scholarly journals Prevention and Treatment of Smoking and Tobacco Use During Pregnancy in Selected Indigenous Communities in High-Income Countries of the United States, Canada, Australia, and New Zealand

CHEST Journal ◽  
2017 ◽  
Vol 152 (4) ◽  
pp. 853-866 ◽  
Author(s):  
Gillian S. Gould ◽  
Ling Li Lim ◽  
Joerg Mattes
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kym Roberts ◽  
Ogilvie Thom ◽  
Susan Devine ◽  
Peter A. Leggat ◽  
Amy E. Peden ◽  
...  

Abstract Background Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical treatment and outcomes of females hospitalised for drowning. Methods A systematic search of the literature following the PRISMA-ScR framework was undertaken. The databases OVID MEDLINE, Embase, CINAHL, OVID Emcare, Web of Science, Informit and Scopus were accessed. Study locations of focus were Australia, Canada, New Zealand, the United Kingdom, and the United States. Studies from January 2003 to April 2019 were included. The quality of evidence of included studies was assessed using GRADE guidelines. Results The final search results included 14 studies from Australia (n = 4), Canada (n = 1), New Zealand (n = 1), United States (n = 6), United Kingdom (n = 1), and one study reporting data from both Australia and United States. Nine studies reported risk factors for female drowning including age, with the proportion of female drowning incidence increasing with age. Although females are now engaging in risk-taking behaviours associated with drowning that are similar to males, such as consuming alcohol and swimming in unsafe locations, their exposure to risky situations and ways they assess risk, differ. Females are more likely to drown from accidental entry into water, such as in a vehicle during a flood or fall into water. This review found no evidence on the clinical treatment provided to females in hospital after a drowning incident, and only a small number of studies reported the clinical outcomes of females, with inconsistent results (some studies reported better and some no difference in clinical outcomes among females). Conclusion Adult females are a group vulnerable to drowning, that have lacked attention. There was no single study found which focused solely on female drowning. There is a need for further research to explore female risk factors, the clinical treatment and outcomes of females hospitalised for drowning. This will not only save the lives of females, but also contribute to an overall reduction in drowning.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Teagan J. Weatherall ◽  
Katherine M. Conigrave ◽  
James H. Conigrave ◽  
K. S. Kylie Lee

Abstract Background Alcohol affects Indigenous communities globally that have been colonised. These effects are physical, psychological, financial and cultural. This systematic review aims to describe the prevalence of current (12-month) alcohol dependence in Indigenous Peoples in Australia, New Zealand, Canada and the United States of America, to identify how it is measured, and if tools have been validated in Indigenous communities. Such information can help inform estimates of likely treatment need. Methods A systematic search of the literature was completed in six electronic databases for reports on current alcohol dependence (moderate to severe alcohol use disorder) published between 1 January 1989–9 July 2020. The following data were extracted: (1) the Indigenous population studied; country, (2) prevalence of dependence, (3) tools used to screen, assess or diagnose current dependence, (4) tools that have been validated in Indigenous populations to screen, assess or diagnose dependence, and (5) quality of the study, assessed using the Appraisal Tool for Cross-Sectional Studies. Results A total of 11 studies met eligibility criteria. Eight were cross-sectional surveys, one cohort study, and two were validation studies. Nine studies reported on the prevalence of current (12-month) alcohol dependence, and the range varied widely (3.8–33.3% [all participants], 3–32.8% [males only], 1.3–7.6% [females only]). Eight different tools were used and none were Indigenous-specific. Two tools have been validated in Indigenous (Native American) populations. Conclusion Few studies report on prevalence of current alcohol dependence in community or household samples of Indigenous populations in these four countries. Prevalence varies according to sampling method and site (for example, specific community versus national). Prior work has generally not used tools validated in Indigenous contexts. Collaborations with local Indigenous people may help in the development of culturally appropriate ways of measuring alcohol dependence, incorporating local customs and values. Tools used need to be validated in Indigenous communities, or Indigenous-specific tools developed, validated and used. Prevalence findings can inform health promotion and treatment needs, including funding for primary health care and specialist treatment services.


2020 ◽  
Author(s):  
Pat Camp ◽  
Mirha Girt ◽  
Alix Wells ◽  
Adeeb Malas ◽  
Maryke Peter ◽  
...  

BACKGROUND Indigenous people in Canada, the United States, Australia, and New Zealand experience an increased burden of chronic diseases compared to non-Indigenous people in these countries. Lack of necessary services and culturally relevant care for Indigenous people contributes to this burden. Many Indigenous communities have implemented systems, such as virtual care, to improve chronic disease management. Virtual care has extended beyond videoconferencing to include more advanced technologies, such as remote biometric monitoring devices. However, given the historical and ongoing Western intrusion into Indigenous day to day life, these technologies may seem more invasive and thus require additional research on their acceptability and utility within Indigenous populations. OBJECTIVE The objective of this paper is to present the protocol for a scoping review, which aims to map existing evidence. This study is based on the following guiding research question: What are the characteristics of virtual care use by Indigenous adult populations in Canada, the United States, Australia, and New Zealand? The subquestions are related to the technology used, health conditions and nature of the virtual care, cultural safety, and key concepts for effective use. METHODS This scoping review protocol is informed by the methodology described by the Joanna Briggs Institute and is supplemented by the frameworks proposed by Arksey and O’Malley and Levac et al. A search for published and gray literature, written in English, and published between 2000 and present will be completed utilizing electronic databases and search engines, including MEDLINE, CINAHL, Embase, Indigenous Peoples of North America, Australian Indigenous HealthInfoNet, Informit, and Native Health Database. Search results will be uploaded to the review software, Covidence, for title and abstract screening before full-text screening begins. This process will be repeated for gray literature. Upon completion, a data abstraction tool will organize the relevant information into categorical formations. RESULTS The search strategy has been confirmed, and the screening of titles and abstracts is underway. As of October 2020, we have identified over 300 articles for full-text screening. CONCLUSIONS Previous reviews have addressed virtual care within Indigenous communities. However, new virtual care technologies have since emerged; subsequently, additional literature has been published. Mapping and synthesizing this literature will inform new directions for research and discussion. CLINICALTRIAL INTERNATIONAL REGISTERED REPORT PRR1-10.2196/21860


10.2196/21860 ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. e21860
Author(s):  
Pat Camp ◽  
Mirha Girt ◽  
Alix Wells ◽  
Adeeb Malas ◽  
Maryke Peter ◽  
...  

Background Indigenous people in Canada, the United States, Australia, and New Zealand experience an increased burden of chronic diseases compared to non-Indigenous people in these countries. Lack of necessary services and culturally relevant care for Indigenous people contributes to this burden. Many Indigenous communities have implemented systems, such as virtual care, to improve chronic disease management. Virtual care has extended beyond videoconferencing to include more advanced technologies, such as remote biometric monitoring devices. However, given the historical and ongoing Western intrusion into Indigenous day to day life, these technologies may seem more invasive and thus require additional research on their acceptability and utility within Indigenous populations. Objective The objective of this paper is to present the protocol for a scoping review, which aims to map existing evidence. This study is based on the following guiding research question: What are the characteristics of virtual care use by Indigenous adult populations in Canada, the United States, Australia, and New Zealand? The subquestions are related to the technology used, health conditions and nature of the virtual care, cultural safety, and key concepts for effective use. Methods This scoping review protocol is informed by the methodology described by the Joanna Briggs Institute and is supplemented by the frameworks proposed by Arksey and O’Malley and Levac et al. A search for published and gray literature, written in English, and published between 2000 and present will be completed utilizing electronic databases and search engines, including MEDLINE, CINAHL, Embase, Indigenous Peoples of North America, Australian Indigenous HealthInfoNet, Informit, and Native Health Database. Search results will be uploaded to the review software, Covidence, for title and abstract screening before full-text screening begins. This process will be repeated for gray literature. Upon completion, a data abstraction tool will organize the relevant information into categorical formations. Results The search strategy has been confirmed, and the screening of titles and abstracts is underway. As of October 2020, we have identified over 300 articles for full-text screening. Conclusions Previous reviews have addressed virtual care within Indigenous communities. However, new virtual care technologies have since emerged; subsequently, additional literature has been published. Mapping and synthesizing this literature will inform new directions for research and discussion. International Registered Report Identifier (IRRID) PRR1-10.2196/21860


2015 ◽  
Vol 2 (1) ◽  
pp. 17-24 ◽  
Author(s):  
O.C. Nwagwu Emeka

Studies indicate that about 23 percent to 28 percent of the physicians working and residing in the United States, Canada, Australia, the UK and New Zealand were born and trained in the low-income countries, areas suffering from critical shortages of physicians and other health workers. In the US alone, the preponderance of the foreign physicians hails from South Africa, Philippines, India, Pakistan, and Nigeria. From Africa alone where the burden of disease, poverty, deprivation and death are greatest, around 23,000 qualified physicians emigrate annually. From the perspectives of the low-income countries, significant amounts of resources are, by necessity, committed into turning their nationals into vital intellectual capital for their own desperately needed health needs and crumbling healthcare systems. Thus, the migration of these physicians to other nations to help strengthen their already stable health care systems is not only ethically deplorable but poses moral hazards for both the physicians and the high-income countries. That is, high-income countries such as the United States, Canada, UK, Australia and New Zealand are draining the scarce recourses of the low-income countries through the loss of intellectual capital, a phenomenon that socio-economic and developmental experts have dubbed “the brain drain”.


