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

筛选
英文 中文
Are we out of the woods yet? Youth-developed recommendations on recovery from the COVID-19 pandemic: A national Delphi study. 我们脱离险境了吗?青年提出的关于COVID-19大流行恢复的建议:一项全国德尔菲研究
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-16 DOI: 10.17269/s41997-025-01020-w
Meaghen Quinlan-Davidson, Kristin Cleverley, Skye Barbic, Darren Courtney, Gina Dimitropoulos, Lisa D Hawke, Nadia Nandlall, Clement Ma, Matthew Prebeg, J L Henderson
{"title":"Are we out of the woods yet? Youth-developed recommendations on recovery from the COVID-19 pandemic: A national Delphi study.","authors":"Meaghen Quinlan-Davidson, Kristin Cleverley, Skye Barbic, Darren Courtney, Gina Dimitropoulos, Lisa D Hawke, Nadia Nandlall, Clement Ma, Matthew Prebeg, J L Henderson","doi":"10.17269/s41997-025-01020-w","DOIUrl":"https://doi.org/10.17269/s41997-025-01020-w","url":null,"abstract":"<p><strong>Objectives: </strong>To generate concrete, youth-derived recommendations to support Canada's post-pandemic recovery from COVID-19 to support youth mental health and substance use (MHSU), economic, and educational recovery.</p><p><strong>Methods: </strong>Using a virtual, modified Delphi, participants rated recommendation items over three rounds, with the option to create their own recommendation items. A priori consensus was defined as ≥ 70% of the entire group, or subgroups of youth (e.g., age, race/ethnicity, gender and sexual identities), rating items at a 6 or 7 (on a 7-point Likert scale). Items were dropped in subsequent rounds if they did not achieve consensus. Qualitative responses were analyzed using content analysis for Round 1.</p><p><strong>Results: </strong>A total of 40 youths participated in Round 1, with good retention (97.5%) in subsequent rounds. Youths achieved consensus on eight recommendations to support post-pandemic recovery. Youths endorsed post-pandemic strategies that prioritize the implementation of effective, accessible, and low-cost MHSU services in schools, workplaces, and communities; the integration of MHSU education into school lessons; increased awareness about MHSU services in schools and workplaces; and the prioritization of health and well-being in schools and workplaces.</p><p><strong>Conclusion: </strong>Findings indicate the need for stronger partnerships between schools, community-based MHSU services, and hospitals, and job opportunities that pay a living wage.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055504","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}
引用次数: 0
Key considerations for applying intersectionality theory to partner and stakeholder engagement in public health. 将交叉性理论应用于伙伴和利益攸关方参与公共卫生的关键考虑因素。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-10 DOI: 10.17269/s41997-025-01023-7
Samantha Ghanem, Nidhi Marulappa, Vivian Qiang
{"title":"Key considerations for applying intersectionality theory to partner and stakeholder engagement in public health.","authors":"Samantha Ghanem, Nidhi Marulappa, Vivian Qiang","doi":"10.17269/s41997-025-01023-7","DOIUrl":"https://doi.org/10.17269/s41997-025-01023-7","url":null,"abstract":"<p><strong>Setting: </strong>Partner and stakeholder engagement (PSE) in public health that involves tokenistic and performative practices results in further marginalization of priority populations. Inclusive, intentional, and mutually respectful engagement requires an intersectional approach to account for the overlapping and compounding impacts of multiple systems of power on the lived experiences of priority populations. However, there is a lack of practical guidance on methods, strategies, or approaches for how public health initiatives can meaningfully engage with priority populations.</p><p><strong>Intervention: </strong>An evidence synthesis on intersectional approaches to PSE in public health was conducted to inform the development of an evidence-informed tool. Engagement approaches were evaluated based on (1) integration of intersectionality, as defined by the Intersectionality-Based Policy Analysis Framework and (2) level of stakeholder engagement achieved, from communication to co-production.</p><p><strong>Outcomes: </strong>The resulting tool offers \"key considerations\" for incorporating intersectionality principles in PSE in public health, encouraging critical reflection on the who, why, and how of PSE. Organized by the development, implementation, and monitoring and evaluation phases of public health initiatives, these considerations guide users through critical reflection by posing open-ended questions.</p><p><strong>Implications: </strong>The tool's \"key considerations\" are relevant for all public health practitioners, with an emphasis on those in public health institutions. It guides users in navigating structural and interpersonal power imbalances with systemically marginalized priority populations. Adopting an intersectional lens enhances the ability to identify and address the complex array of determinants of health, tailored to population-specific needs and priorities.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027904","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}
引用次数: 0
