International Journal of Circumpolar Health最新文献_第10页

The prevalence and disease course of autoimmune liver diseases in Greenland. 格陵兰岛自身免疫性肝病的发病率和病程。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-03-11 DOI: 10.1080/22423982.2024.2327693

Rasmus Hvidbjerg Gantzel, Carina Nørskov Bagge, Gerda Elisabeth Villadsen, Karsten Fleischer Rex, Henning Grønbæk, Michael Lynge Pedersen

{"title":"The prevalence and disease course of autoimmune liver diseases in Greenland.","authors":"Rasmus Hvidbjerg Gantzel, Carina Nørskov Bagge, Gerda Elisabeth Villadsen, Karsten Fleischer Rex, Henning Grønbæk, Michael Lynge Pedersen","doi":"10.1080/22423982.2024.2327693","DOIUrl":"10.1080/22423982.2024.2327693","url":null,"abstract":"Autoimmune liver diseases are rare serious diseases causing chronic inflammation and fibrosis in the liver parenchyma and bile ducts. Yet, the prevalence and burden of autoimmune liver diseases are largely unexplored in Arctic native populations. We investigated the prevalence and management of autoimmune liver diseases in Greenland using nationwide cross-sectional register data and subsequent medical chart reviews validating diagnoses and extracting liver histology examinations and medical treatments. The overall prevalence of autoimmune liver diseases in Greenland was 24.6 per 100,000 (95% CI: 14.7-41.3). This was based on 7 patients with autoimmune hepatitis (AIH) (12.3 per 100,000), 3 patients with primary biliary cholangitis (PBC) (5.3 per 100,000), 4 patients with AIH/PBC overlap disease (7.0 per 100,000), and no patients with primary sclerosing cholangitis. All diagnoses were confirmed by liver histology examinations. Medical treatments adhered to internal recommendations and induced complete remission in most patients with AIH, and complete or partial remission in 1 patient with PBC and 3 patients with AIH/PBC overlap disease. One patient had established cirrhosis at the time of diagnosis, while 2 patients progressed to cirrhosis. In conclusion, the prevalence of autoimmune liver diseases was lower in Greenland than in Scandinavia and among Alaska Inuit.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2327693"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10930088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093947","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

Who visits primary health care general practitioners and why? A register-based study in a Finnish city. 谁去看全科医生？一项基于芬兰城市登记的研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-13 DOI: 10.1080/22423982.2024.2366034

Mika T Lehto, Timo Kauppila, Hannu Kautiainen, Ossi Rahkonen, Merja K Laine, Kaisu Pitkälä

{"title":"Who visits primary health care general practitioners and why? A register-based study in a Finnish city.","authors":"Mika T Lehto, Timo Kauppila, Hannu Kautiainen, Ossi Rahkonen, Merja K Laine, Kaisu Pitkälä","doi":"10.1080/22423982.2024.2366034","DOIUrl":"10.1080/22423982.2024.2366034","url":null,"abstract":"This is a register-based study that examines the distribution of diagnoses made by general practitioners (GPs) in the public primary health care of the city of Vantaa, Finland. Data were gathered from the electronic health record (EHR) system and consisted of every record entered into the EHR system between 1 January 2016 and 31 December 2018. Both absolute numbers and relative proportions of the 10th edition of International Classification of Diseases (ICD-10) diagnosis recordings were reported and calculated. Among GP visits, the 88 most common diagnoses covered 75% of all diagnoses. The most common diagnoses were related to the musculoskeletal (3.8%, ICD code M54) and respiratory systems (6.0%, ICD-10 code J06). Primary health care GP services were mostly used by children (age <5 years) and older adults (>65 years). Health examinations - mostly children's and maternity clinics appointments/visits - covered 20% of the GP office visits. Women between the ages 15-79 years had relatively more GP visits compared to men. The 88 most commonly recorded diagnoses covered the majority of the GP visits. Health examinations for the healthy were an important part of GPs' work. In an urban Finnish city, GP services were predominantly used by children and older adults.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2366034"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317248","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

Reflecting on the use of Etuaptmumk/Two-Eyed seeing in a study examining hospital-based Indigenous wellness services in the Northwest Territories, Canada. 在对加拿大西北地区以医院为基础的土著人健康服务进行的一项研究中，反思 Etuaptmumk/Two-Eyed seeing 的使用。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1080/22423982.2024.2406107

