Association between participation in the Families First Home Visiting programme and First Nations families’ public health outcomes in Manitoba, Canada: a retrospective cohort study using linked administrative data

ObjectiveTo determine whether the Families First Home Visiting (FFHV) programme, which provides home visiting services to families across Manitoba, is associated with improved public health outcomes among First Nations families facing multiple parenting challenges.DesignRetrospective cohort study using population-based administrative data.SettingManitoba, Canada.ParticipantsFirst Nations children born in Manitoba in 2003–2009 (n=4010) and their parents enrolled in FFHV compared with non-enrolled families with a similar risk profile.InterventionFFHV supports public health in Manitoba by providing home visiting services to First Nations and non-First Nations families with preschool children and connecting them with resources in their communities.OutcomesPredicted probability (PP) and relative risk (RR) of childhood vaccination, parental involvement in community support programmes and children’s development at school entry.ResultsFFHV participation was associated with higher rates of complete childhood vaccination at age 1 (PP: FFHV 0.715, no FFHV 0.661, RR 1.08, 95% CI 1.03 to 1.14) and age 2 (PP: FFHV 0.465, no FFHV 0.401, RR 1.16, 95% CI 1.08 to 1.25), and with parental involvement in community support groups (PP: FFHV 0.149, no FFHV 0.097, RR 1.54, 95% CI 1.27 to 1.86). However, there was no difference between FFHV participants and non-participants in rates of children being vulnerable in at least one developmental domain at age 5 (PP: FFHV 0.551, no FFHV 0.557, RR 1.00, 95% CI 0.91 to 1.11).ConclusionsFFHV supports First Nations families in Manitoba by promoting childhood vaccination and connecting families to parenting resources in their communities, thus playing an important role in fulfilling the mandate of public health practice.

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Attrition and Its Predictors Among Adults Receiving First-Line Antiretroviral Therapy in Woldia Town Public Health Facilities, Northeast Ethiopia: A Retrospective Cohort Study

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s304657 ◽

2021 ◽

Vol Volume 13 ◽

pp. 445-454

Author(s):

Demeke Dejen ◽

Dube Jara ◽

Fanos Yeshanew ◽

Zinabu Fentaw ◽

Tesfa Mengie Feleke ◽

...

Keyword(s):

Public Health ◽

Cohort Study ◽

Antiretroviral Therapy ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Health Facilities ◽

First Line ◽

Public Health Facilities ◽

Northeast Ethiopia

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Comparison of early childhood vaccination coverage and timeliness between children born to Italian women and those born to foreign women residing in Italy: A multi-centre retrospective cohort study

Vaccine ◽

10.1016/j.vaccine.2019.03.023 ◽

2019 ◽

Vol 37 (16) ◽

pp. 2179-2187

Author(s):

Massimo Fabiani ◽

Valeria Fano ◽

Teresa Spadea ◽

Cinzia Piovesan ◽

Egisto Bianconi ◽

...

Keyword(s):

Early Childhood ◽

Cohort Study ◽

Vaccination Coverage ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Childhood Vaccination ◽

Italian Women

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LO43: First Nations emergency care visits in Alberta: Descriptive results of a retrospective cohort study

CJEM ◽

10.1017/cem.2020.98 ◽

2020 ◽

Vol 22 (S1) ◽

pp. S22-S22

Author(s):

P. McLane ◽

C. Barnabe ◽

B. Holroyd ◽

A. Colquhoun ◽

L. Bill ◽

...

Keyword(s):

Cohort Study ◽

First Nations ◽

Emergency Care ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Categorical Variables ◽

Continuous Variables ◽

Data Set ◽

Care Visit ◽

The Impact

Introduction: Emergency care serves as an important health resource for First Nations (FN) persons. Previous reporting shows that FN persons visit emergency departments at almost double the rate of non-FN persons. Working collaboratively with FN partners, academic researchers and health authority staff, the objective of this study is to investigate FN emergency care patient visit statistics in Alberta over a five year period. Methods: Through a population-based retrospective cohort study for the period from April 1, 2012 to March 31, 2017, patient demographics and emergency care visit characteristics for status FN patients in Alberta were analyzed and compared to non-FN statistics. Frequencies and percentages (%) describe patients and visits by categorical variables (e.g., Canadian Triage Acuity Scale (CTAS)). Means and standard deviations (medians and interquartile ranges (IQR)) describe continuous variables (e.g., distances) as appropriate for the data distribution. These descriptions are repeated for the FN and non-FN populations, separately. Results: The data set contains 11,686,288 emergency facility visits by 3,024,491 unique persons. FN people make up 4.8% of unique patients and 9.4% of emergency care visits. FN persons live further from emergency facilities than their non-FN counterparts (FN median 6 km, IQR 1-24; vs. non-FN median 4 km, IQR 2-8). FN visits arrive more often by ground ambulance (15.3% vs. 10%). FN visits are more commonly triaged as less acute (59% CTAS levels 4 and 5, compared to non-FN 50.4%). More FN visits end in leaving without completing treatment (6.7% vs. 3.6%). FN visits are more often in the evening – 4:01pm to 12:00am (43.6% vs. 38.1%). Conclusion: In a collaborative validation session, FN Elders and health directors contextualized emergency care presentation in evenings and receiving less acute triage scores as related to difficulties accessing primary care. They explained presentation in evenings, arrival by ambulance, and leaving without completing treatment in terms of issues accessing transport to and from emergency facilities. Many factors interact to determine FN patients’ emergency care visit characteristics and outcomes. Further research needs to separate the impact of FN identity from factors such as reasons for visiting emergency facilities, distance traveled to care, and the size of facility where care is provided.

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196. Health Outcomes in a "Teen Tot” Clinic: A Retrospective Cohort Study

Journal of Adolescent Health ◽

10.1016/j.jadohealth.2019.11.199 ◽

2020 ◽

Vol 66 (2) ◽

pp. S99

Author(s):

Lauren A. Bretz ◽

Meera Beharry ◽

Lea Mallett ◽

Nida Virani ◽

Alicia Whiteis

Keyword(s):

Cohort Study ◽

Health Outcomes ◽

Retrospective Cohort Study ◽

Retrospective Cohort

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Health outcomes following liver function testing in primary care: a retrospective cohort study

Family Practice ◽

10.1093/fampra/cmp025 ◽

2009 ◽

Vol 26 (4) ◽

pp. 251-259 ◽

Cited By ~ 17

Author(s):

David J McLernon ◽

Peter T Donnan ◽

Stephen Ryder ◽

Paul Roderick ◽

Frank M Sullivan ◽

...

Keyword(s):

Primary Care ◽

Cohort Study ◽

Liver Function ◽

Health Outcomes ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Liver Function Testing ◽

Function Testing

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First Nations status and emergency department triage scores in Alberta: a retrospective cohort study

Canadian Medical Association Journal ◽

10.1503/cmaj.210779 ◽

2022 ◽

Vol 194 (2) ◽

pp. E37-E45

Author(s):

Patrick McLane ◽

Cheryl Barnabe ◽

Leslee Mackey ◽

Lea Bill ◽

Katherine Rittenbach ◽

...

Keyword(s):

Emergency Department ◽

Cohort Study ◽

First Nations ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Emergency Department Triage

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Transmission of SARS-CoV-2 from Children and Adolescents

10.1101/2020.10.10.20210492 ◽

2020 ◽

Cited By ~ 1

Author(s):

Victoria T. Chu ◽

Anna R. Yousaf ◽

Karen Chang ◽

Noah G. Schwartz ◽

Clinton J. McDaniel ◽

...

Keyword(s):

Public Health ◽

Cohort Study ◽

Confidence Interval ◽

Children And Adolescents ◽

Retrospective Cohort Study ◽

Attack Rate ◽

Retrospective Cohort ◽

Mitigation Strategies ◽

Household Contacts ◽

Council Of State

AbstractA better understanding of SARS-CoV-2 transmission from children and adolescents is crucial for informing public health mitigation strategies. We conducted a retrospective cohort study among household contacts of primary cases defined as children and adolescents aged 7⍰19 years with laboratory evidence of SARS-CoV-2 infection acquired during an overnight camp outbreak. Among household contacts, we defined secondary cases using the Council of State and Territorial Epidemiologists definition. Among 526 household contacts of 224 primary cases, 48 secondary cases were identified, corresponding to a secondary attack rate of 9% (95% confidence interval [CI], 7%–12%). Our findings show that children and adolescents can transmit SARS-CoV-2 to adult contacts and other children in a household setting.

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Using Administrative Data to Evaluate the Effectiveness of Home Visiting Programs for Improving the Well-Being of First Nations Children and Parents

International Journal for Population Data Science ◽

10.23889/ijpds.v3i4.686 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Mariette Chartier ◽

Marni Brownell ◽

Nathan Nickel ◽

Rhonda Campbell ◽

Wanda Phillips-Beck ◽

...

Keyword(s):

First Nations ◽

Social Services ◽

Support Groups ◽

Administrative Data ◽

Home Visiting ◽

Community Support ◽

Well Being ◽

Study Program ◽

Physician Visits ◽

Children And Parents

IntroductionThe province-wide Families First Home Visiting Program (FFHV) provides home visiting to families with children living in conditions of risk. It remains unknown if First Nations families are benefiting from the program. Using existing administrative and population-wide data is an innovative practice to evaluate programs that have been scaled up. Objectives and ApproachThe objective is to determine FFHV’s effectiveness at improving outcomes for First Nations children and parents. The partnership with First Nations Health and Social Secretariat of Manitoba facilitated access to First Nations identifiers and provided guidance in conducting the study. Program data from 4,010 First Nations children and parents were linked at an individual-level to administrative data housed at the Manitoba Centre for Health Policy. We compared the predictive probability of outcomes of program and non-program families. Inverse probability of treatment weights were used to adjust for confounders related to both entry into FFHV and the outcomes under study. ResultsThe cohort of First Nations children and parents was successfully linked through an individual scrambled health identifier. FFHV was associated with higher rates of child immunization at age one (71% versus 66%) and age two (47% versus 41%) and parental involvement in community support groups (21% versus 17%). It was also associated with lower rates of being in care of child welfare at age one (10% versus 14%) and age two (15% versus 19%); maltreatment-related hospitalizations at age three (0.4% versus 1.0%); and child victimization as measured by justice system records (1.7% versus 3.0%). However, there were no differences in being “not ready for school” between the two groups of children, nor between the groups of mothers in physician visits for mental health reasons. Conclusion/ImplicationsHome visiting services can play a role in supporting healthy development of First Nations children by providing support to parents and connecting children to health and social services, however, there also remains an urgent need for long term strategies to address structural inequality and the ongoing effects of colonization.

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