International Journal of Circumpolar Health最新文献_第7页

Early life nutrition in Nunavut, Canada: a retrospective descriptive study of food security, vitamin D and rickets. 加拿大努纳武特的早期生命营养：粮食安全、维生素D和佝偻病的回顾性描述性研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-16 DOI: 10.1080/22423982.2025.2580100

Amy Caughey, Sherilee L Harper, Igah Sanguya, Jan M Sargeant, Amber Miners, Michelle Doucette, Theresa Koonoo, Hope Weiler, Jean Allen, Allison MacRury, Gwen Healey Akearok, Helle Moller, Breanne Aylward, Jimena Gonzalez Lema, Laura Arbour

{"title":"Early life nutrition in Nunavut, Canada: a retrospective descriptive study of food security, vitamin D and rickets.","authors":"Amy Caughey, Sherilee L Harper, Igah Sanguya, Jan M Sargeant, Amber Miners, Michelle Doucette, Theresa Koonoo, Hope Weiler, Jean Allen, Allison MacRury, Gwen Healey Akearok, Helle Moller, Breanne Aylward, Jimena Gonzalez Lema, Laura Arbour","doi":"10.1080/22423982.2025.2580100","DOIUrl":"10.1080/22423982.2025.2580100","url":null,"abstract":"Northern regions of Canada have the highest reported incidence of childhood rickets in the country, yet this public health problem remains poorly described. The goal of this research was to explore the food and vitamin D supplementation experiences in pregnancy and infancy and examine associations with rickets diagnosis. Data were collected systematically through a retrospective chart review of Inuit children from 18 communities in Nunavut born from 2010-2013. Although most pregnant people reported consuming country food daily or weekly, one in three pregnant people reported being food insecure. Fewer than half of infants were reported to have received daily vitamin D supplement at two months of age, and frequency of supplement use declined with age. Rickets diagnosis was present in 1.63% of children (95% CI = 1.20%-2.20%). The odds of rickets diagnosis were higher for children whose mothers experienced food insecurity during pregnancy than for those whose mothers had never experienced food insecurity (OR = 5.279; 95% CI = 1.248-16.191). Enhanced support for food security, breastfeeding and vitamin D supplementation in early life is needed. In the context of social determinants of health, this study highlights the far-reaching and negative impacts of food insecurity on the health of Inuit children in Nunavut.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2580100"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12624957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534049","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

Feasibility and patient perspectives on telerehabilitation for COPD in Greenland. 格陵兰COPD远程康复的可行性和患者观点。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-12 DOI: 10.1080/22423982.2025.2579362

Sigurd Gregersen, Henrik Hansen, Christina Nielsen, Maja Hykkelbjerg Hald

{"title":"Feasibility and patient perspectives on telerehabilitation for COPD in Greenland.","authors":"Sigurd Gregersen, Henrik Hansen, Christina Nielsen, Maja Hykkelbjerg Hald","doi":"10.1080/22423982.2025.2579362","DOIUrl":"10.1080/22423982.2025.2579362","url":null,"abstract":"Chronic obstructive pulmonary disease (COPD) presents a significant health burden in Greenland. Pulmonary telerehabilitation (PTR) provides an evidence-based, feasible approach to deliver care to the geographically dispersed population. This mixed-method study evaluates the feasibility and acceptability of PTR for individuals with COPD in Greenland, combining quantitative evaluation of adherence, satisfaction, and clinical outcomes with qualitative interviews and a field log. Seven participants were enrolled in the 10-week program; four completed it. Satisfaction was high and clinical outcomes improved. Participants reported increased self-efficacy and perceived the intervention as effective for disease management. However, dropout rate was high, technical issues were frequent, and some found online sessions less engaging, expressing a desire for more peer support and structural incentives to sustain motivation beyond the program. In this small sample, PTR appeared to be an acceptable and valuable addition to COPD care in Greenland. However, questions remain about the suitability of this approach for the broader population, given Greenland's telehealth infrastructure and digital readiness. Future efforts should focus on strengthening peer support and sustained engagement beyond programs. Considering digital health literacy and user readiness is essential for telerehabilitation efforts in Greenland.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2579362"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12616654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145503718","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

Thanks for helping light the uncharted paths ahead! 感谢你帮助照亮前方未知的道路！

IF 1.9 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-12-12 DOI: 10.1080/22423982.2025.2600201

Rhonda M Johnson

引用次数: 0

"We are all Norwegians; we are all the same" - midwives' experiences with Indigenous Sámi women in birth units in Northern Norway. “我们都是挪威人；我们都是一样的”——助产士在挪威北部产房接待土著Sámi妇女的经历。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-12-02 DOI: 10.1080/22423982.2025.2593697