Sophie Isabelle Grace Roher, Kimberly Fairman

{"title":"Reflecting on the use of Etuaptmumk/Two-Eyed seeing in a study examining hospital-based Indigenous wellness services in the Northwest Territories, Canada.","authors":"Sophie Isabelle Grace Roher, Kimberly Fairman","doi":"10.1080/22423982.2024.2406107","DOIUrl":"10.1080/22423982.2024.2406107","url":null,"abstract":"Etuaptmumk/Two-Eyed Seeing (E/TES) is a Mi'kmaw guiding principle that emphasises the importance of bringing together the strengths of Indigenous knowledges and Western knowledges to improve the world for future generations. Since its introduction to the academic community, E/TES has been taken up more frequently in Indigenous health research. However, as it is increasingly used, Elders and scholars have affirmed that it is at risk of being watered down or tokenised. This article reports on how E/TES was used in a community-engaged research study that examined hospital-based Indigenous wellness services in the Northwest Territories, Canada. As a living, relational, and spiritual principle, E/TES was used in the study in three interrelated ways. E/TES: (1) guided the study ontologically, shaping the research team's conceptualisation of knowledge and knowledge generation; (2) informed the research team's approach to relationship-building; and (3) guided reflexivity amongst team members. By reporting on how E/TES was used in the study, and critically reflecting on the strengths and challenges of the approach, this article seeks to contribute to growing scholarship about how E/TES is characterised and taken up in Indigenous health research.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2406107"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346172","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

Traditional food security and food sovereignty in the coastal region of South-Central Alaska. 阿拉斯加中南部沿海地区的传统粮食安全和粮食主权。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-24 DOI: 10.1080/22423982.2024.2359161

Joseph Nyholm, Amanda Walch, Leslie Redmond

{"title":"Traditional food security and food sovereignty in the coastal region of South-Central Alaska.","authors":"Joseph Nyholm, Amanda Walch, Leslie Redmond","doi":"10.1080/22423982.2024.2359161","DOIUrl":"10.1080/22423982.2024.2359161","url":null,"abstract":"A food assessment questionnaire was completed by Alutiiq and Eyak peoples of the Chugach Region of Alaska in 2016-2017. This questionnaire, conducted by the Chugach Regional Resource Commission, gathered 87 responses from adults residing in seven communities. The questions related to traditional food systems, food security, and food sovereignty and were organised into six sections: Community Food Resources, Diet and Health, Culture, Organisation and Governance, Food Resources, and Natural Resources and Environment. Nine questions directly addressed food sovereignty. Results revealed the importance of traditional food sources in the communities, foods that are not readily available or are difficult to access, resources that are useful to improve traditional food security, health problems that are perceived to be caused or exacerbated by the lack of traditional foods in the area, traditional foods commonly consumed, and barriers from accessing traditional foods. Additionally, recommendations for improving food systems and addressing barriers are provided.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2359161"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11134162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087379","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

Updated review on contaminant communication experiences in the circumpolar Arctic. 北极圈污染物传播经验的最新回顾。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-07-10 DOI: 10.1080/22423982.2024.2371623

Eva M Krümmel, Amanda D Boyd, Danielle Brandow, Michael Brubaker, Chris M Furgal, Robert Gerlach, Brian D Laird, Mélanie Lemire, Lisa L Loseto, Gert Mulvad, Shannon P O'Hara, Kristin Olafsdottir, Jennifer F Provencher, Mylène Ratelle, Arja Rautio, Kelly Skinner, Pál Weihe, Maria Wennberg

{"title":"Updated review on contaminant communication experiences in the circumpolar Arctic.","authors":"Eva M Krümmel, Amanda D Boyd, Danielle Brandow, Michael Brubaker, Chris M Furgal, Robert Gerlach, Brian D Laird, Mélanie Lemire, Lisa L Loseto, Gert Mulvad, Shannon P O'Hara, Kristin Olafsdottir, Jennifer F Provencher, Mylène Ratelle, Arja Rautio, Kelly Skinner, Pál Weihe, Maria Wennberg","doi":"10.1080/22423982.2024.2371623","DOIUrl":"10.1080/22423982.2024.2371623","url":null,"abstract":"Arctic populations are amongst the highest exposed populations to long-range transported contaminants globally, with the main exposure pathway being through the diet. Dietary advice is an important immediate means to address potential exposure and help minimize adverse health effects. The objective of this work is to enable easier access to dietary advice and communication guidance on contaminants with a focus on the Arctic. This manuscript is part of a special issue summarizing the Arctic Monitoring and Assessment Programme's Assessment 2021: Human Health in the Arctic. The information was derived with internet searches, and by contacting relevant experts directly. Results include risk communication efforts in European Arctic countries, effectiveness evaluation studies for several Arctic countries, experience of social media use, and the advantages and challenges of using social media in risk communication. We found that current risk communication activities in most Arctic countries emphasize the importance of a nutritious diet. Contaminant-related restrictions are mostly based on mercury; a limited amount of dietary advice is based on other contaminants. While more information on effectiveness evaluation was available, specific information, particularly from Arctic countries other than Canada, is still very limited.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2371623"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579631","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

The 1919-21 influenza pandemic in Greenland. 格陵兰 1919-21 年流感大流行。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-03-06 DOI: 10.1080/22423982.2024.2325711

Mathias Mølbak Ingholt, Lone Simonsen, Svenn-Erik Mamelund, Paneeraq Noahsen, Maarten van Wijhe

{"title":"The 1919-21 influenza pandemic in Greenland.","authors":"Mathias Mølbak Ingholt, Lone Simonsen, Svenn-Erik Mamelund, Paneeraq Noahsen, Maarten van Wijhe","doi":"10.1080/22423982.2024.2325711","DOIUrl":"10.1080/22423982.2024.2325711","url":null,"abstract":"In Alaska, the 1918-20 influenza pandemic was devastating, with mortality rates up to 90% of the population, while in other arctic regions in northern Sweden and Norway mortality was considerably lower. We investigated the timing and age-patterns in excess mortality in Greenland during the period 1918-21 and compare these to other epidemics and the 1889-92 pandemic. We accessed the Greenlandic National Archives and transcribed all deaths from 1880 to 1921 by age, geography, and cause of death. We estimated monthly excess mortality and studied the spatial-temporal patterns of the pandemics and compared them to other mortality crises in the 40-year period. The 1918-21 influenza pandemic arrived in Greenland in the summer of 1919, one year delayed due to ship traffic interruptions during the winter months. We found that 5.2% of the Greenland population died of the pandemic with substantial variability between counties (range, 0.1% to 11%). We did not see the typical pandemic age-pattern of high young-adult mortality, possibly due to high baseline mortality in this age-group or remoteness. However, despite substantial mortality, the mortality impact was not standing out relative to other mortality crises, or of similar devastation reported in Alaskan populations.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2325711"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10919313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039269","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

Living with chronic obstructive pulmonary disease or type 2 diabetes in Greenland - a qualitative interpretive description study. 格陵兰慢性阻塞性肺病或 2 型糖尿病患者的生活--定性解释性描述研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2023-12-21 DOI: 10.1080/22423982.2023.2296706

Maja Hykkelbjerg Nielsen, Annesofie Lunde Jensen, Michael Lynge Pedersen, Lene Seibæk

{"title":"Living with chronic obstructive pulmonary disease or type 2 diabetes in Greenland - a qualitative interpretive description study.","authors":"Maja Hykkelbjerg Nielsen, Annesofie Lunde Jensen, Michael Lynge Pedersen, Lene Seibæk","doi":"10.1080/22423982.2023.2296706","DOIUrl":"10.1080/22423982.2023.2296706","url":null,"abstract":"Non-communicable diseases such as chronic obstructive pulmonary disease (COPD) and type 2 diabetes mellitus (T2D) represent major challenges for health systems all over the world. In an interview study, we explored patient experiences and perspectives of being diagnosed and living with COPD or T2D in Greenland. Participants (n = 24) were selected by purposeful sampling and recruited by phone. We conducted individual semi-structured interviews at the National Hospital in Nuuk and the four regional hospitals. Interviews were audio-recorded, transcribed verbatim, and analysed using interpretive description. Three themes emerged: shock and shame on receiving the diagnosis, coping with a changed life, and varying needs for care and communication. We found that being diagnosed with COPD or T2D required a rapid change in the participants' everyday lives and lifestyle behaviours. Some self-managed their disease well and were able to transfer their knowledge and integrate it into their daily lives, while others struggled to make lifestyle changes. Additionally, living with COPD or T2D could be related to silence and shame. The findings contribute to a better understanding of living with COPD or T2D in the Arctic region and the development of future, culturally-adapted patient education initiatives.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2296706"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10763871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138829611","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

The use of artificial intelligence to assess diabetic eye disease among the Greenlandic population. 利用人工智能评估格陵兰岛居民的糖尿病眼病。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-15 DOI: 10.1080/22423982.2024.2314802

Trine Jul Larsen, Maria Bråthen Pettersen, Helena Nygaard Jensen, Michael Lynge Pedersen, Henrik Lund-Andersen, Marit Eika Jørgensen, Stine Byberg

