Public Health Commons^™

Exploring The Quality Performance Of Ethno-Specific And Mainstream Not-For-Profit Long-Term Care Homes In Ontario, Lanei Amein

Electronic Thesis and Dissertation Repository

The purpose of this retrospective study was to determine how ethno-specific not-for-profit long-term care (LTC) homes in Ontario perform in comparison to mainstream not-for-profit LTC homes using nine RAI-MDS 2.0 quality indicators. Publicly available data from three sources: the Canadian Institute for Health Information "Your Health System: In Depth" database from the Continuing Care Reporting System, data on Ontario ethno-specific not-for-profit LTC homes from the Home and Community Care Support Services, and data on home and ownership records from the Ministry of Long-Term Care “Public Reporting” website, between 2017-2022, were retrieved and analyzed. Descriptive analysis suggests that for all quality …

Rapid Rhino Vs. Merocel: A Retrospective Analysis Of Patients With Anterior Epistaxis Visiting Emergency Rooms In London, Ontario, Dhatri Shukla

Electronic Thesis and Dissertation Repository

When patients present to an emergency room (ER) with a nosebleed, one technique that physicians employ is the application of nasal packing. Merocel is a common nasal pack utilized in ER because of their low cost. Rapid Rhino is a nasal packing that is more comfortable for patients but is more costly than Merocel. Costing for epistaxis treatment is more than initial treatment costs and needs to consider rebleed rates. Using a retrospective cohort study design with covariates adjusted by propensity scores, we compared the costs associated with Merocel, and Rapid Rhino from the hospital and provincial healthcare perspectives. Merocel …

Fertility Preservation Discussions With Transgender People In Canada Prior To Beginning Medical Gender Affirmation, Emily K. Sanders

Electronic Thesis and Dissertation Repository

Background. Prevalence of fertility preservation discussions and procedures, participant characteristics associated with discussions, and prevalence of desire to parent are described.

Methods. Describes, for a clinical sample of < 16-year-olds: medical chart-recorded discussion and procedure prevalence, and desire to parent longitudinally. Describes self-reported discussion prevalence for a community sample of 14- to 39-year-olds. Bivariate and multivariable modified Poisson analyses were conducted for this sample.

Results. Discussion prevalence was confirmed for approximately 80% of the clinical sample, with approximately 20% unconfirmed. Self-reported discussion prevalence was 45% in the community sample. Non-binary gender with female sex at birth, greater family religiosity, and diagnosed mental health condition excluding depression or anxiety were crudely associated with less discussions. Multivariable analyses revealed no statistically significant predictors. Desire to parent was fairly consistent over time.

Conclusion. Discussions should be standard practice for …

An Intersectional Analysis Of Intimate Partner Violence In Canada, Isabella V. Aversa

Electronic Thesis and Dissertation Repository

Background: Intimate partner violence (IPV) is a recognized public health issue that can lead to poor mental and physical health outcomes. It is critical to take an intersectional approach to understanding the ways that social and interpersonal power impact IPV.

Methods: Random Forest was used to aid in social group selection when forming intersections. Multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) was used to estimate the prevalence of IPV across intersections. Descriptive statistics were used to explore the context in which IPV occurred.

Results: The prevalence of IPV was greatest for cisgender women, transgender, and non-binary individuals, aged …

Patient Engagement In An Academic Community-Based Primary Care Practice’S Management Committee: A Case Study, Emmanuelle Trépanier, Marie-Pascale Pomey, Paule Lebel

Patient Experience Journal

Patient engagement in primary care has been the focus of many studies; however, little research has evaluated its added value to organisational management in an academic community-based primary care practice (ACBPCP). In 2017, managers of an ACBPCP in Montreal, Canada, decided to integrate patients into the organization’s management committee to enhance the quality and relevance of decision-making for clinical services, education and research.

Objectives were to 1) assess patients’ role and influence on an ACBPCP management committee’s decision-making process; 2) identify the facilitators of and obstacles to patient involvement in this context; and 3) evaluate the impact of this innovative …

The Impact Of Interruptions In Gender-Affirming Medical Care During Covid-19 On Anxiety And Depression Among Trans And Non-Binary People In Canada: A Longitudinal Study, Sara Todorovic

Electronic Thesis and Dissertation Repository

Background. Transgender and non-binary (TGNB) populations experience disproportionally high levels of anxiety and depression; it is imperative we investigate how the COVID-19 pandemic may have impacted the mental health of TGNB communities. Methods. Among a Canadian sample of TGNB persons aged >=15 years, we used multiple linear regression to examine whether interruptions in gender-affirming care were associated with anxiety and depression, and whether that effect was modified by pre-pandemic mental health. Results. Anxiety and depression levels were high both pre-pandemic and during the pandemic. Approximately a quarter of TGNB persons experienced interruptions in hormonal care. After adjusting for confounders, there …