Ánne-Hedvig Salmi Nordsletta, Ingela Lundgren, Robyn Maude, Hege Andreassen

{"title":"\"We are all Norwegians; we are all the same\" - midwives' experiences with Indigenous Sámi women in birth units in Northern Norway.","authors":"Ánne-Hedvig Salmi Nordsletta, Ingela Lundgren, Robyn Maude, Hege Andreassen","doi":"10.1080/22423982.2025.2593697","DOIUrl":"10.1080/22423982.2025.2593697","url":null,"abstract":"Indigenous Sámi women in Norway are entitled to equitable and culturally safe maternity care. However, research on the Sámi perspectives in maternity care is limited. To explore midwives' experiences with Sámi women in birthing units in Northern Norway, we conducted 11 interviews, which were analysed using reflexive thematic analysis. The main theme, \"We are all Norwegians: We are all the same,\" reflects a recurring perception that equality in care means treating all women equally, regardless of their cultural background. This approach, while well-intentioned, risked obscuring the specific cultural needs of Sámi women. The analysis showed tensions between sameness and difference: some midwives emphasised individualised, woman-centred care without reference to cultural identity, while others recognised that Sámi women's backgrounds could shape communication, expectations, and needs in childbirth. Midwives with Sámi heritage described their background as influencing their understanding, even when they did not self-identify as Sámi. While midwives strive to provide individualised and equal care, this may unintentionally reproduce assimilative norms and contribute to culturally unsafe care by under-communicating difference. The findings underscore the importance of enhancing cultural safety in Norwegian midwifery through education, reflection on historical injustices, and acknowledgement of Sámi women's cultural identities.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2593697"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12673985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653037","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

A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study. 远程第一民族社区知情虚拟护理方法慢性背痛管理：一项混合方法研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-06 DOI: 10.1080/22423982.2025.2574110

Stacey Lovo, Rebecca Sawatsky, Kumel Amjad, Khuzaima Ahmad, Biaka Imea, Briana Bowes, Veronica McKinney, Sally Sewap, Rose Dorion, Brenna Bath

{"title":"A remote first nation community-informed virtual care approach to chronic back pain management: a mixed methods study.","authors":"Stacey Lovo, Rebecca Sawatsky, Kumel Amjad, Khuzaima Ahmad, Biaka Imea, Briana Bowes, Veronica McKinney, Sally Sewap, Rose Dorion, Brenna Bath","doi":"10.1080/22423982.2025.2574110","DOIUrl":"10.1080/22423982.2025.2574110","url":null,"abstract":"Chronic back pain (CBP) is a widespread public health issue. There is a lack of community-based care options for Indigenous Peoples with CBP. A virtual care clinic co-designed with community was implemented in the Cree Community of Pelican Narrows using remote presence (RPR) technology. Methods We used a community-based participatory action framework and pre-post design to evaluate this intervention. Pain, quality of life and experience outcomes were measured. An assessment was provided by a local nurse practitioner and a physical therapist joining over RPR. The physical therapist provided jp to four follow-up treatments per participant using RPR. Results Thirty-eight participants were assessed, and 78 follow-up treatments delivered. No significant differences between pre- and post- pain or quality of life were found. Thirteen patient participants and five health providers completed interviews. Patient themes included: (1) community and healthcare context, (2) community preferences for back pain care, and (3) experience with virtual back pain clinic. Health care provider themes included: (1) getting people to clinic, (2) experience with virtual back pain clinic, and (3) ways to enhance care. Conclusion Virtual CBP clinic enhanced access to therapy and was experienced positively. Participants suggested ways to address challenges, including a hybrid model of care.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2574110"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12614343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458439","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

What makes Inuulitsivik midwifery successful and sustainable? How an Inuit-led care model brought birth back to our remote arctic communities. 是什么让因努利维克助产成功且可持续？因纽特人主导的护理模式如何为我们偏远的北极社区带来新生。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-06 DOI: 10.1080/22423982.2025.2576994

Kimberly Moorhouse, Eileen Moorhouse, Brenda Epoo, Akinisie Qumaluk, Leah Qinaujuak, Louissa Pauyungie, Jennie Stonier, Vicki Van Wagner, Kellie Thiessen

