{"title":"Prediabetes, CANRISK and screening in Canada.","authors":"David Butler-Jones","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"32 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30311251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-Monitoring Blood Glucose Workshop II: Development and dissemination of the DCPNS decision tool for self-monitoring blood glucose in non-insulin-using type 2 diabetes.","authors":"M J Dunbar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"32 1","pages":"59-61"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30398898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L A Magee, K Massey, P von Dadelszen, M Fazio, B Payne, R Liston
{"title":"Identifying potentially eligible subjects for research: paper-based logs versus the hospital administrative database.","authors":"L A Magee, K Massey, P von Dadelszen, M Fazio, B Payne, R Liston","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The Canadian Perinatal Network (CPN) is a national database focused on threatened very pre-term birth. Women with one or more conditions most commonly associated with very pre-term birth are included if admitted to a participating tertiary perinatal unit at 22 weeks and 0 days to 28 weeks and 6 days.</p><p><strong>Methods: </strong>At BC Women's Hospital and Health Centre, we compared traditional paper-based ward logs and a search of the Canadian Institute for Health Information (CIHI) electronic database of inpatient discharges to identify patients.</p><p><strong>Results: </strong>The study identified 244 women potentially eligible for inclusion in the CPN admitted between April and December 2007. Of the 155 eligible women entered into the CPN database, each method identified a similar number of unique records (142 and 147) not ascertained by the other: 10 (6.4%) by CIHI search and 5 (3.2%) by ward log review. However, CIHI search achieved these results after reviewing fewer records (206 vs. 223) in less time (0.67 vs. 13.6 hours for ward logs).</p><p><strong>Conclusion: </strong>Either method is appropriate for identification of potential research subjects using gestational age criteria. Although electronic methods are less time-consuming, they cannot be performed until after the patient is discharged and records and charts are reviewed. Each method's advantages and disadvantages will dictate use for a specific project.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"32 1","pages":"43-6"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30311256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K Hohenadel, E Pichora, L Marrett, D Bukvic, J Brown, S A Harris, P A Demers, A Blair
{"title":"Priority issues in occupational cancer research: Ontario stakeholder perspectives.","authors":"K Hohenadel, E Pichora, L Marrett, D Bukvic, J Brown, S A Harris, P A Demers, A Blair","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Workers are potentially exposed to known and suspected carcinogens in the workplace, many of which have not been fully evaluated. Despite persistent need, research on occupational cancer appears to have declined in recent decades. The formation of the Occupational Cancer Research Centre (OCRC) is an effort to counter this downward trend in Ontario. The OCRC conducted a survey of the broad stakeholder community to learn about priority issues on occupational cancer research.</p><p><strong>Methods: </strong>The OCRC received 177 responses to its survey from academic, health care, policy, industry, and labour-affiliated stakeholders. Responses were analyzed based on workplace exposures, at-risk occupations and cancers by organ system, stratified by respondents' occupational role.</p><p><strong>Discussion: </strong>Priority issues identified included workplace exposures such as chemicals, respirable dusts and fibres (e.g. asbestos), radiation (e.g. electromagnetic fields), pesticides, and shift work; and occupations such as miners, construction workers, and health care workers. Insufficient funding and a lack of exposure data were identified as the central barriers to conducting occupational cancer research.</p><p><strong>Conclusion: </strong>The results of this survey underscore the great need for occupational cancer research in Ontario and beyond. They will be very useful as the OCRC develops its research agenda.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 4","pages":"147-51"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30189587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L A Campbell, L Jackson, R Bassett, M J Bowes, M Donahue, J Cartwright, S Kisely
