International Journal of Circumpolar Health最新文献

{"title":"Awareness, cultural importance, risk perception and consumption behavior - the issue of contaminants in pilot whales in the Faroe Islands.","authors":"Elsa F Helmsdal, Rasmus Á Fríðriksmørk Borðoy, Jesper Bo Nielsen, Maria Skaalum Petersen","doi":"10.1080/22423982.2026.2718020","DOIUrl":"10.1080/22423982.2026.2718020","url":null,"abstract":"<p><p>Pilot whale has for centuries been part of the traditional diet in the Faroe Islands; however, since the late 1970s, concerns about contamination have resulted in ongoing dietary advisories. This cross-sectional survey examines consumption frequency, cultural importance, risk perception and awareness of contaminants and advisories related to pilot whale in the Faroese population among residents aged 18-70 years randomly selected from the Faroese Population Registry. In all 1,492 respondents were included in the final analysis. The results indicate that most participants consume pilot whale meat to some extent, with 78% consuming dried and 65% consuming cooked pilot whale meat, although consumption patterns vary across demographic characteristics. Older age groups demonstrated significantly higher awareness of official dietary advisories and contaminants compared to the youngest age group (2008 advisory: 97% vs. 60%; 2011 advisory: 85% vs. 52%; contaminants: 100% vs. 89%), while the youngest age group expressed more positive attitudes toward the cultural importance of pilot whale (80% vs. 68%). These findings provide important insights into dietary behaviour and contaminant-related risks associated with pilot whale consumption in the Faroe Islands and highlight the need for risk communication and public health messaging that account for demographic differences and cultural importance.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2718020"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792714","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}

{"title":"Indigenous perspectives on healthy aging in the Yukon.","authors":"Mark Christopher, Liris Smith, Jerry Soltani","doi":"10.1080/22423982.2026.2687336","DOIUrl":"https://doi.org/10.1080/22423982.2026.2687336","url":null,"abstract":"<p><p>The Canadian Frailty Network commissioned this study to gather feedback on the AVOID Frailty model from Indigenous Elders and older adults in the Yukon. Grounded in Indigenous research methodologies, Two-Eyed Seeing, and guided by an Elder co-author this study involved guide conversations to engage 42 participants aged 55 and older across four Yukon communities. Participants raised Activity, Interaction, and Diet spontaneously as central to healthy aging, while Vaccinate and Optimize medications typically required prompting. However, participants reframed these domains in relational and place-based terms, locating wellness in connection to land, traditional foods, intergenerational responsibility, and community. The AVOID model's emphasis on disease prevention and individual behaviour change does not account for the collective, relational, and cultural dimensions that shape Indigenous health and wellness. A strengths-based adaptation, grounded in Indigenous ways of knowing, doing, and being, is needed.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2687336"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction of iodine intake estimates from salt in Faroese dietary scenarios: implications for iodine fortification strategies.","authors":"Herborg Líggjasardóttir Johannesen, Stig Andersen, Pál Weihe, Maria Skaalum Petersen, Marin Strøm, Claus Bogh Juhl, Anna Sofía Veyhe","doi":"10.1080/22423982.2026.2672860","DOIUrl":"10.1080/22423982.2026.2672860","url":null,"abstract":"","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2672860"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13182170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948086","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}