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 …

Interplay Between Shift Work, Psychological Distress, Sleep Quality, And Cognitive Performance, Rea Therese Alonzo

Electronic Thesis and Dissertation Repository

Shift work schedules are designed to maintain a continuous operation of goods and services. However, engaging in shift work may impact cognitive functioning. This thesis assessed the relationship between shift work and cognitive performance. Using cross-sectional data from the Canadian Longitudinal Study on Aging, multiple linear regression models were used to investigate the association between shift work and cognitive performance, as well as the moderating effects of psychological distress and sleep quality. Differences by sex and retirement status were also investigated. Shift work was significantly associated with poor performance for executive functioning but not for declarative memory. Poorer cognitive performance …

Social Mission In Accreditation, Shalini Raichur, Monika Misak

GW Research Showcase 2021-2024

No abstract provided.

Sars-Cov-2 Transmission In Alberta, British Columbia, And Ontario, Canada, December 25, 2019, To December 1, 2020, Isaac Chun-Hai Fung, Yuen Wai Hung, Sylvia Ofori, Kamalich Muniz-Rodriguez, Po-Ying Lai, Gerardo Chowell

Department of Biostatistics, Epidemiology, and Environmental Health Sciences Faculty Publications

Objective:

This study aimed to investigate coronavirus disease (COVID-19) epidemiology in Alberta, British Columbia, and Ontario, Canada.

Methods:

Using data through December 1, 2020, we estimated time-varying reproduction number, R t , using EpiEstim package in R, and calculated incidence rate ratios (IRR) across the 3 provinces.

Results:

In Ontario, 76% (92 745/121 745) of cases were in Toronto, Peel, York, Ottawa, and Durham; in Alberta, 82% (49 878/61 169) in Calgary and Edmonton; in British Columbia, 90% (31 142/34 699) in Fraser and Vancouver Coastal. Across 3 provinces, R t dropped to ≤ 1 after April. …

Correlates Of Preventable Emergency Department Visits In Canada: Evidence From The Literature And The Canadian Community Health Survey, Tammy Lau

Electronic Thesis and Dissertation Repository

Emergency department (ED) visits for primary healthcare-treatable conditions are preventable and indicate barriers to primary healthcare. The goal of this thesis was to explore the prevalence and key correlates of preventable ED visits among adults in Canada. Our systematic review found that the prevalence of these visits ranged from 4.3% to 59.1% and were associated with younger age, low education, low income, rural residence, and worse self-rated health. Our analysis of data from the 2015-2016 Canadian Community Health Survey found that 39.9% of adults with a regular healthcare provider considered their last ED visit to be preventable. In addition to …

The Youthful Pandemic, Brook Sahlemariam

Nursing | Senior Theses

This paper attempts to examine the neurological, physical, and societal effects of e-cigarette use among youth and young-adults in North America. Furthermore, the paper investigates the parallels between e-cigarette users, tobacco users, and dual users in regard to behavioral patterns, reasons for use, and age of initiation.

Health Is Wealth: The Correlation Of Wellness Programs & Productivity In Canada And The U.S., Madeline Wert

Business and Economics Summer Fellows

Does health impact the productivity of workers? Are there differences between the U.S. and Canada? Firms both in Canada and the U.S. deal with issues of presenteeism and absenteeism. Presenteeism is when an employee shows up to work but they are distracted by their own or a family member’s health issue. One response to reduce presenteeism and absenteeism are workplace wellness programs. Workplace wellness programs are facilitated programs by a firm to promote the health and wellbeing of their employees, which benefits the employer and the employees. There are additional incentives for U.S. employers to implement workplace wellness programs as …

The Impact Of School Nutrition Policy On Diet Quality Of Children And Youth In Canada, Victoria Gaudin

Electronic Thesis and Dissertation Repository

Improving diet quality is an important public policy initiative targeted to enhance population health worldwide. In this regard, school nutrition policy is an important means to promote healthy diet among children and youth. In Canada, six provinces implemented mandatory school nutrition policies at different times between 2005 and 2011. We investigated the impact of mandatory school nutrition policy on diet quality of Canadian children and youth using a quasi- experimental study design. Using 24-hour dietary recall data from the 2004 Canadian Community Health Survey (CCHS) Cycle 2.2 and 2015 CCHS-Nutrition, we constructed the Diet Quality Index (DQI). We used multivariable …

