Health Reports最新文献

{"title":"Risk of non-medical drug overdose following prescription of opioids post-injury: A retrospective cohort study.","authors":"Alex Zheng,&nbsp;Aamir Bharmal,&nbsp;Fahra Rajabali,&nbsp;Kate Turcotte,&nbsp;Larry Thomas,&nbsp;Len Garis,&nbsp;Ian Pike","doi":"10.25318/82-003-x202200700001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200700001-eng","url":null,"abstract":"<p><strong>Background: </strong>There has been increasing scrutiny of opioid prescribing following injury because of concerns that prescribed opioids may contribute to addiction and overdose. This study aimed to better understand the relationship between injury, opioids prescribed before and after injury, and non-medical drug poisoning.</p><p><strong>Data and methods: </strong>Working age (15 to 65 years old) residents of British Columbia's Fraser Health region with an injury that involved an emergency department visit were included. Factors examined included the prescription of opioid and opioid agonist therapy (OAT) medications before and after injury, age, sex, work-related injuries, and socioeconomic status, as well as how they were associated with non-medical drug poisoning risk and post-injury prescriptions.</p><p><strong>Results: </strong>Opioid-naive individuals (those without an opioid prescription captured before their injury) who were prescribed OAT medication-a marker of opioid use disorder-following their injury had a higher risk of subsequent non-medical drug poisoning (Hazard ratio (HR): 21.4 to 22.4 compared with opioid-naive individuals without an opioid or OAT prescription). Post-injury opioid prescription in these individuals increased poisoning risk (HR: 1.27 compared with those without a prescription). Being of male sex (HR: 1.80), being younger (HR: 0.76 for every 10-year increase in age) and living in the lowest-income neighbourhoods (HR: 1.44 compared with the middle quintile) increased poisoning risk. Compared with injuries sustained outside of work, work-related injuries reduced risk (HR: 0.62).</p><p><strong>Interpretation: </strong>Among a cohort of British Columbians visiting emergency departments following an injury, opioid prescribing in patients who were opioid-naive appears to be a minor contributor to non-medical drug poisoning, particularly when compared with other patient factors, such as being male, being younger and having a low socioeconomic status.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 7","pages":"3-12"},"PeriodicalIF":5.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40525621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of prescription and non-prescription polypharmacy by frailty and sex among middle-aged and older Canadians.","authors":"Daniel A Harris,&nbsp;Yanling Guo,&nbsp;Nardine Nakhla,&nbsp;Mina Tadrous,&nbsp;David B Hogan,&nbsp;Deirdre Hennessy,&nbsp;Kellie Langlois,&nbsp;Rochelle Garner,&nbsp;Sarah Leslie,&nbsp;Susan E Bronskill,&nbsp;George Heckman,&nbsp;Colleen J Maxwell","doi":"10.25318/82-003-x202200600001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200600001-eng","url":null,"abstract":"<p><strong>Background: </strong>Estimates of polypharmacy have primarily been derived from prescription claims, and less is known about the use of non-prescription medications (alone or in combination with prescription medications) across the frailty spectrum or by sex. Our objectives were to estimate the prevalence of polypharmacy (total, prescription, non-prescription, and concurrent prescription and non-prescription) overall, and by frailty, sex and broad age group.</p><p><strong>Data: </strong>Canadian Health Measures Survey, Cycle 5, 2016 to 2017.</p><p><strong>Methods: </strong>Among Canadians aged 40 to 79 years, all prescription and non-prescription medications used in the month prior to the survey were documented. Polypharmacy was defined as using five or more medications total (prescription and non-prescription), prescription only and non-prescription only. Concurrent prescription and non-prescription use was defined as two or more and three or more of each. Frailty was defined using a 31-item frailty index (FI) and categorized as non-frail (FI ≤ 0.1) and pre-frail or frail (FI > 0.1). Survey-weighted descriptive statistics were calculated overall and age standardized.</p><p><strong>Results: </strong>We analyzed 2,039 respondents, representing 16,638,026 Canadians (mean age of 56.9 years; 51% women). Overall, 52.4% (95% confidence interval [CI] = 47.3 to 57.4) were defined as pre-frail or frail. Age-standardized estimates of total polypharmacy, prescription polypharmacy and concurrent prescription and non-prescription medication use were significantly higher among pre-frail or frail versus non-frail adults (e.g., total polypharmacy: 64.1% versus 31.8%, respectively). Polypharmacy with non-prescription medications was common overall (20.5% [95% CI = 16.1 to 25.8]) and greater among women, but did not differ significantly by frailty.