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Oral Health Inequalities In Adolescents And Young Adults In Ontario, Maria Rahman

Electronic Thesis and Dissertation Repository

Oral health is consistently linked to physiological, psychological, and social aspects of well-being in adolescents and young adults. In this thesis, I aimed to examine the social determinants of oral health and dental care utilization. First, I conducted a scoping review of the literature, demonstrated the multifaceted nature of oral health and its connections to broader social and economic factors. Then, I conducted a cross-sectional analysis of the Canadian Community Health Survey which showed a social gradient in oral health and dental care utilization among adolescents and young adults in Ontario. When stratified by age, there was a protective association …

Social Capital Associates With Better Cognitive Health, Oral Health And Epigenetic Age Deceleration: Findings From The Canadian Longitudinal Study On Aging., Aileen Liang, Noha Gomaa

Department of Medicine Publications

Background: Social exposures are linked to an array of health outcomes, especially around aging. In this study, we examined the association of social capital, defined as social relationships and networks, with clinical and biological outcomes including cognitive health, oral inflammation, and epigenetic aging. Methods: We used data from the Canadian Longitudinal Study on Aging (CLSA) (n =1,479; aged 45–85 years), categorizing social capital as structural and cognitive capital. Oral inflammation was determined as the presence of gum bleeding. Epigenetic aging was computed as the difference between chronological age and DNA methylation age. We constructed multivariable regression models adjusted for covariates …

The Role Of Psychosocial Factors In Oral Health And Related Major Chronic Conditions, Abby Hensel

Electronic Thesis and Dissertation Repository

Psychosocial factors may be a common pathway that increases the susceptibility to co-occurring oral health conditions and other non-communicable chronic conditions. This thesis aimed to investigate the role of psychosocial stress in the co-occurrence of oral health conditions and systemic chronic conditions. First, a scoping review was conducted which found psychosocial stress to be positively associated with both oral and other chronic diseases. Next, a cluster analysis of oral health and multimorbidity profiles was conducted which showed middle-aged and older Canadians to have varying health profiles based on their oral health and multimorbidity status. We also found that individuals with …

Systemic, Institutional, And Teaching Factors In The Delivery Of Interprofessional Education Curriculum In Canada, Mohammad B. Azzam

Electronic Thesis and Dissertation Repository

The Canadian federal and several provincial governments are currently collaborating to establish ‘team-based’ primary healthcare—or interprofessional collaborative practice (IPCP), which can be effectively accomplished when interprofessional education (IPE) is sustainably delivered by health and social care (HASC) professional education programs. Indeed, achieving the intended patient/client-oriented outcomes of IPE and subsequent IPCP requires deliberate and purposeful considerations of several systemic, institutional, and teaching factors. Regrettably, the analyses of the extent to which these factors have influenced effective IPCP is currently under-researched. In this integrated-article dissertation, we took a purposeful and systematic approach to explore the extent to which these multi-tiered factors …

Freedom Of Expression: Values And Harms, Camden Hutchison

All Faculty Publications

When considering restrictions on socially disfavoured expression, the Supreme Court of Canada has often considered the targeted expression’s “value.” In the seminal cases of Ford v. Quebec and Irwin Toy Ltd. v. Quebec, the Supreme Court articulated the importance of expressive freedom by relating it to three core values: (1) seeking and attaining the truth; (2) participation in democratic institutions; and (3) diversity in forms of individual selffulfillment. Subsequent cases considering restrictions on expression have evaluated the extent to which the targeted expression advances these values. Ironically, although Ford and Irwin Toy embraced a broad conception of expressive freedom, the …

The Validity Of Mcat Scores In Predicting Students' Performance And Progress In Medical School: Results From A Multisite Study, Joshua T. Hanson, Kevin Busche, Martha L. Elks, Loretta E. Jackson-Williams, Robert A. Liotta, Chad Miller, Cindy A. Morris, Barton Thiessen, Kun Yuan

Pathology Research and Scholarship

PURPOSE: This is the first multisite investigation of the validity of scores from the current version of the Medical College Admission Test (MCAT) in clerkship and licensure contexts. It examined the predictive validity of MCAT scores and undergraduate grade point averages (UGPAs) for performance in preclerkship and clerkship courses and on the United States Medical Licensing Examination Step 1 and Step 2 Clinical Knowledge examinations. It also studied students' progress in medical school.

METHOD: Researchers examined data from 17 U.S. and Canadian MD-granting medical schools for 2016 and 2017 entrants who volunteered for the research and applied with scores from …

Morbid And Mortal Inequities Among Indigenous People In Canada And The United States During The Covid-19 Pandemic Critical Review Of Relative Risks And Protections, Naomi G. Williams, Amy M. Alberton, Kevin M. Gorey

Social Work Publications

The COVID-19 pandemic focused the world’s attention on gross racialized health inequities and injustices. For political and scientific reasons much less is known about the plight of Indigenous peoples than about other ethnic groups. In fact, some of the early pandemic evidence suggested that Indigenous peoples, while clearly experiencing prevalent structural violence probably also experience certain cultural protections. Aiming to begin to clarify their relative risks and protections, we conducted a rapid critical research review and sample-weighted synthesis or meta-analysis of the publishedand gray literature on four COVID-19-relevant outcomes in Canada and the United States between January 1, 2020 and …

The Importance Of Explicit And Timely Knowledge Exchange Practices Stemming From Research With Indigenous Families, Elizabeth J. Cooper, S Michelle Driedger

The Qualitative Report

Ethical research practice within community-based research involves many dimensions, including a commitment to return results to participants in a timely and accessible fashion. Often, current Indigenous community-based research is driven by a partnership model; however, dissemination of findings may not always follow this approach. As a result, products may not be as useful to participants who were motivated to be involved in the research process. We conducted a seven-week workshop on three occasions with different First Nations and Metis women and girls (age 8-12) in Winnipeg, Manitoba. The workshop explored participants’ perspectives around health, safety, and family wellbeing using a …

Utilization Of Healthcare By Immigrants In Canada: A Cross-Sectional Analysis Of The Canadian Community Health Survey, Nisanthini Ravichandiran

Electronic Thesis and Dissertation Repository

Immigrants to Canada face unique barriers to health care, which leads to inequities in the utilization of health care. Lower utilization of health care by immigrants to Canada is associated with the deteriorating health of individual immigrants as well as costs to the health care system. The existing literature suggests that time since immigration is an important predictor for utilization of healthcare for Canadian immigrants. This thesis uses Andersen and Newman’s Framework of Health Service Utilization and data from the 2015-2016 Canadian Community Health Survey to examine health care utilization among immigrants in Canada. The objectives were: (1) To examine …

Providing Dental Insurance Can Positively Impact Oral Health Outcomes In Ontario, Nevena Zivkovic, Musfer Aldossri, Noha Gomaa, Julie W. Farmer, Sonica Singhal, Carlos Quiñonez, Vahid Ravaghi

Paediatrics Publications

Background: Universal coverage for dental care is a topical policy debate across Canada, but the impact of dental insurance on improving oral health-related outcomes remains empirically unexplored in this population. Methods: We used data on individuals 12 years of age and older from the Canadian Community Health Survey 2013-2014 to estimate the marginal effects (ME) of having dental insurance in Ontario, Canada's most populated province (n = 42,553 representing 11,682,112 Ontarians). ME were derived from multi-variable logistic regression models for dental visiting behaviour and oral health status outcomes. We also investigated the ME of insurance across income, education and age …

Older Women Using Women's Magazines: The Construction Of Knowledgeable Selves, Dana Sawchuk, Mina Ly

Sociology Faculty Publications

Women’s magazines are widely read in Canada. The popularity of such magazines is significant because critical gerontologists, primarily drawing on content analyses of the magazines, often argue that these publications convey problematic messages about ageing. This article broaches the subject of women’s magazines and ageing from a different vantage point, that of the older woman reader herself. This audience-centred research draws on 21 semi-structured interviews with Canadian women over the age of 55. The study examines what older women say about the ageing-related content of women’s magazines, along with what they say about how, when, and why they read these …

Criticai Discourse Analysis Of Policies Impacting The Intersection Of Health And Experiences Of Intimate Partner Violence For Rural Women In Ontario, Canada, Tara Mantler, Kimberley T. Jackson, Edmund J. Walsh