Contraceptive practices in Québec in relation to immigration: A cross-sectional analysis of data from the Québec Population Health Survey. 与移民有关的曲梅族避孕措施:曲梅族人口健康调查数据的横断面分析。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-08 DOI: 10.17269/s41997-025-01018-4
Audrey Gonin, Sylvie Lévesque, Paule Lespérance, Cindy Dubois, Marianne Rodrigue
{"title":"Contraceptive practices in Québec in relation to immigration: A cross-sectional analysis of data from the Québec Population Health Survey.","authors":"Audrey Gonin, Sylvie Lévesque, Paule Lespérance, Cindy Dubois, Marianne Rodrigue","doi":"10.17269/s41997-025-01018-4","DOIUrl":"https://doi.org/10.17269/s41997-025-01018-4","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine the association between immigration status and women's contraceptive practices based on population data from government surveys.</p><p><strong>Methods: </strong>A secondary data analysis was conducted on the Quebec Population Health Survey (2014-2015), which aimed to represent 98.8% of the population of Quebec aged 15 years and older through stratified sampling and data weighting (response rate of 61%). Univariate and multivariable analyses were used to compare contraceptive practices between immigrant and Canadian-born women. Two dependent variables were considered: (1) women who used contraception vs. no contraceptive method of any kind, and (2) among women who used contraception, those who used methods that required them to access health care (birth control pill, IUD, or tubal ligation) vs. women who used other methods (condom, coitus interruptus, other).</p><p><strong>Results: </strong>The logistic regression results revealed a strong association between immigration status and contraceptive practices, at two levels: (1) immigrant women had lower odds to use contraception than Canadian-born women; and (2) of the women who use contraception, immigrants had lower odds than those born in Canada to use feminine medical contraception. These findings held true for immigrant women regardless of the number of years they have spent in Canada. Women who lived in low-income households or who had not had a medical consultation for more than one year also had lower odds to use feminine medical contraception.</p><p><strong>Conclusion: </strong>Barriers in access to contraceptive care interfere with women's reproductive health and autonomy. The lower odds for immigrant women to use contraception, and particularly the most effective methods, suggest that their contraceptive care needs are at least partially unmet or inadequately addressed. This is concerning given that other studies show no differences in fertility intention between immigrant and Canadian-born women, and high rates of abortion for immigrant women.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812909","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}
引用次数: 0
Impact of legalization on cannabis exposure calls to the British Columbia Poison Control Centre. 大麻合法化对接触大麻的影响致电不列颠哥伦比亚省毒物控制中心。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-07 DOI: 10.17269/s41997-025-01022-8
Jeffrey Trieu, Nina Dobbin, Sarah B Henderson, David McVea
{"title":"Impact of legalization on cannabis exposure calls to the British Columbia Poison Control Centre.","authors":"Jeffrey Trieu, Nina Dobbin, Sarah B Henderson, David McVea","doi":"10.17269/s41997-025-01022-8","DOIUrl":"https://doi.org/10.17269/s41997-025-01022-8","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to examine whether cannabis exposure calls to the British Columbia Drug and Poison Information Centre (DPIC) were impacted by the legalization of non-medical cannabis in Canada.</p><p><strong>Methods: </strong>We fit interrupted time series models to monthly counts of cannabis cases from 2013 to 2021, stratified by age and cannabis form. We set the intervention month to October 2018 legalization for cases involving inhaled dried cannabis and ingestible oils and capsules. We set the intervention month to January 2020 for cases involving edibles and inhaled concentrates to reflect their commercial rollout after their October 2019 legalization.</p><p><strong>Results: </strong>DPIC managed 3989 cases involving cannabis exposure between 2013 and 2021. The rate (95% CI) of all cannabis cases increased by 17% (14%, 20%) annually from 2013 to October 2018 legalization. The highest pre-legalization increase was in pediatric edible cases with 52% (36%, 69%) and 57% (35%, 82%) annual increases among children aged 5 and under and 6 to 12, respectively. Upon legalization, the rate of cases consuming oil and capsule products spiked by 26% (- 19%, 96%) followed by a decrease, but remaining higher than the pre-legalization rate. Legalization did not have an immediate effect on the rate of cases involving edibles or inhaled cannabis, which all continued to increase post-legalization, albeit at slower rates.</p><p><strong>Conclusion: </strong>Regardless of the contributing factors to cannabis case trends at DPIC, these data highlight the importance of poisoning prevention policies, promotion of low-risk use, and routine surveillance.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804738","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}
