International Journal of Circumpolar Health最新文献_第6页

Workshop proceedings: values based and culture informed health services and research in circumpolar maternal health. 讲习班记录：基于价值观和文化的保健服务和极地孕产妇保健研究。

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-26 DOI: 10.1080/22423982.2025.2587476

Christine Ingemann, Kaeleigh Brown, Kimberly Fairman, Hennessey Chartier Ford, Ruth Montgomery-Andersen, Susan Chatwood

{"title":"Workshop proceedings: values based and culture informed health services and research in circumpolar maternal health.","authors":"Christine Ingemann, Kaeleigh Brown, Kimberly Fairman, Hennessey Chartier Ford, Ruth Montgomery-Andersen, Susan Chatwood","doi":"10.1080/22423982.2025.2587476","DOIUrl":"10.1080/22423982.2025.2587476","url":null,"abstract":"This paper presents the background, planning, implementation, and outcomes of the inaugural Circumpolar Maternal and Child Health (CMCH) workshop, which aimed to co-develop a values-based and culture-informed research agenda for maternal and child health in the Circumpolar region. Recognizing the historical and ongoing impacts of colonization on Indigenous health systems, the workshop employed community-based participatory research (CBPR) methods to ensure inclusive and equitable engagement of care providers, program designers, Indigenous knowledge holders, and researchers. Through facilitated panels, sharing circles, and breakout sessions, participants explored culturally grounded approaches to maternal health, including the First 1000 Days, trauma-informed care, and birthing practices. Discussions emphasized Indigenous epistemologies, relational approaches, and the need to reframe Western concepts such as risk and trauma through community-defined perspectives. The workshop fostered relationship building and collective reflection, identifying key priorities for future research and collaboration. Reflections underscore the importance of holistic, community-responsive maternal health systems that honour Indigenous values, support local governance, and promote culturally safe, strengths-based care and research.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2587476"},"PeriodicalIF":1.9,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12667319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604038","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

Prevalence and factors associated with pain-related disabilities among Inuit in Canada in 2017: a cross-sectional study. 2017年加拿大因纽特人疼痛相关残疾的患病率和相关因素：一项横断面研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-12-02 DOI: 10.1080/22423982.2025.2591433

Astrid DeSouza, Carol Cancelliere, Sheilah Hogg-Johnson, Amanda J Sheppard, Dorothy Taylor, Judy Inugjuaq Clark, Jennifer L Ward, Jen Maher, Jordyn Garner, Rachel Lynds, Rachel Radyk, Pierre Côté

{"title":"Prevalence and factors associated with pain-related disabilities among Inuit in Canada in 2017: a cross-sectional study.","authors":"Astrid DeSouza, Carol Cancelliere, Sheilah Hogg-Johnson, Amanda J Sheppard, Dorothy Taylor, Judy Inugjuaq Clark, Jennifer L Ward, Jen Maher, Jordyn Garner, Rachel Lynds, Rachel Radyk, Pierre Côté","doi":"10.1080/22423982.2025.2591433","DOIUrl":"10.1080/22423982.2025.2591433","url":null,"abstract":"Working with an Indigenous Advisory Committee, including an Inuit Health Advisor and Researcher, we analyzed the 2017 Aboriginal Peoples Survey to examine prevalence and factors associated with pain-related disabilities (PRDs) among Inuit in Canada. Self-reported data were collected from Inuit ≥15 years. PRDs were defined as 'sometimes', 'often', or 'always' experiencing activity limitations due to pain from a long-term condition lasting ≥ six months. We computed PRD prevalence [95% CI] overall, and by geographic location, age, sex, type and number of co-existing disabilities. Modified Poisson regression with robust variance estimation modelled associations between Inuit social determinants of health and PRDs. Person-level and bootstrap weights were applied for all analyses. Among Inuit, 11.1% [10.0, 12.4] reported PRDs. Females [13.4% (11.8, 15.1)], individuals 55 + [23.7% (21.6, 25.9)], and those who lived outside Inuit Nunangat [17.1% (14.1, 20.5)] experienced higher prevalence of PRDs. Prevalence increased with the number of disabilities-highest among those with co-existing physical disabilities. Additionally, higher education, residential school attendance, and those who experienced difficulties related to food, housing, employment, and health were more likely to report PRDs. Characteristics which may increase the risk of PRDs need to be shared with Inuit stakeholders to guide next steps for awareness, advocacy, services and interventions.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2591433"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12673974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653315","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

Chronic suppurative otitis media and hearing loss among children in Eastern Greenland. 格陵兰东部儿童慢性化脓性中耳炎和听力损失。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-12-03 DOI: 10.1080/22423982.2025.2591428

Cecilie Stage Hansen, Katrine Rosenquist Kirk, Ramon Gordon Jensen

{"title":"Chronic suppurative otitis media and hearing loss among children in Eastern Greenland.","authors":"Cecilie Stage Hansen, Katrine Rosenquist Kirk, Ramon Gordon Jensen","doi":"10.1080/22423982.2025.2591428","DOIUrl":"10.1080/22423982.2025.2591428","url":null,"abstract":"Greenland has a high prevalence of chronic suppurative otitis media (CSOM), causing hearing loss (HL) in children. Understanding regional differences in prevalence is essential for public health service provision. This school-based cross-sectional study is the first to examine the prevalence of HL among children attending the only school in Tasiilaq, East Greenland. Video-otoscopy, tympanometry and pure-tone air and bone conduction audiometry were performed. In total 92 of 114 children aged 5-11 were included. 51 children (55%) had HL defined as pure-tone-average (PTA) >15 dB in the worst hearing ear according to the American-Speech-Language-Hearing-Association-criteria. Whereas 21 children (23%) had HL with PTA >20 in worst hearing ear according to the WHO-criteria. None of the children had previously been diagnosed. Among the 184 otoscopies, 45 were normal (24%), 43 showed wax-block (23%), 10 showed tympanic membrane perforation (5%) and 86 had other otitis media-related sequelae (47%). A high prevalence of HL and CSOM were found among children in East Greenland. 25% of the children should be assessed for hearing rehabilitation, indicating that HL on the east coast remains undiagnosed and untreated. The results highlight regional variation in CSOM and HL and support the need for regional data and new initiatives to prevent HL across Greenland.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2591428"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12679836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667379","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

Connecting cultural wisdom, physical literacy, and physical activity among older adults from diverse Indigenous communities: an exploratory review. 将文化智慧、身体素养和身体活动在不同土著社区的老年人中联系起来：一项探索性审查。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-11 DOI: 10.1080/22423982.2025.2582912

Amanda Froehlich Chow, Heather McWhinney, Tina Alexis, M Louise Humbert

{"title":"Connecting cultural wisdom, physical literacy, and physical activity among older adults from diverse Indigenous communities: an exploratory review.","authors":"Amanda Froehlich Chow, Heather McWhinney, Tina Alexis, M Louise Humbert","doi":"10.1080/22423982.2025.2582912","DOIUrl":"10.1080/22423982.2025.2582912","url":null,"abstract":"Indigenous older adults across the globe face higher rates of chronic illness and lower life expectancy than non-Indigenous populations, yet little research has examined how physical literacy might support their health and well-being. Traditionally applied to children and youth, physical literacy-understood as one's relationship with movement and physical activity across the life course-shares with Indigenous worldviews an emphasis on holistic well-being rooted in culture, community, and the environment. This exploratory review examines global literature to identify how physical literacy concepts-such as motivation, confidence, physical competence, and knowledge-connect with ways of knowing, being, and doing among Indigenous older adults, as well as in physical activity programs for this population. Findings reveal strong connections between physical literacy and culturally grounded forms of movement, with successful programs often integrating physical activity with cultural practices such as sharing circles. These initiatives reflect holistic views of health and highlight opportunities for culturally rooted approaches to physical literacy. The findings suggest that meaningful engagement with Indigenous older adults calls for physical literacy frameworks co-developed through community partnerships that honor Indigenous ways of knowing, being, and doing. Implications for policy and practice include the need for participatory program design that prioritizes social connection, intergenerational learning, spiritual health, and community well-being.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2582912"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12613300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145495341","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

Smudging the barriers away: crafting the Patient Access to Indigenous Spiritual Ceremony policy. 消除障碍：制定病人获得土著精神仪式的政策。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-19 DOI: 10.1080/22423982.2025.2587988

Constance Hazlett, Jeff Beddome, Lori Meckelborg, Kienan Williams, Richard T Oster

{"title":"Smudging the barriers away: crafting the Patient Access to Indigenous Spiritual Ceremony policy.","authors":"Constance Hazlett, Jeff Beddome, Lori Meckelborg, Kienan Williams, Richard T Oster","doi":"10.1080/22423982.2025.2587988","DOIUrl":"10.1080/22423982.2025.2587988","url":null,"abstract":"Alberta Health Services enacted the Patient Access to Spiritual Ceremony policy on National Indigenous Peoples' Day in 2023. The policy aims to directly support Indigenous patients to practice their traditional ceremonies on healthcare premises. This paper details the process of developing and implementing the policy, explores the challenges, and underscores the broader implications for healthcare institutions seeking to integrate cultural practices. Relational conversations and storytelling with key players in the development of the policy were carried out, explored alongside review of the literature and analysis of ethical considerations. Policy development involved consultations with Indigenous communities, Elders, and healthcare professionals to ensure cultural authenticity and safety of the policy implemented across various healthcare levels. The development process encountered several challenges that required careful navigation, including managing open flames within medical facilities, addressing concerns around ceremonial smoke, and the effort to institutionalize such a policy highlighted underlying issues of racial bias that needed to be addressed proactively. The policy exemplifies a commitment to respecting spiritual practices while maintaining a safe and inclusive environment for patients and represents a significant stride towards addressing historical injustices and promoting cultural inclusivity in healthcare.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2587988"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12636535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145556886","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

Integrated evidence-based medical policy for seafarers: a novel risk stratification framework for high-risk and circumpolar zones. 海员综合循证医疗政策：高风险和极地地区的新型风险分层框架。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-05 DOI: 10.1080/22423982.2025.2576341

Ahmed Hany M Abuelenin, Mohamed A Abouelanin

引用次数: 0

Navigating the development of social innovations: design of nature-based interventions in purpose driven SMEs. 引导社会创新的发展：在目的驱动型中小企业中设计基于自然的干预措施。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-10-27 DOI: 10.1080/22423982.2025.2572856

Päivi Juuso, Åsa Engström, Ossi Pesämaa, Jeaneth Johansson

{"title":"Navigating the development of social innovations: design of nature-based interventions in purpose driven SMEs.","authors":"Päivi Juuso, Åsa Engström, Ossi Pesämaa, Jeaneth Johansson","doi":"10.1080/22423982.2025.2572856","DOIUrl":"10.1080/22423982.2025.2572856","url":null,"abstract":"Despite overall improvements in general health, the prevalence of mental illness continues to rise, underscoring the need for innovative approaches to health promotion. This study examines how purpose-driven small and medium-sized enterprises (SMEs) design and develop nature-based interventions (NBIs) as social innovations to promote mental health. Using a case study approach, the research draws on data from workshops, semi-structured interviews, and expert stakeholder discussions involving 28 SME practitioners, eight public actors from social and healthcare sectors, nine entrepreneurs, and four experienced stakeholders. The analysis reveals that the successful development of NBIs depends on five core dimensions: accessibility, acceptance, affordability, meaningfulness, and knowledge. In addition, the study identifies a range of strengths, weaknesses, opportunities, and threats that SMEs encounter when navigating the complex landscape of NBI implementation. The findings highlight the potential of NBIs to complement traditional healthcare by fostering empowerment and supporting tailored recovery, while also offering strategic insights into the collaboration required for sustainable social innovation.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2572856"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12570240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372740","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

Quality and safety for Sámi users of health and care services: a cross-sectional study from Norway. Sámi卫生和保健服务用户的质量和安全：来自挪威的横断面研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-10-27 DOI: 10.1080/22423982.2025.2572858

Rose Mari Olsen, Ivana Bojanic, Karl Ove Hufthammer, Siri Andreassen Devik

{"title":"Quality and safety for Sámi users of health and care services: a cross-sectional study from Norway.","authors":"Rose Mari Olsen, Ivana Bojanic, Karl Ove Hufthammer, Siri Andreassen Devik","doi":"10.1080/22423982.2025.2572858","DOIUrl":"10.1080/22423982.2025.2572858","url":null,"abstract":"Challenges persist in delivering good-quality and safe health care to the Norwegian Sámi population. This cross-sectional study explored system-level factors affecting healthcare services for Sámi people. Specifically, it assessed (1) the extent to which Norwegian municipalities provided good and safe health and care services to Sámi users, as reported by managers, and (2) whether good and safe service provision was associated with selected municipal characteristics. An online survey was conducted in 2019 across 135 municipalities in the four northernmost counties, and 77 responded (57% response rate). Service quality was measured using a single five-point ordinal-scale question, and proportional odds regression models were used to analyse associations with municipal characteristics. Overall, 40% of municipalities reported offering good and safe services to a 'large' or 'very large' extent to Sámi users. More favourable assessments were observed among municipalities located within the Sámi language area and among those with higher net operating surplus. The results suggest that while certain contextual factors may support service provision, there remains considerable potential for improvement across municipalities. Continued policy attention and resource allocation, combined with initiatives to strengthen cultural and linguistic competence, are needed to enhance equitable access to health care for Sámi communities.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2572858"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12570219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145377158","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

Understanding cancer screening experiences of Métis people in Alberta. 了解艾伯塔省msamims患者的癌症筛查经历。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-12-10 DOI: 10.1080/22423982.2025.2600136

Elsie Zhang, June Kima, Amanda M Andrew, Meghan Macphail, Ashton Anderson, Reagan Bartel, Angeline Letendre, Huiming Yang, Karen Kopciuk

{"title":"Understanding cancer screening experiences of Métis people in Alberta.","authors":"Elsie Zhang, June Kima, Amanda M Andrew, Meghan Macphail, Ashton Anderson, Reagan Bartel, Angeline Letendre, Huiming Yang, Karen Kopciuk","doi":"10.1080/22423982.2025.2600136","DOIUrl":"10.1080/22423982.2025.2600136","url":null,"abstract":"Cancer screening is a high priority within the Métis community in Alberta. Despite comparable cancer incidence rates to non-Métis Albertans, Métis people face barriers to accessing cancer screening programs. This study used community-based research approaches informed by Métis ways of knowing to engage 31 individuals across Alberta about their experiences with accessing cancer screening services. Data collection was completed through two in-person Métis gatherings and six telephone interviews. Gatherings included talking circles and cultural activities, with discussions lasting approximately three hours. Topics discussed included experiences with accessing screening services, the quality of care received during appointments, and the supports needed to improve access to screening programs. Discussions were audio-recorded, transcribed, de-identified, and thematically analyzed using NVivo Software. Four prominent themes emerged from this study: (1) the impact of patient-provider communications on cancer experiences, (2) a broken healthcare system and access to care, (3) a need for support and safety, and (4) health promotion behaviours. An overarching theme of discrimination as a social determinant of health emerged throughout the findings. Tangible barriers, including geographical, transportation, and financial, were also identified by study participants. This study provides an increased understanding of Métis experiences related to cancer screening and offers direction for improvements.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2600136"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12699727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145722270","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

Correction. 修正。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-15 DOI: 10.1080/22423982.2025.2589626

引用次数: 0