{"title":"Can we use medical examiners' records for suicide surveillance and prevention research in Nova Scotia?","authors":"L A Campbell, L Jackson, R Bassett, M J Bowes, M Donahue, J Cartwright, S Kisely","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Medical examiners' records can contribute to our understanding of the extent of suicide in a population, as well as associated sociodemographic and other factors.</p><p><strong>Methods: </strong>Using a mixed methods approach, the key objective of this pilot study was to determine the sources and types of information found in the Nova Scotia Medical Examiner Service (NSMES) records that might inform suicide surveillance and targeted prevention efforts. A secondary objective was to describe the one-year cohort of 108 individuals who died by suicide in 2006 in terms of available sociodemographic information and health care use in the year prior to death.</p><p><strong>Results: </strong>Data extraction revealed inconsistencies both across and within files in terms of the types and amounts of sociodemographic and other data collected, preventing correlational analyses. However, linkage of the records to administrative databases revealed frequent health care use in the month prior to death.</p><p><strong>Conclusion: </strong>The introduction of systematic data collection to NSMES investigations may yield a comprehensive dataset useful for policy development and population level research.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 4","pages":"165-71"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30189590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Screen-based sedentary behaviours among a nationally representative sample of youth: are Canadian kids couch potatoes?","authors":"S T Leatherdale, R Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the percentage of Canadian youth meeting screen-time guidelines and to identify characteristics associated with different screen-time behaviours.</p><p><strong>Methods: </strong>Using nationally representative data collected from the 2008/2009 Youth Smoking Survey (YSS), we analyzed three screen-time behaviours, cigarette smoking, weekly spending money, self esteem, region and grade by sex, and conducted four logistic regression models to examine factors associated with more than 2 hours a day of sedentary screen time.</p><p><strong>Results: </strong>Of 51 922 Canadian youth in grades 6 to 12, 50.9% spent more than 2 hours per day in screen-based behaviours. The average daily screen time was 7.8 (± 2.3) hours. Males and current smokers were more likely to report over 2 hours per day watching TV and videos or playing video games, whereas students in higher grades and those with weekly spending money were more likely to report playing or surfing on a computer. Youth with higher self-esteem were less likely to report spending over 2 hours per day in each of the three screen-time behaviours examined.</p><p><strong>Conclusion: </strong>Developing a better understanding of the factors associated with more hours of screen time is required to develop and target interventions that reduce screen-time behaviours.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 4","pages":"141-6"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30192020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M L Reitsma, J E Tranmer, D M Buchanan, E G Vandenkerkhof
{"title":"The prevalence of chronic pain and pain-related interference in the Canadian population from 1994 to 2008.","authors":"M L Reitsma, J E Tranmer, D M Buchanan, E G Vandenkerkhof","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Estimates of the prevalence of chronic pain worldwide and in Canada are inconsistent. Our primary objectives were to determine the prevalence of chronic pain by sex and age and to determine the prevalence of pain-related interference for Canadian men and women between 1994 and 2008.</p><p><strong>Methods: </strong>Using data from seven cross-sectional cycles in the National Population Health Survey and the Canadian Community Health Survey, we defined two categorical outcomes, chronic pain and pain-related interference with activities.</p><p><strong>Results: </strong>Prevalence of chronic pain ranged from 15.1% in 1996/97 to 18.9% in 1994/95. Chronic pain was most prevalent among women (range: 16.5% to 21.5%), and in the oldest (65 years plus) age group (range: 23.9% to 31.3%). Women aged 65 years plus consistently reported the highest prevalence of chronic pain (range: 26.0% to 34.2%). The majority of adult Canadians who reported chronic pain also reported at least a few activities prevented due to this pain (range: 11.4% to 13.3% of the overall population).</p><p><strong>Conclusion: </strong>Similar to international estimates, this Canadian population-based study confirms that chronic pain persists and impacts daily activities. Further study with more detailed definitions of pain and pain-related interference is warranted.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 4","pages":"157-64"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30189589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Online resources to enhance decision-making in public health.","authors":"D Finkle-Perazzo, N Jetha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A virtual front door, the Canadian Best Practices Portal for Health Promotion and Chronic Disease Prevention (\"the Portal\") provides access to evaluated community and population health interventions relevant to chronic disease prevention and health promotion. Designed to help Canadian public health practitioners and decision makers identify suitable interventions that they can adapt and replicate to meet their needs, the Portal is a highly accessible, easy to use and dynamic. It has a flexible search function and is supported by an extensive array of resources to inform policy and practice. Launched in 2006, the Portal forms a central pillar of the Canadian Best Practices Initiative, which was established by the Public Health Agency of Canada (PHAC) to improve policy and program decision-making by enabling access to the best available evidence on chronic disease prevention and health promotion practices. Throughout each phase of the Portal's development, more and more current public health topics and new decision-making tools have been added. As of February 2011, the Portal provides information on about 357 interventions and access to 58 resources. In this article, we aim to demonstrate the unique role of the Portal within the broader context of other available online resources. We use the concept of a \"pyramid of evidence\" to compare the Portal with one specific resource, Health-evidence.ca, to illustrate how public health practitioners and decision makers can use these resources together to make better, more evidence-informed decisions.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 4","pages":"172-5"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30189591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G P Doyle, D Major, C Chu, A Stankiewicz, M L Harrison, L Pogany, V M Mai, J Onysko
{"title":"A review of screening mammography participation and utilization in Canada.","authors":"G P Doyle, D Major, C Chu, A Stankiewicz, M L Harrison, L Pogany, V M Mai, J Onysko","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Participation rate is an important indicator for a screening program's effectiveness; however, the current approach to measuring participation rate in Canada is not comparable with other countries. The objective of this study is to review the measurement of screening mammography participation in Canada, make international comparisons, and propose alternative methods.</p><p><strong>Methods: </strong>Canadian breast cancer screening program data for women aged 50 to 69 years screened between 2004 and 2006 were extracted from the Canadian Breast Cancer Screening Database (CBCSD). The fee-for-services (FSS) mammography data (opportunistic screening mammography) were obtained from the provincial ministries of health. Both screening mammography program participation and utilization were examined over 24 and 30 months.</p><p><strong>Results: </strong>Canada's screening participation rate increases from 39.4% for a 24-month cut-off to 43.6% for a 30-month cut-off. The 24-month mammography utilization rate is 63.1% in Canada, and the 30-month utilization rate is 70.4%.</p><p><strong>Conclusion: </strong>Due to the differences in health service delivery among Canadian provinces, both programmatic participation and overall utilization of mammography at 24 months and 30 months should be monitored.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 4","pages":"152-6"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30189588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A G Bulloch, S Currie, L Guyn, J V Williams, D H Lavorato, S B Patten
{"title":"Estimates of the treated prevalence of bipolar disorders by mental health services in the general population: comparison of results from administrative and health survey data.","authors":"A G Bulloch, S Currie, L Guyn, J V Williams, D H Lavorato, S B Patten","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Informed provision of population mental health services requires accurate estimates of disease burden.</p><p><strong>Methods: </strong>We estimated the treated prevalence of bipolar disorders by mental health services in the Calgary Zone, a catchment area in Alberta with a population of over one million. Administrative data in a central repository provides information of mental health care contacts for about 95% of publically funded mental health services. We compared this treated prevalence against self-reported data in the 2002 Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2).</p><p><strong>Results: </strong>Of the 63 016 individuals aged 18 years plus treated in the Calgary Zone in 2002-2008, 3659 (5.81%) and 1065 (1.70%) were diagnosed with bipolar I and bipolar II disorder, respectively. The estimated treated population prevalence of these disorders was 0.41% and 0.12%, respectively. We estimated that 0.44% to 1.17% of the Canadian population was being treated by psychiatrists for bipolar I disorder from CCHS 1.2.</p><p><strong>Discussion: </strong>For bipolar I disorder the estimate based on local administrative data is close to the lower end of the health survey range. The degree of agreement in our estimates reinforces the utility of administrative data repositories in the surveillance of chronic mental disorders.</p>","PeriodicalId":49222,"journal":{"name":"Chronic Diseases and Injuries in Canada","volume":"31 3","pages":"129-34"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29986778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}