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

{"title":"Learning from the pandemic: Building capacity for risk communication in the Canadian federal health portfolio.","authors":"Gabriela Capurro, Josh Greenberg","doi":"10.17269/s41997-025-01002-y","DOIUrl":"https://doi.org/10.17269/s41997-025-01002-y","url":null,"abstract":"<p><strong>Setting: </strong>The federal health portfolio has had a risk communications framework in place since 2006; however, the COVID-19 pandemic pushed the capacity of this plan and the need for communications resources to new levels. Health communicators in the public service face significant challenges: a fragmented mediascape, changes to how people seek and use information, the proliferation of misinformation and disinformation, declining trust in public institutions, and the politicization of science, to name just a few. It has never been more important for health authorities to communicate clearly, consistently, effectively, and from an evidence-based position.</p><p><strong>Intervention: </strong>This report describes one aspect of how the federal health portfolio has been addressing these challenges. As part of a recent capacity-building initiative, 67 public servants working in health communications participated in a four-part, half-day, advanced seminar series at Carleton University in June 2023. Each session featured an interactive presentation from a leading scholar and/or local practitioner with real-world scenario exercises designed to put their learning into practice. The series explored issues in trust and transparency, algorithmic control and mis- and disinformation, media relations, and risk communication for equity-deserving populations.</p><p><strong>Outcomes: </strong>At the conclusion of the program, participants were given tools to (1) identify challenges to effective communication brought by a rapidly evolving media environment in which skepticism and misinformation often run rampant; (2) examine how key metrics and behavioural indicators on social media platforms demand different responses from health organizations and agencies who are monitoring and managing social media; (3) consider challenges for health communicators who must serve the public during health crises while also reinforcing public trust in their institutions; and (4) develop successful risk communication strategies for equity-deserving communities by considering specific information needs and tailored dissemination methods to reach the intended audience. Participants expressed high levels of satisfaction in the quality of the training and overwhelmingly reported that it would positively impact their daily work.</p><p><strong>Implications: </strong>The training program was an innovative and successful initiative to improve knowledge of current priority topics and best practices in risk communication. It illustrated the benefits of continued professional learning, the importance of university-public service partnerships, and how capacity building requires ongoing resource commitments and engaged support from senior management. The program, along with other risk communication training that is currently being implemented, is part of the investment in long-term professional development of risk communicators in the health portfolio.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630722","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":"Working group engagement as a precondition of successful community engagement in an expert-led social marketing public health intervention: Learning from the footprints.","authors":"Thomas Barker, Heather Allen, Karen Fulton, Nienke Klaver, Lori Motluk, Tanya Osborne, Edward Staples","doi":"10.17269/s41997-025-01011-x","DOIUrl":"https://doi.org/10.17269/s41997-025-01011-x","url":null,"abstract":"<p><strong>Setting: </strong>A public health society working group wanted to use social marketing approaches to engage with a community and stimulate social support for a health treatment. The group struggled to collect effectiveness (summative) data during the project. To make up for this lack, the group explored ways to measure effectiveness of engagement (the primary outcome) based on written records (meeting minutes) kept during the project.</p><p><strong>Intervention: </strong>The working group kept minutes of meetings that contained records of the level of participation of members by names. The text of 18 meetings (14,000 words) was edited so that the names of participants were replaced with roles that corresponded to working group members' roles: grassroots health advocates, community health agency representatives, and experts or knowledge leaders. The corpus was imported into a text analysis platform that measured word frequency. Results were tallied for the three categories of group member roles. To validate the method as a meaningful summative evaluation, the text analysis approach was critiqued using a developmental evaluation framework.</p><p><strong>Outcomes: </strong>The text analysis evaluation indicated that the word frequency of \"partner,\" (community health partner), \"community\" (grassroots health advocates), and \"expert\" (or knowledge leaders) tags began to converge as the campaign progressed. Initially, experts and community health partners spoke less in meetings, and community members spoke more. Over time, all members began contributing more equally during the meetings. The checklist evaluation indicated alignment of the technique with established evaluation protocols used in the field of public health.</p><p><strong>Implications: </strong>The text and checklist analyses support the notion that engagement among working group members may be, and thus may be seen as, a precondition of engagement with the community. When used with evidence from event evaluations, the innovation may be used as an argument for effectiveness as an outcome in community-based public health campaigns that do not use conventional project (summative) evaluations.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630758","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":"Action intersectorielle locale pendant la pandémie de COVID-19: une démarche de développement territorial en milieu rural.","authors":"Lucie Morin, André-Anne Parent, Deena White, Christian Jetté","doi":"10.17269/s41997-025-00995-w","DOIUrl":"https://doi.org/10.17269/s41997-025-00995-w","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic affected the action of collaborative networks, connecting organizations from the public, community, and private sectors. Intersectoral action is a recognized strategy for tackling complex problems and reducing social inequalities. This study aims to understand how the COVID-19 pandemic modified local intersectoral action to improve the living conditions of rural populations.</p><p><strong>Methods: </strong>Data for this qualitative, case study were collected through semi-structured individual interviews, observation sessions, and documentary analysis. Actor-network theory was used as the theoretical framework. Data collection took place from March 2021 to June 2022. The data were processed using a thematic analysis inspired by the analytical framework.</p><p><strong>Results: </strong>The pandemic disrupted local intersectoral action, hampering networking operations and promoting a sectoral approach. Strategies favouring networking (use of technology and the liaison work of collective stakeholders) made it possible to create spaces for negotiating shared interests, identifying common causes, committing players to new roles, and sharing resources.</p><p><strong>Conclusion: </strong>When faced with disruptions, networks can be flexible, testifying to the relevance of intersectoral action to meet the needs of the population. Even if the network was in a state of near-fragmentation before the pandemic, its reconstitution and remobilization were relatively easy for the community organizers.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626766","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":"Decriminalization undone: Assessing the amendment to British Columbia's decriminalization of personal drug possession framework.","authors":"Kelsey A Speed, Kat Gallant, Mathew Fleury, Erica McAdam, Tyson Singh Kelsall","doi":"10.17269/s41997-025-01012-w","DOIUrl":"https://doi.org/10.17269/s41997-025-01012-w","url":null,"abstract":"<p><p>The Province of British Columbia (BC) is in the midst of an ongoing public health emergency, declared in 2016 in response to significant levels of drug poisonings/overdoses stemming from the unregulated drug supply. In response, BC implemented decriminalization in 2023, removing criminal sanctions for adults possessing up to 2.5 cumulative grams of opioids, cocaine, methamphetamine, and MDMA. Approximately 15 months later, BC amended their decriminalization framework, effectively re-criminalizing public drug consumption and possession in public spaces across BC to prioritize safety to an undefined \"public\" over the health and safety of people who are structurally marginalized by dominant, intersecting systems of power. This commentary assesses BC's amended decriminalization framework through a public health lens, to examine how this unbalanced prioritization of \"public safety\" (as defined by law enforcement bodies) contributes to health and social inequities. By focusing on the (1) discursive exclusion of members of the public who already endure structural marginalization in the weaponization of \"public safety,\" (2) escalation of efforts to displace these groups from public spaces, and (3) opportunity costs of law enforcement prioritization, we argue that BC's most recent drug policy shift is incompatible with its stated goal of balancing public safety and public health.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617777","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":"Comprehensive substance use services within primary care settings: The Safer Opioid Supply program at London InterCommunity Health Centre.","authors":"Kaitlin Fajber, Andrea Sereda, Sean Warren, Cassidy Morris, Greg Nash, Bernie Pauly, Karen Urbanoski, Gillian Kolla","doi":"10.17269/s41997-025-01006-8","DOIUrl":"https://doi.org/10.17269/s41997-025-01006-8","url":null,"abstract":"<p><strong>Setting: </strong>This paper describes the Safer Opioid Supply (SOS) program, a public health intervention in London, Ontario, in response to the toxic unregulated drug supply which is driving the overdose crisis in Canada.