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Hayvon JC. Systematic synthesis of intersectional best practices: knowledge translation for circumpolar indigenous disability. Int J Circumpolar Health 2024; 83:2333075. [PMID: 38590199 PMCID: PMC11005870 DOI: 10.1080/22423982.2024.2333075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Accepted: 03/15/2024] [Indexed: 04/10/2024] Open
Abstract
Numerous theories, models, and frameworks (TMFs) currently exist for knowledge translation (KT), with scholarship that is increasingly inclusive of populations experiencing health inequalities. This study proposes two objectives: 1) exploring a nine-step method for synthesising best practices, acknowledging existing syntheses in the form of tailored-databases and review-style publications; and 2) collating best practices to inform KT that is inclusive to indigenous individuals living with disabilities in circumpolar regions. The resulting synthesis emphasises 10 best practices: explicitly connect the accountability of stakeholders to the wellbeing of the people they serve; recognise entanglement with existing neoliberal systems; assess impacts of KT on indigenous treatment providers; employ personal outreach visits; rectify longstanding delegitimization; avoid assuming the target group to be homogeneous, critically examine inequitable distribution of benefits and risks; consider how emphasis on a KT initiative can distract from historical and systemic inequalities; target inequitable, systemic social and economic forces; consider how KT can also be mobilised to gain power and control; assess what is selected for KT, and how it intersects with power position of external stakeholders and internal champions; and, allow people access-to-knowledge which changes inequitable systems.
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Affiliation(s)
- John C. Hayvon
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada
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Bacciaglia M, Neufeld HT, Neiterman E, Krishnan A, Johnston S, Wright K. Indigenous maternal health and health services within Canada: a scoping review. BMC Pregnancy Childbirth 2023; 23:327. [PMID: 37158865 PMCID: PMC10165845 DOI: 10.1186/s12884-023-05645-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 04/25/2023] [Indexed: 05/10/2023] Open
Abstract
BACKGROUND Globally, there are disparities in access to maternal health care services and equity in maternal health outcomes between Indigenous and non-Indigenous populations. While the literature is growing, it has not been systematically synthesized. This review addresses this gap by synthesizing the existing literature on the organizational structure of maternity care, accessibility and delivery of services, and clinical disparities impacting Indigenous maternal health within Canada. It also identifies current knowledge gaps in research on these topics. METHODS A scoping review was completed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines and the extension for scoping reviews. The search for relevant papers was performed in PubMed, CINAHL, and SCOPUS electronic databases and included any empirical literature written in English and published during 2006 - 2021. The research team inductively coded 5 articles to develop a coding scheme, which was then applied to the remaining articles. RESULTS A total of 89 articles were included in the review, of which 32 were qualitative papers, 40 quantitative, 8 were mixed-methods publications, and 9 were review papers. The analysis of the articles resulted in identifying a range of overarching themes pertaining to the maternal health of Indigenous women within Canada including provision of services, clinical issues, education, health disparities, organization, spatial context, and impact of informal support. The results suggest that physical, psychological, organizational, and systemic barriers inhibit the quality-of-care pregnant Indigenous women receive, and that maternal health services are not consistently provided in a culturally safe manner. Results also suggest that, compared to non-Indigenous pregnant women, Indigenous women are more likely to develop clinical complications during pregnancy, reflecting the structural impacts of colonization that continue to negatively influence Indigenous maternal health and well-being. CONCLUSIONS There are many complex barriers that prevent Indigenous women from receiving high quality and culturally appropriate maternal care. Possible areas that could address the service gaps illuminated through this review include the implementation of cultural considerations across health care jurisdictions within Canada.
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Affiliation(s)
- Meagan Bacciaglia
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, Canada
| | - Hannah Tait Neufeld
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, Canada.