Promising Practices For Boating Safety Initiatives That Target Indigenous Peoples In New Zealand, Australia, The United States Of America, And Canada, Mitchell Crozier, Audrey R. Giles

International Journal of Aquatic Research and Education

Boating-related incidents are responsible for a significant number of the drowning fatalities that occur within Indigenous communities in New Zealand, Australia, the USA, and Canada. The aim of this paper was to identify promising practices for boating safety initiatives that target Indigenous peoples within these countries and evaluate past and ongoing boating safety initiatives delivered to/with Indigenous peoples within these countries to suggest the ways in which they – or programs that follow them - may be more effective. Based upon evidence from previous research, boating safety initiatives that target Indigenous peoples in New Zealand, Australia, the USA, and Canada …

Trends In Asthma Prevalence In Canadians, Asthma Course Trajectories In Children, And The Effect Of Maternal Gestational Diabetes Mellitus On The Risk Of Asthma In The Offspring, Sharifa Nasreen

Electronic Thesis and Dissertation Repository

Asthma causes substantial public health burden. An enhanced understanding of asthma burden, asthma course and identification of intervenable risk factor is warranted.

The objectives of this research were to: 1) examine the age, period and cohort effects on asthma prevalence among Canadian adults during 1994–2011 (manuscript one); 2) identify the trajectories of asthma exacerbation and their predictors in children with incident asthma (manuscript two); and 3) examine the effect of maternal gestational diabetes mellitus on the risk of asthma in offspring (manuscript three).

Longitudinal data from 13,616 individuals in the National Population Health Survey, household component were used to address …

Social Determinants Of Health And Substance Use Among Women Living With Hiv In Canada: Inequalities And Impacts, Mostafa Shokoohi

Electronic Thesis and Dissertation Repository

The objective of this doctoral research was two-fold: 1) to estimate inequalities in social determinants of health (SDoH), health-related quality of life, and substance use among women living with HIV (WLWH) compared to the general population of women; and 2) to assess the impact of the SDoH clusters on illicit drug use and heavy alcohol drinking among WLWH. For the first objective, estimates were obtained from 1,422 WLWH aged 16+ in the 2013-2015 Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS, time-point 1), and then compared with their counterparts estimated in 46,831 general population women in the 2013-2014 …

What Are The Risk Factors Of Social Isolation And Loneliness, Sheridan Centre For Elder Research

What are the Risk Factors of Social Isolation and Loneliness

This educational PowerPoint presentation is intended to be used as a training resource and can be reviewed individually or as part of a group training session. It will allow you and your staff to review the risk factors that contribute to social isolation and loneliness, and learn about why/how immigration can be a risk factor for social isolation/loneliness. This training module will also encourage you to consider and discuss which risk factors might affect the older adults you work with and consider solutions.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder …

Tip Sheet - Staying Socially Connected (Gujarati), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Care Of Acute Conditions And Chronic Diseases In Canada And The United States: Rapid Systematic Review And Meta-Analysis, Keren M. Escobar, Dorian Murariu, Sharon Munro, Kevin M. Gorey

Social Work Publications

This study tested the hypothesis that socioeconomically vulnerable Canadians with diverse acute conditions or chronic diseases have health care access and survival advantages over their counterparts in the USA. A rapid systematic review retrieved 25 studies (34 independent cohorts) published between 2003 and 2018. They were synthesized with a streamlined meta-analysis. Very low-income Canadian patients were consistently and highly advantaged in terms of health care access and survival compared with their counterparts in the USA who lived in poverty and/or were uninsured or underinsured. In aggregate and controlling for specific conditions or diseases and typically 4 to 9 comorbid factors …

Coping With Loneliness - A Resource For Older Adults (Tagalog), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …

The Role Of Faith Communities In Improving Supports To Reduce Loneliness And Social Isolation In Immigrants 65+, Reshma Banu, Sirena Liladrie, Behije Noka

The Role of Faith Communities in Improving Supports to Reduce Loneliness and Social Isolation in Immigrants 65+

This report titled “The Role of Faith Communities in Improving Supports to Reduce Loneliness and Social Isolation in Immigrants 65+” connects survey findings with the importance of offering programs and services through faith groups and makes recommendations for creative collaborations with them in strengthening the community’s response to unmet needs of older immigrants.

Author Bios: Reshma Banu is a graduate from the Social Service Worker Program – Immigration and Settlement Stream at Sheridan College. Sirena Liladrie is a professor in the Social Service Worker Program at Sheridan College and Principle Investigator of the project. Behije Noka is a graduate of …

Tip Sheet - Staying Socially Connected (Punjabi), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Polish), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Arabic), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Spanish), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Traditional Chinese), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Urdu), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Simplified Chinese), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Hindi), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …