International Journal of Circumpolar Health最新文献

Exploring Indigenous food sovereignty and food environments characteristics through food interventions in Canada: a scoping review. 通过加拿大的粮食干预措施探索土著粮食主权和粮食环境特征：范围审查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-12 DOI: 10.1080/22423982.2024.2438428

Fabrice Mobetty, Malek Batal, Valérie Levacher, Ines Sebai, Geneviève Mercille

{"title":"Exploring Indigenous food sovereignty and food environments characteristics through food interventions in Canada: a scoping review.","authors":"Fabrice Mobetty, Malek Batal, Valérie Levacher, Ines Sebai, Geneviève Mercille","doi":"10.1080/22423982.2024.2438428","DOIUrl":"10.1080/22423982.2024.2438428","url":null,"abstract":"Indigenous food sovereignty (IFS) has the potential to reconnect Indigenous peoples in Canada to their food systems, reduce health problems and improve food security. Using PRISMA-ScR guidelines to search Medline, Web of Science, Embase and Cabi databases, this review sought to explore the characteristics of IFS promotion and the food environments involved through food and nutrition interventions in Indigenous communities in Canada. Data from 30 relevant studies published between 2004 and 2022 were included, analysed and synthesised using a thematic approach based on key IFS principles and a food environment typology. Most studies were conducted in urban contexts, mainly in provinces with the largest Indigenous populations. Local descriptions of IFS showed conceptual and operational similarities. Among the four key principles of IFS, the principle of participation was the most reported. Gardening, farming, hunting, fishing and gathering were the main food activities used to operationalise IFS in traditional and cultivated food environments. Several IFS facilitators and barriers were identified. The IFS movement that emerged from the literature in Canada advocates for a healthy and sustainable food system based on traditional beliefs and controlled by communities to ensure wellbeing and food security. This review provides evidence of converging visions for food autonomy despite the heterogeneity of Indigenous nations in Canada.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438428"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11639103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the distance: understanding access to healthcare through stories from Gwich'in medical travellers in Northwest Territories. 弥合距离：通过西北地区 Gwich'in 医疗旅行者的故事了解获得医疗保健的途径。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-15 DOI: 10.1080/22423982.2024.2438430

Crystal Milligan, Sharla Greenland, Lorna Storr, Agnes Pascal, Stephanie Irlbacher-Fox, Mark J Dobrow

{"title":"Bridging the distance: understanding access to healthcare through stories from Gwich'in medical travellers in Northwest Territories.","authors":"Crystal Milligan, Sharla Greenland, Lorna Storr, Agnes Pascal, Stephanie Irlbacher-Fox, Mark J Dobrow","doi":"10.1080/22423982.2024.2438430","DOIUrl":"10.1080/22423982.2024.2438430","url":null,"abstract":"In northern Canada, medical travel - the movement of patients to a larger centre to access healthcare services outside their home community - is a dominant feature of the healthcare system. This qualitative study explored the medical travel experiences of Gwich'in living above the Arctic Circle in the Gwich'in Settlement Area in Northwest Territories (NT). Data collection in 2020 comprised storytelling sessions with 10 Gwich'in medical travellers (6 female, 4 male). Using inductive and deductive methods with continual critical reflexivity, and guided by Gwich'in values, concerns about access to healthcare were found to be at the heart of each story. A broad conceptualisation of access was applied to understand and interpret the results according to six dimensions: accessibility, availability, affordability, adequacy, acceptability, and awareness. Situated within a context of colonialism, structural inequities and other factors relevant across the Circumpolar North, the results suggest that the NT medical travel policy framework provides only partial access to care. This article illustrates a need for healthcare and other government systems to think about policy and programmes in a more wholistic, equitable and relationship-centred way, which would help not only to bridge distances across geography, but also between peoples.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438430"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On telemedicine and healthcare spending. 关于远程医疗和医疗支出。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-04-15 DOI: 10.1080/22423982.2025.2489195

Mouhcine Guettabi, Rabecca I Arnold, Elizabeth D Ferucci

引用次数: 0

Integrating sensory assessments in preventive home visits: a cross-sectional study of the Faroe Islands. 在预防性家访中整合感官评估：法罗群岛的横断面研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-19 DOI: 10.1080/22423982.2024.2442153

