6,903 results match your criteria Canadian journal of public health = Revue canadienne de sante publique[Journal]


COVID-19 and sex workers: human rights, the struggle for safety and minimum income.

Can J Public Health 2020 Jun 2. Epub 2020 Jun 2.

Sex Workers United Against Violence Society, 334 Alexander St, Vancouver, BC, V6A 1C3, Canada.

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http://dx.doi.org/10.17269/s41997-020-00350-1DOI Listing

Public health saves lives: sad lessons from COVID-19.

Authors:
Louise Potvin

Can J Public Health 2020 Jun 1. Epub 2020 Jun 1.

Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada.

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http://dx.doi.org/10.17269/s41997-020-00344-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263179PMC

Identifying visible minorities or racialized persons on surveys: can we just ask?

Can J Public Health 2020 May 28. Epub 2020 May 28.

Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, K201 Kresge Bldg, London, ON, N6A 5C1, Canada.

Objectives: Visible minorities are a group categorized in health research to identify and track inequalities, or to study the impact of racialization. We compared classifications obtained from a commonly used measure (Statistics Canada standard) with those obtained by two direct questions-whether one is a member of a visible minority group and whether one is perceived or treated as a person of colour.

Methods: A mixed-methods analysis was conducted using data from an English-language online survey (n = 311) and cognitive interviews with a maximum diversity subsample (n = 79). Read More

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http://dx.doi.org/10.17269/s41997-020-00325-2DOI Listing

Mass identification of potential service sector donors of personal protective equipment from an online directory during the COVID-19 pandemic.

Can J Public Health 2020 May 27. Epub 2020 May 27.

Department of Anesthesiology and Pain Medicine, University of Toronto, 123 Edward St, Toronto, ON, M5G 1E2, Canada.

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http://dx.doi.org/10.17269/s41997-020-00334-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252415PMC

Association between the regional variation in premature mortality and immigration in Ontario, Canada.

Can J Public Health 2020 May 27. Epub 2020 May 27.

Dalla Lana School of Public Health, Health Sciences Building, University of Toronto, 6th floor, 155 College Street, Toronto, Ontario, M5T 3M7, Canada.

Objectives: Health region differences in immigration patterns and premature mortality rates exist in Ontario, Canada. This study used linked population-based databases to describe the regional proportion of immigrants in the context of provincial health region variation in premature mortality.

Methods: We analyzed all adult premature deaths in Ontario from 1992 to 2012 using linked population files, Canadian census, and death registry databases. Read More

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http://dx.doi.org/10.17269/s41997-020-00330-5DOI Listing

Communicating risks to drinkers: testing alcohol labels with a cancer warning and national drinking guidelines in Canada.

Can J Public Health 2020 May 26. Epub 2020 May 26.

Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.

Objective: To test whether alcohol labels with a cancer warning and national drinking guidelines are an effective tool for supporting more informed and safer alcohol consumption among drinkers.

Methods: Using a quasi-experimental design, pre-post surveys were conducted with 1647 cohort participants systematically selected in liquor stores in two matched sites in Canada in 2017-2018. Enhanced labels designed according to best practices for effective product labels were applied to alcohol containers in the liquor store in the intervention site for one month, and usual practice continued in the comparison site. Read More

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http://dx.doi.org/10.17269/s41997-020-00320-7DOI Listing

Impact of comprehensive smoking cessation training of practitioners on patients' 6-month quit outcome.

Can J Public Health 2020 May 21. Epub 2020 May 21.

Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Objectives: Smoking remains a leading public health issue and health care practitioners (HCPs), who play an important role in supporting and promoting patients' cessation efforts, need educational initiatives that improve their ability to provide effective clinical care. The objective of this study was to compare patient-reported abstinence from smoking following treatment by HCPs trained in an intensive tobacco cessation program and those trained in less intensive programs.

Methods: A secondary data analysis of two overlapping samples of patients who received most of their treatment from one identifiable HCP (n = 26,590) or all of their treatment from one identifiable HCP (n = 20,986) was assessed. Read More

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http://dx.doi.org/10.17269/s41997-020-00318-1DOI Listing

Associations of prenatal urinary phthalate exposure with preterm birth: the Maternal-Infant Research on Environmental Chemicals (MIREC) Study.

