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International Journal of Circumpolar Health

Michael Lynge Pedersen, Ole Lind, Trine Abelsen, Jesper Olesen, Marit Eika Jørgensen
Gestational diabetes mellitus (GDM) is a serious condition associated to both maternal and offspring complications. Yet, no globally accepted consensus exists on how to test and diagnose GDM. In Greenland, the clinical criteria for testing and diagnosing GDM are adapted from Danish guidelines. The aim of this study was to estimate the prevalence of GDM among Greenlanders using both the current clinical GDM criteria and the recent WHO 2013 criteria and, further, to study the association between GDM, pre-pregnant overweight or obesity and macrosomia...
December 2018: International Journal of Circumpolar Health
Michele M Moraes, Thiago T Mendes, Ygor A T Martins, Cristian N Espinosa, Chams B Maluf, Danusa D Soares, Samuel P Wanner, Rosa M E Arantes
Antarctic climate is challenging, since the cold, wind and sensory monotony are stressful stimuli to individuals. Moreover, camp activities and heavy clothes may contribute to increase physiological strain. Thus, we aimed to characterise the physiological demand of a 24-day period in the Antarctic field and then to evaluate the effect of this expedition on the aerobic fitness in individuals with heterogeneous initial aerobic fitness (as determined by estimating maximum oxygen consumption - V̊O2MAX ). Before and after the 24-day period in Antarctica, 7 researchers and 2 mountaineers were subjected to incremental tests to estimate their V̊O2MAX ...
December 2018: International Journal of Circumpolar Health
Laura Loop
Many healthcare professionals working in Greenland are employed on temporary contracts. This is a pressing issue within the Greenlandic healthcare system. The present thesis aims to explore the impact that the many temporarily employed persons have on the everyday work practices in the healthcare system. Special attention is devoted to the informants' own perception of their work practices as learning by doing. This thesis unboxes how the health personnel understands and practises learning by doing. It is shown how learning by doing contains aspects of disclaiming responsibility for work assignments...
December 2018: International Journal of Circumpolar Health
Mylene Ratelle, Matthew Laird, Shannon Majowicz, Kelly Skinner, Heidi Swanson, Brian Laird
Community-based projects place emphasis on a collaborative approach and facilitate research among Indigenous populations regarding local issues and challenges, such as traditional foods consumption, climate change and health safety. Country foods (locally harvested fish, game birds, land animals and plants), which contribute to improved food security, can also be a primary route of contaminant exposure among populations in remote regions. A community-based project was launched in the Dehcho and Sahtù regions of the Northwest Territories (Canada) to: 1) assess contaminants exposure and nutrition status; 2) investigate the role of country food on nutrient and contaminant levels and 3) understand the determinants of message perception on this issue...
December 2018: International Journal of Circumpolar Health
Leisha Diane Nolen, Dana Bruden, Karen Miernyk, Brian J McMahon, Frank Sacco, Wayne Varner, Tom Mezzetti, Debby Hurlburt, James Tiesinga, Michael G Bruce
Helicobacter pylori infection is common among Alaska native (AN) people, however scant gastric histopathologic data is available for this population. This study aimed to characterise gastric histopathology and H. pylori infection among AN people. We enrolled AN adults undergoing upper endoscopy. Gastric biopsy samples were evaluated for pathologic changes, the presence of H. pylori, and the presence of cag pathogenicity island-positive bacteria. Of 432 persons; two persons were diagnosed with gastric adenocarcinoma, two with MALT lymphoma, 40 (10%) with ulcers, and 51 (12%) with intestinal metaplasia...
December 2018: International Journal of Circumpolar Health
Astrid M A Eriksen, Ketil Lenert Hansen, Berit Schei, Tore Sørlie, Hein Stigum, Espen Bjertness, Cecilie Javo
The main objectives of this study were to investigate the association between childhood violence and psychological distress and post-traumatic stress symptoms (PTS) among Sami and non-Sami adults, and to explore a possible mediating effect of childhood violence on any ethnic differences in mental health. This study is part of a larger questionnaire survey on health and living conditions in Mid- and Northern Norway (SAMINOR 2) which included 2116 Sami and 8674 non-Sami participants. A positive association between childhood violence and psychological distress and PTS in adulthood was found regardless of ethnicity...
