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

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Screens and Teens: A youth participatory action research approach to developing a survey to assess sexual health risks in the digital age. 屏幕和青少年:一种青年参与性行动研究方法,旨在开展一项调查,以评估数字时代的性健康风险。
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-09 DOI: 10.17269/s41997-026-01185-y
Ashley Vandermorris, Naba Khan, Soliana Lijiam, Michelle Tam, William B Mazin, Stephanie Begun, Jannah Wigle, Dana Arafeh, Julie Skelding, Sarah Carsley, Charles Keown-Stoneman, Jonathon L Maguire, Catherine S Birken, Alene Toulany
{"title":"Screens and Teens: A youth participatory action research approach to developing a survey to assess sexual health risks in the digital age.","authors":"Ashley Vandermorris, Naba Khan, Soliana Lijiam, Michelle Tam, William B Mazin, Stephanie Begun, Jannah Wigle, Dana Arafeh, Julie Skelding, Sarah Carsley, Charles Keown-Stoneman, Jonathon L Maguire, Catherine S Birken, Alene Toulany","doi":"10.17269/s41997-026-01185-y","DOIUrl":"https://doi.org/10.17269/s41997-026-01185-y","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a time of self-discovery and development, particularly in the domains of relationships and sexuality. The use of screens during adolescence can provide outlets to access sexual health knowledge and peer support but may also expose youth to sexual health risks. To meaningfully assess factors influencing youth sexual health, engaging youth in the development of research survey tools is critical.</p><p><strong>Objective: </strong>Applying a youth participatory action research approach, this paper describes the process of co-designing a survey that integrates the present-day experiences of youth to evaluate the potential impacts of screen use on subsequent sexual health attitudes, behaviours, and risks.</p><p><strong>Methods: </strong>Two youth co-principal investigators were engaged from the onset of the study and contributed to the recruitment of six additional youth researchers. A training curriculum was co-designed; the multi-day sessions equipped the youth researchers to develop the survey. Existing validated surveys and literature were screened for potential survey questions, and smaller working groups deliberated to reach consensus on included questions and modifications.</p><p><strong>Results: </strong>The youth researchers created a survey that consisted of nine sections: gender and sexual orientation, media and communication, sources of sexual health information and attitudes, relationships and dating, sexual activity, sexual knowledge and attitudes, dating apps, cybersex, and pornography. The team developed new questions on social media platforms, self-image, and sexual activity consent.</p><p><strong>Conclusion: </strong>Embedding youth in sexual health research beyond the role of advisors, but rather as co-creators, facilitates the generation of research tools that are relevant and culturally informed for adolescents.</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":"147640513","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
Clarifying the evidence and implications of prioritizing extended-release buprenorphine for opioid agonist treatment in Canada's federal correctional system. 澄清证据和影响优先缓释丁丙诺啡阿片类激动剂治疗在加拿大联邦惩教系统。
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-09 DOI: 10.17269/s41997-026-01186-x
Cayley Russell, Tony P George, Nitin Chopra, Bernard Le Foll, Flora I Matheson, Gillian Kolla, Jennifer Wyman, Benedikt Fischer, Nikki Bozinoff, Jürgen Rehm, Shannon Lange
{"title":"Clarifying the evidence and implications of prioritizing extended-release buprenorphine for opioid agonist treatment in Canada's federal correctional system.","authors":"Cayley Russell, Tony P George, Nitin Chopra, Bernard Le Foll, Flora I Matheson, Gillian Kolla, Jennifer Wyman, Benedikt Fischer, Nikki Bozinoff, Jürgen Rehm, Shannon Lange","doi":"10.17269/s41997-026-01186-x","DOIUrl":"https://doi.org/10.17269/s41997-026-01186-x","url":null,"abstract":"<p><p>Correctional Service Canada (CSC) recently revised its opioid agonist treatment (OAT) policy, designating extended-release injectable buprenorphine (XR-BUP; Sublocade) as the first-line treatment for opioid use disorder (OUD) in Canadian federal corrections. Methadone is now a second-line option, and buprenorphine/naloxone is no longer available, raising concerns regarding access, clinical autonomy, and equivalence of care. CSC cited clinical evidence suggesting advantages of XR-BUP, including reduced diversion, simplified dosing, and superior efficacy. One of the primary sources referenced for the policy revisions was a systematic review examining the feasibility and effectiveness of XR-BUP among correctional populations. Here, we clarify the findings and limitations of this review, and examine key implications of CSC's policy revision. While available evidence suggests that XR-BUP is a beneficial OAT option for incarcerated individuals, the literature remains preliminary, heterogeneous, and methodologically limited. It currently does not robustly support the use of XR-BUP as an exclusive replacement for established first-line OAT options. Restricting access to evidence-based OAT options among correctional populations risks undermining patient-centered care, continuity of treatment, and alignment with general clinical guidelines. Ideally, XR-BUP should be offered as a valuable addition, while preserving access to the full range of evidence-based OAT options.