</p><p><strong>Interpretation: </strong>Polypharmacy and concurrent prescription and non-prescription medication use were common among Canadian adults, especially those who were pre-frail or frail. Our findings highlight the importance of considering non-prescribed medications when measuring the exposure to medications and the potential risk for adverse outcomes.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 6","pages":"3-16"},"PeriodicalIF":5.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalization related to chronic hepatitis B and C in recent immigrants in Canada: An immigration administrative data-linked, population-based cohort study.","authors":"Edward Ng,&nbsp;Jacklyn Quinlan,&nbsp;George Giovinazzo,&nbsp;Maria Syoufi,&nbsp;Dominique Elien Massenat,&nbsp;Claudia Sanmartin,&nbsp;Curtis Cooper","doi":"10.25318/82-003-x202200600003-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200600003-eng","url":null,"abstract":"<p><strong>Background: </strong>Canadian immigrants from countries where the hepatitis B virus (HBV) and hepatitis C virus (HCV) are endemic may be at higher risk of liver-related disease than Canadian-born residents. This study compared HBV- and HCV-related hospitalizations in Canadian immigrants (arriving from 1980 to 2013) and long-term residents (Canadian-born population and pre-1980 immigrants) and aimed to describe the burden of disease in both groups.</p><p><strong>Methods: </strong>Based on the 2004/2005-to-2013/2014 hospital Discharge Abstract Database linked to the 1980-to-2013 Longitudinal Immigration Database, this descriptive cross-sectional study examined the distribution of HBV- and HCV-related hospitalizations, lengths of stay, comorbidities, and sequelae incurred by immigrants and long-term residents in Canada. With a linkage rate of 85%, 5,854,949 immigrants were included in the study. Proportions of HBV- and HCV-related hospitalizations attributable to immigrants were calculated.</p><p><strong>Results: </strong>By birth country risk level, 22% of HBV-related hospital events among recent immigrants, and 20% of those related to HCV, were among people from high-risk countries. Proportionally, fewer immigrants had comorbidities than long-term residents. The top two hospital-related sequelae in both groups were cirrhosis and ascites, and liver cancer. While immigrants made up 16% of the Canadian population, they incurred 37% of HBV-related hospitalizations and 9% of HCV-related hospitalizations, giving ratios of hepatitis-related hospitalizations relative to the population share of 2.3 (95% confidence interval [CI]: 2.2 to 2.5) and 0.5 (95% CI: 0.5 to 0.6) respectively. These ratios were higher among seniors, at 4.4 (95% CI: 3.9 to 4.9) and 2.3 (95% CI: 1.9 to 2.6), respectively.</p><p><strong>Interpretation: </strong>Immigrants can require hospitalization for hepatitis in Canada, especially for HBV. These results may inform health screening for HBV or HCV in the Canadian immigration context.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 6","pages":"30-45"},"PeriodicalIF":5.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring progress in cancer survival across Canadian provinces: Extending the cancer survival index to further evaluate cancer control efforts.","authors":"Larry F Ellison","doi":"10.25318/82-003-x202200600002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200600002-eng","url":null,"abstract":"<p><strong>Background: </strong>A comprehensive evaluation of progress in cancer survival for all cancer types combined in Canada has recently been accomplished. An analogous evaluation across Canadian provinces has yet to be conducted.</p><p><strong>Data and methods: </strong>Data from 1992 to 2017 are from the population-based Canadian Cancer Registry death-linked analytic file. Provincial cancer survival index (CSI) estimates were calculated as the weighted sum of the sex- and cancer-specific age-standardized provincial net survival estimates. Provincial sex-specific CSI estimates were calculated separately using sex-specific cancer type weights. Data availability (Quebec) and sufficiency (Prince Edward Island and the territories) issues precluded CSI calculations for all jurisdictions.</p><p><strong>Results: </strong>For the most recent period, 2013 to 2017, the five-year CSI was highest in Ontario (64.1%) and Alberta (63.3%), and lowest in Nova Scotia (60.8%). Significant progress in the five-year CSI since the period from 1992 to 1996 was observed in each province; the largest increases occurred in Alberta (8.7 percentage points) and Ontario (8.6 percentage points). Alberta's increase improved its relative provincial ranking from eighth to second. The influence of prostate cancer on provincial changes in the CSI since the period from 2003 to 2007 varied considerably from strongly counterproductive in New Brunswick, Saskatchewan and Nova Scotia because of decreasing prostate cancer survival, to strongly productive in Manitoba.