Canadian Journal of Public Health-Revue Canadienne De Sante Publique最新文献

{"title":"Collaboratively building teaching resources for EDI in epidemiology and biostatistics.","authors":"Japteg Singh, Todd Coleman, Agatha Nyambi, Tyler Pittman, Amanda Doggett, Fernanda Andre, Josée Dupuis, Daniel Fuller","doi":"10.17269/s41997-026-01225-7","DOIUrl":"10.17269/s41997-026-01225-7","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this workshop was to collaboratively co-create concrete, practical teaching resources that embed equity, diversity, and inclusion (EDI) concepts into epidemiology and biostatistics teaching in Canada.</p><p><strong>Methods: </strong>The 3-h interactive session developed four examples of the inclusion of EDI considerations in epidemiology and biostatistics teaching based on commonly used textbooks. Participants, in small breakout groups, critically reviewed examples from two common textbooks (Modern Epidemiology and Fundamentals of Biostatistics). Groups of four participants selected two examples each from a list of core concepts (e.g., confounding, regression). The groups then integrated EDI considerations into the core examples from the textbooks by addressing focus areas like sex and gender or race and ethnicity, and presented their revised materials.</p><p><strong>Results: </strong>Two groups of four participants selected two topics each. Group 1 selected regression and missing data, while group 2 selected interaction/effect measure modification and hypothesis testing and two-way ANOVA. For a regression model example from Modern Epidemiology, participants recommended changing \"pregnant women\" to \"pregnant person\" for gender inclusivity and reframed \"normal\" to highlight social and structural determinants. In a missing data example, they replaced ageist and judgment-laden terminology (\"elderly,\" \"unwilling\") with \"older adults\" and \"unable.\" Group 2 discussed the importance of including biological plausibility and measurement considerations when using sex, defined as male/female, as an effect measure modification in potential analyses.</p><p><strong>Conclusion: </strong>This workshop and concomitant paper demonstrate the need for integrating EDI into epidemiology and biostatistics teaching. It also provides concrete examples of how this can be done using common textbooks. Integrating EDI into the curriculum not only improves student understanding of EDI, but can also strengthen understanding of, and interest in, epidemiology and biostatistics.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparability of Canadian SARS-CoV-2 seroprevalence estimates with statistical adjustment for socio-demographic representation.","authors":"Yuan Yu, Jiacheng Chen, Matthew J Knight, Sheila F O'Brien, David L Buckeridge, Carmen L Charlton, W Alton Russell","doi":"10.17269/s41997-025-01128-z","DOIUrl":"10.17269/s41997-025-01128-z","url":null,"abstract":"<p><strong>Objective: </strong>SARS-CoV-2 serological surveillance used blood donors, research cohorts, and residual patient samples. Differences in socio-demographic characteristics across these sources may bias seroprevalence estimates, necessitating statistical adjustment.</p><p><strong>Methods: </strong>We re-analyzed data from six serosurveillance sources, comparing the estimated percent of the population positive for SARS-CoV-2 anti-nucleocapsid antibodies for six regions during periods when the sources' sample collection overlapped. We assessed the concordance between sources with and without using multilevel regression and poststratification (MRP) to adjust for differences in representation by age, sex, and race.</p><p><strong>Results: </strong>Across regions and timepoints, unadjusted seroprevalence differed between sources by up to 20%. MRP did not consistently improve comparability of seroprevalence across sources. In 2022, seroprevalence was consistently highest among blood donors, and MRP increased regional seroprevalence across all sources (except in Manitoba during January-April 2022 in ABC Study). In a secondary regression analysis, immunoassay kit and sample type (dried blood spot or venous blood draw) strongly influenced the odds that a sample was classified as seropositive.</p><p><strong>Conclusion: </strong>Adjusting for representativeness using common socio-demographic variables did not systematically improve concordance in seropositivity estimates between serosurveillance sources. While discrepancies between sources might be influenced by studies' representativeness of characteristics we did not assess, methods for measuring seropositivity appear to explain much of the differences between sources. Serosurveillance findings are influenced by many aspects of study design beyond representativeness, such as sample type (venous blood draw or dried blood spots), choice of immunoassay, and laboratory procedures such as dilution or immunoassay calibration.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"634-646"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490901","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":"Mapping change in cycling infrastructure across Canada: What, where, and for whom?","authors":"Meghan Winters, Colin Ferster, Karen Laberee","doi":"10.17269/s41997-025-01139-w","DOIUrl":"10.17269/s41997-025-01139-w","url":null,"abstract":"<p><strong>Intervention: </strong>Governments are investing in safer cycling infrastructure to provide transportation options that support health, mobility, and environmental outcomes; these can be considered population health interventions.</p><p><strong>Research question: </strong>We aimed to measure change from 2022 to 2024 in cycling infrastructure in Canada to understand what and where changes happened, and who was impacted.</p><p><strong>Methods: </strong>We extracted data from OpenStreetMap.org (OSM) in 2022 and 2024 and coded them according to the Canadian Bikeway Comfort and Safety (Can-BICS) classification system (high, medium, or low comfort and safety). We measured differences (2022-2024) in length and type of cycling infrastructure within census subdivisions. We related differences in cycling infrastructure metrics with population composition within dissemination areas, nationally, by city size, and for particular cities, examining specific population groups (children, older adults, recent immigrants, racialized people, and low-income populations).</p><p><strong>Results: </strong>Total Can-BICS-OSM cycling infrastructure in 2024 increased to 27,098 km (15.3%) from 23,502 km in 2022. Most new infrastructure was multi-use paths (2725 km). High-comfort bike-only paths increased by nearly 50% (49 km). Nationally, access increased for recent immigrants, racialized people, and people with low incomes. Overall, areas with more children and older adults saw less increase in access to infrastructure, but within small and medium cities there were often increases.</p><p><strong>Conclusion: </strong>Using a national dataset, we detected an increase in cycling infrastructure in Canadian communities, with mobility and health implications for many equity-deserving population groups. The greatest increases, proportionally, in cycling infrastructure were seen in small- and medium-sized cities.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"730-740"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745703","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":"Characterizing fatal drownings in Newfoundland and Labrador: 2014 - 2023.","authors":"Cindy Whitten, Syed Raza, Allyson Summers, Nash Denic","doi":"10.17269/s41997-026-01196-9","DOIUrl":"10.17269/s41997-026-01196-9","url":null,"abstract":"<p><strong>Introduction: </strong>Newfoundland and Labrador's (NL) island geography heavily contributes to its high rates in the fishing and boating industry both recreationally and occupationally. Given NL culture and environmental factors, the use of bodies of water is naturally high in the province. In the absence of previous literature assessing differences in trends between recreational and occupational drowning deaths, the present study aimed to describe the epidemiology of drowning deaths in NL between 2014 and 2023.</p><p><strong>Methods: </strong>To report on the epidemiology of recreational and occupational drowning-related deaths between 2014 and 2023 in NL we utilized chart reviews of death investigation reports from the Office of the Chief Medical Examiner to identify risk factors and demographics of the decedents.</p><p><strong>Results: </strong>Between 2014 and 2023, a total of 158 individuals fatally drowned in NL, with males (133) largely outnumbering females (25). The deaths in our sample represent 3,978 potential years of life lost due to a preventable cause. Almost all occupational and recreational deaths (99%) were unintentional and classified under the 'accident' manner of death. Most drownings resulting from recreational activities occurred in the summer months and exhibited a lack of personal flotation device (PFD) use. Occupational drownings largely occurred in the ocean (94%).</p><p><strong>Conclusion: </strong>The present paper presents preliminary insights into areas of improvement for policymaking and law enforcement. Gaps in vessel safety enforcement may exacerbate the risk of occupational drowning, and the lack of a requirement to wear PFDs while fishing recreationally may underlie many recreational deaths. Better PFD use, enforcement of vessel safety, and public education around safe use of bodies of water are warranted.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"784-794"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640502","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":"Unpacking cancer diagnosis among Latin Americans in Canada: disparities and protective patterns.","authors":"Keren M Escobar","doi":"10.17269/s41997-025-01143-0","DOIUrl":"10.17269/s41997-025-01143-0","url":null,"abstract":"<p><strong>Objectives: </strong>Latin Americans are among the fastest-growing racialized groups in Canada but remain largely invisible in cancer surveillance and research. This study examines cancer diagnosis among Latin Americans compared to non-Latin American White and other racialized populations and explores how diagnosis varies across sociodemographic subgroups.</p><p><strong>Methods: </strong>Secondary analysis of pooled data from the Canadian Community Health Survey (2015-2018) was conducted. The analytic sample included 177,754 adults aged 18 or older, of whom 1799 identified as Latin American. Logistic regression models estimated the association between ethnicity and self-reported cancer diagnosis, with interaction terms testing moderation by sex, education, income, and immigration status.</p><p><strong>Results: </strong>Latin Americans had lower odds of reporting a cancer diagnosis than non-Latin American Whites (OR = 0.69; 95% CI, 0.52-0.92). Subgroup analyses showed stronger protection among males than females, those with mid-range incomes compared to lower or higher earners, and immigrants relative to Canadian-born Latin Americans. Individuals with graduate or limited secondary education also showed greater protection than other education levels.</p><p><strong>Conclusions: </strong>While Latin Americans in Canada appear to experience a protective advantage in overall cancer prevalence, this advantage is not uniform. Disparities persist across sex, socioeconomic position, and immigration status, pointing to structural inequities that remain despite universal coverage. Equity-oriented cancer prevention strategies-including culturally tailored outreach, improved screening access, and systematic collection of race and ethnicity data-are needed to ensure that Latin Americans are not rendered invisible in Canadian cancer care.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"772-783"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851362","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":"Factors influencing public health financing in British Columbia: A qualitative case study.","authors":"Mélanie S S Seabrook, Mehdi Ammi, Ak'ingabe Guyon, Andrew D Pinto, Sara Allin","doi":"10.17269/s41997-025-01125-2","DOIUrl":"10.17269/s41997-025-01125-2","url":null,"abstract":"<p><strong>Objective: </strong>Though sufficient and stable funds are critical to effective public health systems, existing literature on public health system financing is limited. This study aimed to address this gap by uncovering the salient factors influencing public health system financial decision-making.</p><p><strong>Methods: </strong>We conducted a qualitative case study of public health system financing in British Columbia, consisting of a jurisdictional review of academic and grey literature, and semi-structured interviews with 14 participants influential in public health budget-setting. Taking an inductive analytical approach, we constructed a conceptual model of the political, structural, and external factors influencing public health funding trends. Building on insight from participants, we identified promising policy considerations for improving the sustainability of public health funding.</p><p><strong>Results: </strong>Participants identified that external factors such as public health crises and major sociopolitical events create windows of opportunity for investments or cuts. They reported that structurally separating public health budgets from other health service budgets seems to protect public health funding. Political priorities of top decision-makers were highlighted as the most influential political factor, though advocacy has been successful in bringing public health issues onto the political agenda. Strong relationships between public health actors and decision-makers such as senior executives are seen as important for promoting investment in public health programs.</p><p><strong>Conclusion: </strong>This study sheds light on some of the possible policy strategies for sustaining public health funding, such as inclusion of public health experts in financial decision-making and developing public health performance indicators, which may inform current public health system strengthening efforts.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"715-729"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745731","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":"Clearing the air: Which pollution source matters most for health?","authors":"Ying Liu, Marianne Hatzopoulou, Stéphane Buteau, Shayamilla Mahagammulla Gamage, Sara Torbatian, Arman Ganji, Audrey Smargiassi","doi":"10.17269/s41997-025-01142-1","DOIUrl":"10.17269/s41997-025-01142-1","url":null,"abstract":"<p><strong>Objectives: </strong>Air pollution remains a significant public health challenge, contributing to substantial morbidity and mortality. The aim of this study is to identify effective intervention strategies for mitigating air pollution and its health effects in southern Quebec.</p><p><strong>Methods: </strong>We employ the Polair3D chemical transport model to estimate population-weighted concentrations of fine particulate matter (PM_2.5), nitrogen dioxide (NO₂), and ozone (O₃) at the census division level under four scenarios: replacing residential wood stoves with U.S. Environmental Protection Agency (EPA)-certified models (EPA), eliminating industrial emissions (IND), full vehicle electrification (EV), and removing emissions from refineries and smelters (RS). Health impacts were quantified with the Air Quality Benefits Assessment Tool for chronic PM_2.5 exposure and chronic NO₂ exposure, in addition to the commonly assessed acute NO₂ exposure and acute O₃ exposure.</p><p><strong>Results: </strong>All scenarios reduced air pollutant concentrations and associated mortality to varying degrees. The EPA and EV interventions are the most effective in reducing mortality, lowering deaths attributable to pollutants by 15.26% (789 deaths from 5169 to 4380) and 16.13% (834 deaths from 5169 to 4335), respectively. The EPA scenario yields the greatest reduction in PM_2.5-related mortality, while the EV scenario provides the most benefit for NO₂-related mortality.</p><p><strong>Conclusion: </strong>Targeted interventions can significantly reduce air pollution-related mortality. Replacing residential wood stoves and fully electrifying vehicles are particularly effective, with distinct benefits for PM_2.5- and chronic NO₂-related health outcomes. A multi-sectoral approach is essential to maximize public health gains.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"703-714"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716724","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 disparities among lesbian, gay, and bisexual people in the Canadian Longitudinal Study on Aging: A 6-year follow-up.","authors":"Nicole G Hammond, Alexandra Grady, Arne Stinchcombe","doi":"10.17269/s41997-025-01130-5","DOIUrl":"10.17269/s41997-025-01130-5","url":null,"abstract":"<p><strong>Objectives: </strong>Cross-sectionally measured health disparities are well documented among sexual minority (lesbian, gay, bisexual) Canadian adults, yet the timing of these disparities is not understood, especially in harder-to-reach older adult populations. We estimated the prevalence and incidence of health and health-related outcomes over 6 years of follow-up in an older sample of Canadian adults.</p><p><strong>Methods: </strong>Our analysis used data from the Canadian Longitudinal Study on Aging (CLSA), a prospective cohort of adults aged 45-85 (baseline, 2011-2015), with follow-up over 6 years (2015-2021; n = 45,079). Respondents who self-identified as lesbian, gay, bisexual, or another sexual minority identity at either baseline or first follow-up were considered LGB+. Study outcomes included physical health, mental health, health care service use, negative health behaviours, and other health-related behaviours (e.g., rentership). We computed adjusted prevalence ratios (PRs) and relative risks (RRs) stratified by sex (female/male) using modified Poisson regression with robust error variance.</p><p><strong>Findings: </strong>Older sexual minority adults had a greater prevalence of and were at elevated risk of new-onset mental health diagnoses (e.g., depression: RR_F = 2.03, 95% CI: 1.39, 2.96; RR_M = 2.15, 95% CI: 1.50, 3.08). Older sexual minority adults also initiated psychological services more than older heterosexual adults (e.g., RR_F = 1.43, 95% CI: 1.10, 1.85; RR_M = 1.39, 95% CI: 1.05, 1.83). There was evidence of other prevalence differences between men and women, but with no difference in longitudinal risk (e.g., memory problems: PR_F = 1.78, 95% CI: 1.24, 2.55; RR_F = 1.70, 95% CI: 0.97, 2.95).</p><p><strong>Conclusion: </strong>Older sexual minority Canadians face disproportionate health challenges, particularly in mental health. Our findings demonstrate the importance of inclusive and affirming gerontological care in supporting the healthy aging of sexual minority Canadians.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"680-690"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650010","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":"Atikamekw needs and perspectives for culturally safe health care.","authors":"Marie-Claude Tremblay, Geneviève Olivier-D'Avignon, Sarah Sportès, Sandro Echaquan, Amanda Ottawa, Eniko Neashish, Taisha Niquay, Yvan-Rock Awashish, Christian Coocoo, Paul-Yves Weizineau","doi":"10.17269/s41997-025-01126-1","DOIUrl":"10.17269/s41997-025-01126-1","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This research is part of a larger participatory project aimed at co-developing an intervention to ensure cultural safety in care, conducted with and by the Atikamekw Nehirowisiwok (First Nation, Quebec Canada). A decolonizing research approach, integrating Atikamekw perspectives and ways of knowing, was adopted. The objectives of this phase of the project were to better understand the health care needs and perspectives of the Atikamekw peoples on cultural safety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Three talking circles were conducted from June 2022 to July 2022 in each of the three Atikamekw communities (Manawan, Wemotaci, and Opitciwan). Each talking circle comprised six to eight participants (a total of 21 participants) recruited on a voluntary basis. Talking circles lasted an average of 2 h and were conducted in French and Atikamekw. Data from talking circles were transcribed verbatim and analyzed using inductive thematic analysis by two members of the team. Collective interpretation of the results was informed by Atikamekw perspectives on the medicine wheel and the concept of Pimatisiwin.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The themes that emerged represent different Atikamekw needs regarding cultural safety in health care. These results highlight language accessibility, a welcoming approach, an anti-racist environment of care, the inclusion of traditional medicine and cultural perspectives, as well as self-determination as fundamental elements of culturally safe health care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This research project, carried out with and by the Atikamekw Nation, exemplifies how a decolonizing approach centered on the expertise of Indigenous communities can be used to develop culturally safe interventions that respect their needs, values, and cultural practices. Résumé Objectifs: Cette étude fait partie d'un projet participatif plus large visant à co-développer une intervention pour assurer la sécurité culturelle dans les soins, menée pour, par et avec les Atikamekw Nehirowisiwok (Première Nation, Québec, Canada). Une approche de recherche décolonisatrice, intégrant les perspectives et les modes de connaissance atikamekw, a été adoptée. Les objectifs de cette phase du projet étaient de mieux comprendre les besoins en matière de soins de santé et les points de vue des personnes Atikamekw sur la sécurité culturelle. Méthodes: Trois cercles de parole ont été organisés dans trois communautés atikamekw avec 6 à 8 participants (n = 21). Les cercles de parole ont duré en moyenne deux heures et se sont déroulés en français et en atikamekw. Les données des cercles de parole ont été transcrites et analysées par deux membres de l'équipe selon une approche thématique inductive. L'interprétation collective des résultats a été éclairée par les perspectives atikamekw de la roue de la médecine et le concept de Pimatisiwin. Résultats: Les résultats mettent en évidence l'importance de l'accessibilité linguistique, une ap","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"647-657"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497389","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":"Public Health Palliative Care: A commitment to dying, death, and grief in Canada.","authors":"Mary Ellen Macdonald, Susan Cadell, Pamela Grassau, Kelli Stadjuhar","doi":"10.17269/s41997-026-01243-5","DOIUrl":"10.17269/s41997-026-01243-5","url":null,"abstract":"","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"601-605"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}