Reuel A Purificati-Fuñe, Patrick Lightning, Patrick Lightning, Grant Bruno, Josh Littlechild, Rhonda C Bell, Richard T Oster
{"title":"Deadly Dads Support Society: understanding the development and impact of a culturally centred, group-led support strategy for nêhiyaw (Plains Cree) fathers and men.","authors":"Reuel A Purificati-Fuñe, Patrick Lightning, Patrick Lightning, Grant Bruno, Josh Littlechild, Rhonda C Bell, Richard T Oster","doi":"10.1080/22423982.2025.2506258","DOIUrl":"10.1080/22423982.2025.2506258","url":null,"abstract":"<p><p>Through a long-standing community-university partnership, we developed a culturally centred, group-led support strategy for nêhiyaw (Plains Cree) fathers and men to enhance their well-being. A community-based participatory research approach was adapted to honour nêhiyaw ways of knowing. Group-led and developed support activities for fathers and men took place from August 2021 to January 2023, with data gathered from Wisdom Circles, meeting minutes, reflexive journals, photos, implementation notes, and community reports. Data analysis was narrative, relational, and non-linear. Knowledge sharing efforts aimed to: 1) explore lessons from co-developing support activities; 2) understand the significance of gathering in safe and healthy ways; and 3) examine the impacts of support on members. The group's development was rooted in mutual generosity and overcoming institutional inequities to offer meaningful supports. This resulted in healthy ways of gathering and supporting one another through relational connections; learning from and identifying with one another; and breaking cycles of intergenerational trauma through cultural connections, sharing, and expressions of love. Experiential and pressure-free activities contributed to a sense of belonging, positivity, and collective ownership, and supported participants through life difficulties. The success and sustainability of the group relied on transcending Western academic approaches to embrace community ways of knowing and relationality.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2506258"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132350","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}
Hafdís Skúladóttir, Gudmundur Kristjan Óskarsson, Thorbjorg Jónsdóttir, Sigfridur Inga Karlsdóttir, Eva Halapi
{"title":"Chronic pain and quality of life among people with whiplash injury in Iceland.","authors":"Hafdís Skúladóttir, Gudmundur Kristjan Óskarsson, Thorbjorg Jónsdóttir, Sigfridur Inga Karlsdóttir, Eva Halapi","doi":"10.1080/22423982.2025.2556085","DOIUrl":"10.1080/22423982.2025.2556085","url":null,"abstract":"<p><p>The purpose was to examine the participants' pain severity, pain interference, health-related quality of life (HRQoL), needs, access and use of healthcare services, and the difference between those reporting whiplash injury ( >12 months) with and without chronic pain and those without whiplash injury but with chronic pain. This is a cross-sectional cohort study. The survey was sent by email to a sample of 12,400 individuals, aged 18-78 years. The response rate was 45% (<i>n</i> = 5,557), of whom 929 (16.7%) experienced whiplash injury after an accident. Participants with whiplash injury (59%) were more likely to report chronic pain (≥3 months) than those without whiplash injury (36.3%) (<i>p</i> > 0.001). The participants with whiplash injury and chronic pain (<i>n</i> = 543, 59%) were significantly more likely to have more severe pain, lower HRQoL, be disabled, and live outside the capital area compared to those with whiplash injury but without chronic pain (<i>n</i> = 386, 41%). Whiplash injury was more common among younger individuals and women. Participants with whiplash injury had higher pain severity, pain interference and lower HRQoL compared to those without whiplash injury. Participants with whiplash injury were more likely to have chronic pain and most of them had constant pain.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2556085"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992393","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":"Health worker perspectives on Greenlandic healthcare - resources, sustainability and work-life-balance.","authors":"T Aagaard, L Seibæk","doi":"10.1080/22423982.2025.2506239","DOIUrl":"10.1080/22423982.2025.2506239","url":null,"abstract":"<p><p>Greenland faces severe challenges with the recruitment and retention of health workers. A healthcare reform from 2010 did not have the expected effect. On this background we explored health worker perspectives on barriers and opportunities for improvements. To generate knowledge of opportunities and challenges in delivering culturally relevant healthcare, and knowledge of conditions for developing a sustainable work environment. Interviews with healthcare staff from all regions were carried out and analysed within a hermeneutic-phenomenological approach. Although better cohesion of healthcare