| | - Elena Neiterman
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, Canada
| | - Akanksha Krishnan
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, Canada
| | - Sophie Johnston
- Faculty of Arts, Wilfrid Laurier University, Waterloo, ON, Canada
| | - Kyla Wright
- School of Public Health Sciences, The University of Waterloo, Waterloo, ON, Canada
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Rahbar MH, Samms-Vaughan M, Zhao Y, Saroukhani S, Bressler J, Hessabi M, Grove ML, Shakespeare-Pellington S, Loveland KA. Interactions between Environmental Factors and Glutathione S-Transferase (GST) Genes with Respect to Detectable Blood Aluminum Concentrations in Jamaican Children. Genes (Basel) 2022; 13:genes13101907. [PMID: 36292793 PMCID: PMC9601654 DOI: 10.3390/genes13101907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 10/13/2022] [Accepted: 10/18/2022] [Indexed: 11/16/2022] Open
Abstract
Aluminum (Al) is a metallic toxicant at high concentrations following natural or unnatural exposures. Dietary intake is considered as the main source of aluminum exposure in children. We used data from 366 typically developing (TD) children (ages 2−8 years) who participated as controls in an age- and sex-matched case−control study in Jamaica. We investigated additive and interactive associations among environmental factors and children’s genotypes for glutathione S-transferase (GST) genes (GSTT1, GSTM1, GSTP1), in relation to having a detectable blood aluminum concentration (BAlC) of >5.0 μg/L, using multivariable logistic regression models. Findings from interactive models revealed that the odds of having a detectable BAlC was significantly higher among children who ate string beans (p ≤ 0.01), whereas about 40% lower odds of having a detectable BAlC was observed in children with higher parental education level, (p = 0.02). A significant interaction between consumption of saltwater fish and GSTP1 in relation to having a detectable BAlC using either co-dominant or dominant genetic models (overall interaction p = 0.02 for both models) indicated that consumption of saltwater fish was associated with higher odds of having a detectable BAlC only among children with the GSTP1 Ile105Val Ile/Ile genotype using either co-dominant or dominant models [OR (95% CI) = 2.73 (1.07, 6.96), p = 0.04; and OR (95% CI) = 2.74 (1.08, 6.99), p = 0.03]. Since this is the first study from Jamaica that reports such findings, replication in other populations is warranted.
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Affiliation(s)
- Mohammad H. Rahbar
- Department of Epidemiology, Human Genetics, and Environmental Sciences (EHGES), School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Biostatistics/Epidemiology/Research Design (BERD) Component, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Division of Clinical and Translational Sciences, Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Correspondence: ; Tel.: +1-713-500-7901; Fax: +1-713-500-0766
| | - Maureen Samms-Vaughan
- Department of Child & Adolescent Health, The University of the West Indies (UWI), Mona Campus, Kingston 7, Jamaica
| | - Yuansong Zhao
- Biostatistics/Epidemiology/Research Design (BERD) Component, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Department of Biostatistics & Data Science, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Sepideh Saroukhani
- Biostatistics/Epidemiology/Research Design (BERD) Component, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Division of Clinical and Translational Sciences, Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Jan Bressler
- Department of Epidemiology, Human Genetics, and Environmental Sciences (EHGES), School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Human Genetics Center, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Manouchehr Hessabi
- Biostatistics/Epidemiology/Research Design (BERD) Component, Center for Clinical and Translational Sciences (CCTS), The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | - Megan L. Grove
- Department of Epidemiology, Human Genetics, and Environmental Sciences (EHGES), School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
- Human Genetics Center, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA
| | | | - Katherine A. Loveland
- Louis A Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX 77054, USA
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Pan C, Zhao H, Du Q, Xu Y, Tian D, Xiao S, Wang H, Wei X, Wu C, Ruan Y, Zhao C, Tao G, Zheng W. Path Analysis Reveals the Direct Effect of PCB28 Exposure on Cognitive Dysfunction in Older Chinese Females. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19126958. [PMID: 35742207 PMCID: PMC9222330 DOI: 10.3390/ijerph19126958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 04/16/2022] [Accepted: 05/13/2022] [Indexed: 02/04/2023]
Abstract
Background: Research indicates that exposure to polychlorinated biphenyls (PCBs) can cause neurobehavioral impairments in neonates and adults, but the way specific PCBs’ congeners impact cognition functions at a low exposure level in a real-life co-exposure system remains poorly understood. This study aimed to investigate the association of PCBs burden with cognition function among elderly adults. Methods: Based on the Weitang Geriatric Diseases study (2014−2015), the current study measured the plasma concentrations of six indicator-PCBs by GC-MS/MS and assessed the cognitive dysfunction (CoD) via an Abbreviated Mental Test in 266 participants (ages 61−90). Sequential logistic regression was used to analyze the effects of PCBs on cognition functions. Female participants aged less than or equal to 80 years were selected, and path analysis was used to determine the direct or indirect impacts of co-exposure PCBs on CoD by structural equation modeling. Results: After sequential adjustments to potential confounding factors and correction by the Bonferroni, no statistically significant correlation between PCBs exposure and CoD was found in participants (p > 0.05). However, in the co-exposure system, after controlling for co-exposures and confounders, exposure to PCB28 had a direct effect on CoD in females aged between 61 and 80, with a factor load of 0.670. Conclusions: After adjusting for the co-exposures and confounders, exposure to PCB28 can directly increase the risk of cognitive impairment in older Chinese females.
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Affiliation(s)
- Chenwei Pan
- School of Public Health, Medical College of Soochow University, Suzhou 215123, China; (C.P.); (Y.X.)
| | - Huijuan Zhao
- Key Laboratory of Public Health Safety, Ministry of Education, Department of Environmental Health, School of Public Health, Fudan University, No. 130 Dongan Road, Shanghai 200032, China;
- Key Laboratory of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
| | - Qiaoling Du
- Department of Obstetrics, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 200040, China;
| | - Yong Xu
- School of Public Health, Medical College of Soochow University, Suzhou 215123, China; (C.P.); (Y.X.)
| | - Dajun Tian
- Department of Epidemiology and Biostatistics, College for Public Health and Social Justice, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO 63104, USA;
| | - Shuo Xiao
- Department of Pharmacology and Toxicology, Ernest Mario School of Pharmacy, Environmental and Occupational Health Sciences Institutes, Rutgers University, Piscataway, NJ 08854, USA;
| | - Haiyin Wang
- Department of Health Technology Assessment, Shanghai Health Development Research Center, Shanghai 200032, China;
| | - Xiao Wei
- Department of Occupational and Environmental Health, School of Public Health, Guangxi Medical University, Nanning 530021, China;
| | - Chunfeng Wu
- Shanghai Municipal Center for Disease Control & Prevention, No. 1380 West Zhongshan Road, Shanghai 200336, China;
| | - Yuanyuan Ruan
- NHC Key Laboratory of Glycoconjugates Research, School of Basic Medical Sciences, Fudan University, Shanghai 200032, China;
- Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fudan University, Shanghai 200032, China
| | - Chunhua Zhao
- Education and Training Department, the Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215001, China
- Technology Department, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, 26 Daoqian Street, Suzhou 215001, China
- Correspondence: (C.Z.); (G.T.); (W.Z.); Tel./Fax: +86-021-54237229 (G.T.)
| | - Gonghua Tao
- Shanghai Municipal Center for Disease Control & Prevention, No. 1380 West Zhongshan Road, Shanghai 200336, China;
- Correspondence: (C.Z.); (G.T.); (W.Z.); Tel./Fax: +86-021-54237229 (G.T.)
| | - Weiwei Zheng
- Key Laboratory of Public Health Safety, Ministry of Education, Department of Environmental Health, School of Public Health, Fudan University, No. 130 Dongan Road, Shanghai 200032, China;
- Key Laboratory of Health Technology Assessment, National Health Commission of the People’s Republic of China, Fudan University, Shanghai 200032, China
- Correspondence: (C.Z.); (G.T.); (W.Z.); Tel./Fax: +86-021-54237229 (G.T.)
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Hayward A, Cidro J, Dutton R, Passey K. A review of health and wellness studies involving Inuit of Manitoba and Nunavut. Int J Circumpolar Health 2020; 79:1779524. [PMID: 32543995 PMCID: PMC7480607 DOI: 10.1080/22423982.2020.1779524] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 04/16/2020] [Accepted: 06/01/2020] [Indexed: 01/22/2023] Open
Abstract
The purpose of this review is to summarise past Inuit health and wellness studies in Manitoba and the Kivalliq region of Nunavut to provide a snapshot of the types of studies available and identify the gaps in knowledge. Research to date has largely been disease-based and often provides comparisons between Indigenous and non-Indigenous people. Distinct Inuit experiences are rarely written about from an Inuit perspective. However, Inuit Tapiriit Kanatami, the national organisation of Inuit in Canada, and Pauktuutit Inuit Women of Canada have been leaders in strengths-based community research and publications that address priorities determined by the Inuit, including the 2018 Inuit Tapiriit Kanatami document National Inuit Strategy on Research (132).