</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":"147640523","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
Dimensions of housing safety among women living with HIV in British Columbia: Results from a qualitative community-based research study. 不列颠哥伦比亚省感染艾滋病毒妇女住房安全的各个方面:一项基于社区的定性研究的结果。
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-02 DOI: 10.17269/s41997-026-01167-0
Madeline Gallard, Jennifer Demchuk, Leanne Zubowski, Joanna Mendell, Emily Taylor-Lariviere, Catherine Worthington
{"title":"Dimensions of housing safety among women living with HIV in British Columbia: Results from a qualitative community-based research study.","authors":"Madeline Gallard, Jennifer Demchuk, Leanne Zubowski, Joanna Mendell, Emily Taylor-Lariviere, Catherine Worthington","doi":"10.17269/s41997-026-01167-0","DOIUrl":"https://doi.org/10.17269/s41997-026-01167-0","url":null,"abstract":"<p><strong>Objectives: </strong>Housing plays a significant role in the health of people living with HIV. There are gender-specific and compounding effects of violence, trauma, and other structural factors that may interact with housing experiences for women living with HIV. We used a trauma-informed lens to explore how people who identified as women (i.e., cisgender and transgender women) living with HIV in British Columbia perceived housing safety, and strategies they employed to manage or address threats to housing safety.</p><p><strong>Methods: </strong>A sub-sample of 49 participants who identified as women was selected from a larger community-based research project, Positive Living, Positive Homes, a longitudinal qualitative comparative case study of housing experiences among people living with HIV. Local coordinators conducted semi-structured interviews at two time points, approximately 12 months apart. Interviews were recorded and transcribed for descriptive thematic analysis.</p><p><strong>Results: </strong>We identified three inter-related dimensions of safety in housing for women living with HIV: physical, psychological, and financial safety. These safety themes were consistent across different cultural identities, although African immigrant women faced distinct financial safety pressures. Narratives around housing safety revealed the importance of other identities (e.g., as parents or caregivers) in addition to being women living with HIV. Within their housing situations, participants were continuously building safety mechanisms, and many experienced cycles of safety and lack of safety.</p><p><strong>Conclusion: </strong>To recognize the safety needs and trauma histories of many women living with HIV, gender-, trauma-, and violence-informed approaches to housing and housing services are needed.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595967","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
Self-reported spanking history among adults in Canada: Prevalence, experiences, and attitudinal beliefs. 加拿大成年人自述的打屁股史:流行程度、经历和态度信念。
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-02 DOI: 10.17269/s41997-026-01190-1
Tracie O Afifi, Ben Mathews, Samantha Salmon, Ana Osorio, Lauren MacGowan, Ashley Stewart-Tufescu, Tamara L Taillieu
{"title":"Self-reported spanking history among adults in Canada: Prevalence, experiences, and attitudinal beliefs.","authors":"Tracie O Afifi, Ben Mathews, Samantha Salmon, Ana Osorio, Lauren MacGowan, Ashley Stewart-Tufescu, Tamara L Taillieu","doi":"10.17269/s41997-026-01190-1","DOIUrl":"https://doi.org/10.17269/s41997-026-01190-1","url":null,"abstract":"<p><strong>Background: </strong>While the literature indicates that corporal punishment, and specifically spanking, is associated with several poor outcomes, little is known about the prevalence of spanking and attitudinal beliefs about spanking in Canada. The overall aims of the study were to (1) compute the prevalence of self-reported spanking history and attitudinal spanking beliefs; (2) determine if a spanking history varies according to gender, sexual identity, or birth cohort; and (3) examine how spanking history, gender, sexual identity, and birth cohort are associated with (a) attitudinal spanking beliefs and (b) the practice of spanking one's own child.</p><p><strong>Methods: </strong>Data were obtained from all Canadian provinces for the 2024 Childhood Adversity and Resilience-Youth and Early Adulthood Research Study (CARe-YEARS; n = 3767; ages 18 to 49 years). Data were analysed using descriptive statistics and logistic regression.</p><p><strong>Results: </strong>In the sample, 55.6% reported being spanked as a child with the lowest prevalence (48.9%) among the youngest birth cohort. Overall, 22.6% reported that the spanking left a mark or bruise, or caused lasting physical pain and 15.0% believed spanking is necessary to properly raise a child. Several gender, sexual identity, and birth cohort differences were noted.</p><p><strong>Conclusions: </strong>Ongoing policies and prevention strategies are needed in Canada to further reduce both the attitudinal belief that spanking is necessary to properly raise a child and the use of spanking in a disciplinary context. An important step in advancing child protection in Canada is to repeal the law permitting spanking and to enhance prevention efforts with a focus on gender and sexual identity.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595935","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
Barriers and facilitators to knowledge and awareness around sexually transmitted and blood-borne infections (STBBIs)-related preventive measures among Black populations across Canada: a systematic review. 加拿大黑人对性传播和血液传播感染(STBBIs)相关预防措施的知识和意识的障碍和促进因素:一项系统综述
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-01 Epub Date: 2025-06-30 DOI: 10.17269/s41997-025-01069-7
Bethelehem Girmay, Sasha Logan Strong, Dianne Bryant, Obidimma Ezezika
{"title":"Barriers and facilitators to knowledge and awareness around sexually transmitted and blood-borne infections (STBBIs)-related preventive measures among Black populations across Canada: a systematic review.","authors":"Bethelehem Girmay, Sasha Logan Strong, Dianne Bryant, Obidimma Ezezika","doi":"10.17269/s41997-025-01069-7","DOIUrl":"10.17269/s41997-025-01069-7","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this systematic review was to identify and analyze the barriers and facilitators to knowledge and awareness of sexually transmitted and blood-borne infections (STBBIs) among Black populations in Canada. This review specifically focused on three key areas: general awareness of STBBIs, knowledge of STBBI prevention, and knowledge of STBBI testing.</p><p><strong>Methods: </strong>A comprehensive search was conducted using five databases: OVID Embase, OVID Medline, CINAHL, and Scopus. A total of 1261 studies were initially identified, with 24 meeting the eligibility criteria, limited to studies published between 1990 and 2023. All eligible studies included in the review underwent quality assessment.</p><p><strong>Synthesis: </strong>The review identified 57 barriers and 12 facilitators to STBBI knowledge. Key barriers included stigma, cultural norms, inadequate healthcare resources, lack of cultural competence among healthcare providers, and limited access to information and services. Facilitators included access to AIDS Service Organizations, culturally informed dissemination strategies, supportive family and community networks, and effective communication between parents and children. The Social Cognitive Theory (SCT) was used to interpret these findings, focusing on the role of observational learning, self-efficacy, and social support in knowledge acquisition and health-seeking behaviours, and to guide recommendations for future actions.</p><p><strong>Conclusion: </strong>The findings highlight significant barriers and facilitators to STBBI knowledge among Black populations in Canada. Addressing these barriers and leveraging the identified facilitators, through interventions informed by the SCT, are recommended to improve STBBI knowledge and health outcomes among these communities.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"232-250"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13085487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531027","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
Self-study tool for integrating health equity into Health in All Policies (HiAP) initiatives. 将卫生公平纳入“全民健康政策”倡议的自学工具。
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-01 Epub Date: 2025-09-12 DOI: 10.17269/s41997-025-01098-2
Carol Ragheb, Ketan Shankardass, Laura Lee Noonan