引用次数: 0
The effectiveness and cost-effectiveness of population-level policies to reduce alcohol use: A systematic umbrella review. 减少酒精使用的人口层面政策的效力和成本效益:一项系统的总括审查。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-03 DOI: 10.17269/s41997-025-01013-9
G Emmanuel Guindon, Clement Li, Riya Trivedi, Umaima Abbas, Grace Xiong, Alisha Atri
{"title":"The effectiveness and cost-effectiveness of population-level policies to reduce alcohol use: A systematic umbrella review.","authors":"G Emmanuel Guindon, Clement Li, Riya Trivedi, Umaima Abbas, Grace Xiong, Alisha Atri","doi":"10.17269/s41997-025-01013-9","DOIUrl":"https://doi.org/10.17269/s41997-025-01013-9","url":null,"abstract":"<p><strong>Objective: </strong>To systematically review and synthesize evidence from reviews about the effectiveness and cost-effectiveness of population-level policies to reduce alcohol use.</p><p><strong>Methods: </strong>We searched peer-reviewed literature using eight electronic bibliographic databases, grey literature using two databases, two search engines, and two working paper repositories, and examined references of included studies. At least two reviewers independently screened articles for inclusion, extracted detailed characteristics, and assessed the risk of bias of each included study. We considered all reviews that included studies which quantitatively examined the relationship between alcohol consumption and population-level policies that seek to regulate the public availability and marketing of alcoholic beverages. After screening according to a set of predetermined criteria, we included 32 reviews.</p><p><strong>Synthesis: </strong>We found consistent evidence that addressing alcohol availability (introducing or increasing minimum purchasing age, restrictions on temporal availability, decreasing outlet density, government monopolization) was associated with lower alcohol use; and a general lack of evidence on the associations between alcohol marketing (marketing self-regulation, advertising from government authorities, regulating the volume of advertising from alcohol manufacturers, and introducing warning labels) and alcohol consumption, which precludes any conclusions about these regulations. Additionally, we found scarce evidence about the cost-effectiveness of population-level policies to reduce alcohol use, which is likely due to the relatively low cost of implementation and enforcement of these policies.</p><p><strong>Conclusion: </strong>The Government of Ontario began expanding privatized alcohol sales in 2015 with further expansions starting in August 2024. Evidence from reviews suggests that this increase in availability will result in increased alcohol consumption.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774766","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}
引用次数: 0
Factors associated with the development, severity, and resolution of post COVID-19 condition in adults living in Canada, January 2020 to August 2022. 2020 年 1 月至 2022 年 8 月居住在加拿大的成年人 COVID-19 后病情发展、严重程度和缓解的相关因素。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-01 Epub Date: 2024-11-01 DOI: 10.17269/s41997-024-00958-7
Dianne Zakaria, Alain Demers, Nicholas Cheta, Samina Aziz, Peri Abdullah
{"title":"Factors associated with the development, severity, and resolution of post COVID-19 condition in adults living in Canada, January 2020 to August 2022.","authors":"Dianne Zakaria, Alain Demers, Nicholas Cheta, Samina Aziz, Peri Abdullah","doi":"10.17269/s41997-024-00958-7","DOIUrl":"10.17269/s41997-024-00958-7","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to characterize the burden of post COVID-19 condition (PCC) among adults in Canada and identify factors associated with its occurrence, severity, and resolution.</p><p><strong>Methods: </strong>We used self-report data from a population-based cross-sectional probability survey of adults in Canada conducted between April and August 2022. Incidence and prevalence of PCC were estimated using confirmed infections, as well as confirmed and suspected combined. Multivariable modeling using confirmed cases identified associated factors.</p><p><strong>Results: </strong>As of August 2022, 17.2% (95% CI 15.7, 18.8) of adults with confirmed infections and 16.7% (95% CI 15.5, 18.0) of adults with confirmed or suspected infections experienced PCC, translating to 3.3% (95% CI 3.0, 3.6) and 4.4% (95% CI 4.1, 4.8) of all adults, respectively. Age less than 65 years (aORs of 1.75 to 2.14), more pre-existing comorbidities (aORs of 1.75 to 3.57), and a more severe initial infection (aORs of 3.52 to 9.69) were all associated with higher odds of PCC, while male sex at birth (aOR = 0.54, 95% CI 0.41, 0.70), identifying as Black (aOR = 0.23, 95% CI 0.11, 0.51), and being infected after 2020 (aORs of 0.24 to 0.55) were associated with lower odds. Those residing in a rural area (aOR = 2.31, 95% CI 1.35, 3.93), or reporting a disability (aOR = 2.87, 95% CI 1.14, 7.25), pre-existing chronic lung condition (aOR = 5.47, 95% CI 1.85, 16.12) or back problem (aOR = 2.34, 95% CI 1.26, 4.36), or PCC headache (aOR = 2.47, 95% CI 1.60, 3.83) or weakness (aOR = 2.27, 95% CI 1.41, 3.68) had higher odds of greater limitations in daily activities, while males had lower odds (aOR = 0.54, 95% CI 0.34, 0.85). Two or more pre-existing chronic conditions (aHRs from 0.33 to 0.38), or PCC symptoms relating to the heart (aHR = 0.25, 95% CI 0.07, 0.90), brain fog (aHR = 0.44, 95% CI 0.23, 0.86), or stress/anxiety (aHR = 0.48, 95% CI 0.24, 0.96) were associated with a decreased rate of symptom resolution.