</p><p><strong>Intervention: </strong>The London InterCommunity Health Centre (LIHC) SOS program provides comprehensive harm reduction and primary health care services to individuals at risk of overdose from the toxic drug supply. Clients are prescribed high-dose pharmaceutical opioids as replacement for unregulated toxic substances within a low-barrier primary care clinic, with wraparound interdisciplinary social services, embedded in the Ontario Community Health Centre model of care. The program serves people dependent on street-acquired fentanyl who are experiencing medical issues due to their substance use, and who are experiencing challenges accessing other forms of healthcare.</p><p><strong>Outcomes: </strong>A qualitative analysis of interviews and focus groups conducted in 2022-2023 with staff (n=5) and clients (n=20) was used to explore impacts of the SOS program. Four outcomes are discussed: safer supply as crucial to engage clients in primary care; safer supply as one component of comprehensive care; the use of a harm reduction approach; and challenges with limited medication options and program capacity.</p><p><strong>Implications: </strong>Positive health and social outcomes demonstrate the utility of embedding comprehensive substance use services within a primary health care model to address health and social complexity among people who use drugs amid the continuing toxic drug crisis. Responding to an increasingly volatile unregulated supply of drugs, having limited medication options, and providing comprehensive care without long-term funding remain ongoing challenges.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617776","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":"Sur la route des surdoses: un portrait canadien.","authors":"André-Anne Parent, Antoine Bertrand-Deschênes","doi":"10.17269/s41997-025-01001-z","DOIUrl":"https://doi.org/10.17269/s41997-025-01001-z","url":null,"abstract":"<p><strong>Objectives: </strong>The overdose crisis continues to grow in Canada, and those involved in intervention must innovate to propose solutions. This exploratory research aims to paint a portrait of the situation, understand prevention efforts, and hear the experiences of people who have lived an overdose and those who intervene in this context.</p><p><strong>Methods: </strong>A qualitative, descriptive-interpretive approach was adopted. Data collection took place in 2021 and 2022 in four Canadian provinces and 11 cities. A variety of data collection methods were used, including a logbook, periods of participant observation, and semi-structured interviews with 39 caregivers, 10 peer caregivers, and 11 service users. A thematic analysis of the material was carried out.</p><p><strong>Results: </strong>Mobilizing Nancy Fraser's critical theory, our results present an inequitable distribution of resources, the exclusion of representation mechanisms, and institutionalized denials of recognition. Several interventions implemented in response to overdoses or transformed to better address the crisis are identified. We situate them according to the recognition and redistribution of solutions, whether more corrective or more radical.</p><p><strong>Conclusion: </strong>Structural reforms aimed at improving the recognition and redistribution of resources are essential if interventions are to retain their innovative potential in the context of the overdose crisis, while being part of a longer-term aim of social transformation.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568787","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":"HIV and related health inequities affecting Black communities in Canada: Towards transformative understanding and action.","authors":"Louise Potvin, Winston Husbands","doi":"10.17269/s41997-025-01004-w","DOIUrl":"https://doi.org/10.17269/s41997-025-01004-w","url":null,"abstract":"","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544507","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":"Integrating Afrocentric praxis in intimate partner violence and HIV care for African, Caribbean, and Black women: Navigating disclosure and access to services.","authors":"Watetu Mercy Gichuki, Ameil Joseph, Mirna Carranza, Ingrid Waldron, Tomilola Joseph, Wangari Tharao, Amber Dawe, Shane Joseph, Chris Leonard, Denise Johnson, Tanisha Bryan, Donna Joyette, Carrie Campbell, Laurie Samuels, Azra-Begum Manji, Marvelous Muchenje","doi":"10.17269/s41997-025-00999-6","DOIUrl":"https://doi.org/10.17269/s41997-025-00999-6","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to explore the intersection of intimate partner violence (IPV) and human immunodeficiency virus (HIV) among African, Caribbean, and Black women in the Greater Toronto Area (GTA). It investigates the barriers African, Caribbean, and Black women face in accessing services and examines the effectiveness of Afrocentric praxis in providing culturally informed services.</p><p><strong>Methods: </strong>Participants included African, Caribbean, and Black women aged 18-64, IPV survivors who had experience with healthcare and social services in the GTA, and healthcare professionals and social service providers knowledgeable about IPV and HIV in African, Caribbean, and Black communities. Convenience and snowball sampling were used to recruit participants through social media, and community organizations. Six talking circles and 18 semi-structured interviews were conducted. Content analysis was applied to identify key themes and patterns related to IPV, HIV, Afrocentric approaches, and service access. Ethical guidelines, including informed consent and confidentiality, were followed.