Canadian Journal of Public Health-Revue Canadienne De Sante Publique最新文献_第4页

Expanding supervised consumption services in rural Canada: Bridging gaps. 扩大加拿大农村的监督消费服务：弥合差距。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-05-13 DOI: 10.17269/s41997-025-01057-x

Nyal Mirza, Holly Mathias, Elaine Hyshka

引用次数: 0

Responding to an evolving crisis: Meeting the needs of a growing population who smoke their unregulated substances. 应对不断演变的危机：满足越来越多吸烟不受管制物质的人口的需求。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-05-09 DOI: 10.17269/s41997-025-01046-0

Jessica C Xavier, Charlene Burmeister, Iesha Henderson, Kali-Olt Rufus-Sedgemore, Amber Streukens, Kurt Lock, Sammy Iammarino, Sierra Williams, Alexis Crabtree, Heather Palis

{"title":"Responding to an evolving crisis: Meeting the needs of a growing population who smoke their unregulated substances.","authors":"Jessica C Xavier, Charlene Burmeister, Iesha Henderson, Kali-Olt Rufus-Sedgemore, Amber Streukens, Kurt Lock, Sammy Iammarino, Sierra Williams, Alexis Crabtree, Heather Palis","doi":"10.17269/s41997-025-01046-0","DOIUrl":"https://doi.org/10.17269/s41997-025-01046-0","url":null,"abstract":"Jurisdictions across Canada are experiencing high and increasing numbers of drug toxicity (overdose) deaths. To effectively respond to this crisis, a recognition and adaptation to shifting substance use patterns is needed. People may use one or more modes of consumption (e.g. injection, inhalation, snorting, oral, rectal), with different modes of consumption presenting different opportunities and challenges for public health education and intervention. In recent years, inhalation has increasingly been identified as a major mode of consumption for unregulated substances. We discuss the implications and what is needed to respond. We argue that (1) more research and evidence focused specifically on services for people who smoke unregulated substances is needed; (2) inhalation services that have an acceptable evidence base, even if incomplete, should be implemented and rigorously monitored, to be responsive to an ongoing public health crisis; and (3) there is a need to be mindful of the implications of delays in services for people who inhale drugs. We acknowledge the efforts of public health decision-makers to learn from the context of public health emergencies when it comes to upholding evidence-based practice standards. In this context, it will be important for decision-makers to remain agile in responding to complex public health issues that are characterized by ongoing and acute harms, political tensions, and a growing yet incomplete body of evidence, such as the evolving drug toxicity crisis.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991564","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

Correction: Routine vaccination coverage at ages 2 and 7, before, during, and after the COVID-19 pandemic: Results from the STARVAX surveillance system. 更正：在COVID-19大流行之前、期间和之后，2岁和7岁儿童的常规疫苗接种覆盖率：来自STARVAX监测系统的结果。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-05-09 DOI: 10.17269/s41997-025-01043-3

Ahash Jeevakanthan, Sophia Roubos, Cindy Hong, Allison Hender, Morag Granger, Sazzadul Khan, Maaz Shahid, Shannon LeBlanc, Jeanine O'Connell, Nicolas L Gilbert

引用次数: 0

Sex differences in the prevalence and cardiometabolic risk profiles of steatotic liver disease: A Canadian Longitudinal Study on Aging analysis. 脂肪变性肝病患病率和心脏代谢风险概况的性别差异：一项加拿大纵向衰老研究分析

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-05-05 DOI: 10.17269/s41997-025-01025-5

Jessica Burnside, Felice Cinque, Giada Sebastiani, Alnoor Ramji, Keyur Patel, Mark Swain, Sahar Saeed