Can J Public Health 2020 May 21. Epub 2020 May 21.

Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada.

Objectives: To examine the relation between prenatal urinary phthalate metabolite concentrations and preterm birth (PTB).

Methods: The data were drawn from the Maternal-Infant Research on Environmental Chemicals (MIREC) Study, a pan-Canadian cohort of 1857 pregnant women enrolled between 2008 and 2011. We quantified urinary concentrations of 7 phthalate metabolites that were detected in > 70% of urine samples collected during the first trimester. Read More

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http://dx.doi.org/10.17269/s41997-020-00322-5DOI Listing

COVID-19 and people who use drugs: a call for action.

Can J Public Health 2020 May 13. Epub 2020 May 13.

Western Aboriginal Harm Reduction Society, 380 E Hastings St, Vancouver, BC, V6A 1P4, Canada.

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http://dx.doi.org/10.17269/s41997-020-00326-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220590PMC

Health claim regulations on foods: impacts on life expectancy in Canada and the United States.

Can J Public Health 2020 Apr 20. Epub 2020 Apr 20.

University of Lethbridge, Lethbridge, Canada.

Objectives: Chronic disease accounts for 70% of deaths globally and causes substantial economic burdens. Research indicates diet can significantly reduce the risk of many chronic diseases. Governments regulate health claims that can inform consumers of foods' health attributes and encourage them to consume healthy diets. Read More

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http://dx.doi.org/10.17269/s41997-020-00314-5DOI Listing

Combinations of physical activity and screen time recommendations and their association with overweight/obesity in adolescents.

Can J Public Health 2020 Apr 13. Epub 2020 Apr 13.

Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.

Objectives: To examine the four possible combinations of adherence to physical activity and screen time recommendations in adolescents and how the combinations relate to overweight and obesity.

Methods: A total of 9913 students in grades 7-12 were included in the present cross-sectional analyses. Moderate-to-vigorous physical activity (MVPA), screen time, and body mass index were self-reported. Read More

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http://dx.doi.org/10.17269/s41997-020-00313-6DOI Listing

Expanding access to diacetylmorphine and hydromorphone for people who use opioids in Canada.

Can J Public Health 2020 Mar 27. Epub 2020 Mar 27.

Centre on Drug Policy Evaluation, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario, M5B 1T8, Canada.

The increasing incidence of fatal opioid overdose is a public health crisis in Canada. While buprenorphine/naloxone and methadone are the standard first-line of opioid substitution options, limitations, including difficulty achieving long-term retention for some people who use opioids, are well known. For this group, injectable diacetylmorphine or hydromorphone can achieve positive outcomes, including high retention rates, reduced use of unregulated opioids, and reduced criminal activity. Read More

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http://dx.doi.org/10.17269/s41997-020-00315-4DOI Listing

Cultural orientation and safety app for new and short-term health care providers in Nunavut.

Can J Public Health 2020 Mar 26. Epub 2020 Mar 26.

Qaujigiartiit Health Research Centre, Iqaluit, Canada.

Setting: One of the greatest challenges of Nunavut's health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to address this knowledge gap.

Intervention: We reviewed existing literature and interviewed key stakeholders to develop the content of the app covering the following: Inuit ways of communicating and expectations in the health care setting; Inuit history, settlement, and societal values (including a bibliography and a list of Inuktitut language phrases and resources); health care model (including referral pathways for tertiary care and mental health referrals); maps and community information; and useful information to prepare for your arrival. Read More

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http://dx.doi.org/10.17269/s41997-020-00311-8DOI Listing

Maternal psychological distress and child weight at 24 months: investigating indirect effects through breastfeeding in the All Our Families cohort.

Can J Public Health 2020 Mar 25. Epub 2020 Mar 25.

Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada.

Objective: Maternal psychological distress in pregnancy has been associated with both breastfeeding duration and child weight at 24 months; however, the potential that breastfeeding duration partially mediates the risk of maternal mental health problems during pregnancy on child weight classification has not been examined. The current study investigated this proposed relationship.

Methods: Data was taken from the All Our Families (AOF) cohort, an ongoing prospective pregnancy cohort located in Calgary, Canada. Read More

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http://dx.doi.org/10.17269/s41997-020-00312-7DOI Listing

Smoking and risk of sleep-related issues: a systematic review and meta-analysis of prospective studies.

Can J Public Health 2020 Mar 17. Epub 2020 Mar 17.

Kharazmi University, Tehran, Iran.

Objectives: Smoking has many deleterious consequences on health, one of which can be sleep-related issues. Therefore, a meta-analysis was performed with the aim of pooling results from studies on the relationship between smoking and sleep-related issues.

Methods: The present study follows PRISMA guidelines. Read More

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http://dx.doi.org/10.17269/s41997-020-00308-3DOI Listing

Social connection as a public health adaptation to extreme heat events.

Can J Public Health 2020 Mar 16. Epub 2020 Mar 16.

Environmental Health Services, BC Centre for Disease Control, Vancouver, BC, Canada.

Climate change is an increasingly important public health issue, reflected in morbidity and mortality outcomes during extreme heat events. At the same time, the harms of social isolation with respect to a wide range of health outcomes are becoming better understood. Given that older adults are at higher risk during hot weather and at higher risk of social isolation, they are among those at highest risk for adverse impacts of extreme heat events. Read More

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http://dx.doi.org/10.17269/s41997-020-00309-2DOI Listing

The influence of low social support and living alone on premature mortality among aging Canadians.

Can J Public Health 2020 Mar 13. Epub 2020 Mar 13.

Department of Geography, McGill University, Burnside Hall, Room 705, 805, Sherbrooke Street West, Montreal, QC, H3A 0B9, Canada.

Objectives: Among older Canadians, we examined the influence of low social support, a weak sense of belonging, and living alone to understand their role on mortality risk in Canada.

Methods: We conducted a retrospective cohort study of older Canadians surveyed in 2001 from the Canadian Community Health Survey and followed up with death events through December 31, 2011 from the Canadian Vital Statistics Database. Analyses were stratified by age: 55-64 and 65 and older. Read More

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http://dx.doi.org/10.17269/s41997-020-00310-9DOI Listing

Anemia, iron status, and associated protective and risk factors among children and adolescents aged 3 to 19 years old from four First Nations communities in Quebec.

Can J Public Health 2020 Mar 13. Epub 2020 Mar 13.

Département de médecine sociale et préventive, Université Laval, Quebec City, QC, Canada.

Objectives: Anemia and iron deficiency (ID) are frequent among Indigenous children of Canada, but few data are available in Quebec. The present study aimed to characterize anemia and ID prevalence and associated protective and risk factors among First Nations youth in Quebec.

Methods: The 2015 First Nations (JES!-YEH!) pilot study was conducted among children and adolescents (3 to 19 years; n = 198) from four First Nations communities in Quebec. Read More

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http://dx.doi.org/10.17269/s41997-020-00304-7DOI Listing

Gender-based analysis using existing public health datasets.

Authors:
Cara Tannenbaum

Can J Public Health 2020 Apr;111(2):151-154

CIHR Institute of Gender and Health, Montreal, QC, Canada.

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http://dx.doi.org/10.17269/s41997-020-00302-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109203PMC

The cost and affordability of growing and feeding a baby in Nova Scotia.

Can J Public Health 2020 Mar 11. Epub 2020 Mar 11.

Department of Applied Human Nutrition, Mount Saint Vincent University, Rm 105, FoodARC, 47 College Rd., 166 Bedford Highway, Halifax, NS, B3M 2J6, Canada.

Objective: This paper examines the affordability of a basic nutritious diet for low-income families in Nova Scotia over three developmental periods (pregnancy, perinatal, early infancy) using economic simulations that include food costing and secondary data.

Methods: The cost of a nutritious food basket was determined from a random sample of grocery stores in Nova Scotia (n = 21), along with the cost of infant formula (n = 29) and prenatal vitamins and vitamin D drops (n = 15), from randomly selected pharmacies. The monthly funds remaining to purchase a basic nutritious diet were calculated for several household scenarios, after deducting essential living expenses from net incomes. Read More

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http://dx.doi.org/10.17269/s41997-020-00306-5DOI Listing

Less than five is less than ideal: replacing the "less than 5 cell size" rule with a risk-based data disclosure protocol in a public health setting.

Can J Public Health 2020 Mar 11. Epub 2020 Mar 11.

Winnipeg Regional Health Authority, Winnipeg, Canada.

Setting: The Winnipeg Regional Health Authority (WRHA) is one of the largest and most diverse health regions in Canada. Within the WRHA, the Population and Public Health (PPH) Surveillance Team provides epidemiological support across a variety of public health service areas.

Intervention: We developed and deployed a risk-based data disclosure protocol that balances the need to share public health surveillance data with the need to protect personal health information. Read More

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http://dx.doi.org/10.17269/s41997-020-00303-8DOI Listing

The incidence of breast cancer in Canada 1971-2015: trends in screening-eligible and young-onset age groups.

Can J Public Health 2020 Mar 6. Epub 2020 Mar 6.

Department of Cancer Epidemiology and Prevention Research, CancerControl Alberta, Calgary, Alberta, Canada.

Objectives: Breast cancer incidence has fluctuated considerably in Canada, with recent reductions in rates among screening-eligible women. However, incidence of early-onset and pre-menopausal breast cancer is understudied. We examined age-specific trends in breast cancer incidence between 1971 and 2015, as well as possible trends by birth cohort. Read More

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http://dx.doi.org/10.17269/s41997-020-00305-6DOI Listing

Association between C-reactive protein and mood disorder in a representative sample of the Canadian population: analysis of CHMS data 2013-2014.

Can J Public Health 2020 Mar 4. Epub 2020 Mar 4.

Faculty of Health Sciences, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada.

Objectives: The inflammatory biomarker C-reactive protein (CRP) measures systemic inflammation and has been shown to be increased in patients with mood disorders such as depression. The objective of this study was to determine the association between self-reported mood disorders with CRP levels in a representative sample of the Canadian population using the Canadian Health Measures Survey (CHMS) data 2013-2014.

Methods: The CHMS is an ongoing national cross-sectional survey of Canadians about their general health. Read More

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http://dx.doi.org/10.17269/s41997-020-00297-3DOI Listing

Waterborne outbreaks: a public health concern for rural municipalities with unchlorinated drinking water distribution systems.

Can J Public Health 2020 Mar 4. Epub 2020 Mar 4.

Direction de la santé environnementale et de la toxicologie, Institut national de santé publique du Québec, 2400 d'Estimauville Avenue, Quebec, Quebec, G1E 7G9, Canada.

Objectives: The objective of this study is to describe an important waterborne outbreak of gastrointestinal illness observed in a rural municipality of Quebec.

Methods: A population-based retrospective cohort study was conducted to identify risk factors associated with acute gastroenteritis. Indirect surveillance data were used to estimate the extent and the resolution of the epidemic. Read More

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http://dx.doi.org/10.17269/s41997-020-00300-xDOI Listing

The universal eye health imperative for Canada: an inescapable reality of unmet need.

Authors:
Diane van Staden

Can J Public Health 2020 Mar 3. Epub 2020 Mar 3.

University of KwaZulu-Natal, Private Bag X54001, Westville, Durban, 4000, South Africa.

Universal eye health is a component of universal health care, which member states of the World Health Organization have supported in principle through their endorsement of the Global Action Plan for the Prevention of Avoidable Blindness and Visual Impairment (2014-2019). While much of the world's attention has been on addressing the needs of developing countries which suffer significant shortcomings in terms of effective and accessible eye care services, similar access inequities exist in developed nations such as Canada. The Canadian health system is based on the principle of universal health coverage; yet, for the majority of the population, access to primary eye care services such as an eye examination and spectacles is an out-of-pocket expense. Read More

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http://dx.doi.org/10.17269/s41997-020-00307-4DOI Listing

Social assistance and trajectories of child mental health problems in Canada: evidence from the National Longitudinal Survey of Children and Youth.

Can J Public Health 2020 Mar 2. Epub 2020 Mar 2.

Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada.

Objectives: To examine the link between stability and change in social assistance (SA) use and children's mental health trajectories to better understand whether social policies targeted at low-income families might be an effective population-based mechanism for preventing mental health problems among children at risk.

Methods: The National Longitudinal Survey of Children and Youth (N = 8981) is used to classify children into 5 categories based on their family's pattern of SA use from age 4-5 to 10-11: always or never on SA, a single transition on or off SA, or fluctuations on and off SA. Latent growth modelling is used to compare trajectories of emotional and behavioural problems among children with different patterns of SA exposure to their counterparts never on SA over this same time period. Read More

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http://dx.doi.org/10.17269/s41997-020-00299-1DOI Listing

Disparities in the hospital cost of cardiometabolic diseases among lesbian, gay, and bisexual Canadians: a population-based cohort study using linked data.

Can J Public Health 2020 Feb 28. Epub 2020 Feb 28.

University of New Brunswick, 9 Macaulay Lane, PO Box 4400, Fredericton, New Brunswick, E3B 5A3, Canada.

Objectives: Sexual identity has been recognized as a social determinant of health; however, evidence is limited on sexual minority status as a possible contributor to inequalities in cardiometabolic outcomes and the related hospital burden. This study aimed to investigate the association between sexual identity and hospital costs for cardiometabolic diseases among a cohort of Canadians using linked survey and administrative data.

Methods: Data from the 2007-2011 Canadian Community Health Survey were linked to acute-care inpatient records from the 2005/2006-2012/2013 Discharge Abstract Database. Read More

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http://dx.doi.org/10.17269/s41997-020-00296-4DOI Listing
February 2020

Social media and the Canadian Journal of Public Health.

Can J Public Health 2020 Apr;111(2):149-150

École de Santé Publique - Département de Médecine Sociale et Préventive, Université de Montréal, Montréal, QC, Canada.

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http://dx.doi.org/10.17269/s41997-020-00301-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109217PMC

Increasing paediatric prescribing rates in British Columbian children: cause for concern?

Can J Public Health 2020 Feb 27. Epub 2020 Feb 27.

Faculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.

Objectives: Antibiotic prescribing in paediatric care is highly prevalent, and quite often, children are prescribed for conditions, like upper respiratory tract infections, which are self-limiting and viral in aetiology. The purpose of this study was to identify potential new targets for provincial antimicrobial stewardship efforts.

Methods: Antibiotic prescription data for children were extracted from a provincial prescription database, linked to physician billing data in order to obtain diagnostic information, and then combined with demographic data in order to obtain patient age, sex and geographic location. Read More

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http://dx.doi.org/10.17269/s41997-020-00298-2DOI Listing
February 2020

Importance of Indigenous elders' contributions to individual and community wellness: results from a scoping review on social participation and intergenerational solidarity.

Can J Public Health 2020 Feb 27. Epub 2020 Feb 27.

School of Rehabilitation, Faculty of Medicine, Université de Sherbrooke, Sherbrooke, Canada.

Objective: Wellness is a challenge for Indigenous peoples, partly because Western services do not adopt a holistic approach. By devaluing traditional knowledge, Indigenous values and beliefs, these services lower Indigenous power and affect cultural identities. Indigenous elders participate in intergenerational solidarity by transmitting knowledge, values, and culture in a holistic approach. Read More

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http://dx.doi.org/10.17269/s41997-019-00292-3DOI Listing
February 2020

All together now: aggregating multiple records to develop a person-based dataset to integrate and enhance infectious disease surveillance in Ontario, Canada.

Can J Public Health 2020 Feb 24. Epub 2020 Feb 24.

Communicable Diseases, Emergency Preparedness and Response, Public Health Ontario, 661 University Avenue, 17th Floor, Toronto, ON, M5G 1M1, Canada.

Setting: Syndemics occur when two or more health conditions interact to increase morbidity and mortality and are exacerbated by social, economic, environmental, and political factors. Routine provincial surveillance in Ontario assesses and reports on the epidemiology of single infectious diseases separately. Therefore, we aimed to develop a method that allows disease overlaps to be examined routinely as a path to better understanding and addressing syndemics in Ontario. Read More

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http://dx.doi.org/10.17269/s41997-020-00295-5DOI Listing
February 2020

Applying a health equity tool to assess a public health nursing guideline for practice in sexually transmitted infection assessment in British Columbia.

Can J Public Health 2020 Feb 21. Epub 2020 Feb 21.

Canadian Institute for Substance Use Research (CISUR), University of Victoria, Victoria, BC, Canada.

Setting: There is a multitude of health equity tools but little guidance on how to effectively use these tools in public health nursing practice. In BC, public health nurses who are certified in sexually transmitted infection care utilize guidelines authorized by the nursing regulatory body.

Intervention: As part of the Equity Lens in Public Health (ELPH) research project, an assessment of the nursing guideline, Sexually Transmitted Infection (STI) Assessment Decision Support Tool, was undertaken using the Assessing Equity in Clinical Practice Guidelines health equity assessment tool. Read More

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http://dx.doi.org/10.17269/s41997-019-00285-2DOI Listing
February 2020

A "health in all policies" review of Canadian public finance.

Authors:
Paul Kershaw

Can J Public Health 2020 Feb 19;111(1):8-20. Epub 2020 Feb 19.

Generation Squeeze Research and Knowledge Mobilization Lab, School of Population & Public Health, University of British Columbia, 440 - 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.

RéSUMé: OBJECTIF: Il est démontré que la santé est principalement le fruit de ses déterminants sociaux, et comme de fait, la recherche sur les systèmes de santé montre que les dépenses publiques relatives aux programmes sociaux sont souvent plus fortement corrélées à la santé des populations que les investissements dans les soins médicaux. Notre étude vise à aider les Cabinets provinciaux et fédéraux du Canada à en prendre acte en introduisant le concept de « la santé dans toutes les politiques » (Health in All Policies, ou HiAP) dans les débats budgétaires. MéTHODE: L'étude est descriptive; elle analyse des données secondaires accessibles au public sur les budgets fédéraux et provinciaux pour déterminer comment le financement public des investissements dans les déterminants sociaux de la santé (DSS) aux stades précoces (< 45 ans) et ultérieurs (65 ans et plus) du parcours de vie a évolué depuis 1976 par rapport aux investissements dans les soins médicaux. Read More

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http://dx.doi.org/10.17269/s41997-019-00291-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046858PMC
February 2020

"Health in all policies" perspectives highlight the trade-offs that governments make when buying population health.

Authors:
Daniel Dutton

Can J Public Health 2020 Feb;111(1):4-7

Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada.

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http://dx.doi.org/10.17269/s41997-020-00294-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046894PMC
February 2020

Assault by strangulation: sex differences in patient profile and subsequent readmissions.

Can J Public Health 2020 Feb 11. Epub 2020 Feb 11.

KITE, Toronto Rehabilitation Institute, University Health Network, 550 University Avenue, Toronto, Ontario, M5G 2A2, Canada.

Objectives: Assault by strangulation has the potential for severe brain injury or death. The objectives of this study were to describe the profile of individuals who had strangulation-related emergency department (ED) or acute care visits, and to explore 1-year readmission outcomes among survivors.

Methods: A population-based retrospective cohort study was conducted using health administrative data in Ontario, Canada. Read More

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http://dx.doi.org/10.17269/s41997-019-00286-1DOI Listing
February 2020

Electronic screen technology use and connection to nature in Canadian adolescents: a mixed methods study.

Can J Public Health 2020 Feb 5. Epub 2020 Feb 5.

Department of Public Health Sciences, Queen's University, Kingston, ON, Canada.

Objectives: Declines in exposure to nature may deprive young people of experiences that are positive for their mental health. One factor that may interfere with connections to nature is use of electronic screen technologies. The objectives of this study are to (1) document variations in the perceived importance of connections to nature nationally among adolescents; (2) explore relationships between these connections and the use of electronic screens, both epidemiologically and qualitatively; and (3) integrate core findings from both strands in order to provide evidence-based recommendations for health promotion. Read More

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http://dx.doi.org/10.17269/s41997-019-00289-yDOI Listing
February 2020

Inter- and intra-provincial variation in screen-detected breast cancer across five Canadian provinces: a CanIMPACT study.

Can J Public Health 2020 Feb 4. Epub 2020 Feb 4.

Division of Cancer Care and Epidemiology, Cancer Research Institute, Queen's University, Kingston, Ontario, Canada.

Objective: Breast cancer screening aims to identify cancers in early stages when prognosis is better and treatments less invasive. We describe inter- and intra-provincial variation in the percentage of screen-detected cases under publicly funded healthcare systems and factors related to having screen- vs non-screen-detected breast cancer across five Canadian provinces.

