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

{"title":"A profile of heart failure in the James and Hudson's Bay region of Ontario: A retrospective cohort study.","authors":"Sabastian M B Koprich, Samuel J Petrie, Robert P Gagnon, Douglas S Lee, Sandra J Kioke, Heather J Ross, Beth S Rachlis, Anne M Simard","doi":"10.17269/s41997-026-01192-z","DOIUrl":"https://doi.org/10.17269/s41997-026-01192-z","url":null,"abstract":"<p><strong>Objectives: </strong>The James and Hudson Bay (JHB) region in Northern Ontario is home to an estimated 12,000 people; the majority are Mushkegowuk Cree. To better respond to cardiovascular needs in the region and leverage existing partnerships between the Weeneebayko Area Health Authority's Minomathowin Department, ICES, and University Health Network, this study aimed to profile confirmed and possible heart failure (HF) prevalence among community members.</p><p><strong>Methods: </strong>A retrospective cohort design, using administrative databases housed at ICES, identified community members with possible and confirmed HF as of March 31, 2023. The eligible population included individuals alive, < 105 years of age, and living in the JHB, based on postal code. Confirmed HF cases were identified from the ICES-derived Congestive Heart Failure cohort. Possible HF was defined as the presence of HF risk factors consistent with Canadian Cardiovascular Society guideline definitions. The use of cardiovascular diagnostic tests, notably natriuretic peptide, was also explored.</p><p><strong>Results: </strong>Of the 9495 community members who met eligibility criteria, 144 (1.5%) had confirmed HF and 993 (10.5%) met the definition of possible HF. During routine care, the use of HF diagnostic biomarker testing (brain natriuretic peptide) was low in both confirmed (17.4%) and possible HF (5.6%) cohorts when compared to measurement of potassium, hemoglobin, sodium, or creatinine testing.</p><p><strong>Conclusion: </strong>This study identified a significant proportion of possible and confirmed HF cases among community members residing in JHB. The findings underscore a critical need for screening and referral pathways, earlier intervention, and optimization of HF care.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788881","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":"Mindful Equity in Canadian public health policy: Moving beyond afterthoughts.","authors":"Chandrakant P Shah","doi":"10.17269/s41997-026-01194-x","DOIUrl":"https://doi.org/10.17269/s41997-026-01194-x","url":null,"abstract":"<p><p>This commentary introduces the concept of Mindful Equity as a framework for embedding fairness and justice into Canadian health and social policies. While equity is often celebrated as a national value, it is too frequently treated as an afterthought-appended to policy design in symbolic ways rather than driving decisions from the outset. Drawing on personal policy experiences, and on evidence from public health and Indigenous scholarship, the commentary critiques this reactive and performative approach and argues for a more deliberate alternative. Mindful Equity requires conscious, proactive integration of equity into all stages of governance-from agenda setting and resource allocation to program monitoring and evaluation. It emphasizes awareness of historical injustices, recognition of systemic barriers, and sustained action to dismantle inequities. The framework offers practical pathways to improve the health of the populations experiencing inequities such as people living in poverty, people with disabilities, and Indigenous people, by addressing social determinants such as housing and employment, and ensures that under-resourced communities receive priority attention. This article concludes by calling for Mindful Equity to be adopted as a generalized framework across all Canadian health and social policies. Doing so would move equity from tokenism to transformation, ensuring that justice, fairness, and well-being are not optional extras but foundational principles of governance.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788422","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":"Investigating social influencers to improve HPV vaccine uptake among emerging adults: A cross-sectional examination of a vaccine intervention at post-secondary schools in Alberta.","authors":"Elaine M Ori, Geneviève Jessiman-Perreault, Amne Haikal, Howie Thomson, Theresa Tang, Jean-Christophe Boucher, Jia Hu, Ann M Toohey, Stacy Lockerbie, Lisa Allen Scott","doi":"10.17269/s41997-026-01187-w","DOIUrl":"https://doi.org/10.17269/s41997-026-01187-w","url":null,"abstract":"<p><strong>Intervention: </strong>Uptake of the HPV vaccine in Alberta, Canada, remains below the 90% immunization targets. Under Alberta's expanded HPV vaccine policy, adults aged 18-26 are eligible for no-cost HPV immunization. This study describes a 2023 HPV vaccine intervention targeting seven post-secondary institutions in the province.