and improved communication across health units was experienced, lack of support, training, and high staff turnover overloaded the permanent staff leading to staff flight and increased use of short-term health workers. Following a need among the population, health workers call for increased focus on health promotion. They request leadership that includes local knowledge and skills to prioritise, organise and develop culturally safe healthcare, based also on the perspectives of service users. Greenland has dedicated health workers holding local knowledge of significance for care and treatment. Prioritisation of health promotion is considered necessary and satisfactory but must be supported by strategic leadership. Further, a satisfactory work-life seems closely related to recruitment and retention.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2506239"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119687","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}
Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Sonja Sørensen, Morten Skovdal
{"title":"The social and organisational factors shaping acceptability of a self-management education and exercise intervention for people with hip or knee osteoarthritis in Greenland.","authors":"Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Sonja Sørensen, Morten Skovdal","doi":"10.1080/22423982.2024.2350120","DOIUrl":"10.1080/22423982.2024.2350120","url":null,"abstract":"<p><p>This study aimed to explore the experiences and perspectives of people with osteoarthritis attending the \"Osteoarthritis School\" (OA School) in Nuuk, Greenland to generate insights and lessons that can inform the development of self-management education and exercise interventions for people with other lifestyle conditions in a Greenland context. We conducted a qualitative interpretive description (ID) study based on ten semi-structured interviews with people with hip or knee osteoarthritis. Interviews were audio-recorded, transcribed, and coded. Using ID, we identified three themes: 1) perceptions and experiences of how the OA School intervention was organised (time and place); 2) perspectives and experiences of the education and exercise components (social factors, motivation, and education); and 3) significant change stories (physical and mental improvements and increased knowledge of OA). Social and organisational factors, such as working out with peers and the time and place of the intervention, influenced the participants' acceptance of the OA School intervention. Knowledge from this study will help us gain insight into what to address when developing future self-management education and exercise interventions in the Greenlandic healthcare system.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2350120"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11073430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874643","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}
Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Stig Andersen, Sam Riahi, Uka Wilhjelm Geisler, Michael Lynge Pedersen, Nadja Albertsen
{"title":"Quality of care among patients diagnosed with atrial fibrillation in Greenland.","authors":"Marie Tolver Nielsen, Maja Hykkelbjerg Nielsen, Stig Andersen, Sam Riahi, Uka Wilhjelm Geisler, Michael Lynge Pedersen, Nadja Albertsen","doi":"10.1080/22423982.2024.2311965","DOIUrl":"10.1080/22423982.2024.2311965","url":null,"abstract":"<p><p>This cross-sectional study sought to assess the prevalence of atrial fibrillation (AF) diagnosis in Greenland among various age groups and examine the corresponding quality of care. We collected data from Greenland's electronic medical records and evaluated the quality of care using six internationally recommended indicators, which are: percentage of AF patients with an assessment of smoking status within the previous year, an assessment of body mass index within the previous year, assessment of blood pressure within the previous year, measurement of thyroid stimulating hormone (TSH), treatment with an anticoagulant and percentage of patients with a measurement of serum-creatinine. We found the prevalence of AF among patients aged 20 years or older in Greenland to be 1.75% (95% CI 1.62-1.88). We found an increasing prevalence of AF with age and a greater proportion of men than women until the age of 74 years. Our study suggests that the associated quality of care could be higher as the requirement of only one of the six quality indicators was met. A lack of registration may partly explain this, and initiatives to improve the quality of care are recommended.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2311965"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706700","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}
Ida Margrethe Nielsen, Lisbeth Uhrskov Sørensen, Søren Wichmand, Parnûna Heilmann, Michael Lynge Pedersen
{"title":"Substance use and lifestyle risk factors for somatic disorders among psychiatric patients in Greenland.","authors":"Ida Margrethe Nielsen, Lisbeth Uhrskov Sørensen, Søren Wichmand, Parnûna Heilmann, Michael Lynge Pedersen","doi":"10.1080/22423982.2024.2421049","DOIUrl":"10.1080/22423982.2024.2421049","url":null,"abstract":"<p><p>Patients with psychotic disorders exhibit elevated mortality and morbidity rates compared to the general population primarily due to comorbid somatic diseases. This study aims to describe the prevalence of selected risk factors and somatic disorders among psychiatric patients with a diagnosis of psychotic disorder. Material and methods: Data were retrieved from Greenland's nationwide electronic medical record. The study population consists of 104 patients diagnosed with a psychotic disorder, encompassing schizophrenia or schizotypal and delusional disorders, residing in Nuuk. The study population comprised 104 patients (68 males and 36 females) with a mean age of 40 years. More than 80% were daily smokers, and 68% had harmful use of cannabis. More than half had dyslipidemia (any imbalance in lipids), while over a quarter were classified as obese with body mass index of 30 kg/m2 or higher. Eighteen percent had hypertension, and six percent suffered from diabetes. This study revealed a notable prevalence of risk factors for somatic diseases, particularly smoking and cannabis use among patients with schizophrenia in Nuuk, indicating that a high prevalence of somatic diseases might be expected as the population gets older and the risk of developing somatic diseases becomes greater. Increased focus on monitoring and preventing those as part of the health care is recommended.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2421049"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499874","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}
Maria Wielsøe, Manhai Long, Jens Søndergaard, Eva Cecilie Bonefeld-Jørgensen
{"title":"Metal exposure in the Greenlandic ACCEPT cohort: follow-up and comparison with other Arctic populations.","authors":"Maria Wielsøe, Manhai Long, Jens Søndergaard, Eva Cecilie Bonefeld-Jørgensen","doi":"10.1080/22423982.2024.2381308","DOIUrl":"10.1080/22423982.2024.2381308","url":null,"abstract":"<p><p>Humans are exposed to metals through diet and lifestyle e.g. smoking. Some metals are essential for physiologically body functions, while others are non-essential and can be toxic to humans. This study follows up on metal concentrations in the Greenlandic ACCEPT birth-cohort (mothers and fathers) and compares with other Arctic populations. The data from 2019 to 2020 include blood metal concentrations, lifestyle and food frequency questionnaires from 101 mothers and 76 fathers, 24-55 years, living in Nuuk, Sisimiut, and Ilulissat. A high percentage (25-45%) exceeded international guidance values for Hg. For the mothers, the metal concentrations changed significantly from inclusion at pregnancy to this follow-up 3-5 years after birth; some increased and others decreased. Most metals differed significantly between mothers and fathers, while few also differed between residential towns. Several metals correlated significantly with marine food intake and socio-economic factors, but the direction of the correlations varied. Traditional marine food intake was associated positively with Se, As and Hg. To the best of our knowledge, this study provides the most recent data on metal exposure of both men and women in Greenland, elucidating metal exposure sources among Arctic populations, and documents the need for continuing biomonitoring to follow the exceeding of guidance values for Hg. [Figure: see text].</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2381308"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855457","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":"Community directed assessment of pain in a northern Saskatchewan Cree community.","authors":"Tayah Zhang, Elder Rose Dorian, Sally Sewap, Rachel Johnson, Heather Foulds, Brenna Bath, Stacey Lovo","doi":"10.1080/22423982.2023.2300858","DOIUrl":"10.1080/22423982.2023.2300858","url":null,"abstract":"<p><p>Indigenous Elder advisors in Pelican Narrows, a Cree community in Northern Saskatchewan, have indicated that Western pain scales may not be responsive tools for pain assessments within their community. This study employed a mixed methods research design that involved two phases. Phase one was the development of a pain scale in collaboration with an Elder and a Knowledge Keeper. Phase two was a pilot of the CDPS utilised during virtual physiotherapy sessions for chronic back pain. Twenty-seven participants completed the pre-physiotherapy treatment questionnaires, and 10 participants engaged in semi-structured interviews (9 community members; 1 healthcare provider). A weighted kappa analysis yielded k = 0.696, indicating a good agreement between the CDPS and Faces Pain Scale-Revised in terms of documenting participants' pain. Qualitative data from interviews with community members revealed three major themes: 1) Learnings Regarding Pain Scales, 2) Patient Centered Care; and 3) Strength-Based Solutions for Improving Pain Communication. Two themes were uncovered through conversations with the HCP: 1) Perspectives on CDPS and 2) Healthcare Provider Experiences Communicating about Pain. Moreover, a patient-centredcentred approach is important to ensure comprehensive pain assessments.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2300858"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10773658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139110881","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}