December 2018: International Journal of Circumpolar Health
Elena Roik, Ekaterina Sharashova, Olga Kharkova, Evert Nieboer, Vitaly Postoev, Jon Ø Odland
While sociodemographic predictors of cervical cancer (CC) are well understood, predictors of high-risk (HR) human papillomavirus (HPV) infection have not been fully elucidated. This study explored the HR-HPV infection positivity in relation to sociodemographic, sexual behavior characteristics and knowledge about HPV and CC prevention among women who visited the Arkhangelsk clinical maternity hospital named after Samoylova, Russia. This cross-sectional study was conducted in the city of Arkhangelsk, Northwest Russia...
December 2018: International Journal of Circumpolar Health
T Kue Young, Natalia Fedkina, Susan Chatwood, Peter Bjerregaard
BACKGROUND: The eight Arctic States exhibit substantial health disparities between their remote northernmost regions and the rest of the country. This study reports on the trends and patterns in the supply and distribution of physicians, dentists and nurses in these 8 countries and 25 regions and addresses issues of comparability, data gaps and policy implications Methods: We accessed publicly available databases and performed three types of comparisons: (1) among the 8 Arctic States; (2) within each Arctic State, between the northern regions and the rest of the country; (3) among the 25 northern regions...
December 2018: International Journal of Circumpolar Health
Jan Norum, Lise Balteskard, Mette Willumstad Thomsen, Hebe Desiree Kvernmo
Rough weather conditions in the subarctic areas of Norway may influence on the risk of wrist fracture. We implemented data from the Norwegian System of Patient Injury Compensation (NPE). All claims due to wrist surgery, performed at the public hospitals in Northern Norway, during 2005-2014 were analyzed. We employed the ICD-10 classification codes S52.5 (fracture of distal end of radius) and S52.6 (fracture of distal end of radius and ulna). Treatment was defined by NCSP codes. 84 patients (0.3%) complained...
December 2018: International Journal of Circumpolar Health
Tore Sørlie, Ketil Lenert Hansen, Oddgeir Friborg
The Western culturally developed Hopkins Symptom Checklist (HSCL-10) is a self-report measure of mental distress widely used for both clinical and epidemiological purposes - also in the multiethnic epidemiological SAMINOR studies in Northern Norway, but without any proper cross-cultural validation. Our objective was to test invariance of the HSCL-10 measurements among Sami and the non-indigenous majority population in Northern Norway (participants in the SAMINOR 2 study) and whether the previously used HSCL-10 cut-off level (1...
December 2018: International Journal of Circumpolar Health
Anette Langås-Larsen, Anita Salamonsen, Agnete Egilsdatter Kristoffersen, Trine Stub
In Northern Norway, traditional healing has been preserved by passing down the knowledge through generations. Religious prayers of healing (reading) and Sami rituals (curing) are examples of methods that are used. We have examined traditional healers' understanding of traditional healing, the healing process and their own practice, as well as what characteristics healers should have. Semi-structured individual interviews and focus group interviews were conducted among 15 traditional healers in two coastal Sami municipalities in Norway...
December 2018: International Journal of Circumpolar Health
Susannah Ripley, Elizabeth Robinson, Louise Johnson-Down, Anne Andermann, Pierre Ayotte, Michel Lucas, Evert Nieboer
To describe exposure to methylmercury among Cree, focusing on women of childbearing age, we used data from 2 studies. Multiple regression was employed to examine associations between blood and hair mercury concentrations and consumption of locally harvested fish. Approximately 9.9% of non-pregnant women aged 15-44 y and 3.9% of pregnant women required follow-up according to Health Canada's blood mercury guidance value of 40 nmol/L. 8% of hair mercury observations in the non-pregnant women and 2.5% among pregnant women exceeded the equivalent threshold of 10 nmol/g...
December 2018: International Journal of Circumpolar Health
Karsten Hueffer, Molly Murphy
Rabies is a serious zoonotic disease with significant public health consequences in the circumpolar North. Recent studies have advanced our understanding of the disease ecology in Alaska. In this paper, we review historical records of rabies in Alaska ranging from the late nineteenth century to the present, analyse the public health impact in the state and review studies on disease ecology before assessing challenges and anticipated altered disease dynamics in the face of a rapidly changing North. Rabies is a disease that has been present in Alaska continuously for over 100 years...
December 2018: International Journal of Circumpolar Health
Candice Lys
The mental health of young women in the Northwest Territories (NWT), Canada, is a critical public health concern; however, there is a dearth of research that examines how this population manages mental health challenges. This study explores the self-identified strategies that female youth in the NWT use to cope with mental health issues. The arts-based qualitative method of body mapping and a trauma-informed, strengths-based approach grounded in social ecological theory was used to collect data during in-depth semi-structured interviews...
December 2018: International Journal of Circumpolar Health
Ali Naseribafrouei, Bent-Martin Eliassen, Marita Melhus, Johan Svartberg, Ann Ragnhild Broderstad
The aim of this study was to determine and compare the prevalence of pre-diabetes and type 2 diabetes mellitus (T2DM) among Sami and non-Sami men and women of rural districts in Northern Norway. The SAMINOR 2 Clinical Survey is a cross-sectional population-based study performed in 2012-2014 in 10 municipalities of Northern Norway. A total of 12,455 Sami and non-Sami inhabitants aged 40-79 years were invited to participate and 5878 were included in the analyses. Participants with self-reported T2DM and/or a glycated haemoglobin (HbA1c) result ≥6...
December 2018: International Journal of Circumpolar Health
Silvia Bermedo-Carrasco, Lalita Bharadwaj, Cheryl L Waldner
Previous studies have described concerns regarding tap water in Indigenous communities, yet there is little information on participants who report drinking their tap water and being satisfied with its quality. This study undertaken with members of 8 Indigenous communities in Saskatchewan, Canada, and identified factors associated with both the decision to drink tap water at home and being satisfied with its quality. We examined the importance of factors such as individual attributes, experiences, attitudes, household and community-based variables...
December 2018: International Journal of Circumpolar Health
Rune Hermansen, Ann Ragnhild Broderstad, Bjarne K Jacobsen, Markku Mähönen, Tom Wilsgaard, Bente Morseth
OBJECTIVE: The aim of this study was to examine the associations between changes in leisure time physical activity and changes in cardiovascular risk factors over 16 years and whether they differ between two ethnic groups in Norway. METHODS: Data were extracted from two population-based studies. Altogether, 3671 men and women participated in both surveys, and 30% reported being of Sami ethnicity. Leisure time physical activity was self-reported, and cardiovascular risk factors were measured...
December 2018: International Journal of Circumpolar Health
Ane-Kersti Skaarup Knudsen, Manhai Long, Henning Sloth Pedersen, Eva Cecilie Bonefeld-Jørgensen
The Arctic populations have high blood concentrations of persistent organic pollutants (POPs). Exposure to POPs was related to adverse health effects e.g. immune, neurological and reproductive systems. This study investigates associations between serum POP levels and haematological markers in Greenlandic pregnant women. This cross-sectional study included 189 women enrolled in 2010-2011 at the Greenlandic West coast by the inclusion criteria ≥18 years of age and had lived for 50% or more of their life in Greenland...
December 2018: International Journal of Circumpolar Health
Soile Hämäläinen, Frauke Musial, Anita Salamonsen, Ola Graff, Torjer A Olsen
Music as a possible health-promoting agent has attained increasing academic and scientific interest over the last decades. Nonetheless, possible connections between indigenous singing traditions and health beyond traditional ceremonial healing practices are still under-researched worldwide. The Sami, the indigenous people living in Northern Fennoscandia, have a distinct ancient vocal music tradition called "yoik" practiced from immemorial times. The Sami share a history of assimilation with many indigenous people...
December 2018: International Journal of Circumpolar Health
Emilie Kowalczewski, Joern Klein
The goal of this cross-sectional qualitative study was to assess the impact of climate change on Sámi youth health, health care access, and health-seeking behaviour. Indigenous research methodology served as the basis of the investigation which utilised focus groups of youths and one-on-one interviews of adult community leaders using a semi-structured, open-ended questions. The results of the focus groups and interviews were then analysed to identify trends. We found that Sámi youth mostly associate the implications of climate change to their culture andcultural practices rather than the historical influence the environment had on Sámi health...
December 2018: International Journal of Circumpolar Health
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