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

{"title":"The relevance of the United Nations' Sustainable Development Goals in the promotion of sport, physical activity, and recreation in Canada.","authors":"John C Spence, Yeong-Bae Kim, Eun-Young Lee, Leigh M Vanderloo, Guy Faulkner, Mark S Tremblay, Christine Cameron","doi":"10.17269/s41997-024-00964-9","DOIUrl":"10.17269/s41997-024-00964-9","url":null,"abstract":"<p><p>Canada is unique in that it has established four national strategies in support of sport, physical activity, and/or recreation (SPAR). Though some of these strategies identify potential social and environmental correlates of SPAR, and articulate societal outcomes such as changes in behaviour and health, there are no explicit links to larger global initiatives such as the United Nations' Sustainable Development Goals (SDGs). Given that countries are expected to propose a plan for addressing the 17 SDGs, and that obvious overlap exists between several of the proposed development goals and SPAR, Canada should consider whether common indicators can be identified across these strategies and the SDGs simultaneously to facilitate more efficient and effective action. To date, the only SPAR-related indicator proposed in the Canadian plan for SDGs is the health benefit(s) associated with engagement in daily physical activity under Goal 3. Taking an evidence-informed approach for identifying those SDGs for which there are synergies with existing SPAR strategies, we suggest that other goals addressing gender equality, sustainable communities, climate action, life on the land, and peace and justice also share co-benefits with SPAR in Canada. Thus, any revisions to the existing SPAR strategies should identify linkages to the SDGs and indicators.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"321-326"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nats'eji (healing): Examining patient and provider experiences with hospital-based Indigenous wellness services in Northwest Territories, Canada.","authors":"Sophie Isabelle Grace Roher, Paul Andrew, Susan Chatwood, Kimberly Fairman, Tracey Galloway, Angela Mashford-Pringle, Jennifer L Gibson","doi":"10.17269/s41997-024-00959-6","DOIUrl":"10.17269/s41997-024-00959-6","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine how Indigenous patients and biomedical healthcare providers understand and experience the Indigenous wellness services at a hospital in the Northwest Territories.</p><p><strong>Methods: </strong>The qualitative study (May 2018-June 2022) was overseen by a regional Indigenous Community Advisory Committee. Guided by Two-Eyed Seeing and post-colonial theory, the study employed a community-engaged research design, and included two strategies for data generation: (1) interviews with Indigenous Elders, patient advocates, biomedical healthcare providers, policy makers, and hospital administrators (n = 41), and (2) iterative sharing circles with Indigenous Elders (n = 4). Data from the interviews and first sharing circle were transcribed, thematically analyzed, and presented to the sharing circle Elders for validation.</p><p><strong>Results: </strong>The study revealed three overarching and related themes: (1) Elders and patient advocates emphasized that while the Indigenous wellness services at the hospital play a pivotal role connecting patients with cultural supports, the hospital was still not effectively bringing Indigenous healing practices into hospital care; (2) participants identified that structural factors (i.e., policy and governance decisions) shaped patients' experiences with the wellness services; and (3) participants underscored that deeply rooted forces (i.e., racism, colonialism, and biomedical dominance) inhibit the integration of Indigenous healing practices.</p><p><strong>Conclusion: </strong>The findings extend understandings of hospital-based Indigenous wellness services by surfacing relationships between deeply rooted forces, organizational structures, and Indigenous patients' experiences. Altogether, they suggest that to advance care for Indigenous patients and improve the integration of Indigenous healing practices, a system-wide transformation is necessary, which includes Indigenous governance at the hospital and a recognition of the value of Indigenous healing practices.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"272-283"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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":"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":"184-193"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076991/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routine vaccination coverage at ages 2 and 7, before, during, and after the COVID-19 pandemic: Results from the STARVAX surveillance system.","authors":"Ahash Jeevakanthan, Sophia Roubos, Cindy Hong, Allison Hender, Morag Granger, Sazzadul Khan, Maaz Shahid, Shannon LeBlanc, Jeanine O'Connell, Nicolas L Gilbert","doi":"10.17269/s41997-024-00956-9","DOIUrl":"10.17269/s41997-024-00956-9","url":null,"abstract":"<p><strong>Objective: </strong>A decline in routine vaccination coverage in children has been observed after the onset of the COVID-19 pandemic, but it is unclear whether these declines were sustained over time. This analysis assessed changes in vaccination coverage at ages 2 and 7 years for routinely administered vaccinations before, during, and after the COVID-19 pandemic.