</p><p><strong>Conclusion: </strong>Over the first two and a half years of the pandemic, a substantial proportion of infected adults in Canada reported PCC. Females and people with comorbidities were disproportionately impacted.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"290-308"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562570","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}
引用次数: 0
Action needed to address molecular HIV surveillance ethical concerns. 需要采取行动解决艾滋病毒分子监测的伦理问题。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-01 Epub Date: 2024-10-26 DOI: 10.17269/s41997-024-00961-y
Alexander McClelland, Jason Brophy, Alexandra King, Maureen Owino, Amy Wah, Ryan Peck
{"title":"Action needed to address molecular HIV surveillance ethical concerns.","authors":"Alexander McClelland, Jason Brophy, Alexandra King, Maureen Owino, Amy Wah, Ryan Peck","doi":"10.17269/s41997-024-00961-y","DOIUrl":"10.17269/s41997-024-00961-y","url":null,"abstract":"<p><p>There have been growing ethical concerns about the widespread use of HIV-related molecular epidemiological public health surveillance and research-or what has come to be known as molecular HIV surveillance. The varied concerns of the practice originate due to lack of informed consent, lack of demonstrated benefit for communities, potential for eroded patient care relationships leading to poor health outcomes, and potential implications for information sharing and findings which could increase stigmatization and other negative impacts in contexts where HIV, drug use, sex work, migration, and poverty are criminalized. As people living with HIV, lawyers, clinicians, and social scientists, we are part of the growing movement calling for critical and ethical attention to the practice of molecular HIV surveillance and the public health logic which underwrites the practice. We urge Canadian public health actors and researchers working with molecular surveillance data to heed global guidance and recommendations for culturally informed ethical practices, to engage community members in HIV surveillance programs, and to ensure that people living with HIV are provided appropriate consent processes for uses of secondary data analysis. Furthermore, we urge researchers and Research Ethics Boards to interrogate assumptions of impracticality in seeking subsequent consent to use persons' health information held in data repositories and explore new methods of informed consent.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"265-271"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512693","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}
引用次数: 0
Focusing on sleep health for all, not just sleep disorders. 关注所有人的睡眠健康,而不仅仅是睡眠障碍。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-01 Epub Date: 2025-03-18 DOI: 10.17269/s41997-025-01008-6
Jean-Philippe Chaput
{"title":"Focusing on sleep health for all, not just sleep disorders.","authors":"Jean-Philippe Chaput","doi":"10.17269/s41997-025-01008-6","DOIUrl":"10.17269/s41997-025-01008-6","url":null,"abstract":"<p><p>Sleep is increasingly recognized as a critical pillar of overall health, yet public health efforts have traditionally focused on treating sleep disorders rather than promoting sleep health for all. This article argues that the time has come to shift the emphasis from a disorder-centric approach to one that prioritizes sleep health for everyone. Sleep health extends beyond the absence of disorders and involves achieving optimal sleep quality, duration, and consistency. Poor sleep is linked to numerous health problems, including cardiovascular disease, type 2 diabetes, mental health disorders, and impaired cognitive function. Focusing on sleep health can help prevent these conditions and reduce healthcare costs. Moreover, addressing sleep health disparities, particularly among lower-income populations, shift workers, and racial and ethnic minorities, is crucial for achieving health equity. This article outlines strategies such as public awareness campaigns, workplace policies, school-based interventions, and policy advocacy to promote sleep health. By fostering a sleep-healthy society, we can improve individual and public health outcomes, enhance productivity, and reduce the economic burden associated with poor sleep. Ultimately, a comprehensive approach to sleep health offers significant benefits that extend beyond the treatment of sleep disorders, promoting a healthier and more equitable society.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"316-320"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659691","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}
引用次数: 0