2017 ◽  
Vol 25 (3) ◽  
pp. 323-333 ◽  
Author(s):  
Robert D. Stefanelli ◽  
Heather Castleden ◽  
Sherilee L. Harper ◽  
Debbie Martin ◽  
Ashlee Cunsolo ◽  
...  

The implementation of Indigenous and Western knowledge systems in integrative water research and management is gaining prominence in the realm of academia, particularly in four countries with a shared, albeit different, history of British colonialism: Canada, Australia, New Zealand, and the United States. While integrative water research in particular is gaining popularity, currently there is a gap in our understanding regarding where, when, why, how, and for whom this type of research has been successful. A systematic review method was used to identify peer-reviewed literature from each of the four countries and to understand where and when integrative water research projects were taking place. Then, we used a realist review method to synthesize and analyze the included peer-reviewed literature to determine why, how, and for whom this type of research has been successful, or not. Our systematic literature search provided 669 peer-reviewed articles from across the four countries, of which 97 met our inclusion criteria and were analyzed. Our findings indicate that the total number of integrative water research projects has been increasing since 2009, though these projects are largely concentrated within the realm of social science and conducted by non-Indigenous authors. Recognition of the value of Indigenous knowledge systems, coupled with an understanding that the use of Western knowledge systems alone has not remedied the disparity in access to safe water sources in Indigenous communities, has led researchers to recommend collaborative partnerships and governance structures as a potential pathway to effective integrative water research. Our research was conducted to enhance contemporary understanding of the strengths of implementing Indigenous and Western knowledge systems and to encourage readers to continue working towards a common goal of reconciliation and equality in all partnerships.


2006 ◽  
Vol 11 (1) ◽  
pp. 63
Author(s):  
Samantha Hepburn

<p>At the date of writing, the proposed amendments to the Aboriginal Land Rights Act 1976 (NT) endorsing the transfer of customary ownership to the Northern Territory government in exchange for a re-grant of a sub-lease, had not yet been passed. This article examines the rationalisations underlying this proposed change and the broader implications for customary ownership. Individuated title cannot accurately encompass the cultural foundations of indigenous ownership because it is sourced in a different ontological perspective. It is argued that the transformation of customary ownership into individual title will destroy its unique communal foundation, dislocate indigenous ‘tenants’ from their customary identity and produce a complex network of fractionalised interests. It is argued that such a shift is ultimately a retrograde step which, as experience in the United States and New Zealand has clearly shown, cannot provide an economic solution for remote indigenous communities.</p>


2019 ◽  
pp. 1-21
Author(s):  
Rauna Kuokkanen

The introduction outlines the main themes and explains the theoretical and methodological framework of the book. The author introduces the Indigenous communities in which the fieldwork was conducted, explains the methodology and case selection and discusses the rationale for the comparative approach. It considers the complexity of the concept of gender from an Indigenous perspective. Secondary literature on Indigenous feminist analyses of self-determination is also discussed, especially that produced in the United States. The original research is also framed and contextualized in the broader, ongoing conversation on Indigenous self-determination and Indigenous feminist analyses in the United States, Australia, and New Zealand.


2020 ◽  
Vol 25 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Amaia Del Campo ◽  
Marisalva Fávero

Abstract. During the last decades, several studies have been conducted on the effectiveness of sexual abuse prevention programs implemented in different countries. In this article, we present a review of 70 studies (1981–2017) evaluating prevention programs, conducted mostly in the United States and Canada, although with a considerable presence also in other countries, such as New Zealand and the United Kingdom. The results of these studies, in general, are very promising and encourage us to continue this type of intervention, almost unanimously confirming its effectiveness. Prevention programs encourage children and adolescents to report the abuse experienced and they may help to reduce the trauma of sexual abuse if there are victims among the participants. We also found that some evaluations have not considered the possible negative effects of this type of programs in the event that they are applied inappropriately. Finally, we present some methodological considerations as critical analysis to this type of evaluations.


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