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Canadian Journal of Public Health. Revue Canadienne de Santé Publique

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https://www.readbyqxmd.com/read/30242635/adverse-birth-outcomes-and-infant-mortality-according-to-registered-first-nations-status-and-first-nations-community-residence-across-canada
#1
Gabriel D Shapiro, Amanda J Sheppard, Tracey Bushnik, Michael S Kramer, Angela Mashford-Pringle, Jay S Kaufman, Seungmi Yang
OBJECTIVE: Studies of perinatal health outcomes in Canadian First Nations populations have largely focused on limited geographical areas and have been unable to examine outcomes by registered status and community residence. In this study, we compare rates of adverse birth outcomes among First Nations individuals living within vs. outside of First Nations communities and those with vs. without registered status. METHODS: Data included 13,506 singleton pregnancies from the 2006 Canadian Birth-Census Cohort...
September 21, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30238324/consumption-of-ultra-processed-foods-and-obesity-in-canada
#2
Milena Nardocci, Bernard-Simon Leclerc, Maria-Laura Louzada, Carlos Augusto Monteiro, Malek Batal, Jean-Claude Moubarac
OBJECTIVES: To assess the association between consumption of ultra-processed foods and obesity in the Canadian population. METHODS: Cross-sectional study including 19,363 adults aged 18 years or more from the 2004 Canadian Community Health Survey, cycle 2.2. Ultra-processed food intake was estimated using daily relative energy intake of ultra-processed food (% of total energy intake) from data obtained by 24-h food recalls. Obesity was assessed using body mass index (BMI ≥ 30 kg/m2 )...
September 20, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30232717/equity-at-all-cost-and-any-price-for-research-funding-in-canada
#3
Anne Guichard, Valéry Ridde
This commentary is in response to the May 2018 announcement by the Canadian Institutes of Health Research (CIHR) of a new procedure to ensure fairer access to health research funding for participants. As such, all applicants to CIHR's funding programs will now be required to complete a five-question questionnaire covering the dimensions of gender, age, Indigenous origin, visible minorities, and disability. On this basis, CIHR intends to gain a better understanding of the performance of its funding programs in terms of equity...
September 19, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30232716/an-encore-collaboration-between-cousins-the-canadian-journal-of-public-health-and-the-canadian-society-for-epidemiology-and-biostatistics-une-autre-collaboration-entre-cousins-la-revue-canadienne-de-sant%C3%A3-publique-et-la-soci%C3%A3-t%C3%A3-canadienne-d-%C3%A3-pid%C3%A3-miologie
#4
EDITORIAL
https://www.readbyqxmd.com/read/30232715/effects-of-behavioural-risk-factors-on-high-cost-users-of-healthcare-a-population-based-study
#5
Amanda Alberga, Laura Holder, Kathy Kornas, Catherine Bornbaum, Laura Rosella
OBJECTIVES: High-cost users (HCUs) are known to disproportionally incur the majority of healthcare utilization costs relative to their counterparts. A number of studies have highlighted the detrimental effects of risky health behaviours; however, only a few have demonstrated the link to HCUs, a meaningful endpoint for program and policy decision-makers. We investigated the association between health behaviour risks and downstream high-cost healthcare utilization. METHODS: A combined cohort of participants from the Canadian Community Health Survey (CCHS) cycles 2005-2009 was linked to future population-based health administrative data in Ontario...
September 19, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30225576/workplace-exposure-to-asbestos-and-the-risk-of-kidney-cancer-in-canadian-men
#6
Cheryl E Peters, Marie-Élise Parent, Shelley A Harris, Linda Kachuri, Lidija Latifovic, Laura Bogaert, Paul J Villeneuve
OBJECTIVE: Previous studies considered the role of occupational causes in kidney cancer but were limited by small sample sizes and imprecise exposure assessment. This study examined the relationship between occupational exposure to asbestos and the risk of kidney cancer across a range of jobs in a large, population-based case-control study in Canada. METHODS: Data were from the case-control component of the National Enhanced Cancer Surveillance System, a study conducted between 1994 and 1997 in eight Canadian provinces...
September 17, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30225575/a-missed-opportunity-cannabis-legalization-and-reparations-in-canada
#7
Jenna Valleriani, Jennifer Lavalley, Ryan McNeil
As Canada moves towards the legalization of cannabis, the Cannabis Act itself remains void of any complementary social justice measures. Decades of criminalization for the possession, production, and sale of cannabis will remain unscathed under this ostensibly new approach, leaving intact laws that have disproportionately and prejudicially impacted Indigenous people and people of colour. This includes the overpolicing and criminalization of these communities, furthering criminal justice disparities, and the lack of meaningful initiatives to aid communities of colour and Indigenous communities in participating in the legal cannabis industry...
September 17, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30209780/first-nations-elders-perspectives-of-engagement-in-community-programs-in-nak-azdli-whut-en-british-columbia-canada
#8
Rochelle Tonkin, Shannon Freeman, Jenny Martin, Valerie Ward, Kelly Skinner
OBJECTIVES: Meaningful social engagement is important to reduce risk for social isolation and loneliness. First Nations Elders are a unique group and little knowledge currently exists of their preferred forms of social interaction. The objective of this study was to describe the types of programs Nak'azdli Elders desire, identify barriers to participation, and improve creation of programs that address Elders' needs and interests. METHODS: This project was co-created by the Nak'azdli Health Centre and Elders, located in Northern British Columbia, with support from academic partners when and where asked...
September 12, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30191462/interprovincial-variation-in-pre-pregnancy-body-mass-index-and-gestational-weight-gain-and-their-impact-on-neonatal-birth-weight-with-respect-to-small-and-large-for-gestational-age
#9
Sarah D McDonald, Christy Woolcott, Núria Chapinal, Yanfang Guo, Phil Murphy, Susie Dzakpasu
OBJECTIVES: To explore provincial variation in both excess and inadequate pre-pregnancy body mass index (BMI) and gestational weight gain (GWG) and their impact on small- and large-for-gestational-age (SGA, LGA) infants. METHODS: Four provinces with a perinatal database capturing the required exposures participated: British Columbia (BC), Ontario (ON), Nova Scotia (NS), and Newfoundland and Labrador (NL). In multiple, concurrent retrospective studies, we included women ≥ 19 years, who gave birth from 22+0 to 42+6  weeks' gestation, to a live singleton from April 2013-March 2014...
September 6, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30191461/canadian-mining-and-ill-health-in-latin-america-a-call-to-action
#10
Anne-Emanuelle Birn, Leah Shipton, Ted Schrecker
This commentary argues that Canada's public and global health communities have a special ethical and political responsibility to act to reverse the harms associated with Canadian mining activities in Latin America and beyond through advocacy, research, and using their public voice. We begin with an overview of the direct and indirect health effects of mining, drawing especially on Latin America where 50-70% of mining activity involves Canadian companies. Then we examine the judicial, legislative, financial, and diplomatic contexts that make Canada such a welcome host and champion of the mining sector...
September 6, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30168041/the-effects-of-cigarette-price-and-the-amount-of-pocket-money-on-youth-smoking-initiation-and-intensity-in-canada
#11
Yang Cui, Evelyn L Forget, Yunfa Zhu, Mahmoud Torabi, Umut Oguzoglu
OBJECTIVES: To investigate the price and income elasticities of adolescent smoking initiation and intensity to determine the extent to which increased pocket money leads to greater smoking among youth, and whether higher taxes can mitigate this effect. METHODS: We used the 2012/2013 Canadian Youth Smoking Survey including students in grades 7-12. The multivariable logistic regression was used to examine the probability of smoking initiation, and a linear regression to examine the smoking intensity determined by province-level prices of cigarettes, pocket money, and a vector of individual characteristics, including age, sex, race, and school-related and psychosocial factors...
August 30, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30159863/work-related-musculoskeletal-risk-among-refugees-recommendations-for-improvement-to-promote-health-and-well-being
#12
Sonja Senthanar
Refugees fall under the umbrella term of immigrants. Whereas immigrants chose to leave their host country for positive reasons, refugees are pushed out due to war and fear of persecution. The work they pursue does not align with their education and experience and oftentimes leaves them vulnerable to increased health and safety hazards causing musculoskeletal disorders (MSDs). Current publicly available resources and guidelines ignore their unique psychosocial profiles and homogenize refugees with all other workers...
August 29, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30151675/quebec-physicians-perspectives-on-medical-aid-in-dying-for-incompetent-patients-with-dementia
#13
Gina Bravo, Claudie Rodrigue, Marcel Arcand, Jocelyn Downie, Marie-France Dubois, Sharon Kaasalainen, Cees M Hertogh, Sophie Pautex, Lieve Van den Block, Lise Trottier
OBJECTIVES: To elicit Quebec physicians' attitudes towards extending medical aid in dying (MAiD) to incompetent patients and to compare the attitudes of family physicians to those of other medical specialists. METHODS: We conducted a postal survey among physicians caring for patients with dementia. We used hypothetical vignettes to elicit their attitudes towards MAiD and continuous deep sedation (CDS) to relieve suffering at end of life. Two patients were depicted in the vignettes: one with cancer eligible for MAiD and one with dementia...
August 27, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30151674/domains-and-determinants-of-a-person-centered-index-of-aging-well-in-canada-a-mixed-methods-study
#14
Emmanuelle Bélanger, Mario Ulises Pérez-Zepeda, Roberto Carlos Castrejón-Pérez, Tamer Ahmed, Grégory Moullec, Susan P Phillips, Maria Victoria Zunzunegui
OBJECTIVES: The objectives of this study were to explore the perspectives of older adults about the most important domains of aging well and to identify the social determinants of a person-centered index capturing these domains. METHODS: We conducted a mixed-methods study of 40 semi-structured interviews and epidemiological data from 670 older adults participating in the International Mobility in Aging Study (IMIAS) in Saint-Hyacinthe and Kingston. A composite index capturing the domains of aging well was constructed on the basis of findings from qualitative content analysis...