{"title":"Self-study tool for integrating health equity into Health in All Policies (HiAP) initiatives.","authors":"Carol Ragheb, Ketan Shankardass, Laura Lee Noonan","doi":"10.17269/s41997-025-01098-2","DOIUrl":"10.17269/s41997-025-01098-2","url":null,"abstract":"<p><strong>Setting: </strong>Setting. Health system leaders in Canada recognise that quality improvement alone cannot address health inequities. Intersectoral action, which involves coordination and collaboration across public, private, and third-sector organisations, can improve the distribution of social determinants of health (SDOH) and thereby, health equity. While Health in All Policies (HiAP) promotes this approach, critiques and empirical data highlight implementation gaps over whether health equity is actually being improved. The potential for HiAP initiatives to reduce health inequities can be strengthened by paying greater attention to how these interventions are designed, implemented, and evaluated.</p><p><strong>Intervention: </strong>We developed and pilot tested a self-study tool that helps organisations learn and reflect on how health equity can be targeted in intersectoral initiatives, including HiAP. This is not the only tool that can be used to consider ways to integrate health equity into intersectoral action; however, it is the first one designed for HiAP initiatives specifically.</p><p><strong>Outcomes: </strong>The self-study tool asks the user to reflect on a series of health equity concepts to raise awareness about opportunities to better integrate health equity into the design, implementation, and evaluation of intersectoral initiatives.</p><p><strong>Implications: </strong>The survey and appendix can fill in the gaps of other tools meant to support intersectoral action for health by focusing on ways to strengthen the health equity potential of initiatives. Users can apply the tool prospectively and retrospectively to explicitly target specific criteria to improve how their interventions focus on and potentially address health equity.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"384-390"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042188","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
Trends in the dispensing of opioids for pain and concurrent benzodiazepine use among First Nations People in Ontario, Canada, from 2013 to 2021. 2013年至2021年加拿大安大略省第一民族使用阿片类药物治疗疼痛和同时使用苯二氮卓类药物的趋势
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-01 Epub Date: 2025-08-18 DOI: 10.17269/s41997-025-01097-3
Alice Holton, Tianru Wang, Bisola Hamzat, Sacha Bragg, Bernadette deGonzague, Graham Mecredy, Tonya Campbell, Tony Antoniou, Lorrilee McGregor, Jonathan Bertram, Tara Gomes
{"title":"Trends in the dispensing of opioids for pain and concurrent benzodiazepine use among First Nations People in Ontario, Canada, from 2013 to 2021.","authors":"Alice Holton, Tianru Wang, Bisola Hamzat, Sacha Bragg, Bernadette deGonzague, Graham Mecredy, Tonya Campbell, Tony Antoniou, Lorrilee McGregor, Jonathan Bertram, Tara Gomes","doi":"10.17269/s41997-025-01097-3","DOIUrl":"10.17269/s41997-025-01097-3","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate dispensing trends and the characteristics of First Nations People in Ontario dispensed an opioid for pain and concurrent benzodiazepine treatment.</p><p><strong>Methods: </strong>We conducted a population-based serial cross-sectional study by quarter of registered (Status) First Nations People in Ontario who were dispensed an opioid for pain between April 1, 2013, and December 31, 2021. We reported quarterly trends in prevalent and incident opioid dispensing (rates per 1000 people), and the prevalence of concurrent benzodiazepine use among individuals receiving opioids for pain. For the final year (2021), we stratified rates by age, place of residence (within or outside First Nations communities), and sex.</p><p><strong>Results: </strong>Between 2013 and 2021, the quarterly rate of opioid dispensing for pain decreased by 25.0% among First Nations People in Ontario, from 74.7 to 56.0 per 1000 people. In stratified analyses for the year 2021, opioid use for pain was more frequent among First Nations People living outside versus within First Nations communities (118.2 vs. 91.2 per 1000, respectively) and among females relative to males (124.6 and 93.9 per 1000, respectively). Concurrent prescription benzodiazepine use among First Nations People receiving a prescription opioid for pain decreased from 20.9% in Q2 2013 to 16.7% in Q4 2021. In stratified analyses, concurrent use was more prevalent among females, adults aged ≥ 65 years, and First Nations People living outside First Nations communities.</p><p><strong>Conclusion: </strong>Opioid analgesic prescribing patterns for First Nations People living in Ontario indicate a decrease in both overall prescribing rates and concurrent benzodiazepine use.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"332-340"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876776","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
Well-being approaches in public health … what's new? 公共卫生中的健康方法…有什么新鲜事吗?