Paediatrics Publications

Introduction: Intimate partner violence (IPV) impacts approximately one quarter of Canadian women, and services provided to support women are heavily influenced by policy. Policy sets the stage and tone for action in all sectors. To date, there have been no critical discourse analyses examining how provincial, hospital, and women's shelter policies intersect and impact women in rural communities. Methods: A critical discourse analysis using a case study of one rural community in south-western Ontario was undertaken by a multisectoral team of researchers using a critical, feminist, intersectional lens. The selected policies were (1) Domestic Violence Action Plan for Ontario (ODVAP), …

Sustaining Canadian Marine Biodiversity: Policy And Statutory Progress, Jeffrey A. Hutchings, Julia K. Baum, Susanna D. Fuller, Josh Laughren, David Vanderzwaag

Articles, Book Chapters, & Popular Press

A 2012 Expert Panel Report on marine biodiversity by the Royal Society of Canada (RSC) concluded that Canada faced significant challenges in achieving sustainable fisheries, regulating aquacul- ture, and accounting for climate change. Relative to many countries, progress by Canada in fulfilling international obligations to sustain biodiversity was deemed poor. To track progress by Canada since 2012, the RSC struck a committee to track policy and statutory developments on matters pertaining to marine biodiversity and to identify policy challenges, and leading options for implementation that lie ahead. The report by the Policy Briefing Committee is presented here. It concluded that …

Public Health Nurses’ Perceptions Of High School Dropout Rates As A Public Health Issue, Maria Wallace

Walden Dissertations and Doctoral Studies

Education is one of the strongest predictors of health, and well-being. Early termination of education can lead to poorer health, shorter lifespans, and increased stress on the healthcare system. Improving overall high school graduation rates has been debated and discussed by the Toronto District School Board (TDSB) and the Ministry of Education, however, there is a paucity of research on increased graduation rates as they relate to public health in the Canadian context. The purpose of this phenomenological qualitative study was to explore the perceptions of liaison public health nurses (PHNs) who worked directly with the TDSB regarding their roles …

Understanding Barriers To Health Care Access Through Cultural Safety And Ethical Space: Indigenous People's Experiences In Prince George, Canada, Sarah E. Nelson, Kathi Wilson

Geography and Geology Faculty Publications

Almost 1.7 million people in the settler colonial nation of Canada identify as Indigenous. Approximately 52 per cent of Indigenous peoples in Canada live in urban areas. In spite of high rates of urbanization, urban Indigenous peoples are overlooked in health care policy and services. Because of this, although health care services are more plentiful in cities as compared to rural areas, Indigenous people still report significant barriers to health care access in urban settings. This qualitative study, undertaken in Prince George, Canada, examines perceived barriers to health care access for urban Indigenous people in light of how colonialism impacts …

'Gifts From Amin': The Resettlement, Integration, And Identities Of Ugandan Asian Refugees In Canada, Shezan Muhammedi

Electronic Thesis and Dissertation Repository

Given the current climate of the global refugee crisis it is vital to investigate why and how Canada has admitted refugees in the past. Prior to the creation of formal refugee policy, several notable resettlement initiatives occurred within the country in the postwar period including the arrival of Hungarian and Czechoslovakian refugees. This is the first academic study on the resettlement, integration, and identities of Ugandan Asian refugees who arrived in Canada between 1972 and 1974. They were the largest group of non-European and predominately Muslim refugees to arrive in Canada before the official creation of formal refugee policy in …

Modernizing The Canada Health Act, Colleen M. Flood, Bryan Thomas

Dalhousie Law Journal

The Canada Health Act (CHA) was adopted in 1984, to shore up a health-care system conceptualized in the 1960s. Under the CHA, universal coverage is limited to "medicallynecessary" hospital and physician services, to the exclusion of vital goods and services such as outpatient pharmaceuticals, dental care, long-term care, and many mental health services. Inequities resulting from these gaps in public coverage are partly to blame for pushing Canada's health system to the bottom ofrecent international rankings. But there is more to modernizing Canada s health care system, we argue, than filling these gaps in universal coverage. Every major health system …

Innovation In Healthcare, Innovation In Law: Does The Law Support Interprofessional Collaboration In Canadian Health Systems?, Nola M. Ries

Osgoode Hall Law Journal

Interprofessional collaboration in health care describes a model of practice in which multiple health professionals work together in a team-based approach to patient care. A growing body of literature demonstrates that interprofessional collaboration advances health care quality and safety, improves patient outcomes and experiences of care, and promotes job satisfaction among health professionals. Governments and health organizations across Canada are working to advance interprofessional health care delivery. This article examines the importance of law in supporting a shift to interprofessional collaboration in Canadian health care and discusses two key aspects of the legal context in which health practitioners work. First, …

