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https://www.readbyqxmd.com/read/29440236/the-consequences-of-patient-charges-for-prescription-drugs-in-canada-a-cross-sectional-survey
#1
Michael R Law, Lucy Cheng, Ashra Kolhatkar, Laurie J Goldsmith, Steven G Morgan, Anne M Holbrook, Irfan A Dhalla
BACKGROUND: Many Canadians face substantial out-of-pocket charges for prescription drugs. Prior work suggests that this causes some patients to not take their medications as prescribed; however, we have little understanding of whether charges for prescription medicines lead patients to forego basic needs or to use more health care services. Our study aimed to quantify the consequences of patient charges for medicines in Canada. METHODS: As part of the 2016 Canadian Community Health Survey, we designed and fielded cross-sectional questions to 28 091 Canadians regarding prescription drug affordability, consequent use of health care services and trade-offs with other expenditures...
February 5, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29439924/canada-s-evacuation-policy-for-pregnant-first-nations-women-resignation-resilience-and-resistance
#2
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29423693/water-infrastructure-and-well-being-among-first-nations-m%C3%A3-tis-and-inuit-individuals-in-canada-what-does-the-data-tell-us
#3
Melanie O'Gorman, Stephen Penner
This paper documents the association between water and sanitation infrastructure and health indicators in Canada for First Nations, Métis and Inuit individuals living on and off-reserve in Canada. We use two data sources: the Aboriginal Peoples Survey and a survey conducted in a First Nations community in northern Manitoba-St. Theresa Point First Nation. We find statistically significant relationships between water infrastructure and health status in both sources of data. In particular, among individuals living off-reserve, contaminated water is associated with a 5-7% lower likelihood of reporting good self-rated health and a 4% higher probability of reporting a health condition or stomach problem...
February 8, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29373595/hospitalizations-due-to-unintentional-transport-injuries-among-aboriginal-population-of-british-columbia-canada-incidence-changes-over-time-and-ecological-analysis-of-risk-markers
#4
Mariana Brussoni, M Anne George, Andrew Jin, Ofer Amram, Rod McCormick, Christopher E Lalonde
BACKGROUND: Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities. METHODS: We identified Aboriginal people through BC's universal health care insurance plan insurance premium group and birth and death record notations...
2018: PloS One
https://www.readbyqxmd.com/read/29358430/a-cross-sectional-analysis-of-the-relationship-between-diabetes-and-health-access-barriers-in-an-urban-first-nations-population-in-canada
#5
Michael Beckett, Michelle A Firestone, Constance D McKnight, Janet Smylie, Michael A Rotondi
OBJECTIVE: This study explores the relationship between health access barriers and diabetes in an urban First Nations population in Canada. DESIGN: Data from a self-identified urban First Nations population were collected using respondent-driven sampling (RDS). As no clear approach for regression modelling of RDS data is available, two logistic regression modelling approaches, including survey-based logistic and generalised linear mixed models, were used to explore the relationship between diabetes and health barriers of interest, including access to healthcare, food, housing and socioeconomic factors...
January 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29356652/cybervictimization-among-preadolescents-in-a-community-based-sample-in-canada-prevalence-and-predictors
#6
Ahmad Mobin, Cindy Xin Feng, Cory Neudorf
OBJECTIVES: To examine the prevalence and predictors associated with cybervictimization among preadolescents in a community-based sample from Canada. METHODS: Data were drawn from a cohort of 5783 students of grades 5-8, aged 9-14 from 109 elementary schools at the Saskatoon Health Region, Saskatchewan of Canada based on the Student Health Survey in the year of 2010-2011. Multivariate logistic regression with the generalized estimating equation was used to determine the individual and contextual factors associated with self-reported cybervictimization...
January 22, 2018: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/29261222/hospitalization-for-ambulatory-care-sensitive-conditions-among-urban-m%C3%A3-tis-adults
#7
Gisèle M Carrière, Mohan B Kumar, Claudia Sanmartin
BACKGROUND: Hospitalizations for ambulatory care sensitive conditions (ACSCs) are potentially preventable, but may be required if these conditions are not managed well. National-level information about ACSC hospitalizations is available for Canada, but not for Aboriginal groups. This study describes ACSC hospitalizations among urban Métis adults relative to their non-Aboriginal counterparts. DATA AND METHODS: The 2006/2007-to-2008/2009 Discharge Abstract Database, which contains hospitalization records from all acute care facilities (excluding Quebec), was linked to the 2006 Census to obtain Aboriginal identity information...