Haanes Gro Gade, Tor Martin Kvikstad, Ása Roin

{"title":"Integrating sensory assessments in preventive home visits: a cross-sectional study of the Faroe Islands.","authors":"Haanes Gro Gade, Tor Martin Kvikstad, Ása Roin","doi":"10.1080/22423982.2024.2442153","DOIUrl":"10.1080/22423982.2024.2442153","url":null,"abstract":"Background: Sensory impairments, including hearing and vision loss, are common in older adults and can affect quality of life. This study examines the integration of hearing and vision assessments in preventive home visits (PHVs) for older adults in the Faroe Islands, comparing outcomes between urban and rural settings.Aim: To evaluate the feasibility of including sensory assessments in PHVs and compare sensory measurements between Tórshavn (urban) and rural districts.Methods: A cross-sectional study with 175 participants aged 76 was conducted in Tórshavn and five rural areas. Data included demographics, self-assessments, and clinical evaluations using standardized tools.Results: Visual impairments were slightly more prevalent in rural areas, while hearing impairments showed no significant differences. Discrepancies between self-reported and measured impairments emphasized the importance of objective assessments. Sensory acreenings during PHVs improved early detection and highlighted inequities in access to specialized services.Conclusion: Integrating sensory assessments in PHVs is feasible and beneficial, adressing disparities between urban and rural areas. These screenings support equitable healthcare and early intervention, promoting better quality of life for older adults across diverse settings.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2442153"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applying community-based participatory research principles to build trust and equity in health and socio-ecological studies in Greenland. 采用基于社区的参与性研究原则，在格陵兰的健康和社会生态研究中建立信任和公平。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-03-05 DOI: 10.1080/22423982.2025.2473181

Malory Peterson, Augustine Rosing, Elizabeth Rink, Mark Schure, Julia Haggerty, Gitte Adler Reimer, Christina Vl Larsen

{"title":"Applying community-based participatory research principles to build trust and equity in health and socio-ecological studies in Greenland.","authors":"Malory Peterson, Augustine Rosing, Elizabeth Rink, Mark Schure, Julia Haggerty, Gitte Adler Reimer, Christina Vl Larsen","doi":"10.1080/22423982.2025.2473181","DOIUrl":"10.1080/22423982.2025.2473181","url":null,"abstract":"Community-based participatory research (CBPR) is a framework to improve social equity by engaging communities as equal partners in research design, conduct, and knowledge creation. While CBPR has seen increasing application in Arctic regions, its use in Greenland has been limited by logistical, linguistic, and historical challenges, including community fatigue from extractive research practices. This manuscript details a CBPR-informed approach used to conduct an exploratory study on fertility, reproductive health, and climate adaptation in the Kalaallit community of Paamiut. The study aimed to understand the socio-environmental factors influencing fertility decisions amid economic and environmental changes. We report on nine strategies used to conduct equitable health and socio-ecological research in Greenland guided by the principles of CBPR. Using CBPR principles improved trust, participant recruitment, and the creation of community-valued research products in Paamiut. While time and funding limitations constrained full implementation of CBPR best practices, this study highlights the potential of CBPR to improve equity in Greenlandic research. Using CBPR principles to guide community-engaged research in Greenland provides a concrete and actionable way for students or early-career researchers to promote equitable relationships despite resource limitations. The methods described can be applied across other research disciplines to continue building trust and sustainability in international research partnerships in Greenland.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2473181"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Polycyclic aromatic hydrocarbons from environmental tobacco smoke and wood stoves dominate in settled house dust from Northwestern Ontario First Nations communities. 来自环境烟草烟雾和木柴炉的多环芳烃在安大略省西北部第一民族社区的室内尘埃中占主导地位。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-01-24 DOI: 10.1080/22423982.2025.2457786

David R McMullin, Anna K Kirkland, Irbaz Rehman, Thomas Kovesi, Gary Mallach, J David Miller