</p><p><strong>Research question: </strong>How do tailored HPV vaccine-promoting messages, informed by the Extended Theory of Planned Behaviour and delivered using a social influencer approach, influence 18-26-year-old Albertan's HPV vaccine-related intentions and uptake?</p><p><strong>Methods: </strong>Collaborating with Alberta post-secondary institutions and a not-for-profit mobile vaccine clinic, two clusters of HPV vaccine clinics were offered for up to 4 days, preceded by up to 2 weeks of a targeted HPV vaccine promotion campaign. Campaign messages were developed using the Extended Theory of Planned Behaviour and disseminated through socially influential approaches: post-secondary institutional social media platforms and on-campus initiatives. Data were collected from views and interactions with messages. Each message contained links to information about the HPV vaccine and immunization appointment bookings for eligible 18-26-year-olds.</p><p><strong>Results: </strong>The campaign received 21,405 social media views, 270 interactions via likes, saves, and shares. A total of 279 individuals booked an HPV vaccine appointment and 195 were immunized during the intervention; 69 individuals sought an HPV vaccine but were deemed ineligible due to policy-related age restrictions. Post-secondary institutions most disseminated campaign messages that focused on perceived risk and HPV-related attitudes.</p><p><strong>Conclusion: </strong>Targeted HPV vaccine messaging, as well as no-cost convenient HPV vaccine access may improve HPV vaccine uptake among post-secondary students.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730647","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":"Correction: Growth charts for grown-ups? BMI-for-age percentile curves to measure obesity status: An analysis of data from the Canadian Longitudinal Study on Aging.","authors":"Claire E Cook, Chris Kim, Jasmine M Y Yu, Hailey R Banack","doi":"10.17269/s41997-026-01208-8","DOIUrl":"10.17269/s41997-026-01208-8","url":null,"abstract":"","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730592","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":"Widespread exposure to GLP-1RAs and weight loss-related discourse: Considering potential public health implications.","authors":"Marilou Côté, Ximena Ramos Salas, Kimberly Carrière, Angela S Alberga","doi":"10.17269/s41997-026-01197-8","DOIUrl":"https://doi.org/10.17269/s41997-026-01197-8","url":null,"abstract":"<p><p>Incretin-based therapies, including glucagon-like peptide-1 receptor agonists (GLP-1RAs), are approved for the treatment of type 2 diabetes, obesity, and related conditions, and have demonstrated significant benefits for individuals with these conditions. However, in recent years, public interest and demand for GLP-1RAs-often driven by media, social media influencers, advertising, and public discourse-have increased beyond the populations for whom these medications are medically indicated. The ripple effects of widespread public exposure to GLP-1RAs and weight-loss-related discourse on public health have received very little research attention and remain poorly understood. This widespread exposure may contribute to a perception that GLP-1RAs are intended as weight loss solutions for non-medical use, rather than an effective treatment for specific chronic conditions like obesity. Such perceptions could influence demand and affect equitable access for people with medical indications for these medications. Widespread exposure to discourse that highlights GLP-1RAs as weight loss solutions may inadvertently reinforce social desirability for thinness and body image concerns. Despite the established clinical efficacy of GLP-1RAs for medically indicated conditions, this commentary highlights the potential public health risks associated with their growing portrayal as weight loss solutions for non-medical use in the public sphere and calls for research to better understand these broader implications to inform balanced public health communication strategies.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693455","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":"Estimated impact of timely, guideline-adherent tuberculosis screening in primary care settings among new permanent residents to British Columbia, Canada: A population-based study.","authors":"Kamila Romanowski, Sarah K Brode, Victoria J Cook, Ryan Cooper, Lavanya Narasiah, Jeremy Veillard, James C Johnston, Jonathon R Campbell","doi":"10.17269/s41997-026-01198-7","DOIUrl":"https://doi.org/10.17269/s41997-026-01198-7","url":null,"abstract":"<p><strong>Objectives: </strong>In Canada, most tuberculosis diagnoses occur among people previously residing in tuberculosis-endemic regions, due to progression of infection acquired prior to arrival. National guidelines recommend screening people with medical risk factors, known exposure, or specific demographic characteristics. The best strategy to reach this latter group remains uncertain, though primary care may serve as a promising entry point. We aimed to (1) describe primary care use among new permanent residents to British Columbia and (2) estimate the proportion of tuberculosis potentially preventable under a hypothetical primary care-based demographic screening policy.