{"title":"What makes Inuulitsivik midwifery successful and sustainable? How an Inuit-led care model brought birth back to our remote arctic communities.","authors":"Kimberly Moorhouse, Eileen Moorhouse, Brenda Epoo, Akinisie Qumaluk, Leah Qinaujuak, Louissa Pauyungie, Jennie Stonier, Vicki Van Wagner, Kellie Thiessen","doi":"10.1080/22423982.2025.2576994","DOIUrl":"10.1080/22423982.2025.2576994","url":null,"abstract":"Nunavik (Québec, Canada) has been inhabited by Inuit for over 4,000 years. Inuit midwives assisted in childbirth for centuries before colonization removed birth from our communities. In the 1980s, after years of evacuation for birth to southern hospitals, local women and Inuit leaders brought birth back to our remote Hudson Coast and Hudson Strait villages. As Inuit midwives, we have continuously offered local midwifery care to the population since that time, supported by southern midwives and an interprofessional team. Our midwifery service is nationally and internationally recognized as a model for returning childbirth to remote communities and reclaiming Indigenous midwifery. Inuulitsivik midwifery demonstrates that birth services and midwifery education can be integrated into health care systems in remote communities with safe outcomes. To understand the factors that contribute to our success and sustainability, we brought together experienced midwives and student midwives and met in person, by teleconference and online. Themes that emerged include Inuit values and language; Inuit leadership; local midwifery education; an adapted role for midwives in remote communities; flexibility in the organization and implementation of practice; midwifery-led interdisciplinary care and strategic collaboration with southern Canadian and international allies. We explore these themes and use common frameworks for policy analysis to consider effectiveness; impacts on the experience of pregnant women and families; health equity and access to services; costs; feasibility and acceptability. Our local midwifery service makes an important contribution to meeting the calls to Action of the Truth and Reconciliation Commission of Canada.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2576994"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458509","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

Grounded in culture: a participatory empowerment evaluation of the oskâyak (youth) power program for oskinîkiwak (young men) and napêsisak (boys) at pakitahaw sākahikan iýiniwak (sturgeon lake first nation). 以文化为基础：pakitahaw sākahikan iýiniwak（鲟鱼湖第一民族）为oskin<s:1> kiwak（青年）和napêsisak（男孩）提供的oskak（青年）权力计划的参与性赋权评估。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-11-06 DOI: 10.1080/22423982.2025.2576944

Norma Rabbitskin, Clifford Ballantyne, Udoka Okpalauwaekwe, Scott Tunison, Vivian R Ramsden

{"title":"Grounded in culture: a participatory empowerment evaluation of the oskâyak (youth) power program for oskinîkiwak (young men) and napêsisak (boys) at pakitahaw sākahikan iýiniwak (sturgeon lake first nation).","authors":"Norma Rabbitskin, Clifford Ballantyne, Udoka Okpalauwaekwe, Scott Tunison, Vivian R Ramsden","doi":"10.1080/22423982.2025.2576944","DOIUrl":"10.1080/22423982.2025.2576944","url":null,"abstract":"The Oskâyak (Youth) Power Program (YPP) at Pakitahaw Sākahikan Iýiniwak (Sturgeon Lake First Nation) was co-created by and with youth to strengthen miyo-ayāwin (wellness) among oskinîkiwak (young men) and napêsisak (boys). Using a participatory empowerment evaluation grounded in a braided framework of community-based participatory research (CBPR), transformative learning, and ethical space, guided conversations were held with 14 youth supported by Kēhtēyak (Elders) and Kayāsi Kistēyihtamow Kanawēyihcikēw (Traditional Knowledge Keepers). Oskâyak (Youth) described how cultural teachings, land-based activities, and mentorship nurtured confidence, identity, and connection, cultivating hope, belonging, purpose, and meaning. The findings show how Nation-led, strength-based programs grounded in Indigenous knowledge can foster holistic miyo-ayāwin, agency, and community connectedness. The YPP illustrates the power of Indigenous youth-led, culturally grounded approaches to address health inequities while honoring self-determination and Ownership, Control, Access, and Possession (OCAP®) principles.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2576944"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12599155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458451","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

Inuit youths' explanations of avoidance of formal mental health services and what should be done: results from interviews in two Nunavut communities. 因纽特青年对逃避正规心理健康服务和应采取措施的解释：两个努纳武特社区的访谈结果。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-10-28 DOI: 10.1080/22423982.2025.2572873