{"title":"Sex differences in the prevalence and cardiometabolic risk profiles of steatotic liver disease: A Canadian Longitudinal Study on Aging analysis.","authors":"Jessica Burnside, Felice Cinque, Giada Sebastiani, Alnoor Ramji, Keyur Patel, Mark Swain, Sahar Saeed","doi":"10.17269/s41997-025-01025-5","DOIUrl":"https://doi.org/10.17269/s41997-025-01025-5","url":null,"abstract":"Objective: Steatotic liver disease (SLD) is absent from global public health agendas. Our study is the first to comprehensively examine SLD prevalence in Canada, focusing on sex differences.Methods: We used data from the Canadian Longitudinal Study on Aging between 2012 and 2018. Steatosis was identified using the validated NAFLD Ridge Score. Using the most recent diagnostic criteria, we defined metabolic (dysfunction)-associated steatotic liver disease (MASLD), metabolic dysfunction-associated alcohol-associated liver disease (MetALD), and alcohol-associated liver disease (ALD) and estimated prevalences by sociodemographic factors. Survey-weighted adjusted prevalence ratios (aPR) for MASLD (sex-stratified) and MetALD were estimated using Poisson regression with robust standard errors.Results: A total of 24,888 people (51.4% female; median age 58 years) were included. The most common subtype of SLD was MASLD, 35% (95%CI, 34-36), followed by MetALD 2.6% (2.3-2.9), and ALD 0.8% (0.6-1.0). Overall, the prevalences for MASLD and MetALD were significantly higher among males at 46% (45-48) and 3.7% (3.2-4.2) compared to females at 24% (23-26) and 1.6% (1.2‒2.1), respectively. Lower household incomes were associated with higher MASLD prevalence in females (aPR, 2.9, 2.4-3.5) and males (aPR, 1.1, 1.0-1.3). Multimorbidity was high among the MASLD group; 31 unique MASLD phenotypes based on cardiometabolic characteristics were identified. Females with MASLD were also more likely to have more cardiometabolic conditions compared to males with MASLD.Conclusion: In this large Canadian cohort, we found significant sex differences in SLD burden and cardiometabolic features. Epidemiological assessments are necessary to improve preparedness for the significant projected increase in advanced liver disease.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037898","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 public health unit funding and vegetable and fruit intake in Ontario: A multilevel analysis of the 2013-2014 Canadian Community Health Survey. 安大略省公共卫生单位资金与蔬菜和水果摄入量之间的关系：2013-2014年加拿大社区健康调查的多层次分析

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-05-01 DOI: 10.17269/s41997-025-01033-5

Stephen Hunter, Derek Akateh, Naomi Schwartz, Brendan T Smith, Roman Pabayo

{"title":"The association between public health unit funding and vegetable and fruit intake in Ontario: A multilevel analysis of the 2013-2014 Canadian Community Health Survey.","authors":"Stephen Hunter, Derek Akateh, Naomi Schwartz, Brendan T Smith, Roman Pabayo","doi":"10.17269/s41997-025-01033-5","DOIUrl":"https://doi.org/10.17269/s41997-025-01033-5","url":null,"abstract":"Objective: Robust public health systems are vital for preventing disease and injury, improving well-being, and promoting health equity. The study objective was to estimate the association between public health funding and fruit and vegetable intake.Methods: Participants were residents aged 12 years and older living within 34 public health unit (PHU) regions in Ontario, Canada (n = 36,500). Secondary cross-sectional data from the population-representative 2013-2014 Canadian Community Health Survey (CCHS) were used. Vegetable and fruit intake was self reported in the CCHS along with individual covariates. PHU funding per capita and other area-level social characteristics were measured at the level of the public health region.Results: PHU funding per capita was not associated with vegetable and fruit intake overall (OR = 1.02, 95% CI 0.97, 1.07) or in gender-stratified analyses (males: OR = 1.06, 95% CI 0.99, 1.13; females: OR = 0.98, 95% CI 0.92, 1.05). Associations were not heterogenous across various sociodemographic indicators (age, gender, race, marital status, country of birth, education, income, urbanicity).Conclusion: PHU funding per capita was not associated with vegetable and fruit intake. More refined measures of PHU funding for vegetable and fruit intake may be beneficial for future research.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062637","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

Polysubstance use and mental health among young adults. 青年人的多种物质使用与心理健康。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-29 DOI: 10.17269/s41997-025-01035-3

Rajit Chopra, Marie-Pierre Sylvestre, Annie Pelekanakis, Isabelle Doré, Abdou Y Omorou, Jennifer O'Loughlin

{"title":"Polysubstance use and mental health among young adults.","authors":"Rajit Chopra, Marie-Pierre Sylvestre, Annie Pelekanakis, Isabelle Doré, Abdou Y Omorou, Jennifer O'Loughlin","doi":"10.17269/s41997-025-01035-3","DOIUrl":"https://doi.org/10.17269/s41997-025-01035-3","url":null,"abstract":"Objectives: To describe mental health indicators according to regular (i.e., weekly or daily) alcohol, cannabis, and/or nicotine use in a population-based sample of young adults.Methods: Data for 733 participants (mean age = 30.6 years) were drawn from cycle 23 of the ongoing Nicotine Dependence In Teens study, Montreal, Canada. The associations between (i) number of substances used and (ii) pattern of polysubstance use and each of depressive symptoms, anxiety symptoms, and positive mental health (PMH) were modeled using multivariable linear regression adjusting for age, sex, and education.Results: Median (IQR) scores for depressive symptoms (range 0-50), anxiety symptoms (range 0-21), and PMH (range 0-70) were 8.0 (7.0), 4.0 (6.0), and 43.0 (18.0), respectively. One third (37%) of participants did not report regular use of any substance; 42%, 16%, and 5% reported regular use of one, two, or three substances, respectively. There was no dose-response association between number of substances used and any mental health indicator. Relative to no substance use, regular use of two substances was associated with more frequent anxiety symptoms ( <math><mover><mi>β</mi> <mo>^</mo></mover> </math> [95% CI] = 1.32 [0.34, 2.31]) and lower PMH (-3.64 [-6.34, -0.95]). Specifically, the cannabis-nicotine combination was associated with more frequent anxiety symptoms (2.58 [1.06, 4.10]) and lower PMH (-5.90 [-10.04, -1.76]). The alcohol-nicotine combination was associated with lower PMH (-3.70 [-7.30, -0.10]).Conclusion: Specific pairings of alcohol, nicotine, and cannabis may be important in their associations with mental health. Longitudinal studies in population-based samples of young adults are needed to replicate these findings before their implications for public health programming can be considered.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998845","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

Naloxone awareness and acquisition: Findings from the 2021‒2022 Canadian Postsecondary Education Alcohol and Drug Use Survey. 纳洛酮意识和获取：来自2021-2022年加拿大高等教育酒精和药物使用调查的结果。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-28 DOI: 10.17269/s41997-025-01034-4

Jacqueline Burt, Emilia Krzeminska

{"title":"Naloxone awareness and acquisition: Findings from the 2021‒2022 Canadian Postsecondary Education Alcohol and Drug Use Survey.","authors":"Jacqueline Burt, Emilia Krzeminska","doi":"10.17269/s41997-025-01034-4","DOIUrl":"https://doi.org/10.17269/s41997-025-01034-4","url":null,"abstract":"Objectives: This cross-sectional study assessed naloxone awareness, acquisition rates, and reasons for acquisition among postsecondary students in Canada aged 17‒25 years.Methods: Using data from the 2021‒2022 Canadian Postsecondary Education Alcohol and Drug Use Survey, we conducted descriptive analyses of 31,643 students to characterize naloxone awareness, acquisition, and reasons for acquisition overall and by age, gender, race, international student status, and opioid pain reliever (OPR) use. Using multivariable logistic regression, we assessed the relationship between demographic variables and naloxone awareness and acquisition.Results: Among postsecondary students in Canada, only 47% had heard of naloxone, and only 5% had acquired it in the past year. Significant predictors of naloxone awareness and acquisition included gender, age, race, international student status, and OPR use. Older students, non-binary students, domestic students, and Indigenous students had higher odds of both naloxone awareness and acquisition. Students who had used OPRs in the past year were less likely to be aware of naloxone (AOR = 0.85, 95% CI: 0.80-0.91). However, among those who were aware, they were more likely to have acquired naloxone (AOR = 1.16, 95% CI: 1.01-1.34) than those who had not used OPRs. Among students who had acquired naloxone in the past year, 97% reported their main reason for obtaining it was for use in emergencies involving other people.Conclusion: Low naloxone awareness and acquisition among postsecondary students in Canada represent an important public health gap. Increasing naloxone awareness and acquisition may play an important role in enhancing safety on campuses and beyond.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052499","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

Advocating for cash incentives instead of gift cards in public health research: Dollars over donuts. 在公共卫生研究中提倡现金奖励而不是礼品卡：美元胜过甜甜圈。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-25 DOI: 10.17269/s41997-025-01039-z

Alexandra Kubica, Ben Evans-Durán, Daniel Z Buchman, Aaron M Orkin

{"title":"Advocating for cash incentives instead of gift cards in public health research: Dollars over donuts.","authors":"Alexandra Kubica, Ben Evans-Durán, Daniel Z Buchman, Aaron M Orkin","doi":"10.17269/s41997-025-01039-z","DOIUrl":"https://doi.org/10.17269/s41997-025-01039-z","url":null,"abstract":"Incentives for participation can help enable more equitable public health research practices, particularly when working with people from structurally disadvantaged populations, such as people who use drugs or people experiencing homelessness. Administrative and perceived ethical advantages have solidified gift card incentives in research, even though participants tend to prefer cash incentives for their time, knowledge, and contribution of lived experiences. The use of cash instead of gift cards may merit fresh attention. Drawing from research with marginalized groups, we summarize concerns with gift cards and argue that cash incentives align better with public health ethical principles. Gift cards, while convenient for researchers, can constrain participants' economic autonomy, foster mistrust, and magnify inequities and power imbalances between researchers and participants. Cash can help to affirm participants' autonomy, reduce stigma, demonstrate solidarity and trustworthiness, and directly benefit health. Public health researchers and ethics boards can enable cash incentive practices that centre participant welfare over researcher and institutional convenience. In so doing, they uphold more equitable and respectful relationships with study participants, advancing both public health research and ethical standards.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032653","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

COVID-19 isolation and recovery sites evaluation: Lessons learned for systems innovation. COVID-19隔离和恢复站点评估：为系统创新吸取的经验教训。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-25 DOI: 10.17269/s41997-025-01031-7

Michelle Firestone, Kimia Khoee, Gillian Kolla, Patricia O'Campo, Rosane Nisenbaum, D Linn Holness, Lisa Schlosser, Michaela Beder, Lorie Steer, Terry Pariseau, Ahmed M Bayoumi

{"title":"COVID-19 isolation and recovery sites evaluation: Lessons learned for systems innovation.","authors":"Michelle Firestone, Kimia Khoee, Gillian Kolla, Patricia O'Campo, Rosane Nisenbaum, D Linn Holness, Lisa Schlosser, Michaela Beder, Lorie Steer, Terry Pariseau, Ahmed M Bayoumi","doi":"10.17269/s41997-025-01031-7","DOIUrl":"https://doi.org/10.17269/s41997-025-01031-7","url":null,"abstract":"Objective: The City of Toronto opened COVID-19 Isolation and Recovery Sites (CIRS) in 2020 in response to the need for supported isolation spaces for people experiencing homelessness. As a team of academic researchers and community partners, we assessed how lessons from the CIRS can inform post-pandemic policies for people experiencing homelessness. We focused on identifying models and systems of care for understanding existing services and integration, identifying innovations, and imagining how care can be transformed to be more caring and just.Methods: We conducted 43 key informant interviews with clinicians, peer and harm reduction workers, executive leaders, operational leaders, and people who worked for funding or decision-making organizations. Data were coded and analyzed using deductive content analysis.Results: The CIRS presented a new service model that moved away from being overly medicalized towards having a community orientation, which involved greater integration of services for people experiencing homelessness, transparent decision-making, and open communication. Key to this approach were clinical case management, harm reduction services, strong support of peer workers, and adequate and consistent funding. Future models will need to address power imbalances and hierarchies through formal agreements and processes as well as establishing collaborative cultures.Conclusion: The CIRS offer an important opportunity to rethink services offered within shelter settings. Such change will require a strong vision, sufficient funding, political will, and accountability among all stakeholders. The COVID-19 pandemic offers decision makers an opportunity to consider system-level transformation by looking at largely successful elements of the crisis responses.","PeriodicalId":51407,"journal":{"name":"Canadian Journal of Public Health-Revue Canadienne De Sante Publique","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053279","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

Two-Eyed Seeing and artificial intelligence: Enhancing healthcare delivery in Indigenous communities requires an ethical and culturally relevant public health framework. 双眼视力和人工智能：加强土著社区的医疗保健服务需要一个与伦理和文化相关的公共卫生框架。

IF 2.9 4区医学

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2025-04-23 DOI: 10.17269/s41997-025-01037-1

Amal Khan, Veronica McKinney, Ivar Mendez

引用次数: 0