</p><p><strong>Interpretation: </strong>Significant progress has been made in five-year cancer survival for all cancers combined since the early 1990s in each Canadian province studied. However, the magnitude of the progress has not been uniform across the provinces, and the cancer and sex combinations that have most influenced it have varied by province and period.</p>","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 6","pages":"17-29"},"PeriodicalIF":5.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40632509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The unequal impact of the COVID-19 pandemic on the physical activity habits of Canadians.","authors":"R. Colley, Jenny Watt","doi":"10.25318/82-003-x202200500003-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200500003-eng","url":null,"abstract":"Background\u0000Canadian and international research has shown that the COVID-19 pandemic has led to changes in health behaviours, including physical activity.\u0000\u0000\u0000Methods\u0000The Canadian Community Health Survey asked Canadian youth (12 to 17 years) and adults (18 years and older) to report the amount of time they spent in the past seven days engaged in physical activity across the following domains: recreation, transportation, household or occupation, and school (youth only). The present analysis compares the physical activity from two cross-sectional samples collected during the fall of 2018 (n=13,482) and the fall of 2020 (n=27,234).\u0000\u0000\u0000Results\u0000Youth reported accumulating, on average, two hours less physical activity per week in the fall of 2020 compared with the fall of 2018 (-129 minutes per week). The percentage of youth meeting the Canadian physical activity recommendation for children and youth dropped from 50.8% in the fall of 2018 to 37.2% in the fall of 2020. Physical activity decreased more among youth living in urban (-135 minutes per week) compared with rural (-86 minutes per week) areas. Physical activity decreased more among youth from Ontario (-168 minutes per week), Quebec (-121 minutes per week) and the Prairies (-106 minutes per week) compared with youth from the Atlantic provinces (-38 minutes per week) and British Columbia (-75 minutes per week). There was no change in the percentage of adults aged 18 and older meeting the Canadian physical activity recommendation between the fall of 2018 (52.7%) and the fall of 2020 (53.3%). Weekly physical activity was stable between fall 2018 and fall 2020 among 18 to 49 year olds, while significant increases were observed among adults aged 50 to 64 years (+41 minutes per week), 65 to 79 years (+55 minutes per week) and 80+ years (+20 minutes per week). Increases in physical activity among adults were statistically significant only among non-immigrant, non-Indigenous, those not designated as a visible minority, those living in urban areas and those with a postsecondary degree.\u0000\u0000\u0000Interpretation\u0000The COVID-19 pandemic had a detrimental impact on the physical activity of youth but not adults. The findings of this study add to a growing body of evidence that shows the considerable impact the pandemic has had on many aspects of Canadian life, including physical activity.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 5 1","pages":"22-33"},"PeriodicalIF":5.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41507508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of suicidal ideation among adults in Canada: Results of the second Survey on COVID-19 and mental health.","authors":"Li Liu, Nathaniel J. Pollock, Gisèle Contreras, L. Tonmyr, Wendy Thompson","doi":"10.25318/82-003-x202200500002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200500002-eng","url":null,"abstract":"Introduction\u0000Data from the first round of the nationally representative Survey on COVID-19 and Mental Health (SCMH) revealed that the prevalence of recent suicidal ideation in the fall of 2020 in Canada did not differ significantly from that in the pre-pandemic period in 2019. The objective of the present study was to reassess the prevalence of recent suicidal ideation in the spring of 2021.\u0000\u0000\u0000Methods\u0000The prevalence of suicidal ideation among adults in Canada was examined using the 2021 SCMH (conducted between February 1 and May 7, 2021), and it was compared with the prevalence in the 2019 Canadian Community Health Survey. Unadjusted logistic regression analysis was used to assess the differential likelihood of reporting suicidal ideation in population subgroups.\u0000\u0000\u0000Results\u0000Among adults in Canada, the prevalence of suicidal ideation since the pandemic began was 4.2%, which was significantly higher than the pre-pandemic prevalence of 2.7% in 2019. A statistically significant increase in prevalence was observed among females and males, age groups younger than 65, and several other sociodemographic groups, as well as in British Columbia, the Prairie provinces and Ontario. People who were younger than 65 years, were born in Canada, had lower educational attainment, or were never married were significantly more likely to report suicidal ideation than others during the pandemic.\u0000\u0000\u0000Conclusion\u0000As the second year of the pandemic began, the prevalence of recent suicidal ideation in Canada was higher than it had been before the pandemic in 2019. Continuous monitoring of suicide-related outcomes and risks is necessary so that population-level changes can be detected and inform public health action.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 5 1","pages":"13-21"},"PeriodicalIF":5.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45913127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the mental health continuum: Short form among Canadian Armed Forces personnel.","authors":"R. Plouffe, Aihua Liu, J. Richardson, A. Nazarov","doi":"10.25318/82-003-x202200500001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200500001-eng","url":null,"abstract":"Background\u0000Compared to the general Canadian population, military members exhibit a higher prevalence of depressive disorders, anxiety disorders, and post-traumatic stress disorder. However, there is a paucity of research investigating the extent to which military members experience positive mental health. Validation of positive mental health measures, including the Mental Health Continuum - Short Form (MHC-SF), is necessary to determine whether well-being can be assessed in a valid and reliable manner among Canadian Armed Forces (CAF) military members. The purpose of this research was to assess the internal consistency reliability, convergent validity, factor structure, and measurement invariance of the MHC-SF among CAF Regular Force and Reserve Force military members.\u0000\u0000\u0000Data and methods\u0000Data were drawn from the nationally representative 2013 Canadian Forces Mental Health Survey (CFMHS) conducted by Statistics Canada. A random sample of 8,200 CAF military personnel completed the CFMHS, representing 64,400 Regular Force and 4,460 Reserve Force CAF personnel.\u0000\u0000\u0000Results\u0000As expected, all three MHC-SF subscales (psychological, social, and emotional well-being) correlated positively with life satisfaction, self-rated mental health, sense of belonging, and social support, and correlated negatively with psychological distress and disability due to health conditions. Internal consistency was high. Confirmatory factor analysis supported the three-factor structure of the MHC-SF, and measurement invariance was satisfied.\u0000\u0000\u0000Interpretation\u0000Findings provided support for the reliability, convergent validity, factorial validity, and measurement invariance of the MHC-SF among both Regular Force and Reserve Force military samples. Therefore, researchers and clinicians can reliably implement the MHC-SF as a tool to assess, interpret, and predict military members' psychological, social, and emotional well-being.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 5 1","pages":"3-12"},"PeriodicalIF":5.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46168838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported eye health in Canada: 20 years of data.","authors":"P. Finès","doi":"10.25318/82-003-x202200400002-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200400002-eng","url":null,"abstract":"Context\u0000Eye health is an indicator of health in general. Few studies on eye health have been done in Canada, and none of them covered several years of data.\u0000\u0000\u0000Data and Methods\u0000Data from the Canadian Community Health Survey for most years from 2000 to 2020 were used. Eye health was analyzed, by year, sex and age, as well as by immigrant status, the highest level of education in the household and the income quintile of the household. Estimates were obtained using survey weights, and 95% confidence intervals were obtained with bootstrap weights.\u0000\u0000\u0000Results\u0000In 2020, the proportion of the population that reported having good vision without correction was about 75% among youth aged 12 to 19 years for both sexes. This proportion was considerably lower for those aged around 45 to 49 years and was about 25% for those aged 55 years or older. Self-reported good vision without correction improved from 2000/2001 to 2020, except for those aged 20 to 39 years old. Every year, fewer females than males reported having good vision without correction.\u0000\u0000\u0000Interpretation\u0000Self-reported eye health generally improved during the period of this study. Limitations of the survey arise from the fact that it uses self-reported data. Moreover, the survey underwent important changes in 2015 that could limit the comparability of data during the period of the study. However, the large number of years included in the study and the stability of the results validate the conclusions.