December 20, 2017: Health Reports
https://www.readbyqxmd.com/read/29187170/correction-to-the-cedar-project-using-indigenous-specific-determinants-of-health-to-predict-substance-use-among-young-pregnant-involved-indigenous-women-in-canada
#8
Sana Z Shahram, Joan L Bottorff, Nelly D Oelke, Leanne Dahlgren, Victoria Thomas, Patricia M Spittal
After publication of the original article (1) it was noted that the title of this manuscript was incorrect. The title presently reads "The cedar project: using indigenous-specific determinants of health to predict substance use among young pregnant-involved aboriginal women" but should read "The Cedar Project: Using Indigenous-specific determinants of health to predict substance use among young pregnant-involved Indigenous women in Canada".
November 29, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29173960/face-to-face-communication-between-patients-and-family-physicians-in-canada-a-scoping-review
#9
REVIEW
Alana Armas, Samantha B Meyer, Kitty K Corbett, Alex R Pearce
OBJECTIVE: Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary care settings and identify research agendas for patient-provider communication in Canada. METHODS: Using Arksey and O'Malley's framework we searched four literature databases: Medline, Web of Science, CINAHL and EMBASE...
November 20, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/29168024/teenage-pregnancy-and-long-term-mental-health-outcomes-among-indigenous-women-in-canada
#10
Chloé G Xavier, Hilary K Brown, Anita C Benoit
Our objectives were to (1) compare the risks for poor long-term mental health outcomes among indigenous women with and without a teenage pregnancy and (2) determine if community and cultural factors modify this risk. We conducted a secondary analysis of the 2012 Aboriginal Peoples Survey. Respondents were women aged 25 to 49 years who had given birth to at least one child. Teenage mothers (age at first birth 13 to 19 years; n = 1330) were compared to adult mothers (age at first birth 20 years or older; n = 2630)...
November 22, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29125904/early-rheumatoid-arthritis-presentation-treatment-and-outcomes-in-aboriginal-patients-in-canada-a-canadian-early-arthritis-cohort-study-analysis
#11
Sujay Nagaraj, Cheryl Barnabe, Orit Schieir, Janet Pope, Susan J Bartlett, Gilles Boire, Edward Keystone, Diane Tin, Boulos Haraoui, J Carter Thorne, Vivian P Bykerk, Carol Hitchon
OBJECTIVE: Health inequities exist in chronic diseases for Aboriginal people. This study compared early rheumatoid arthritis (ERA) presentation, treatment and outcomes between Aboriginal and Caucasian patients in a large Canadian cohort study. METHODS: Longitudinal data from the Canadian early ArThritis CoHort (CATCH), a prospective multicenter ERA study, were analyzed for participants who self-identified as Aboriginal or Caucasian ethnicity. Disease characteristics at presentation, prognostic factors, frequency of remission and disease-modifying therapy strategies were contrasted between population groups...
November 10, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/29100138/associations-between-race-discrimination-and-risk-for-chronic-disease-in-a-population-based-sample-from-canada
#12
Arjumand Siddiqi, Faraz Vahid Shahidi, Chantel Ramraj, David R Williams
A major epidemiological finding emerging from studies using U.S. samples is that racial differences in experiences of discrimination are associated with racial differences in health. A newer area of research is exploring the population-level dynamics between race, discrimination, and health status in various societies. The objective of this study is to assess for the first time in a national sample from Canada: (a) racial differences in experiences of discrimination and, (b) the association between discrimination and chronic conditions and their major risk factors...
October 12, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28973397/aboriginal-youth-s-perceptions-of-traditional-and-commercial-tobacco-in-canada
#13
Fidji Gendron
Although tobacco has played an important role in Aboriginal culture for millennia, its more recent recreational use has resulted in serious health concerns among Aboriginal users. In Canada, First Nations youth have higher smoking rates than non-Aboriginal youth. The goals of this study were to examine Aboriginal youth's perceptions of traditional and commercial tobacco and to evaluate perception changes following workshops on traditional uses of tobacco by Elders and other community members, native plants used in ceremony and health impacts of cigarette smoking...
August 30, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28929872/building-worldly-insights
#14
Michael Tremblay
This article offers health leaders in Canada an opportunity to build a more worldly understanding of healthcare challenges. The focus is on post-conflict countries and island/small countries. Small and island countries often depend on other countries for their workforce and for specialist healthcare services. Conflict usually undermines if it doesn't destroy a country's healthcare system. Small and island countries offer opportunities for the majority of Canadian provinces and territories to develop new approaches from novel comparator countries, with which they may have more in common...