August 27, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30151673/patterns-of-mortality-among-adults-with-intellectual-and-developmental-disabilities-in-ontario
#15
Elizabeth Stankiewicz, Hélène Ouellette-Kuntz, Michael McIsaac, Shahin Shooshtari, Robert Balogh
OBJECTIVES: To determine recent mortality rates among Ontarian adults with intellectual and developmental disabilities (IDDs) and investigate changes over time in contrast to the general population. To determine the most commonly reported underlying causes of death and explore related coding practices. METHODS: Using linked health administrative data, four cohorts of adults with IDD aged 25-99 living in Ontario were followed for 1 year (one cohort for each year between 2011 and 2014)...
August 27, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30140981/the-impact-of-drug-coverage-on-viral-suppression-among-people-living-with-hiv-in-ontario-canada
#16
Beth Rachlis, Lucia Light, Sandra Gardner, Ann N Burchell, Janet Raboud, Claire Kendall, Michael A McIsaac, James Murray, Anita Rachlis, Sean B Rourke
OBJECTIVES: We investigated the effect of drug coverage on viral suppression (sVL) in Ontario, Canada, where there is no universal coverage of prescription drugs, including antiretroviral therapy (ART). METHODS: Ontarians without employment coverage may be eligible for varying degrees of coverage through government-sponsored programs. Remaining individuals pay all expenses entirely out of pocket. Among participants on ART enrolled in the Ontario HIV Treatment Network Cohort Study (OCS) who were interviewed in 2008-2013 with known or imputable drug coverage, we estimated the prevalence with sVL (< 200 copies/mL) as of their last viral load each year...
August 23, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30140980/why-should-public-health-agencies-across-canada-conduct-climate-change-and-health-vulnerability-assessments
#17
Chris G Buse
Climate change is increasingly impacting population health outcomes related to several areas of public health service delivery across Canada, and internationally. As a result, public health practitioners are increasingly looking for guidance on how to begin planning for and adapting to a myriad of health-related climate impacts. This paper outlines several benefits for local or regional health agencies in conducting climate change and health vulnerability assessments (CCHVAs), based on the author's experience in conducting two of Canada's first comprehensive assessments...
August 23, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30097891/embedding-health-equity-strategically-within-built-environments
#18
Cora Janzen, Josh Marko, Michael Schwandt
BACKGROUND: Population health approaches are visible among multidisciplinary methods used in urban design and planning, but attention to health equity is not always an explicit focus. Population and Public Health-Saskatoon Health Region recognized the need for frameworks to prioritize, integrate and measure health equity within local built environments. SETTING: A cross-department healthy built environment (HBE) initiative coordinated activities involving Health Promotion, Environmental Public Health, Public Health Observatory, and Medical Health Officers engaged with municipal, academic and community partners in Saskatoon, Saskatchewan...
August 10, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30097890/on-the-use-of-digital-technologies-to-reduce-the-public-health-impacts-of-cannabis-legalization-in-canada
#19
Wassim Bedrouni
The imminent legalization of recreational cannabis represents a considerable public health challenge that requires proactive measures to ensure a responsible transition. The federal government recognizes the need for strict regulation to reduce cannabis-related health harms, notably among the youth. Additionally, the government plans to oversee a national public awareness campaign as part of a harm-reduction strategy. In light of the public health risks of cannabis legalization, this paper proposes the implementation of increasingly popular, evidence-based, preventive, and therapeutic digital interventions to minimize the harms of this policy among adolescents and young adults...
August 10, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/30091108/evaluating-tnm-stage-prognostic-ability-in-a-population-based-cohort-of-gastric-adenocarcinoma-patients-in-a-low-incidence-country
#20
Alyson L Mahar, Brandon Zagorski, Daniel Kagedan, Matthew Dixon, Abraham El-Sedfy, Jovanka Vasilevska-Ristovska, Daniela Cortinovis, Corwyn Rowsell, Calvin Law, Lucy Helyer, Lawrence Paszat, Natalie Coburn
OBJECTIVES: TNM stage is the preeminent cancer staging system and a fundamental determinant of disease prognosis. Our goal was to evaluate the predictive power of TNM stage for gastric adenocarcinoma (GAC), in a low-incidence country. METHODS: A province-wide chart review of GAC patients diagnosed from April 1, 2005 to March 31, 2008 was conducted in Ontario and linked to routinely collected vital status data with a follow-up on March 31, 2012. TNM staging was classified using the sixth and seventh Union International for Cancer Control/American Joint Committee on Cancer editions...
August 8, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
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