University 0 0 0 1 2 0 3 0.9 Mt. St. Vincent University 0 0 0 0 2 0 2 0.6 Acadia University ! i R R ! R ! h! Total Nova Scotia l 3 0 l 6 0 11 3.5 - - - - - - - --Total Canada 26 48 52 69 96 0 291 91.B United Stites 0 1 l 4 3 1 10 3.2 Great Britain 0 0 1 l 0 0 2 0.6 Netherlands 0 0 1 0 0 0 l 0.3 China 0 0 0 0 1 0 l 0.3 Phi 11 ppi nes 0 0 6 5 0 0 11 3.5 Not Answered 0 0 0 0 0 l l 0.3 Total 26 49 61 79 100 2 317 100.0 (8.2S) (15.51) (lll.2S) (24 .H) (31. 51) (0.61) (100.01) - 10 -CDA approved internship programs were completed by 89.3 percent of respondents (Table 9) prior to entering the CDA, with most of the internship institutions located in British Columbia (41.7%), Ontario {22.6%), Alberta {9.5%) and Quebec (9.5%) (Table 10). Another 10.2 percent. of this subset, 29 ind1v1dua1s, completed 1nternsh1p programs 1n the United States, interesting in view of .the fact that only 10 individuals graduated from American universities. In most (85. 9%) there was a "general 11 concentration. Table 9: N1111ber and Percentafe Distrfbutfon of Dietitians and llutrftionfsts fn British Co1Uiibia by MHns o Enterfr!$1 C.b.A. Miiibef'shtp, 1978 (Jl7 aupondent.J Means of Entering C.D.A. Membership Nllllber Percentage . Completed C.D.A. Approved Internship 283 89.3 Member of C.D.A., but did not cmplete C.D.A. Approved Internship: Completed C.D.A. Approved •Planned Experience Program" 6 1.9 Graduate Experience or Degree 14 4.4 Special Qualifications 5 1.6 Unknown 2 0.6 Not a Member/Unknown 7 2.2 Total 317 100.0 Table 10: Number and Percentage Distribution of Dietitians and llutritfonists fn British Columbia Who Completed c.O.A. Approved Internship, by Location of Internship Institution arid Concentration, 1978 (Number r 283) Concentration Country/Province Total Adminis- Not General tration Cl infcal Conmlnity Answered N N ...!... .JL .JL N s Canada: British Columbia 103 1 B 0 6 118 41.7 Alberta 22 2 2 0 1 27 9.5 Sas lea tc hewa n 3 0 0 0 0 3 1.1 Manitoba 9 0 0 0 0 9 3.2 Ontario 55 4 3 0 2 64 22.6 Quebec 25 0 0 2 0 27 9.5 Nova Scotia __! -1 _g ...Q. ...Q. __! -1.:.l Tota 1 Canada 222 8 13 2 9 254 89.8 United States 21 4 2 0 2 29 10.2 Total !43 12 15 2 11 283 100.0 (15.n) (4.21) (5.JS) ·co. 11> (3.H) (100.0S) Table 12: - 11 -Only 29 respondents have graduate degrees in dietetics or nutrition, 75.9 percent of these being Master of Science degrees (Table 11). Fifty-five percent of this subset are in the 30-39 year age group, compared to 28 percent of total respondents. Almost 80 percent reside in the Greater Vancouver and Victoria regions, compared to 75 percent of total respondents (Table 12). Table 11: Number and Percentage Distrfbution"of Dietitians and Nutritionists in IT'ftfsh Columbia W1th Graduate De,rees 1n Dtetettcs or NUtrftfon 61 Name of Highest D!!Qree Obtained, 978 (Jl7 a .. poadentaJ Name of Degree Number Percentage Ph.D. 3 10.3 M.Sc. or M.S. 22 75.9 M.A. 1 3.4 M.P.H. 1 3.4 Master's Degree, unspecified 1 3.4 Diploma tn Nutrition 1 3.4 Total 29 100.0 Age in Years Regional Hospital District Total of Not Residence <30 30 - 39 40 - 49 SO I Over Answered ...!... ...!... ...!... ...!... ...!... N Non-Metropolitan: Central Oklnag11n 0 1 0 0 0 1 Timpson-Nicola 1 0 0 0 0 1 De.ldney-Alouette 0 0 0 2 0 2 Sunshine Coast 0 1 0 0 0 1 llanaimo ....!!.... _1_ ....!!.... ....!!.... ....!!.... _1_ Total Non-Metropolitan 1 3 