{"title":"Polycyclic aromatic hydrocarbons from environmental tobacco smoke and wood stoves dominate in settled house dust from Northwestern Ontario First Nations communities.","authors":"David R McMullin, Anna K Kirkland, Irbaz Rehman, Thomas Kovesi, Gary Mallach, J David Miller","doi":"10.1080/22423982.2025.2457786","DOIUrl":"10.1080/22423982.2025.2457786","url":null,"abstract":"Rates of respiratory tract infections for children living in remote First Nations communities in the Sioux Lookout Zone in Northwestern Ontario are elevated and associated with poor indoor environmental quality including high exposures to endotoxin and serious dampness and mould damage. The studies also revealed a high prevalence of cigarette smoking and most houses have wood stoves, of variable quality. Depending on structure, polycyclic aromatic hydrocarbons (PAH) are carcinogens, immunotoxins and/or inflammatory mediators that are byproducts of the incomplete combustion of organic materials. Indoor sources of PAHs include tobacco smoke, cooking, and burning wood and/or fossil fuels for house heating. Twelve PAHs were measured in the <300 µm fraction of settled house dust by GC-MS in 59 houses. Nine PAHs were detected in all 59 houses, and median concentrations of individual PAHs measured ranged from 66 to 804 ng/g. PAHs associated with environmental tobacco smoke and with wood smoke dominated the PAH profile. Limiting tobacco smoking indoors and upgrading to low emission airtight wood stoves would improve indoor air quality and the respiratory health of children in this remote region of Ontario.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2457786"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health in Swedish integration policies - a discourse analysis. 瑞典一体化政策中的健康问题——话语分析。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-02-06 DOI: 10.1080/22423982.2025.2463193

Sara Svanholm, Heidi Carlerby, Eija Viitasara

{"title":"Health in Swedish integration policies - a discourse analysis.","authors":"Sara Svanholm, Heidi Carlerby, Eija Viitasara","doi":"10.1080/22423982.2025.2463193","DOIUrl":"10.1080/22423982.2025.2463193","url":null,"abstract":"Previous research has indicated that migrants risk facing inequities both internationally and in Sweden; integration policies are therefore important to study. How health is described in policies affects how health interventions are approached. Discourse analysis offers a way of understanding how health is framed within the integration policies affecting newly arrived migrants in Sweden. The aim was to analyse the health discourses used in Swedish and European Union (EU) integration policies. A discourse analysis, inspired by Fairclough, was performed on integration policies related to Sweden, at local, regional, national and EU levels. The policies of the Establishment Program, which focuses on newly arrived migrants (refugees, persons of subsidiary protection and their relatives who arrived through family reunification), were chosen for the analysis, and 17 documents were analysed in total. The analysis of the documents showed how the health discourses were expressed in the form of the medicalisation of health, the individualisation of health and the risk of ill health. A pathogenic approach to health was visible in the policies and individual disease prevention or rehabilitation was the main health focus. The results showed similarities to previous research highlighting how a particular understanding of health in a neoliberal context is formed.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2463193"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Collective wellbeing sacrifices versus superior ego - perspectives on adherence to COVID-19 recommendations in Stockholm, Sweden. 集体福祉牺牲与优越自我——瑞典斯德哥尔摩关于遵守COVID-19建议的观点

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-17 DOI: 10.1080/22423982.2024.2438431

Dan Sigvardsson, Marlene Makenzius

{"title":"Collective wellbeing sacrifices versus superior ego - perspectives on adherence to COVID-19 recommendations in Stockholm, Sweden.","authors":"Dan Sigvardsson, Marlene Makenzius","doi":"10.1080/22423982.2024.2438431","DOIUrl":"10.1080/22423982.2024.2438431","url":null,"abstract":"During the COVID-19 pandemic, Sweden adopted a recommendation-based approach rather than strict lockdowns. This approach relies on public willingness to adhere to guidelines and motivations for prosocial behaviour. This study aimed to explore the motivations behind adherence or non-adherence to COVID-19 recommendations in Sweden. Semi-structured interviews were conducted in 2022 with 20 participants aged 26 to 63, all residing and working in Stockholm. The interviews were conducted via online platforms, Teams and Zoom, transcribed and analysed using content analysis. The analysis yielded two overarching themes that motivated adherence or non-adherence, Sacrificing comfort for collective wellbeing and A sense of being superior and able to handle national recommendations in your own way derived from six categories: (i) Social pressure and the desire to appear prosocial, (ii) Embracing a new reality as a means to return to normalcy, (iii) The absence of punitive measures for non-adherence, (iv) Creating safe environments and circumventing the system, (v) Negotiating which recommendations to follow and (vi) Diminished adherence over time. Adherence to public health recommendations was driven by social pressure and a desire to protect loved ones, often requiring personal sacrifices and behavioural adjustments. Conversely, non-adherence stemmed from a sense of autonomy, mental well-being preservation and tiredness, highlighting the challenges of sustaining compliance over time.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438431"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare delivery in the arctic-telehealth prospects. 北极地区的医疗保健服务——远程医疗前景。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2024-12-17 DOI: 10.1080/22423982.2024.2438429