Post-arrival HIV acquisition patterns: Insights from African, Caribbean, and Black immigrant communities in Canada. 抵达后感染艾滋病毒的模式:来自加拿大非洲、加勒比和黑人移民社区的见解。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-01 Epub Date: 2025-02-24 DOI: 10.17269/s41997-024-00991-6
Wangari Tharao, Thabani Nyoni, Amrita Daftary, Sandra Bullock, Soraya Blot, Valerie Pierre-Pierre, Mona Loutfy, Rupert Kaul, Darrell Tan, Anita Rachlis, Curtis Cooper, Irving Salit, Henry Luyombya, Shannon Thomas Ryan, Liviana Calzavara
{"title":"Post-arrival HIV acquisition patterns: Insights from African, Caribbean, and Black immigrant communities in Canada.","authors":"Wangari Tharao, Thabani Nyoni, Amrita Daftary, Sandra Bullock, Soraya Blot, Valerie Pierre-Pierre, Mona Loutfy, Rupert Kaul, Darrell Tan, Anita Rachlis, Curtis Cooper, Irving Salit, Henry Luyombya, Shannon Thomas Ryan, Liviana Calzavara","doi":"10.17269/s41997-024-00991-6","DOIUrl":"10.17269/s41997-024-00991-6","url":null,"abstract":"<p><strong>Objectives: </strong>This mixed methods study examines post-migration HIV acquisition patterns and sexual health behaviours among African, Caribbean, and Black (ACB) immigrant men who have sex with men (MSM), as well as heterosexual men and women in Ontario, Canada.</p><p><strong>Methods: </strong>Data were collected from the MSAFIRI Study, including a cross-sectional quantitative survey (n = 108) and in-depth semi-structured interviews (n = 44). Participants were recruited from the Ontario HIV Treatment Network Cohort Study (OCS) through a purposive sampling of individuals who contracted HIV after migration. Data collection occurred between 2015 and 2017. Quantitative analyses using Fisher's exact tests examined associations between gender and HIV acquisition patterns, while qualitative content analysis identified themes around sexual relationships, HIV disclosure, and health decision-making.</p><p><strong>Results: </strong>Findings highlighted gender and orientation-specific differences in HIV acquisition and associated behaviours. Quantitatively, a higher proportion of men than women could not identify their likely source partner (LSP), frequently describing these relationships as casual. Qualitative insights revealed that LSPs often concealed their HIV status, resulting in unintentional post-diagnosis disclosures. Inconsistent condom use was common, with gendered rationales: heterosexual women often cited partner disapproval or relationship exclusivity, while heterosexual men and MSM cited personal aversion and focus on sexual satisfaction.</p><p><strong>Conclusion: </strong>These findings underscore the distinct post-migration HIV acquisition risks among ACB immigrants in Canada. They suggest the need for culturally responsive public health interventions that consider gender-specific barriers, address stigma, and support health decision-making for ACB migrant communities navigating the complex intersections of migration, health, and relationships.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"194-208"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493686","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}
引用次数: 0
Black scholarship on HIV and health: Configuring public health for Black emancipation. 艾滋病与健康黑人奖学金:为黑人解放配置公共卫生。
IF 2.9 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-01 Epub Date: 2025-04-14 DOI: 10.17269/s41997-025-01038-0
Winston Husbands, Notisha Massaquoi, Maureen Owino, David Este
{"title":"Black scholarship on HIV and health: Configuring public health for Black emancipation.","authors":"Winston Husbands, Notisha Massaquoi, Maureen Owino, David Este","doi":"10.17269/s41997-025-01038-0","DOIUrl":"10.17269/s41997-025-01038-0","url":null,"abstract":"<p><p>The burden of Canada's HIV epidemic has fallen disproportionately on Black communities. Canadian public health authorities and research institutions have been generally impervious to calls for responses that mobilize and support Black community expertise and leadership, and focus on the needs and circumstances of those communities. A group of Canadian scholars and community health practitioners came together in 2022 as the Interim Committee on HIV among Black Canadian Communities (ICHBCC) to develop the Black HIV Manifesto and advocate for transformative responses to HIV on the basis of the manifesto. The ICHBCC conceived and championed the Special Section on HIV, Health, and Black Canadian Communities published in the current issue of the Canadian Journal of Public Health. This special section brings together Black scholars who report and discuss their research with Black communities. We expect that the special section will engage Black scholars and other Black stakeholders to strengthen the knowledge base on HIV among Black Canadian communities, which in turn will inform new avenues for transformative policy, programs, community engagement, and advocacy in response to HIV. Furthermore, we hope that the special section initiates scholarly and community interest in Black emancipation as the conceptual basis for public health scholarship and practice to promote health equity and justice.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":"116 2","pages":"170-173"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038929","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信