Addressing Inequities In The College Of The 21st Century, Linda Muzzin, Diane Meaghan

System and Institutional Design and Transformation

Based on a Social Sciences and Humanities Research Council (SSHRC) funded study of college faculty and administrators in BC (part of a national study), we documented inequities that can be related to class, ethnoracial, and gender stratification. Participants in Early Childhood Education (ECE), practical nursing and literacy explained how government restructuring disadvantaged poorer women students, and placed heavy workloads on faculty and students. These feminized vocational fields are vulnerable to instability in the “new” college in which the “flexible” worker is the norm. Our interviews took place in former university colleges, and urban as well as rural colleges. We document …

An Ethnographic Investigation Of The Maternity Healthcare Experience Of Immigrants In Rural And Urban Alberta, Canada., Gina M. Higginbottom, Jalal Safipour, Sophie Yohani, Beverly O’Brien, Zubia Mumtaz, Patricia Paton, Yvonne Chiu, Rubina Barolia

School of Nursing & Midwifery

BACKGROUND:

Canada is among the top immigrant-receiving nations in the world. Immigrant populations may face structural and individual barriers in the access to and navigation of healthcare services in a new country. The aims of the study were to (1) generate new understanding of the processes that perpetuate immigrant disadvantages in maternity healthcare, and (2) devise potential interventions that might improve maternity experiences and outcomes for immigrant women in Canada.

METHODS:

The study utilized a qualitative research approach that focused on ethnographic research design and data analysis contextualized within theories of organizational behaviour and critical realism. Data were collected over …

Fallout From Chaoulli: Is It Time To Find Cover?, Joan M. Gilmour

Joan M. Gilmour

This article examines the implications of the decision in Chaoulli v. Quebec (A.G.) for Canadian health policy. The author assesses whether governments are likely to strengthen medicare, given past performance and the exit option Chaoulli presents. The article analyzes the consequences of increasing private care and private insurance, concluding this will diminish the publicly funded system. It contrasts Chaoulli -with courts' dismissals of claims for Charter protection of minimal social and economic security, despite the profound effects of the latter on health status. It concludes by noting Chaoulli is one more example of the increasing prevalence of discourse normalizing privatization …

Do Us Proud: Poor Women Claiming Adjudicative Space At Cesr, Emily Paradis

Journal of Law and Social Policy

Claiming Our Rights was a feminist participatory action research project based at Sistering, a Toronto drop-in for women facing homelessness. At weekly meetings over the course of eighteen months, members learned about social and economic rights, gave testimony on their lived experiences, and undertook actions to claim their rights. Among other initiatives, the group—which members named FORWARD—contributed a report on women’s homelessness to the 2006 review of Canada by the United Nations Committee on Economic, Social and Cultural Rights. This paper draws upon observations of the group’s process and in-depth interviews with participants to assess this human rights education methodology. …

Canadian Medical Malpractice Law In 2011: Missing The Mark On Patient Safety, Colleen M. Flood, Bryan Thomas

Chicago-Kent Law Review

This paper surveys the current state of medical malpractice law in Canada, along with current evidence on adverse events in Canadian hospitals, medical clinics, and long-term care facilities. Though there is currently no "burning platform" to reform Canadian medical malpractice law, the authors raise concerns about the law's failure to deter medical malpractice, as well as concerns about access to justice issues facing victims of medical malpractice. Federal and provincial governments have tried to promote patient safety through various prevention strategies—for example, through the creation of Health Quality Councils, the dissemination of information on best practices, and tighter regulation of …

Constructing Categories, Imagining A Nation: A Critical Qualitative Analysis Of Canadian Immigration Discourse, Andrea R. Flynn

Electronic Thesis and Dissertation Repository

Immigration and population diversity are hot topics in Canadian society. Canadian immigration discourses include widespread debates over the value of immigration to Canada, the structure of the immigration program, and the impact of immigrants with ‘non-Canadian’ traditions and practices on Canadian society. Representations deployed in these discourses operate to socially construct the Canadian nation, and symbolically define immigrants’ place in Canada’s national imagined community. The present thesis elaborates on theoretical understandings of the social construction of the Canadian national community in the contemporary era of international migration by providing a qualitative critical discourse analysis of three types of Canadian immigration …