Kathryn R Koller, Sarah H Nash, Julie A Beans, Gretchen M Day, Vanessa Y Hiratsuka, Ai-Ling Lin, Meera Narayanan, Christi A Patten, Sherry A Hammock, Barbara V Howard, Jason G Umans
{"title":"Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study.","authors":"Kathryn R Koller, Sarah H Nash, Julie A Beans, Gretchen M Day, Vanessa Y Hiratsuka, Ai-Ling Lin, Meera Narayanan, Christi A Patten, Sherry A Hammock, Barbara V Howard, Jason G Umans","doi":"10.1080/22423982.2024.2343143","DOIUrl":"10.1080/22423982.2024.2343143","url":null,"abstract":"<p><p>Pre-diabetes (pre-DM) is a strong predictor of diabetes (DM) over time. This study investigated how much of the recent increase in pre-DM identified among Alaska Native (AN) peoples living in urban southcentral Alaska may be due to changes in diagnostic methods. We used clinical and demographic data collected at baseline between 2004 and 2006 and at follow-up collected between 2015 and 2017 from the urban southcentral Alaska Education and Research Towards Health (EARTH) cohort. We used descriptive statistics and logistic regression to explore differences in demographic and clinical variables among the identified pre-DM groups. Of 388 participants in the follow-up study, 243 had A1c levels indicating pre-DM with only 20 demonstrating pre-DM also by fasting blood glucose (FBG). Current smoking was the sole predictor for pre-DM by A1c alone while abdominal obesity and elevated FBG-predicted pre-DM by A1c+FBG. No participants had an elevated FBG without an A1c elevation. A substantial portion of the rise in pre-DM found among urban southcentral AN peoples in the EARTH follow-up study was due to the addition of A1c testing. Pre-DM by A1c alone should be used to motivate behavioural changes that address modifiable risk factors, including smoking cessation, physical activity and weight management.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2343143"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11064735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852556","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}
Mia Solholt Godthaab Brath, Marina Sahakyan, Esben Bolvig Mark, Henrik Højgaard Rasmussen, Lasse Riis Østergaard, Jens Brøndum Frøkjær, Ulla Møller Weinreich, Marit Eika Jørgensen
{"title":"Ethnic differences in CT derived abdominal body composition measures: a comparative retrospect pilot study between European and Inuit study population.","authors":"Mia Solholt Godthaab Brath, Marina Sahakyan, Esben Bolvig Mark, Henrik Højgaard Rasmussen, Lasse Riis Østergaard, Jens Brøndum Frøkjær, Ulla Møller Weinreich, Marit Eika Jørgensen","doi":"10.1080/22423982.2024.2312663","DOIUrl":"10.1080/22423982.2024.2312663","url":null,"abstract":"<p><p>Understanding ethnic variations in body composition is crucial for assessing health risks. Universal models may not suit all ethnicities, and there is limited data on the Inuit population. This study aimed to compare body composition between Inuit and European adults using computed tomography (CT) scans and to investigate the influence of demographics on these measurements. A retrospective analysis was conducted on 50 adults (29 Inuit and 21 European) who underwent standard trauma CT scans. Measurements focused on skeletal muscle index (SMI), various fat indices, and densities at the third lumbar vertebra level, analyzed using the Wilcoxon-Mann-Whitney test and multiple linear regression. Inuit women showed larger fat tissue indices and lower muscle and fat densities than European women. Differences in men were less pronouncehd, with only Intramuscular fat density being lower among Inuit men. Regression indicated that SMI was higher among men, and skeletal muscle density decreased with Inuit ethnicity and age, while visceral fat index was positively associated with age. This study suggests ethnic differences in body composition measures particularly among women, and indicates the need for Inuit-specific body composition models. It higlights the importance of further research into Inuit-specific body composition measurements for better health risk assessment.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2312663"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681075","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}