</p><p><strong>Methods: </strong>Vaccination coverage was measured using yearly data from the Standardized Reporting on Vaccination (STARVAX) surveillance system between December 31, 2019, and December 31, 2023. Four provinces (Alberta, Saskatchewan, Manitoba, and New Brunswick) and one territory (Yukon) produced reports from their immunization registries and provided the Public Health Agency of Canada with the numbers of vaccinated 2-year-old and 7-year-old children. Population estimates from Statistics Canada and the Yukon Bureau of Statistics were used as the denominators.</p><p><strong>Results: </strong>There was a decline in vaccination coverage in 2023 compared to 2019. In 2-year-olds, coverage for one dose of the measles, mumps, and rubella (MMR) vaccine and four doses of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine decreased from 88.9% to 84.3% and from 79.6% to 73.3%, respectively. Among 7-year-olds, DTaP (up-to-date) and MMR (two doses) vaccination coverage decreased from 77.3% to 68.2% and 85.4% to 74.9%, respectively.</p><p><strong>Conclusion: </strong>These declines are of concern and suggest that health care professionals should provide parents with accurate information regarding vaccines and encourage them to have their children vaccinated and keep vaccinations up to date.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"284-289"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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":"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":"167-169"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076979/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with self-rated health in Black Canadians: A cross-sectional study.","authors":"Sheila A Boamah, Roger Antabe, Shamara Baidoobonso, Josephine Etowa, Pascal Djiadeu, Clemence Ongolo-Zogo, Winston Husbands, Lawrence Mbuagbaw","doi":"10.17269/s41997-024-00973-8","DOIUrl":"10.17269/s41997-024-00973-8","url":null,"abstract":"<p><strong>Objectives: </strong>Self-rated health (SRH) has shown to be a strong predictor of morbidity, functional decline, and mortality outcomes. This paper investigates the association between sociodemographic variables (e.g., employment, education, sex) and SRH among Black Canadians.</p><p><strong>Methods: </strong>We used cross-sectional survey data (n = 1380) from the A/C (African Caribbean) Study of first- and second-generation Black Canadians in Toronto and Ottawa. Participants were invited to complete an electronic survey questionnaire in English or French in 2018-2019. Generalized linear model analyses were used to evaluate the associations among sociodemographic factors and self-rated quality of health.</p><p><strong>Results: </strong>A total of 1380 self-identified Black individuals completed the survey and were included in the analysis. The majority of participants were under the age of 60 (89.7%), female (63.4%), born outside of Canada (75.1%), and residing in Toronto, Ontario (61.9%). The strongest association with poor SRH was found for difficulties accessing health care, sexual orientation, and substance misuse/disorder, while accessing/meeting basic needs was associated with better SRH, following adjustment for other socioeconomic conditions and lifestyle factors.</p><p><strong>Conclusion: </strong>Our findings underscore the importance of improving the social determinants of health as a conduit to improving the general health status and the quality of life of Black Canadians. Results revealed that Black Canadians may be demonstrating high levels of resilience in circumventing their current social circumstances and structural disadvantages to live the best quality of life. Understanding sociodemographic and socio-structural barriers that Black people face is essential to reducing vulnerabilities to poor outcomes and improving their health and well-being.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"174-183"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"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":"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":"254-264"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076989/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial disparities in HIV pre-exposure prophylaxis (PrEP) awareness and uptake among white, Black, and Indigenous men in Canada: Analysis of data from the I'm Ready national HIV self-testing study.","authors":"Wale Ajiboye, Wangari Tharao, Maureen Owino, Lena Soje, Jason M Lo Hog Tian, Amy Ly, Margaret Kisikaw Piyesis, Albert McLeod, Mathew Fleury, Kristin McBain, Notisha Massaquoi, Tegan Mosugu, Jaris Swidrovich, Darrell H S Tan, LaRon Nelson, Sean B Rourke","doi":"10.17269/s41997-025-01009-5","DOIUrl":"10.17269/s41997-025-01009-5","url":null,"abstract":"<p><strong>Objectives: </strong>Black and Indigenous men in Canada continue to experience significant and disproportionate burden of new HIV infection. The purpose of this study was to understand racial differences in PrEP awareness and use, and PrEP cascade among white, Black, and Indigenous men in Canada with the intention to provide evidence for immediate action in our publicly funded health care system.</p><p><strong>Methods: </strong>We performed a secondary analysis (n = 4294) of cross-sectional data from the I'm Ready national HIV self-testing research program launched in June 2021 and running through December 2023. Binary logistic regression was used to assess racial differences in PrEP awareness and uptake. A proposed PrEP cascade was developed using the data on awareness, uptake, and retention in PrEP care.