{"title":"\"We built it grassroots… birth by birth\": circumpolar maternal child health workshop proceedings.","authors":"Janat Ibrahimi, Rassi Nashalik, Christine Ingemann, Kaeleigh Brown, Kathleen Cranfield, Brenda Epoo, Lindsay M P Hannah, Natsiq Kango, Laura Lemons-Young, Melina McFadden, Ruth Montgomery-Andersen, Ánne-Hedvig Salmi Nordsletta, Treiva Plamondon, Meagan Taylor, Sandi Vincent, Aininaq Willesen, Susan Chatwood","doi":"10.1080/22423982.2026.2749896","DOIUrl":"10.1080/22423982.2026.2749896","url":null,"abstract":"<p><p>Maternity care across the Circumpolar North continues to be shaped by colonial policies, centralized healthcare structures, and the ongoing evacuation of pregnant people from their communities for birth. While these challenges are well documented, less attention has been given to the strengths, innovations, and community-led approaches emerging across Arctic regions. Building on previous engagements of the Circumpolar Maternal and Child Health Working Group, a two-day workshop was convened in Yellowknife, Northwest Territories, Canada, in March 2026. The workshop brought together Elders, Indigenous and non-Indigenous midwives, birthworkers, healthcare providers, researchers, and students from the Circumpolar North to facilitate knowledge exchange and identify lessons from successful community-led birthing initiatives. Grounded in Indigenous knowledge-sharing approaches, the workshop incorporated storytelling, talking circles, small-group discussions, and case study presentations from the Inuulitsivik Midwifery Program and the Fort Smith Midwifery Program. Discussions identified five interconnected dimensions of community-based maternity care: <i>Indigenous Ways of Knowing and Being; Transforming Systems Through Decolonization; Building Knowledge and Training Pathways; Centring Indigenous Birthing Practices;</i> and <i>Governance and System Structures</i>. Regional discussions highlighted differences in education pathways, workforce capacity, governance, and health system-support. The workshop demonstrated the value of a practitioner-led circumpolar knowledge exchange in identifying priorities to strengthen community-based maternity care.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2749896"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13689796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227928","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}

{"title":"Implementing a First Nation data-sovereign and agile modelling platform for pandemic management: lessons from Manitoba.","authors":"Wanda Phillips-Beck, Josée G Lavoie, Leona Star, Nathan Nickel, Razvan Romanescu","doi":"10.1080/22423982.2026.2749170","DOIUrl":"https://doi.org/10.1080/22423982.2026.2749170","url":null,"abstract":"<p><p>This paper describes lessons learned from a partnership between the First Nations Health and Social Secretariat of Manitoba (FNHSSM) and researchers at the University of Manitoba to develop a community-led COVID-19 modelling platform. The envisioned tool would allow First Nations leaders to input local data and generate outputs to support decision-making using a stochastic, age-stratified agent-based model of COVID-19 transmission. Although the platform was not fully operationalized during the project, several important lessons emerged. First, the COVID-19 pandemic placed significant demands on human resources, making such an ambitious initiative difficult to implement during an active public health emergency. Second, the project required coordination among multiple teams with distinct expertise, including model developers, dashboard designers, and FNHSSM information technology staff responsible for infrastructure planning. Competing pandemic-related priorities frequently delayed collaboration and implementation. Third, access to administrative data through the Manitoba Centre for Health Policy involved a six-month reporting lag, limiting the availability of timely information needed for emergency response and decision-making. These challenges highlight structural barriers to data-driven pandemic management in First Nations communities. We recommend: (1) providing First Nations organizations and communities with ongoing access to their own administrative data for service delivery, planning, and emergency management; and (2) establishing First Nations-led data centres with sustainable infrastructure and core funding to support data sovereignty, agile reporting, and future public health response efforts.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2749170"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149244383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When systems fall apart: the performance of the nursing station model in communities with populations over 2,500 peoples.","authors":"Josée G Lavoie, Lorraine McLeod, James Zacharias, Tannyce Cook, Christy Bird, Reid Whitlock","doi":"10.1080/22423982.2026.2719373","DOIUrl":"10.1080/22423982.2026.2719373","url":null,"abstract":"<p><p>Primary healthcare (PHC) providers working in Manitoba First Nations (FNs) communities have anecdotally reported that the workload they face does not match staffing levels, leaving the care they provide comparable to a walk-in clinic, especially in communities with a population over 2,500. The purpose of this study was to evaluate the capacity of Nursing stations to deliver PHC services in FN communities with populations greater than 2,500, compared to smaller FN communities with populations less than 2,500, by analysing markers of chronic kidney disease (CKD) quality care among individuals living with CKD. We also assessed whether different models of care might reduce disparities in health outcomes. This partnership between researchers from the First Nations Health and Social Secretariat of Manitoba and the University of Manitoba used health administrative data held at the Manitoba Centre for Health Policy (2006-2019), linked to the Manitoba First Nations Research File to identify FNs. Data used included: Diagnostic Services Laboratory Data, Medical Claims, Hospital Discharge Abstracts, Drug Program Information Network Data, Public Canadian Census Files, Manitoba Health Insurance Registry and Physician Resource File. All records were de-identified. PHC visits and hospitalisation rates were higher in larger communities, suggesting a tendency to refer patients more readily to a higher level of care. In contrast, FNs living with CKD in smaller communities are more likely to receive follow up kidney function screening. Premature mortality rates for FNs living with CKD remain lower in larger communities. Our findings show that access to responsive PHC in Manitoba's rural and remote communities remains aspirational and may reflect pragmatic adaptations to workload pressures. There is an urgent need to assess the economic and health impact of these adaptations, to ensure that they result in optimal health results and progress equity for FNs, Manitobans, and those living in rural and remote communities.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2719373"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792704","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}