</p><p><strong>Results: </strong>Analysis revealed several themes: systemic barriers to accessing IPV and HIV services, fear of disclosure and stigmatization, and the impact of the \"Strong Black Woman\" schema. The study highlighted the importance of inclusive, safe spaces and the protective role of spirituality and culturally informed therapy. Afrocentric praxis emerged as essential for effective support, emphasizing community engagement, cultural context, and collective responsibility (Ujima) in addressing IPV and HIV.</p><p><strong>Conclusion: </strong>Addressing the intersection of IPV and HIV among African, Caribbean, and Black women requires culturally informed and empowering approaches. Integrating Afrocentric values and perspectives into care is crucial for creating supportive environments that recognize and address the unique challenges faced by African, Caribbean, and Black women.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544509","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":"Sexual identity, child maltreatment, mental health, and substance use among emerging adults aged 18 to 23 years.","authors":"Tracie O Afifi, Ana Osorio, Janique Fortier, Ashley Stewart-Tufescu, Tamara L Taillieu, Julie-Anne McCarthy","doi":"10.17269/s41997-024-00992-5","DOIUrl":"https://doi.org/10.17269/s41997-024-00992-5","url":null,"abstract":"<p><strong>Objectives: </strong>Although past studies have identified sex differences in child maltreatment experiences and poor mental and physical health‒related outcomes, more research is needed to understand child maltreatment among sexual minorities (i.e., those who identify as other than heterosexual) and how child maltreatment and sexual identity are related to depression, anxiety, and at-risk alcohol and cannabis use among emerging adults.</p><p><strong>Methods: </strong>Data were drawn from the longitudinal Well-Being and Experiences (WE) Study collected from 2017 (14 to 17 years) to 2022 (18 to 23 years) from Manitoba, Canada (n = 584). Descriptive statistics and logistic regression models were computed.</p><p><strong>Results: </strong>Compared to heterosexual or straight sexual identity: homosexual, gay or lesbian; bisexual; and different or other identity were associated with an increased likelihood of experiencing child maltreatment, with the most robust relationships for bisexual identity and all child maltreatment outcomes. Indicating \"I don't know\" for sexual identity compared to heterosexual identity was associated with 7.45 increased odds of exposure to intimate partner violence in adjusted models. Bisexual identity compared to heterosexual identity had the most robust association, with increased odds of depression, anxiety, at-risk alcohol use, and at-risk cannabis use. Findings provide some evidence to suggest that trends may be worse for some mental health and substance use outcomes among sexual minorities who also experience child maltreatment.</p><p><strong>Conclusion: </strong>Preventing child maltreatment among all children, including youth identifying as other than heterosexual, is a public health priority. Such efforts will work towards optimizing mental health and reducing substance use in early adulthood.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525064","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":"Healthcare lived experiences of African, Caribbean, and Black individuals in Alberta living with HIV/AIDS: A phenomenological study.","authors":"Joseph Osuji, Alyssa Domingo, Funke Olokude","doi":"10.17269/s41997-024-00993-4","DOIUrl":"https://doi.org/10.17269/s41997-024-00993-4","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the lived experiences of African, Caribbean, and Black (ACB) individuals in Alberta living with HIV/AIDS and the issues they encounter when accessing services.</p><p><strong>Methods: </strong>Interpretive phenomenological analysis (IPA) provided the underlying philosophy, data collection, and analysis methods. Participants self-identified after responding to recruitment posters posted at HIV/AIDS-supporting agencies in Alberta and on related social media pages. A total of 22 research informants were recruited and interviewed. Texts resulting from audio-taped interviews constituted data for analysis.</p><p><strong>Results: </strong>Data analysis yielded four broad themes, with stigma, discrimination, and racism serving as common threads in the lived experiences of ACB individuals accessing HIV/AIDS services in Alberta. These themes were organized into four categories: (a) health literacy and empowerment, (b) non-belonging and invisibility, (c) barriers to care and adherence, and (d) psychosocial life impacts.</p><p><strong>Conclusion: </strong>The findings suggest the need for greater sensitivity and knowledge among healthcare and service providers, such as providing culturally appropriate support services for the ACB population living with HIV/AIDS. Moreover, a comprehensive community awareness program is necessary to address discrimination, anti-Black racism, and stigma. Expanded efforts to recognize and mitigate barriers to care, such as poverty, accessibility, and settlement issues, are also critical. This perspective advocates for intentional policy and practice changes that focus on diversity, equity, and inclusivity in protocols governing how ACB individuals access HIV/AIDS care in Alberta.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494685","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}