</p><p><strong>Methods: </strong>We conducted a retrospective, population-based study of permanent residents to British Columbia (2000-2020) using linked administrative data. We measured time to first primary care visit and assessed tuberculosis preventability among those eligible for demographic-based screening (≤ 65 years from countries with tuberculosis incidence ≥ 200 per 100,000 within 5 years of arrival). Tuberculosis was considered potentially preventable if diagnosed ≥ 12 months after first primary care visit.</p><p><strong>Results: </strong>Among 845,821 new permanent residents, 708,813 (83.8%) accessed primary care (median months, 15) and 286,337 (33.9%) met the demographic screening criteria. During follow-up, 1315 (0.2%) were diagnosed with tuberculosis (median months to diagnosis, 48.8). Of these, 859 (65.3%) met demographic screening criteria and a primary care screening model could have potentially prevented 420 (48.9%) of these events, equivalent to one-third of all diagnoses in the cohort.</p><p><strong>Conclusion: </strong>Timely, demographic-based screening in primary care could have potentially prevented one-third of tuberculosis diagnoses. Strengthening engagement and reducing access barriers will be essential to support tuberculosis elimination.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678340","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":"Evaluating equitable access based on sociodemographic predictors of nirmatrelvir-ritonavir use during the first year of availability in Ontario, Canada: A population-based ecological study.","authors":"Meagan Lacroix, Bradley J Langford, Cynthia Chen, Jun Wang, Mina Tadrous, Nick Daneman, Valerie Leung, Tara Gomes, Lindsay Friedman, Peter Daley, Kevin A Brown, Kevin L Schwartz","doi":"10.17269/s41997-026-01189-8","DOIUrl":"https://doi.org/10.17269/s41997-026-01189-8","url":null,"abstract":"<p><strong>Objectives: </strong>Nirmatrelvir-ritonavir is recommended to prevent severe outcomes due to SARS-CoV-2 infection in high-risk patients. Our objective was to determine if inequities existed in access to nirmatrelvir-ritonavir across sociodemographic groups.</p><p><strong>Methods: </strong>We conducted a population-based ecological study of nirmatrelvir-ritonavir dispenses in Ontario, Canada, forward sortation areas (FSA) from April 4, 2022, to April 3, 2023. Our primary outcome was the FSA-level dispense rate of nirmatrelvir-ritonavir per 100,000 population. A negative binomial model was used to calculate crude and adjusted rate ratios with 95% confidence intervals (CIs) for nine sociodemographic variables (income, visible minority, essential worker, household size, education, citizenship, employment rate, social assistance, and language proficiency), adjusted for seven demographic/clinical population-level variables (age, sex, comorbidities, immunocompromised, COVID-19 vaccination, long-term care residents, and percent SARS-CoV-2 PCR test positivity).</p><p><strong>Results: </strong>The final cohort included 513 FSAs, 12,911,594 residents-127,123 (0.98%) who received and 12,784,471 (99.02%) who did not receive nirmatrelvir-ritonavir. There was an 18-fold variation across FSAs, 133-2417 prescriptions per 100,000 population. In the adjusted model, dispensing rates were significantly lower in regions with higher proportions of residents with low income (adjusted rate ratio (RR_adj) = 0.98 (95% CI 0.97, 1.00, p = 0.014)) and less post-secondary education (RR_adj = 0.98 (95% CI 0.97, 1.00, p = 0.044)). Other sociodemographic variables did not have significantly lower nirmatrelvir-ritonavir use.</p><p><strong>Conclusion: </strong>This province-wide study revealed small inequities in nirmatrelvir-ritonavir dispensing across Ontario neighborhoods with lower income and lower post-secondary education populations associated with less nirmatrelvir-ritonavir use. The findings highlight the importance of addressing barriers for equitable access to therapeutics for future pandemics.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678325","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":"The risk of HIV and HCV transmission in Canadians living with coinfection before, during, and after the COVID pandemic: A prospective cohort study.","authors":"Jim Young, Shouao Wang, Matthew Knight, Claudette L Cardinal, Curtis L Cooper, Joseph Cox, Mark Hull, Valerie Martel-Laferriere, Dessie J Sutherland, Sharon Walmsley, Alex Wong, Marina B Klein","doi":"10.17269/s41997-026-01193-y","DOIUrl":"https://doi.org/10.17269/s41997-026-01193-y","url":null,"abstract":"<p><strong>Objectives: </strong>The COVID-19 pandemic led to lower rates of testing for HIV and hepatitis C virus (HCV) and reduced HCV treatment uptake. It is not clear what other temporary or lasting effects the pandemic might have had in Canada on factors associated with HIV and HCV transmission.