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 4 1","pages":"14-23"},"PeriodicalIF":5.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47554488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in chronic disease risk factors and current exercise habits among Canadian adults living with and without a child during the COVID-19 pandemic.","authors":"Alessandra T. Andreacchi, Yulika Yoshida-Montezuma, R. Colley, Brendan T. Smith, L. Vanderloo, Laura N. Anderson","doi":"10.25318/82-003-x202200400001-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200400001-eng","url":null,"abstract":"Background\u0000Canadians have been gravely impacted by the COVID-19 pandemic, and adults living with children may have been disproportionately impacted. The objective of this study was to describe changes in chronic disease risk factors and current exercise habits among adults living with and without a child younger than 18 years old.\u0000\u0000\u0000Data and Methods\u0000A repeated cross-sectional study was conducted using data collected from Canadians aged 15 and older via the Canadian Perspective Survey Series (CPSS) in late March (CPSS1, N=4,383), early May (CPSS2, N=4,367) and mid-July 2020 (CPSS4, N=4,050). This analysis included participants aged 25 and older. At three points during 2020, participants reported whether they increased, decreased, or had not changed their consumption of alcohol, tobacco and junk food or sweets, their screen use, and whether they currently exercised indoors or outdoors. Behaviours were compared for adults living with and without a child, and unadjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated using logistic regression.\u0000\u0000\u0000Results\u0000The presence of a child in the household was associated with higher odds of increased (compared with decreased or no change) alcohol consumption at all three time points, consumption of junk food and sweets at CPSS1 (OR: 1.69, 95% CI: 1.09-2.60), and time on the Internet at CPSS1 (OR: 1.59, 95% CI: 1.05-2.41) and CPSS4 (OR: 1.56, 95% CI: 1.05-2.29). Compared with older adults (aged 55 and older), younger adults (aged 25 to 54) were more likely to exhibit increases in chronic disease risk factors regardless of the presence of a child in the household.\u0000\u0000\u0000Interpretation\u0000A substantial proportion of Canadian adults reported increased chronic disease risk factors during the pandemic, with greater increases noted among adults living with a child, compared with those living without a child. Public health interventions are urgently needed to mitigate the long-term impact of the pandemic on population health.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 4 1","pages":"3-13"},"PeriodicalIF":5.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41434371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 infection in the Canadian household population.","authors":"Tracey Bushnik, S. Earl, J. Clark, Jonathan Cabot","doi":"10.25318/82-003-x202200400003-eng","DOIUrl":"https://doi.org/10.25318/82-003-x202200400003-eng","url":null,"abstract":"Background\u0000Certain population groups face a disproportionate burden of exposure to COVID-19. This study examined characteristics of Canadians living in private households in fall 2020 and winter 2021 who had been infected with COVID-19.\u0000\u0000\u0000Data and Methods\u0000With an online questionnaire and an at-home finger-prick blood test, the Canadian COVID-19 Antibody and Health Survey was designed to estimate the seroprevalence of COVID-19 infection among people in private households in Canada. Data were collected from respondents aged 1 or older in the 10 provinces and the three territorial capitals, from November 2020 to April 2021. Descriptive statistics and logistic regression were used to identify characteristics that were associated with being seropositive for a past COVID-19 infection. Gender differences in observed associations were examined.\u0000\u0000\u0000Results\u0000After covariate adjustment, younger age and visible minority status were associated with an increased likelihood of being seropositive for a past COVID-19 infection. For males, having a visible minority status, having less education and living in a multi-unit dwelling increased the likelihood of being seropositive. Females were more likely to have been seropositive if they worked in health care in direct contact with others.\u0000\u0000\u0000Interpretation\u0000As Canada navigates the fifth and possibly a sixth wave of the pandemic, understanding who was more likely to be infected in earlier waves can help ongoing public health efforts to stop the transmission of COVID-19.","PeriodicalId":49196,"journal":{"name":"Health Reports","volume":"33 4 1","pages":"24-33"},"PeriodicalIF":5.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45028657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}