{"title":"The use of artificial intelligence to assess diabetic eye disease among the Greenlandic population.","authors":"Trine Jul Larsen, Maria Bråthen Pettersen, Helena Nygaard Jensen, Michael Lynge Pedersen, Henrik Lund-Andersen, Marit Eika Jørgensen, Stine Byberg","doi":"10.1080/22423982.2024.2314802","DOIUrl":"10.1080/22423982.2024.2314802","url":null,"abstract":"Background: Retina fundus images conducted in Greenland are telemedically assessed for diabetic retinopathy by ophthalmological nurses in Denmark. Applying an AI grading solution, in a Greenlandic setting, could potentially improve the efficiency and cost-effectiveness of DR screening.Method: We developed an AI model using retina fundus photos, performed on persons registered with diabetes in Greenland and Denmark, using Optos® ultra wide-field scanning laser ophthalmoscope, graded according to ICDR.Using the ResNet50 network we compared the model's ability to distinguish between different images of ICDR severity levels in a confusion matrix.Results: Comparing images with ICDR level 0 to images of ICDR level 4 resulted in an accuracy of 0.9655, AUC of 0.9905, sensitivity and specificity of 96.6%.Comparing ICDR levels 0,1,2 with ICDR levels 3,4, we achieved a performance with an accuracy of 0.8077, an AUC of 0.8728, a sensitivity of 84.6% and a specificity of 78.8%. For the other comparisons, we achieved a modest performance.Conclusion: We developed an AI model using Greenlandic data, to automatically detect DR on Optos retina fundus images. The sensitivity and specificity were too low for our model to be applied directly in a clinical setting, thus optimising the model should be prioritised.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2314802"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10877649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740957","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

Repeated freezing to very low temperatures does not impact the amount ejected from EpiPen® and Jext® adrenaline autoinjectors. 反复低温冷冻不会影响 EpiPen® 和 Jext® 肾上腺素自动注射器的喷射量。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-14 DOI: 10.1080/22423982.2024.2367273

Felix N R Wood, Rosemary Hartley, Rebecca Boys, Timothy Parham, Jonathon Lowe, Matthew Warner

{"title":"Repeated freezing to very low temperatures does not impact the amount ejected from EpiPen® and Jext® adrenaline autoinjectors.","authors":"Felix N R Wood, Rosemary Hartley, Rebecca Boys, Timothy Parham, Jonathon Lowe, Matthew Warner","doi":"10.1080/22423982.2024.2367273","DOIUrl":"10.1080/22423982.2024.2367273","url":null,"abstract":"It has previously been shown that EpiPen® autoinjectors are likely to activate normally following up to five excursions to -25°C but data about the post-freezing performance of other brands of adrenaline autoinjectors has not previously been published. Additionally, conditions experienced by polar medics may be substantially colder than this and the performance of adrenaline autoinjectors following more extreme freeze-thaw cycles remains uncharacterised. Investigators in Antarctica and the United Kingdom performed laboratory testing on two brands of adrenaline autoinjector, EpiPen® and Jext® (12 devices of each type). A single freeze-thaw cycle involved freezing the device to -80°C then allowing it to come to room temperature. Devices were exposed to 0, 1, 5 or 15 freeze-thaw cycles. The mass of liquid ejected from each device, when activated, was then measured. No significant differences in the mass of the liquid ejected was found between the test groups. Multiple freeze-thaw cycles to -80°C are unlikely to significantly impact the amount of adrenaline solution expelled from EpiPen® and EpiPen® autoinjectors. This preliminary finding encourages further work investigating the safety and effectiveness of adrenaline autoinjectors after exposure to very low temperatures. This information would be valuable for future polar medics planning and delivering medical provision in extreme environments.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2367273"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141320897","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

Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being. 利用潜类分析对因纽特人的健康和福祉进行整体评估。

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-03-11 DOI: 10.1080/22423982.2024.2322186

Morgen Bertheussen, Mylene Riva, Brittany Wenniserí Iostha Jock, Christopher Fletcher, Pierre Ayotte, Gina Muckle, Natalia Poliakova, Richard Bélanger

{"title":"Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being.","authors":"Morgen Bertheussen, Mylene Riva, Brittany Wenniserí Iostha Jock, Christopher Fletcher, Pierre Ayotte, Gina Muckle, Natalia Poliakova, Richard Bélanger","doi":"10.1080/22423982.2024.2322186","DOIUrl":"10.1080/22423982.2024.2322186","url":null,"abstract":"Many indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health. This paper aims to operationalize a wholistic indicator of health based on the IQI model of Inuit health. Variables from the 2017 Nunavik Health Survey (N = 1196) were selected based on their representativeness of IQI model. Exploratory Latent Class Analysis (LCA) was used to identify wholistic health profiles. Once participants assigned to their health profile, sociodemographic characteristics were compared across profiles, and multinomial regression models were used to examine the relationship between community-level social determinants of health and the profiles. The LCA revealed three health profiles, labelled as \"excellent\", \"good\" and \"fair\" based on the distribution of answers to the indicators. Nunavimmiut in \"excellent\" and \"good\" health were more likely to: rate their health positively; be over 30 years old; be in a relationship; and have participated or volunteered in community events. Nunavimmiut in \"fair\" health tended to report lower levels of community cohesion, family relationships, and emotional support. Intergrating culturally relevant models of health can support improved health status assessments and identify opportunities for health promotion.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2322186"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10930148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093883","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