Léa Plourde-Léveillé, Brian L Mishara

{"title":"Inuit youths' explanations of avoidance of formal mental health services and what should be done: results from interviews in two Nunavut communities.","authors":"Léa Plourde-Léveillé, Brian L Mishara","doi":"10.1080/22423982.2025.2572873","DOIUrl":"10.1080/22423982.2025.2572873","url":null,"abstract":"In Nunavut, Inuit territory in Canada, young people have suicide rates nine times higher than the overall Canadian rates. However, mental health services struggle to reach young people. Regional suicide prevention organizations call for improved services and a better continuum of care. Yet little research has explored young people's experiences with the services currently available. As part of a larger study on resilience in Inuit youth, we asked them to explain their lack of use of mental health and suicide prevention services. The study was conducted in Arviat and Pangnirtung and followed the Inuit methodology Aajiiqatigiingniq Research Methodology (ARM), a cultural process for consensus building and solution-seeking compatible with a qualitative research approach. Advisory boards were created in each community. Interviews were conducted with thirty-one Inuit youths age 15 to 24. Data were analyzed by a thematic analysis. Young Inuit expressed a general discomfort with available services, including uneasiness with the health center and the way services are provided, they lacked information about services, lamented inadequate outreach methods and expressed a feeling of mistrust. Our findings support the value of several ongoing initiatives based upon cultural traditions, and may inform the continuum of care for suicide prevention .","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2572873"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12573539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145389177","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

A comparative cohort study of epilepsy in children in Greenland and Denmark. 格陵兰和丹麦儿童癫痫的比较队列研究。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-12-04 DOI: 10.1080/22423982.2025.2593698

Jacqueline M Mistry, Bolette Søborg, Anders Koch, Mikael Andersson, Maria J Miranda, Malene L Børresen

{"title":"A comparative cohort study of epilepsy in children in Greenland and Denmark.","authors":"Jacqueline M Mistry, Bolette Søborg, Anders Koch, Mikael Andersson, Maria J Miranda, Malene L Børresen","doi":"10.1080/22423982.2025.2593698","DOIUrl":"10.1080/22423982.2025.2593698","url":null,"abstract":"Few studies on epilepsy in Greenlandic children exist, and the results are inconsistent. The objective of this study was to estimate the burden of epilepsy in children in Greenland and Denmark and secondly to identify demographic risk factors. Third, the risk of epilepsy after febrile seizures should be estimated. A register-based cohort study of all children in Greenland and Denmark aged 0-15 years from 1987 to 2014 was conducted. Using the Greenlandic and Danish National Patient Register, cases were identified and coupled to demographics through the Civil Registration System. The outcomes were incidence rates (IR) per 100,000 person-years (PY) and hazard ratios (HR).The study showed an epilepsy IR of 150/100,000 PY (139-162) in Greenland and 110/100,000PY (108-111) in Denmark and an HR of 1.34. The IRs were very high in the first years of life. A significantly higher HR was found for male sex, Inuit ethnicity in Greenland and habitation in Greenland outside of the capital. The risk of epilepsy after the diagnosis of febrile seizures was almost doubled in Greenland compared with Denmark.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2593698"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12683724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145677382","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

A retrospective registry study comparing a portable school-based model and a standard clinic-based model. 一项回顾性登记研究，比较便携式基于学校的模型和标准基于诊所的模型。

IF 1.7 4区医学

International Journal of Circumpolar Health Pub Date : 2025-12-31 Epub Date: 2025-10-09 DOI: 10.1080/22423982.2025.2568263

Anna Maria Heikkinen, Teresa Niku, Essi Teronen, Jari Linden, Timo Kauppila

{"title":"A retrospective registry study comparing a portable school-based model and a standard clinic-based model.","authors":"Anna Maria Heikkinen, Teresa Niku, Essi Teronen, Jari Linden, Timo Kauppila","doi":"10.1080/22423982.2025.2568263","DOIUrl":"10.1080/22423982.2025.2568263","url":null,"abstract":"We compared a school-based portable and a clinic-based standard model for examining the oral health of school-age children in Finland. Two socioeconomically comparable regions were examined to discover the differences between these models for providing oral health examinations for primary school-age children in Finland. A retrospective registry study using patient records from the electronic health system (2020-2023) was conducted in two socioeconomically comparable regions: Nokia (portable model, n=481) and Tampere (standard model, n=538). The analysed variables included the number of visits, the longest gap between visits, diagnoses, oral health care procedures and recall intervals. The standard model exhibited significantly longer gaps between visits (median 25 vs. 11 months, p<0.001) and fewer individualised recall intervals (11.7% vs. 24.9%, p<0.001). Recall intervals were longer in the standard model (17 vs. 6 months, p<0.001). The standard model also showed higher prevalence of caries (21.1% vs. 11.7%, p<0.005), restorative treatments (41.3% vs. 33.1%, p<0.001) and tooth extractions (35.5% vs. 22.4%, p=0.005). The portable model had a higher proportion of children who received only a dentist's examination (35% vs. 9.6%, p<0.001) compared to hygienist-led examinations. Organisational factors play a more significant role than mere geographical accessibility in ensuring effective oral health care in Finland.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"84 1","pages":"2568263"},"PeriodicalIF":1.7,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258207","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