July 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28915868/the-cedar-project-using-indigenous-specific-determinants-of-health-to-predict-substance-use-among-young-pregnant-involved-aboriginal-women
#15
Sana Z Shahram, Joan L Bottorff, Nelly D Oelke, Leanne Dahlgren, Victoria Thomas, Patricia M Spittal
BACKGROUND: Indigenous women in Canada have been hyper-visible in research, policy and intervention related to substance use during pregnancy; however, little is known about how the social determinants of health and substance use prior to, during, and after pregnancy intersect. The objectives of this study were to describe the social contexts of pregnant-involved young Indigenous women who use substances and to explore if an Indigenous-Specific Determinants of Health Model can predict substance use among this population...
September 15, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28861672/use-of-traditional-healing-practices-in-two-ontario-first-nations
#16
Julie George, Melissa MacLeod, Kathryn Graham, Sara Plain, Sharon Bernards, Samantha Wells
Colonization has negatively impacted Canada's Aboriginal people, with one of the consequences being loss of traditional knowledge, beliefs and practices, including traditional healing practices. In a study of two Ontario First Nations, the objectives of this research were to examine: (1) the extent of use of traditional healing practices, including traditional medicines and healers; (2) factors associated with their use and people's desire to use them; and (3) reasons for not using them among those who want to use them, but currently do not...
August 31, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28835369/racial-differences-in-home-dialysis-utilization-and-outcomes-in-canada
#17
Emilie Trinh, Yingbo Na, Manish M Sood, Christopher T Chan, Jeffrey Perl
BACKGROUND AND OBJECTIVES: Data on racial disparities in home dialysis utilization and outcomes are lacking in Canada, where health care is universally available. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We studied patients starting maintenance dialysis between 1996 and 2012 in the Canadian Organ Replacement Register, stratified by race: white, Asian, black, Aboriginal, Indian subcontinent, and other. The association between race and treatment with home dialysis was examined using generalized linear models...
November 7, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28817789/teach-our-children-stroke-education-for-indigenous-children-first-nations-ontario-canada-2009-2012
#18
Mary Ellen Hill, Pauline Bodnar, Robert Fenton, Brenda Mason, Grace Bandoh
BACKGROUND: Because of the heightened risk for stroke among indigenous people, we conducted this multiyear community case study from 2009 through 2012 to address stroke education needs among children aged 11 to 13 years residing in northern urban, rural, and remote First Nations in Ontario, Canada. The goal was to determine what young people understand about stroke and to develop an age-appropriate and culturally appropriate educational product. COMMUNITY CONTEXT: This project responded to First Nations requests that we educate their young people about the signs and symptoms of stroke and the need for early response...
August 17, 2017: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28804071/iatrogenic-injury-among-the-aboriginal-and-total-populations-of-british-columbia-canada-1991-2010-inequities-associated-with-ethnicity-and-socioeconomic-status
#19
Andrew Jin, Mariana Brussoni, M Anne George, Christopher E Lalonde, Rod McCormick
PURPOSE: Measure population health impact, and socioeconomic, geographic, and ethnic predictors of iatrogenic injury. METHODS: Within three groups (total population, Aboriginal off-reserve, and Aboriginal on-reserve) in each of 16 Health Service Delivery Areas (HSDAs) of British Columbia, Canada we calculated crude incidence and Standardized Relative Risk (SRR) of hospitalization for iatrogenic injury. We tested hypothesized associations between HSDA census characteristics and SRR, by multivariable regression...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28721036/prevalence-and-associated-factors-of-copd-among-aboriginal-peoples-in-canada-a-cross-sectional-study
#20
Yelena Bird, John Moraros, Razi Mahmood, Sarvenaz Esmaeelzadeh, Nway Mon Kyaw Soe
BACKGROUND: COPD among Aboriginal peoples in Canada is a major public health concern. This study was conducted in order to determine the prevalence and association between certain risk factors and COPD among the 35-year-old or older Aboriginal peoples in Canada. METHODS: This is a cross-sectional study. It uses data from Statistics Canada's Aboriginal Peoples Survey (APS), 2012. It consists of 8,117 self-identified Aboriginal peoples, aged 35 years old or older from all Canadian provinces and territories...
2017: International Journal of Chronic Obstructive Pulmonary Disease
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