{"title":"<i>Haemophilus influenzae</i> type B (Hib) necrotizing soft tissue infection (NSTI) in a vaccinated 16-month-old Inuit boy: a case report.","authors":"Rachel Dorey, Alexander Morzycki, Darcy Scott, Joan Robinson, Geraldine Huynh","doi":"10.1080/22423982.2026.2702788","DOIUrl":"10.1080/22423982.2026.2702788","url":null,"abstract":"<p><p>Necrotizing soft tissue infection (NSTI) caused by <i>Haemophilus influenzae</i> type B (Hib) is rare and life-threatening. We report severe monomicrobial Hib NSTI in a 16-month-old Inuit child who had received 3 doses of the Hib vaccine, highlighting vaccine failure and host susceptibility. The child sustained a minor fall to the left thigh without skin breakdown and developed fever the same day, initially treated with amoxicillin for presumed acute otitis media. He re-presented with persistent fever, progressive leg pain, swelling, ecchymosis, and refusal to weight-bear, prompting air transfer to the regional hospital and the initiation of ceftriaxone. Investigations showed C-reactive protein >90 mg/L, a white blood cell count of 13.6 ×10⁹/L, normal creatine kinase, and unremarkable radiographs. Owing to concern for necrotizing infection, the patient was transferred to a tertiary pediatric intensive care unit. Antimicrobials were escalated to piperacillin-tazobactam, vancomycin, and clindamycin, and intravenous immunoglobulin was administered. Emergent surgical debridement demonstrated extensive dermal and subcutaneous necrosis with preserved fascia and muscle. Blood and tissue cultures grew Hib. He required mechanical ventilation, inotropic support, and multiple additional debridements prior to skin grafting. Household contacts received chemoprophylaxis. Immunologic evaluation was unremarkable; genetic testing was non-diagnostic. NSTI requires prompt recognition, surgical debridement, and targeted antimicrobial therapy. While most cases are due to group A Streptococcus or polymicrobial infections, Hib is rare, with few pediatric cases reported. Vaccine failures occur, particularly before the 18-month booster, reflecting waning immunity. Indigenous populations remain disproportionately affected. Invasive Hib disease despite vaccination warrants evaluation for underlying immunodeficiency. Invasive Hib infection should be considered even in fully vaccinated children. Continued surveillance, prompt surgical management, public health response and investigations of host susceptibility remain essential.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2702788"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13371480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436495","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}