</p><p><strong>Results: </strong>Black participants (OR = 0.34, CI 0.29, 0.39), who are gbMSM (OR = 0.27, CI 0.21, 0.35), aged 18-45 (OR = 0.35, CI 0.30, 0.40), living in urban (OR = 0.41, CI 0.33, 0.51) or rural areas (OR = 0.33, CI 0.26, 0.44), and who are PrEP-eligible (OR = 0.34, CI 0.28, 0.40), were less likely to be aware of PrEP than white participants. Indigenous participants (OR = 0.57, CI 0.44, 0.75), aged 18-45 (OR = 0.57, CI 0.43, 0.75), living in rural communities (OR = 0.15, CI 0.25, 0.57), and who are PrEP-eligible (OR = 0.62, CI 0.46, 0.83), were less likely to be aware of PrEP than white participants. For PrEP uptake, Black participants (OR = 0.61, CI 0.46, 0.82), aged 18-45 (OR = 0.59, CI 0.44, 0.80), living in rural communities (OR = 0.44, CI 0.23, 0.84), and PrEP-eligible (OR = 0.62, CI 0.46, 0.85), were less likely to be on PrEP than white participants. Also, Indigenous men living in urban areas were more likely to be on PrEP than white participants (OR = 1.65, CI 1.01, 2.69).</p><p><strong>Conclusion: </strong>Community-based and public health interventions are immediately needed to increase PrEP awareness, access, and uptake for Black and Indigenous communities in Canada.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"243-253"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Where public health meets public opinion: Understanding political support for fluoridation in Calgary, 2021.","authors":"Jack Lucas, R Michael McGregor, Simon Kiss, Andrea M L Perrella","doi":"10.17269/s41997-024-00960-z","DOIUrl":"10.17269/s41997-024-00960-z","url":null,"abstract":"<p><strong>Objectives: </strong>To understand variables associated with support for community water fluoridation among ordinary citizens during periods of heightened issue salience, with a particular focus on how support varies on the basis of demographic characteristics, attitudes toward public health science, and political variables such as ideology, populism, and issue salience.</p><p><strong>Methods: </strong>Statistical analysis of individual-level data from a large-scale survey of eligible voters in the City of Calgary, Alberta in 2021, collected at the time of a community water fluoridation plebiscite.</p><p><strong>Results: </strong>Survey data (N = 1130) reveal substantively important and statistically significant relationships with fluoridation support in each of our three analysis categories (demographics, public health expertise, and politics). Support for fluoridation tends to be higher among men, university-educated, higher-income; among those with trust in experts and knowledge of fluoride governance; and among those who consider the issue important and have low levels of populist attitudes. Two exceptions to findings in past studies are age and ideology: younger respondents were more likely than older respondents to support fluoridation in Calgary, as were those on the ideological left, as compared to the right.</p><p><strong>Conclusion: </strong>Incorporating studies of the correlates of public attitudes related to public health policies is important for understanding public health policy failure and success, especially in instances involving public consultation mechanisms, such as plebiscites.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"309-315"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a paraprofessional role across the public health sector in Manitoba: Impacts on system capacity.","authors":"Shelley Marshall, Degol Tsegai, Mhairi Lintott, Trevor Carnelley, Santina Lee, Carol Kurbis","doi":"10.17269/s41997-024-00967-6","DOIUrl":"10.17269/s41997-024-00967-6","url":null,"abstract":"<p><strong>Setting: </strong>Manitoba experiences sexually transmitted and blood-borne infection (STBBI) incidence rates above the national average and fundamental public health sector responses face human resource constraints.</p><p><strong>Intervention: </strong>Manitoba implemented a paraprofessional role, the Communicable Disease Technician (CD Tech), to complete low-complexity STBBI investigations and support STBBI testing, care engagement initiatives, provider reporting, harm reduction supply distribution, and community engagement. Secondary roles included tuberculosis directly observed treatment (DOT) and virtual DOT, and flu and COVID immunization support. Twenty CD Tech positions were allocated to regional public health teams along with additional Public Health Nurse (PHN) positions to support the role.</p><p><strong>Outcomes: </strong>Mixed methods were used to evaluate the impact on public health system capacity. Follow-up of chlamydia and gonorrhea case investigations increased from 35% to 98%. Volume of contacts followed by public health increased for chlamydia (114%), gonorrhea (33%), and HIV (68%). Health care provider reporting for cases of STBBI and treatment more than doubled (116%). No significant differences in case investigation data quality were found between CD Techs and PHNs. Qualitative interviews by public health staff (n = 24) found CD Techs highly flexible and competent team members who can fill gaps and expand capacity in direct client service, outreach, administration, data entry, or community/partner engagement.</p><p><strong>Implications: </strong>Mentorship, ongoing supervision, role clarity, training, and clear practice standards are required to optimize the role. There is potential to expand this innovation and build surge capacity in other areas of public health practice, and other public health jurisdictions.</p>","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":"327-334"},"PeriodicalIF":2.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12076987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677694","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}