Methods: Women aged 40+ diagnosed with incident breast cancer from 2007 to 2012 in five Canadian provinces were identified from their respective provincial cancer registries. Read More

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http://dx.doi.org/10.17269/s41997-019-00282-5DOI Listing
February 2020

Can local risk of West Nile virus infection be predicted from previous cases? A descriptive study in Quebec, 2011-2016.

Can J Public Health 2020 Apr 4;111(2):229-238. Epub 2020 Feb 4.

Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada.

Objectives: This study aimed at (1) describing the local risk of West Nile virus (WNV) infection in humans based on previous case reports and (2) investigating the spatial clustering of cases in the five most affected administrative regions of Quebec, Canada, for the 2011-2016 period.

Methods: Human WNV cases declared to the Ministry of Health and Social Services of Quebec (Ministère de la santé et des services sociaux, MSSS) were retrieved. Incidence risk by age and sex was calculated for the study period. Read More

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http://dx.doi.org/10.17269/s41997-019-00279-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109227PMC

Vitamin D status, cognitive decline and incident dementia: the Canadian Study of Health and Aging.

Can J Public Health 2020 Feb 3. Epub 2020 Feb 3.

Centre d'excellence sur le vieillissement de Québec, 1050 Chemin Sainte-Foy, Local L2-32, Quebec, QC, G1S 4L8, Canada.

Objective: Vitamin D could prevent cognitive decline because of its neuroprotective, anti-inflammatory and antioxidant properties. This study aimed to evaluate the associations of plasma 25-hydroxyvitamin D (25(OH)D) concentrations with global cognitive function and incident dementia, including Alzheimer's disease (AD).

Methods: The Canadian Study of Health and Aging is a 10-year cohort study of a representative sample of individuals aged 65 years or older. Read More

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http://dx.doi.org/10.17269/s41997-019-00290-5DOI Listing
February 2020

Examination of a Canadian provincial prenatal HIV screening program: 2010 to 2014.

Can J Public Health 2020 Feb 3. Epub 2020 Feb 3.

Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.

Objectives: Universal prenatal screening in the Canadian province of Alberta employs an 'opt-out' HIV screening strategy. We examined all women giving birth in the province and determined the frequency and characteristics of women having and not having HIV screening.

Methods: All livebirths in Alberta from January 1, 2010 to December 31, 2014 were compiled from the Vital Statistics database and linked to HIV screening data to determine maternal demographic and prenatal care characteristics. Read More

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http://dx.doi.org/10.17269/s41997-019-00281-6DOI Listing
February 2020

From silos to buckets: a qualitative study of how sexual health clinics address their clients' mental health needs.

Can J Public Health 2020 Apr 31;111(2):220-228. Epub 2020 Jan 31.

British Columbia Centre for Disease Control, 655 West 12th Avenue, Vancouver, BC, V5Z 4R4, Canada.

Objectives: To describe the current constraints, facilitators, and future prospects for addressing mental health and substance use (MHSU) concerns within sexual health clinics in two cities in British Columbia, Canada.

Methods: We conducted in-depth interviews with 22 providers (14 nurses, 3 physicians, 3 administrators, 2 other health professionals) from six sexual health clinics.

Results: Providers consistently affirmed that MHSU-related concerns co-occur with sexual health concerns among clients presenting to sexual health clinics. Read More

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http://dx.doi.org/10.17269/s41997-019-00273-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109224PMC

Chronic respiratory disease should be considered when interpreting indicators of community antimicrobial use in people over 65 years old.

Can J Public Health 2020 Jan 14. Epub 2020 Jan 14.

Institut national de santé publique du Québec, Québec, Canada.

Objectives: Chronic respiratory diseases (CRD) put patients at increased risk of respiratory infection and antimicrobial use, but surveillance results on community antimicrobial use are generally not adjusted for this risk factor. The objective of this study was to demonstrate the importance of accounting for CRD when interpreting indicators of community antimicrobial use in people over 65 years old, in Québec, Canada.

Methods: Retrospective cohort study of antimicrobial use according to CRD status in individuals over 65 years old covered by Québec's public drug insurance plan between 2010 and 2015. Read More

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http://dx.doi.org/10.17269/s41997-019-00278-1DOI Listing
January 2020

Two decades of activism, social justice, and public health civil disobedience: VANDU.

Can J Public Health 2020 Feb 14;111(1):143-144. Epub 2020 Jan 14.

Vancouver Area Network of Drug Users, 380 E Hastings St., Vancouver, BC, V6A 1P4, Canada.

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http://dx.doi.org/10.17269/s41997-019-00287-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046830PMC
February 2020

"It did not apply to me": poker players' perspectives of prevention messages.

Can J Public Health 2020 Jan 13. Epub 2020 Jan 13.

Department of Psychology, Université du Québec à Montréal, 405 Rue Sainte-Catherine Est, Montréal, QC, H2L 2C4, Canada.

Objective: Despite the risks associated with poker and its unique characteristics when compared with other forms of gambling, little knowledge exists of poker players' perceptions of prevention strategies. The aim of this study was to explore poker players' perceptions and understandings of existing problem gambling prevention strategies.

Methods: This exploratory qualitative study is a secondary data analysis of interviews conducted as a part of a sequential mixed-methods research project, with 12 poker players. Read More

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http://dx.doi.org/10.17269/s41997-019-00283-4DOI Listing
January 2020

Conducting gender-based analysis of existing databases when self-reported gender data are unavailable: the GENDER Index in a working population.

Can J Public Health 2020 Apr 13;111(2):155-168. Epub 2020 Jan 13.

Département de médecine de famille et de médecine d'urgence, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec, Canada.

Objectives: Growing attention has been given to considering sex and gender in health research. However, this remains a challenge in the context of retrospective studies where self-reported gender measures are often unavailable. This study aimed to create and validate a composite gender index using data from the Canadian Community Health Survey (CCHS). Read More

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http://dx.doi.org/10.17269/s41997-019-00277-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109207PMC

Examining the relationship between sugars contents of Canadian foods and beverages and child-appealing marketing.

Can J Public Health 2020 Apr 7;111(2):239-246. Epub 2020 Jan 7.

Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Medical Sciences Building, Room 5368, 1 King's College Circle, Toronto, Ontario, M5S 1A8, Canada.

Objective: In 2016, legislation to restrict child-appealing marketing (M2K) of "unhealthy" foods and beverages ("foods") (i.e., foods that exceed roughly 5-10% of the Daily Value (DV) for total sugars, sodium, or saturated fats) was proposed in Canada. Read More

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http://dx.doi.org/10.17269/s41997-019-00276-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109238PMC

Cost-effectiveness of alternative strategies for vaccination of adolescents against serogroup B IMD with the MenB-FHbp vaccine in Canada.

Can J Public Health 2020 Apr 6;111(2):182-192. Epub 2020 Jan 6.

Pfizer Canada ULC, 17300 Trans-Canada Highway, Kirkland, Montréal, QC, H9J 2M5, Canada.

Objective: Serogroup B meningococci (MnB) are now the largest cause of invasive meningococcal disease (IMD) in Canada. We assessed the clinical and economic impact of 3 adolescent MenB-FHbp immunization strategies.

Methods: A population-based dynamic transmission model was developed to simulate the transmission of MnB among the entire Canadian population over a 30-year time horizon. Read More

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http://dx.doi.org/10.17269/s41997-019-00275-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109210PMC

Pulse oximetry screening for critical congenital heart defects in Ontario, Canada: a cost-effectiveness analysis.

Can J Public Health 2020 Jan 6. Epub 2020 Jan 6.

Department of Pediatrics, University of Toronto, Toronto, ON, Canada.

Objective: Previously conducted cost-effectiveness analyses of pulse oximetry screening (POS) for critical congenital heart defects (CCHDs) have shown it to be a cost-effective endeavour, but the geographical setting of Ontario in relation to its vast yet sparsely populated regions presents unique challenges. The objective of this study was to estimate the cost-effectiveness of POS for CCHD in Ontario, Canada.

Methods: A cost-effectiveness analysis, comparing POS to no POS, was conducted from the Ontario healthcare payer perspective using a Markov model. Read More

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http://dx.doi.org/10.17269/s41997-019-00280-7DOI Listing
January 2020