{"title":"Not coping with stress and screen-time: mixed methods.","authors":"Arna Gardarsdottir, Sóley Sesselja Bender","doi":"10.1080/22423982.2026.2660385","DOIUrl":"10.1080/22423982.2026.2660385","url":null,"abstract":"<p><p>Mental health problems are increasing among adolescents, where stress, screen time, social media and sleep deprivation are contributing factors. The aim of this study was to explore adolescents' understanding and self-reporting of health for further development of the screening tool HEILUNG. Mixed-method study design based on qualitative (focus groups) and quantitative data (cross-sectional study) was used. The participants in both studies were adolescents in upper secondary schools across Iceland. The framework method was used in the data analysis for the focus groups and descriptive statistics for the cross-sectional study (CSS). The focus groups included 31 participants, and the CSS 648. The focus groups showed that mental health was important and dependent on physical and social health. Almost 56%, 45% and 27% of the participants (CSS) were stressed, anxious and depressed often/daily, respectively. Mental well-being was affected by sleep deprivation and social media. More than half of the participants (CSS) did not get enough sleep, and approximately 38% had seven hours or more of screen time daily. Mental health was of great concern to adolescents in both studies affected by many influential factors. Making health decisions regularly was difficult for them. They needed opportunities to discuss health issues and health promotion, which could be provided by school nurses.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2660385"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716572","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}

{"title":"A protocol for collaborative research to understand protection, recovery, and resilience after youth suicide attempt in Kalaallit Nunaat (Greenland).","authors":"Arnarak Patricia Bloch, Christina Viskum Lytken Larsen, James Allen, Tenna Jensen","doi":"10.1080/22423982.2026.2728771","DOIUrl":"10.1080/22423982.2026.2728771","url":null,"abstract":"<p><p>This article presents a PhD protocol for an Indigenous-led qualitative study exploring protective factors and recovery processes among Indigenous Kalaallit Inuit (Greenlandic Inuit) youth in Kalaallit Nunaat (Greenland) following suicide attempts. The majority of the population in Kalaallit Nunaat is Indigenous Kalaallit Inuit. The study is grounded in Kalaallit Inuit values and inspired by selected principles of community-based participatory research. Thirty interviews will be conducted in Kalaallisut (Greenlandic) across five regions through in-person and online modalities, as structured through a culturally and linguistically grounded interview guide. The project centers the principle of \"Nothing About Us Without Us,\" emphasizing community ownership, language-based access, and reciprocal accountability. The project methodologically explores the feasibility of trauma-informed, trust-based interviewing in small Arctic communities and investigates the importance of spirituality, land, and cultural revitalization in healing. In addition to methodological and thematic insights the project aims at creating a transferable model for ethical, community-engaged suicidology in Arctic Indigenous contexts. Thematic findings will be published in forthcoming articles. As this article presents a PhD protocol, no empirical findings are reported. The manuscript describes the study rationale, Indigenous theoretical foundations, methodology, ethical considerations, planned analyses, and dissemination strategy guiding the doctoral project.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2728771"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13564162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919718","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}

{"title":"Invisibility, hypervisibility, relational visibility, and collective adaptation: inuit experiences of disability.","authors":"Chaneesa Rose Ryan, Nicole Diakite","doi":"10.1080/22423982.2026.2735109","DOIUrl":"10.1080/22423982.2026.2735109","url":null,"abstract":"<p><p>Disability is increasingly understood as a socially and culturally situated experience shaped by relationships, environments, and systems of recognition. However, limited research has examined how disability is perceived and experienced within Inuit communities. This paper draws on a secondary qualitative analysis of interviews with 126 Nunavummiut across 12 communities in Nunavut, conducted as part of a community-led study by Nunavummi Disabilities Makinnasuaqtiit Society. Guided by Inuit Qaujimajatuqangit and the Piliriqatigiinniq Research Model, the analysis explores how disability becomes visible, recognized, and responded to within Inuit social contexts. Findings reveal that disability is not experienced as a fixed or visible category but emerges through four dynamics: (1) invisibility as social and structural absence, (2) hypervisibility as exposure, (3) relational visibility through belonging and contribution, and (4) collective adaptation as shared responsibility. These dynamics show how disability shifts between institutional systems of diagnosis and relational community contexts of participation. The study highlights a central tension between structural invisibility, reinforced by limited services and colonial systems of classification, and relational inclusion, enacted through kinship networks and collective care practices. Findings challenge deficit-based models and support culturally grounded, community approaches to policy and service delivery. The study contributes to discussions of disability as culturally and relationally shaped.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"85 1","pages":"2735109"},"PeriodicalIF":1.7,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149060620","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}