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-01 DOI: 10.17269/s41997-026-01191-0
Lindsay McLaren
{"title":"Well-being approaches in public health … what's new?","authors":"Lindsay McLaren","doi":"10.17269/s41997-026-01191-0","DOIUrl":"10.17269/s41997-026-01191-0","url":null,"abstract":"","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"197-202"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640542","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
Trends in e-cigarette use in Canada from 2015 to 2021: findings from the nationally representative surveys. 2015年至2021年加拿大电子烟使用趋势:来自全国代表性调查的结果
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-01 DOI: 10.17269/s41997-026-01195-w
Yuning Wang, Aya A Mitani, Kuan Liu
{"title":"Trends in e-cigarette use in Canada from 2015 to 2021: findings from the nationally representative surveys.","authors":"Yuning Wang, Aya A Mitani, Kuan Liu","doi":"10.17269/s41997-026-01195-w","DOIUrl":"10.17269/s41997-026-01195-w","url":null,"abstract":"<p><strong>Objectives: </strong>E-cigarettes have become increasingly popular worldwide in the last decade. This study examines secular trends and factors associated with self-reported e-cigarette use among the general population and youth across ten Canadian provinces.</p><p><strong>Methods: </strong>This study used data from the 2015 and 2017 Canadian Tobacco, Alcohol, and Drugs Surveys and the 2019-2021 Canadian Tobacco and Nicotine Survey from Statistics Canada. The primary outcomes included self-reported ever, current, and high-frequency e-cigarette use. Weighted multivariate logistic regressions were applied to assess the association between the prevalence of self-reported e-cigarette use and gender, age, cigarette, province, and survey year. Crude and model-estimated provincial prevalence were reported and spatially mapped.</p><p><strong>Results: </strong>Between 2015 and 2021, self-reported ever, current, and high-frequency e-cigarette use increased by 3.71%, 2.01%, and 2.92%, respectively. In 2021, the proportion of ever-users was lowest in Ontario and highest in Saskatchewan. New Brunswick showed the highest prevalence of current and high-frequency users, while British Columbia and Saskatchewan reported the lowest. Current smokers 35 years and older were more likely to have ever used e-cigarettes than teenage smokers (P < 0.001). Adolescents were significantly more likely to use e-cigarettes than adults (P < 0.001). Females were less likely to be ever or high-frequency users than males (P < 0.05).</p><p><strong>Conclusion: </strong>This national and provincial analysis provides insights into e-cigarette use in Canada. Public health policies on e-cigarette use may benefit from considering jurisdictional and demographic differences, particularly in relation to use in public spaces.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595909","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 association between positive parent-child interaction and mental health outcomes in children aged 1-11 years in Canada. 积极的亲子互动与加拿大1-11岁儿童心理健康结果之间的关系
IF 2.6 4区 医学
Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-04-01 Epub Date: 2025-06-17 DOI: 10.17269/s41997-025-01073-x
Peter Yassa, Justin Thielman, Andrea Gonzalez, Mackenzie Martin, Daniel W Harrington, Sarah Carsley
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