Yonatan Hayoun, Israel Gannot

{"title":"Healthcare delivery in the arctic-telehealth prospects.","authors":"Yonatan Hayoun, Israel Gannot","doi":"10.1080/22423982.2024.2438429","DOIUrl":"10.1080/22423982.2024.2438429","url":null,"abstract":"The Arctic region, characterised by its remote and geographically challenging environment, is home to predominantly Indigenous populations who experience significant healthcare disparities compared to urban counterparts. This paper synthesises evidence on the persistent challenges in delivering healthcare in the Arctic, including geographical remoteness, healthcare personnel shortages, and cultural and language barriers. Telehealth emerges as a crucial solution, offering a nuanced approach to overcoming physical and systemic barriers. We review current implementations of telehealth in the Arctic, highlighting successful adaptations to local cultural contexts and technological limitations. By integrating a patient-centred approach, infrastructure readiness, and relevant telehealth services, a holistic healthcare delivery model tailored for the Arctic environment is proposed. New type of technologies is also proposed to enhance remote care possibilities. This paper underscores the need for collaborative efforts in research, policy making, and healthcare provision to ensure the sustainability and effectiveness of health services in the Arctic, aiming to close the gap in health equity. Key references from seminal works and recent studies provide a foundation for the discussions and recommendations presented.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2438429"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visual profiling and vision screening of preschool children in Greenland. 格陵兰学龄前儿童的视觉分析和视力筛查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-01 Epub Date: 2025-04-08 DOI: 10.1080/22423982.2025.2489194

Nick Duelund, Ivan Nisted, Marit Eika Jørgensen, Steffen Heegaard, Hanne Jensen

{"title":"Visual profiling and vision screening of preschool children in Greenland.","authors":"Nick Duelund, Ivan Nisted, Marit Eika Jørgensen, Steffen Heegaard, Hanne Jensen","doi":"10.1080/22423982.2025.2489194","DOIUrl":"10.1080/22423982.2025.2489194","url":null,"abstract":"A population-based cross-sectional study was conducted in six towns in Greenland to establish normative data on refraction and visual acuity in preschool children and to develop a practical vision screening method suited to Greenlandic healthcare needs. We recruited 274 children born in 2017 through kindergartens in six towns. The only exclusion criterion was known eye disease under ophthalmological care. Vision screening was performed by an optometrist, assessing distance visual acuity with Kay Pictures, binocular near visual acuity with Lea Symbols, stereoacuity with the Lang II Test, and non-cycloplegic refraction using the Plusoptix A12R. An ophthalmologist conducted follow-up examinations, including cycloplegic refraction, within one week. Of 532 eligible children, 274 participated (144 boys, 133 girls; mean age 4.7 years). The mean visual acuity for the worse- and best-seeing eye was 0.05 (±0.16 SD) and 0.01 (±0.12 SD) logMAR, respectively. Cycloplegic myopia (≤-0.5 dioptres) was found in 5%, while 18% had hyperopia >+2.0 dioptres. Most preschool children in Greenland have good visual acuity and mild hyperopia. Vision screening combining the Plusoptix autorefractor and distance visual acuity demonstrated the highest sensitivity (89%) for identifying children needing further evaluation. Implementing this vision screening method in kindergartens is recommended to improve early detection and treatment outcomes.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2489194"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0