0 2 0 6 Greater Vancouver 2 7 1 4 1 15 Capital 0 ' 2 0 0 8 total 3 16 3 ' 1 29 (10.31) (15.21) (10.31) (20.71) (3.41) (100.0S) I 3.4 3.4 6.9 3.4 ~ 20.7 51.7 27.6 100.0 - 12 -Thirty-seven individuals have degrees, diplomas or certificates in other fields, most COlllllOnly teaching certificates, as is shown in Table 13. Table 13: Name of Degree, Diploma, Certificate Number Percentage M.Sc. or M.S. 2 5.4 M.A. 1 2.7 M.B.A. 1 2.7 M.Ed. 1 2.7 B.A. 1 2.7 B.Ed. 2 5.4 Diploma in Public Health Nutrition 3 8.1 Diploma in Dietetics 1 2.7 Teaching Certificate 13 35.1 Certificate in Hospital Department Management 5 13.5 Health Care Certificate 3 8.1 Associate Degree 2 5.4 Health Care Organization I Management l 2.7 Name Not Stated 1 2.7 Total 37 100.0 Over 80 percent of respondents have participated in continuing education activities over the past two years (Table 14). Almost 20 percent have spent sixty or more hours on such activities during this period of time. Table 14: lumber and Percentage Distribution of lietitians and Nutritionists in British to111111bfa by Partfcf~tfon fn Contfnufng Educatf on lctfvftfes Related to Profession fn Past 11«> Years (Jl7 R .. pondent•J Extent of Participation Number Percentage Participated: Number of Hours During Past Tt«> Years: ~o 35 11.0 60 - 79 26 8.2 40 - 59 58 18.3 20 - 39 80 25.2 <20 40 12.6 Not Answered 19 6.0 Did Not Partic1pate/11ot AnMeT"ld 19 18.6 Total 317 100.0 - 13 -5. Employment Cross-classification of all respondents by regional hospital district of residence and employment status is displayed in Table 15. The majority are employed as dietitians or nutritionists, 45~7 percent full-time, 19.6 percent part-time and 2.2 percent self-employed, for a total of 67.5 percent. Twenty-four other respondents (7.6%) are employed in another field, forty-six (14.5%) are not employed and thirty-three (10.4%) are retired. No significant differences in employment status among the Greater Vancouver region, the Capital region and the combined Non-Metropolitan regions were demonstrated, as determined by a x2 test using Yate's correction (x2=9.221 df=B .30<p<.50). Table 15: Number and Percentage Distribution of Dietitians and llutritionists tft British Colllllbia. by Regional Hospital District of Residence 11id Current Eilip1oent Status, 1978 (Jl7 •NllfJIJlfmtaJ Elnplo,Ylll!nt Status Regional Hospital District of Ellployed as Dietitian/Nutritionist E.llployed Total Residence but not Self IS Not Full-Ti• Part-Ti• Ellployed Diet./Nut. Ellployed Retired ...!L ...!L ...!L ...!L ...!L ...!L N I Non-Metropolitan: East Kootenay 3 0 0 0 1 0 4 1.3 Central ltootenay 1 1 0 0 1 0 3 0.9 Kootenay Boundary 1 0 0 0 0 0 1 0.3 Okanagan Si11tl k1111een 0 0 0 0 1 1 2 0.6 Colimbt1-Sll.l1W1p 1 0 0 0 0 0 1 0.3 North Okanagan 5 0 0 0 1 0 6 1.9 Centra 1 Okanagan 4 0 0 0 0 • 1 5 1.6 Thcmpson 111cola 4 3 0 0 1 1 9 2.8 Cari boo 2 1 0 0 0 0 3 0.9 Squlllish-Lillooet 0 0 1 0 0 1 0.3 Fraser-Cheam 1 1. 0 0 0 2 0.6 Central Fraser Valley 3 0 0 2 0 5 1.6 Dftdney-Alouette 2 0 1 1 2 6 1.9 Sunshine Coast 1 1 0 1 0 3 0.9 Powell River 2 0 0 0 0 2 0.6 Skeena-Queen Chlrl otte 1 1 0 0 0 2 0.6 Kiti•t-Stikine 1 0 0 1 0 2 0.6 Bulkley-Nechako 0 l 0 0 0 1 0.3 Fraser-Fort George 1 0 1 1 1 4 1.3 Peace River-Liard 1 1 0 0 0 2 0.6 Cowichln Valley 1 0 0 1 0 2 0.6 lllnaimo 5 3 0 1 0 9 2.8 Alberni-Cla,YOqUot 2 0 0 0 0 2 0.6 C0110x-Str1thcona _1_ .JL - .JL .JL .JL _l_ ~ Total Non-lletropo11tan 43 13 0 3 13 6 78 24.6 I I I ' Greater Vancouver 82 34 7 20 27 21 191 60.3 Capital 20 15 0 1 I 6 I 6 48 I 15.1 Total 145 12 7 24 ! 46 I 33 317 I 100.0 (45.71) (11.61) (2.21) (7 .61) (14. 51) I <10.u) (100.02:) I I : . - 14 -Cross-classification by employment status and age group is shown in Table 16. About three-quarters of the under 30 age group, a relatively high proportion compared to the other age groups, are employed on a full-time basis. Relatively larger numbers of the 30-39 and 40-49 age groups are not employed or employed in another field. There is a significant association between age and em loyment status, omittin} the self-employed and retired groups. x =26.080 df=9 .OOl~p<.Ol Table 16: Number and Percentage Dfstrfbutfon of Dfetitfans and Nutritionists in British Colllllbfa b,Y Current Employment Status and Age, 1978 {,JJ7 a .. polldent•J Age in Years Current Under 50 Not Total I Employment Status 30 30 - 39 40 - 49 Or Over Answered ...!.. ...!.. JL JL ...!... N Employed as Dietitian/Nutritionist: Ful 1-Time 59 36 21 27 2 145 Part-Time 9 - 17 18 17 1 62 Self-Employed 0 3 1 3 0 7 - - - - - -Sub-total 68 56 40 47 3 214 Employed, but not as Dietitian/ ft.Itri tioni st 4 11 6 2 1 24 Not Employed 7 20 11 8 0 46 Retired 0 2 3 28 0 33 Total 79 89 60 85 4 317 (24.9%) (ZS.IS) (18.H) (26.81) (1.3%) (100.0S) Most of the full-time employed dietitians and nutritionists (73.1%) are employed in hospitals or health care facilities (Table 17), as are those employed on a part-time basis (64.5% -Table 18). One-third of the full-time group have been employed for two years or less, compared to over one-half of the part-time group. Table 17: Duration of Present EMployinent Elllploying Total Under 1 - 2 3 - 5 6 - 10 Over Not Institution/Agency 1 year 19rs ye11rs years 10 yeers Answered .J!... .J!... .J!... .J!... .J!... .J!... N Public Organization - Federal, Provincial or Municipal 7 4 11 3 1 0 26 Hospital/Heelth Care F1c1lit! 12 24 29 21 15 5 106 University or College 1 0 1 1 5 0 8 Comlerci1l Enterprise 0 1 2 0 0 0 3 lot Answered 0 0 0 1 1 0 2 Total zo n 43 II 12 5 145 (U.n) (IO.OI) (11.71) (17 .II) (15.H) (l.41) (100.DI) I 17.!I 73.1 5.5 2.1 1.4 100.0 s 45.7 19.6 2.2 --67.5 7.6 14.5 10.4 100.0 - 15 -Table 18: Duration of Present Ellplo~ent &ploying Under 1 - 2 3 - 5 6 - 10 Over Hot Total , .... , ...... 1 ... _, .. _ - . .. ·- . i year ,--·. ,--· - ,-- . - - --..!.. ..!.. ..!.. ..!.. ..!.. ..!.. H I Public Organization - Federal, Provincial or Municipal 6 4 2 Q 1 0 13 21.0 Hospital/Health tare Facility 10 10 5 13 2 0 40 64.5 University or College 1 0 1 0 0 1 3 4.8 Conwnercial Enterprise 0 1 1 0 0 0 2 3.2 llot Answered 1 1 0 1 1 0 4 6.5 Total 18 16 9 14 4 1 62 100.0 (2g.01) (25.81) (14.51) (22.6%.) (6.51) (1.61) (100.01) Nine of the part-time employed dietitians and nutrition-ists (14.5%) are seeking full-time employment, as is shown in Table 19. Fifteen of those not employed in the field (62.5%) are seeking employment in the field, as are eight of the not employed group (17.4%). Thus, a total of 32 respondent dietitian/nutritionists are seeking employment, or increased employment, in the field. Table 19: Desire For E.llployed Part Tiine Hot Employed Hot £.mployed (Increased)* Ellployment in Field in Field JL _s ...!.. _ s_ ..!... _s _ ..!... Seeking/Prefer (Increased) 9 EllploJlll!nt in Field 14.5 15 62.5 8 17.4 32 llot Seeking (Increased) E.llployMnt in Field 51 82.3 9 37.5 30 65.2 90 llot Answered 2 3.2 0 0.0 8 17.4 ID Total 62 100.0 24 100.0 46 100.0 132 * Respondents seeking full-ti11e employMnt. Total _s_ 24.2 68.2 7.6 100.0 - 16 -The stated occupations for the 24 dietitian/nutritionists who indicated they were not employed in the field are shown in Table 20. Nine individuals are employed in the related fields of food products marketing, consumer relations, restaurant or food service management, or home economics teaching. Table 20: lumber Ind Percentage D1str1bUt1on of D1et1tf1ns 1nd Nutr1t1onfsts 1n Brftfsh Columbia NOt Employed in the Field, by Type Of Present Employment, 1978 (Number • 24) Type of Employment llllllber . Percentage Food Products Marketing/Consumer Relations 2 8.3 Restaurant/Food Service Management 3 12.5 Teaching - Home Economics 4 16.7 - Science/Unspecified 3 12.5 Clerical/Secretarial/Service 7 29.2 Miscellaneous 3 12.5 Unknown 2 8.3 Total Z4 100.0 The cross-classification by regional hospital district of residence and principal type of responsibility for the full-time employed dietitians and nutritionists is shown in Table 21. Twenty-three to twenty-five percent are enployed in each of the fields of clinical nutrition, administration, or clinical nutrition and administration combined, and another 11 percent in community n·utrition. The nine dietitian/nutritionists employed in Education or Research all reside in the Greater Vancouver region; four of the five employed as Consultants reside in the Greater Victoria region. No significant difference in principal responsibilities between the non-metropolitan and combined metropolitan regions was demonstrated. (x2=5.525 df=4 .2~p<.30) • - 17 -leble 21: Prtncipel 11111 of Responsibility D..,fftR•l Mncnful B -v! . '2 - i;: Distr"ict f ~ b •f -. r Total _g .. ., of _ .. • 0.11: ·- .. . .. ~:a~ Residence ...... - 1.1- c -- c -c iii~ z c .b c .. j c- .. -.. ~! c .. "' uE t;i ..... .. .. ...... "' z ..!.. ..1L ..1L ..1L ..1L ..1L N " Non-P!etropolitan: East Kootenay D 1 D 2 0 0 3 2.1 Centr"al Kootenay D D 0 D D 1 l D.7 Kootenay Boundar"y 0 D D 1 D 0 1 0.7 Columbia-Shuswap D D D 1 0 0 1 0.7 Nor"th Dkanagan 0 2 1 1 1 D 5 3.4 Centr"a 1 Olcanagan 1 2 1 0 0 0 4 2.B Thompson Nicola 1 D 1 2 D 0 4 2.8 Cari boo 1 D D 1 D D 2 1.4 Fnser"-Cheam D 1 D D D D 1 D.7 Centr"al Fraser Valley D 1 2 D D D 3 2.1 Dewdney-Alouette D D 1 1 D 0 2 1.4 Sunshine Coast D D D 1 D D 1 0.7 Powell River' D 1 1 D 0 0 2 1.4 Slceena-Queen Charlotte D D D 1 D D 1 D.7 Kitimat-Stilcine D D 0 1 D D 1 D.7 Fraser-Fort George D 1 D D D D 1 D.7 Peace River-liard D D D 1 D D 1 0.7 Cowichln Valley D D D 1 D D 1 0.7 Nanaimo 2 D 1 1 0 1 5 3.4 Alberni-Clayoquot 0 1 1 0 0 D 2 1.4 Colllox-Strathcona i _1_ i i i i _,_ -2.:1. Total Non-Metropolitan 5 11 !ii 15 1 2 43 29.7 (Percentages) (11.61) (25.61) (20 .!IS) (34.H) (2.31) (4.71) (100.DS) Greater Vancouver 9 18 21 18 10* 6 82 56 .6 (Percentages) (11.0S) (22.0S) (25.61) (22.0S) (12.21) (7.31) (100.DS) Capital 2 7 5 1 4 1 20 13.8 (Percentages) (ID .OS) (35.0S) (25.0S) (5.DS) (20.DS) (5.0S) (100.DS) Total 16 36 35 34 15 9 145 100.D (11.0S) (24 .as) (24.11) (23.41) (J0.3:) (6.21) (100.DS) * The only dietitian/111tritionists anployed in Education or Research are in the Greater Yancouwer region - 7 in Education and 2 in Research • • • I • - 18 -Comparable data for the part-time employed dietitian/ nutritionists are in Table 22, but as can be seen the principal responsibilities for this group are very different from those of the preceding, with the emphasis shifting from administration (4.8%) to education (11.3%) and consultation (11.3%). Eleven ercent of this are also in Cor1111unit Nutr1tio T1ble 22: Principal Type of Responsibility Regional Hospital c: c: 01str1ct ~ 0 of '!:Z c: 1l .. 0 Residence b •f :; .. ... c c c: ! ~~ -o _ .. 0 • ·- ... ... :; ..c: ... ~~ ~ u- '; c: -~ .... c: • c c: .. j c:- u "' ...... ~J .. c: .. tii 'a 0 0 uz: .... ... K .JL .JL .JL .JL .JL ...!... ...!... N Non-Metropolitan: Central kootenay 0 0 0 1 0 0 0 1 Thollpson-Nicol1 1 1 0 0 0 1 0 3 C.riboo 0 0 1 0 0 0 0 1 Fraser-Cheam 0 1 0 0 0 0 0 1 Sunshine Coast 0 0 0 0 0 1 0 1 Skee111-~een Charlotte 0 1 0 0 0 0 0 1 Bu 1k1 ey-Nechl ko 0 0 0 0 0 0 1 1 Peace River-Li1rd 0 0 0 0 0 1 0 1 Nl111i110 _1_ _ 1_ _]_ i _ 1 _ _]_ _]_ _3 _ Totll Non-Metropolitan 2 4 1 1 1 3 1 13 Total (Percent• ges) (lS .41) (30.81) (7.7S) (1.7S) (7.71) (23.IS) (7.71) (100.0S) &rater Vancouver 3 13 1 3 5 3 6 34 (Percenllges) ( 8.81) (38.21) c2.n) (I.IS) (14. 71) (8.81) (17 .61) (100.0S) C.p1.ta1 2 s 1 1 1 1 4 lS (Percentages) (13.31) (33.31) (6.71) (6.7S) (6.71) (6.71) (26.71) (100.0S) Total 7 22 3 5 1 1 11 62 (11 . JS) (JS.SS) (4.BS) (8.11) (11.JS) (11.JS) (17 . 71) (100.0S) s 1.6 4.8 1.6 1.6 1.6 1.6 1. 6 1.6 ---..!.:! 21.0 54.8 24.2 100.0 • • - 19 -The distribution by principal type of responsibility and age for the full-time, part-time and self-employed groups are in Tables 23, 24 and 25 respectively. In the full-time employed group the only noteworthy items are the domination of the Clinical Nutrition and combined Clinical and Administration fields by tne under 30 age group, and the rather even spread across all age groups of the Administration field. All of the self-employed dietitian/nutritionists l"ive in the Greater Vancouver region. Table 23: Number and Percentage Distribution of Dietitians and Nutritionists in British Columbia Employed Full Time 1n Field, by Principal Type of Responsibi1tty arid by Age, 1978 t•umber • l45J Age in Years Principal Type Total of Responsibility Under 30 - 39 40 - 49 so Not 30 I Over Answered .JL ...!... .JL .JL ...!... .JL Co11111unity Nutrition 9 6 1 0 0 16 Clinical Nutrition 20 6 s 5 0 36 Administration 7 11 7 9 1 35 Clinical and Administration 19 8 1 5 1 34 Education 1 3 1 2 0 7 Research 0 1 1 0 0 2 Consul tatfon 3 - 0 2 1 0 6 Not Answered 0 1 3 5 0 9 Total 59 36 21 27 2 145 (40. 71) (24.BS) (14.SS) (18.61) (1.41) (100.0S) Table 24: Number and Percentage Distribution of Dietitians and Nutrftionists in Brftish Columbia Employed Part Time in Field, by Principal Type of Responsibility arid by Age, 1978 (Number. 62 ) Age in Years Principal Type Total of Responsibility Under 30 - 39 40 - 49 so Not 30 I Over Answered ...!... .JL .JL ...!.. N .JL Conmunity Nutrition 1 1 3 1 1 7 Clinical Nutrition 4 s 6 7 0 22 Administration 1 0 0 2 0 3 Clinical and Administration 2 2 1 0 0 5 Education 0 2 3 2 0 7 Consultation 0 2 3 2 0 7 Not Answered 1 s 2 3 0 11 _s 11.0 24.8 24.1 23.4 4.8 1.4 4.1 6.2 100.0 _s 11.3 35.5 4.8 8.1 11.3 11.3 17 .7 Total t 17 18 17 1 62 100.0 (14.SS) (27.41) (Zt.OI) (27 .41) (1.61) (100.0S) • • " • I - 20 -Table 25 : Principal Type Age in Years Total u• Respons1tl111 .. , 30 - 39 40 - 49 SO I Over _!_ .JL N N s Education 0 0 1 1 14.3 Consultation 3 0 2 s 71.4 Not Answered 0 1 0 1 14.3 Total 3 1 3 7 100.0 (42.H) (14 .31) (42.9S) (100 .0S) * Greater Vancouver Regional District .. s Place of Residence for all of this group. SUMMARY: There were 317 respondent dietitians and nutritionists out of a total roster of 435 surveyed, for a response rate of 72.9 percent. Seventy-six percent of those surveyed reside in the two large metropolitan regions of the province, where there are 2.5 dietitian/nutritionists per 10,000 population. There are 0.8 per 10,000 population in the non-metropolitan regions. Canada was the place of birth for 83.3 percent of respondents, principally British Columbia (27.8%). Almost 94 percent are Canadian citizens. Eighty-six percent of respondents belong to the Canadian Dietetic Association and 59 percent to the British Columbia Dietetic Association (exclusive of auxiliary members) . • • " ' • • - 21 -Thirty-one and one half percent of undergraduate degrees were obtained between 1970-78, 24.9 percent between 1960-69 and a total of 42.9 percent in or before 1959. The University of British Columbia was the principal universit of raduation 38.8% with the University of Al bert_a,;__ ______ _ second 10.1%}. Canada as a whole accounted for 91.8 percent of undergraduate education with the United States, Britain, the Netherlands, China and the Philippines accounting for the additional 8.2 percent. CDA approved internship programs were completed by 89. 3 percent of respondents, most often in British Columbia (41.7%} or Ontario (22.6%}. In 86 percent of cases there was a "general" concentration. Only twenty-nine respondents have graduate degrees in dietetics or nutrition of which 80 percent reside in the metropolitan regions. Thirty-seven have degrees, diplomas or certificates in other fields, most convnonly teaching. Over 80 percent of respondents have participated in continuing education activities over the past two years, and 19 percent of these have spent 60 or more hours on such activities during this period of time. No significant differences in employment status among metropolitan and non-metropolitan respondents were demonstrated. Forty-six percent are employed full-time, 20 percent part-time and 2 percent are self-employed for a total of 68 percent employed in the field. Eight percent are employed in another field, 14 percent are not employed and 10 percent are retired. Hospitals and other health care facilities are the principal employers for both full-time {73 .1%} and part-time (64.5%) employed respondents. Nine of the part-time employed group are seeking full-time employment. Fifteen of those not employed in the field and eight of the not employed group are seeking employment in the field. Twenty-three to twenty-five percent of the full-time employed group are employed in each of the fields of Clinical Nutrition, Administration, or combined Clinical Nutrition and Administration. Thirty-six percent of the part-time employed group are employed in Clinical Nutrition with another 11 percent in each of Education and Consultation. Eleven percent of both groups are in Conmunity Nutrition • 

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