Class Differences In Self-Rated Health: An International Comparison, Kayla Lynn Baumgartner

Digitized Theses

This paper analyzes the extent to which social class influences perceptions of health among Canadians and Americans. Self-rated health (SRH) is a valid predictor of morbidity and mortality, but what is not known is whether there are social class differences in the overlap between more objective indicators of health, such as the presence of disease or activity limitations, and subjective reports such as SRH. In this analysis I use the Joint Canada/United States Survey of health to assess whether, within categories of SRH, lower class individuals fare worse on objective health indicators than upper class individuals. I use cross-tabular analysis …

Indigenous Health - Australia, Canada, Aotearoa New Zealand, And The United States - Laying Claim To A Future That Embraces Health For Us All: World Health Report (2010) Background Paper, No 33, Lisa Jackson Pulver, Melissa Haswell, Ian Ring, John Waldon, Wayne Clark, Valorie Whetung, Dianne Kinnon, Catherine Graham, Michelle Chino, Jonathon Lavalley, Ritu Sadana

Australian Health Services Research Institute

[extract] Improving the health of all peoples has been a call across the globe for many decades and unfortunately remains an elusive goal today as the large disparities in health status of peoples found around the world have not diminished, and have arguably increased. Rather than referring to absolute differences in health, or health inequalities, we use a different term throughout this paper. We use the term health inequities because mere differences in health (or "inequalities") can be common in societies and do not necessarily reflect unfair social policies or practices. Report reproduced with the permission of the publisher.

Characteristics Of Six Recent Animal Hoarding Cases In Manitoba, Amanda I. Reinisch

Passive Cruelty to Animals Collection

Six recent cases of animal hoarding in Manitoba were compared to the relevant literature. Cases were similar to previous reports in age and demographics of hoarders. Five cases involved small mammals and 1 case involved horses. Understanding this phenomenon would be enhanced by consistent investigative format and reporting and closer working relationships with public health.

Gender And Place Influences On Health Risk Perspectives In Northern Canadian Aboriginal Communities, Cynthia G. Jardine, Amanda D. Boyd, Christopher M. Furgal

Aboriginal Policy Research Consortium International (APRCi)

Developing a better understanding of the factors underlying health and environmental risk perspectives has been the focus of significant research in recent years. Although many previous studies have shown that perspectives of risk are often associated with gender, sociocultural variables and place, our understanding of the relationship between these factors and risk remains equivocal. A research study was undertaken to develop better insights into the understanding and perspectives of various types of health risks in two sets of northern Canadian Aboriginal communities – the Yellowknives Dene First Nation communities of N’Dilo and Dettah in the Northwest Territories and the Inuit …

Provision Of Health Care Services In Canada: Challenges And Opportunities, Rosa Rodriguez-Monguio, Enrique Seoane-Vazquez, Fernando Antoñanzas Villar

Pharmacy Faculty Articles and Research

The Canadian health care system provides comprehensive coverage of hospital and outpatient care, including therapeutic, diagnostic and preventive services. The level of coverage of services varies across the country. This study examines the key characteristics of the Canadian health and long-term care systems; presents a structured analysis of the insurance, financing and provision of health and long-term care services in Canada; describes the main challenges of the Canadian health and long-term care systems; and concludes with feasible opportunities for the Canadian health policy.

Main challenges to the Canadian system are related to population ageing; prevalence of avoidable diseases caused by …

The State Of The Art In Evaluating The Performance Of Assistant And Associate Deans As Seen By Deans And Assistant And Associate Deans., David G. Dunning, Timothy M. Durham, Mert N. Aksu, Brian M. Lange

Journal Articles: College of Dentistry

This study explores the little-understood process of evaluating the performance of assistant and associate deans at dental colleges in the United States and Canada. Specifically, this research aimed to identify the methods, processes, and outcomes related to the performance appraisals of assistant/associate deans. Both deans and assistant/associate deans were surveyed. Forty-four of sixty-six deans (66.7 percent) and 227 of 315 assistant/associate deans (72.1 percent) completed surveys with both close-ended and open-ended questions. In addition, ten individuals from each group were interviewed. Results indicate that 75-89 percent of assistant/associate deans are formally evaluated, although as many as 27 percent may lack …