</p><p><strong>Methods: </strong>Using data from the Canadian Coinfection Cohort, we modelled outcomes related to transmission risk over a period starting 2 years before the pandemic and ending 2 years after the pandemic. We fitted generalised additive mixed models to these outcomes, rather than assume a specific functional form for the change in an outcome over time.</p><p><strong>Results: </strong>Our modelling suggests a slow decline in the risk of HIV and HCV transmission for those in care during the period from 2018 to 2024, unaffected by the pandemic. We see a consistent picture across multiple outcomes: declines in detectable and transmissible HIV RNA, in poor adherence to antiretroviral therapy, and in injection drug use. However, a decline in sexual activity during the pandemic was mostly transitory. At the same time, a third of participants were permanently lost to care during the pandemic. Those lost to care were more likely to be using injection drugs or Indigenous people and far more likely to still be HCV RNA positive.</p><p><strong>Conclusion: </strong>HIV and HCV elimination efforts will need to be resourced to re-engage those at greatest risk of transmission who were lost to care during the pandemic.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647558","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":"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":"https://doi.org/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":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the future of public health in Canada: A modified Delphi survey for updated core competencies.","authors":"Melissa MacKay, Harman S Sandhu, Alexandra Henteleff, Mandy Walker, Margaret Haworth-Brockman, Sarah E Neil-Sztramko, Malcolm Steinberg, Claire Betker","doi":"10.17269/s41997-026-01151-8","DOIUrl":"https://doi.org/10.17269/s41997-026-01151-8","url":null,"abstract":"<p><strong>Objectives: </strong>The process of updating the Core Competencies for Public Health in Canada, Release 1.0, was initiated in 2023 using a multi-method approach. This included evidence syntheses, an extensive engagement process to ensure relevance to current public health challenges and a Delphi survey. The objective of this study was to assess agreement on the updated competency statements among a diverse range of public health professionals, educators, policymakers, and community representatives across Canada.</p><p><strong>Methods: </strong>A modified Delphi survey was conducted in English and French to assess agreement with 68 draft competency statements across 10 categories. Eligible participants were members of the Canadian public health community who were 18 years of age or older and able to participate in either official language. Participants rated their agreement with each statement using a 6-point Likert scale, with an a priori agreement threshold set at 70%. Agreement was defined as the number of participants who responded with 'agree' or 'strongly agree' to a statement, with a predefined threshold set at 70%. Open-ended text boxes allowed for qualitative feedback, which was analyzed thematically.</p><p><strong>Results: </strong>High agreement was achieved across all competency categories and statements, with a mean agreement level of 86.1% and an average of 551 responses per statement. The highest agreement was found in the Communication category (mean agreement of 91.5%), while the Public Health Advocacy category had the lowest agreement (79.5%). Participants expressed strong support for the inclusion of new categories and updated statements not present in Release 1.0, particularly those emphasizing social justice, technology, and advocacy. Thematic analysis revealed widespread appreciation for the update and its enhanced focus on social justice, health equity, and Indigenous inclusion, alongside concerns about tailoring expectations based on professional roles and experience.</p><p><strong>Conclusion: </strong>The high agreement obtained from a diverse cross-section of stakeholders affirms the relevance of the revised categories and statements to contemporary and future public health practice. These findings supported the finalization of the Core Competencies for Public Health in Canada, Release 2.0. Ongoing efforts will focus on engaging knowledge user groups and embedding the competencies into workforce planning, development, education, and training.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640537","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}