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Affiliation(s)
- Ashley Hayward
- Student Peace and Conflict Studies, University of Winnipeg, Winnipeg, Canada
| | - Jaime Cidro
- Anthropology, University of Winnipeg, Canada Research Chair, Health and Culture, Winnipeg, Canada
| | | | - Kara Passey
- Development Practice: Indigenous Development (MDP) Student, University of Winnipeg, Winnipeg, Canada
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Kenny TA, Archambault P, Ayotte P, Batal M, Chan HM, Cheung W, Eddy TD, Little M, Ota Y, Pétrin-Desrosiers C, Plante S, Poitras J, Polanco F, Singh G, Lemire M. Oceans and human health—navigating changes on Canada’s coasts. Facets (Ott) 2020. [DOI: 10.1139/facets-2020-0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Ocean conditions can affect human health in a variety of ways that are often overlooked and unappreciated. Oceans adjacent to Canada are affected by many anthropogenic stressors, with implications for human health and well-being. Climate change further escalates these pressures and can expose coastal populations to unique health hazards and distressing conditions. However, current research efforts, education or training curriculums, and policies in Canada critically lack explicit consideration of these ocean–public health linkages. The objective of this paper is to present multiple disciplinary perspectives from academics and health practitioners to inform the development of future directions for research, capacity development, and policy and practice at the interface of oceans and human health in Canada. We synthesize major ocean and human health linkages in Canada, and identify climate-sensitive drivers of change, drawing attention to unique considerations in Canada. To support effective, sustained, and equitable collaborations at the nexus of oceans and human health, we recommend the need for progress in three critical areas: ( i) holistic worldviews and perspectives, ( ii) capacity development, and ( iii) structural supports. Canada can play a key role in supporting the global community in addressing the health challenges of climate and ocean changes.
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Affiliation(s)
- Tiff-Annie Kenny
- Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Québec, QC G1V 0A6, Canada
- Axe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de québec, Université Laval, Québec, QC G1S 4L8, Canada
| | - Philippe Archambault
- Département de biologie, Faculté des sciences et de génie, Université Laval, Québec, QC G1V 0A6, Canada
- ArcticNet, Université Laval, Québec, QC G1V 0A6, Canada
| | - Pierre Ayotte
- Axe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de québec, Université Laval, Québec, QC G1S 4L8, Canada
| | - Malek Batal
- Département de nutrition, Faculté de médecine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Centre de recherche en santé publique (CReSP), Montréal, QC H3C 3J7, Canada
| | - Hing Man Chan
- Department of Biology, Faculty of Science, University of Ottawa, Ottawa, ON K1N 6N5, Canada
| | - William Cheung
- Institute of Oceans and Fisheries (IOF), University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Tyler D. Eddy
- Centre for Fisheries Ecosystems Research, Fisheries & Marine Institute, Memorial University of Newfoundland, St. John’s, NL A1C 5R3, Canada
| | - Matthew Little
- School of Public Health and Social Policy, University of Victoria, Victoria, BC V8P 5C2, Canada
| | - Yoshitaka Ota
- Nippon Foundation Ocean Nexus Center, EarthLab, University of Washington, Seattle, WA 98195-5674, USA
- School of Marine and Environmental Affairs (SMEA), University of Washington, Seattle, WA 98195-5685, USA
| | - Claudel Pétrin-Desrosiers
- Département de médecine familiale et de médecine d’urgence, Faculté de médecine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Association canadienne des médecins pour l’environnement/Canadian Association of Physicians for the Environment (ACME/CAPE), Toronto, ON M5T 2C2, Canada
| | - Steve Plante
- Département Sociétés territoires et développement, Université du Québec à Rimouski, Rimouski, QC G5L 3A1, Canada
| | - Julien Poitras
- Département de médecine familiale et de médecine d’urgence, Faculté de médecine, Université Laval, Québec, QC G1V 0A6, Canada
| | - Fernando Polanco
- School of Medicine, St. George’s University, St. George’s, Grenada, West Indies
| | - Gerald Singh
- Department of Geography, Memorial University of Newfoundland, St. John’s, NL A1B 3X9, Canada
| | - Mélanie Lemire
- Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Québec, QC G1V 0A6, Canada
- Axe santé des populations et pratiques optimales en santé, Centre de recherche du CHU de québec, Université Laval, Québec, QC G1S 4L8, Canada
- Institut de biologie intégrative et des systèmes (IBIS), Université Laval, Québec, QC G1V 0A6, Canada
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