scholarly journals Appropriateness of COVID-19 public health guidelines for an Alberta First Nations community

2022 ◽  
Author(s):  
Allison L. Soprovich ◽  
Lisa A. Wozniak ◽  
Cerina Lee ◽  
Vishal Sharma ◽  
Salim Samanani ◽  
...  
Keyword(s):  
Public Health ◽  
First Nations ◽  
Nations Community

An investigation of cancer incidence in a First Nations community in Alberta, Canada, 1995–2006

2010 ◽  
Vol 30 (4) ◽  
pp. 135-140 ◽  
Author(s):  
A. Colquhoun ◽  
Z. Jiang ◽  
G. Maiangowi ◽  
F. Ashbury ◽  
Y. Chen ◽  
...  
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Natural Gas ◽  
First Nations ◽  
Cancer Registry ◽  
Cancer Incidence ◽  
Cervical Cancer Incidence ◽  
Health Measures ◽  
Nations Community ◽  
Alberta Cancer Registry

Objective To determine colorectal and overall cancer incidence as part of a three-pronged investigation in response to the concerns of a First Nations community in Alberta, Canada, located close to sulfur-rich natural gas installations, and to determine whether the incidence of cancers observed in this reserve was higher than expected. Methods A population dataset with information identifying First Nations status and band affiliation was linked to the Alberta Cancer Registry to determine cancer incidence cases between 1995 and 2006 for on- and off-reserve study populations. Using indirect standardized incidence ratios, observed cancer incidence cases for the study populations were compared with cases expected based on three separate reference populations. Results Observed colorectal and overall cancer incidence cases within the First Nations community were not higher than expected. Cervical cancer incidence cases, however, were higher than expected for on- and off-reserve populations; public health measures designed to address this risk have been implemented and on-going surveillance of cancer incidence in the community will be maintained.

scholarly journals The development of a community-based public health response to an outbreak of post-streptococcal glomerulonephritis in a First Nations community

2021 ◽  
Vol 47 (7/8) ◽  
pp. 339-346
Author(s):  
Jeffrey Jacob ◽  
Natalie Bocking ◽  
Ruben Hummelen ◽  
Jenna Poirier ◽  
Len Kelly ◽  
...  
Keyword(s):  
Public Health ◽  
First Nations ◽  
Mandatory Reporting ◽  
Indigenous Populations ◽  
Public Health Response ◽  
Community Based ◽  
Household Contacts ◽  
Health Response ◽  
Post Streptococcal Glomerulonephritis ◽  
Nations Community

Background: Post-streptococcal glomerulonephritis (PSGN) is a rare immune-mediated condition that typically occurs in children as a result of group A streptococcus (GAS) infection. PSGN is not considered a disease of public health significance, or reportable, in Canada. Higher incidence of PSGN has been described among Indigenous people in Canada. No national or provincial guidance exists to define or manage PSGN outbreaks. Objective: To describe an outbreak of seven paediatric cases of PSGN in a remote First Nations community in northwestern Ontario and the development of a community-wide public health response. Methods: Following a literature review, an intervention was developed involving screening of all children in the community for facial or peripheral edema or skin sores, and treatment with antibiotics if noted. Case, contact and outbreak definitions were also developed. The purpose of the response was to break the chain of transmission of a possible nephritogenic strain of streptococcus circulating in the community. Relevant demographic, clinical and laboratory data were collected on all cases. Outcome: Seven paediatric cases of PSGN presented to the community nursing station between September 25 and November 29, 2017. Community-wide screening for skin sores was completed for 95% of the community’s children, including 17 household contacts, and as a result, the last of the cases was identified. Nineteen adult household contacts were also screened. Ten paediatric contacts and two adult contacts with skin sores were treated with one dose of intramuscular penicillin, and six paediatric contacts received oral cephalexin. No further cases were identified following the screening. Conclusion: PSGN continues to occur in Indigenous populations worldwide at rates higher than in the overall population. In the absence of mandatory reporting in Canada, the burden of PSGN remains underappreciated and could undermine upstream and downstream public health interventions. Evidence-based public health guidance is required to manage outbreaks in the Canadian context. The community-based response protocol developed to contain the PSGN outbreak in this First Nations community can serve as a model for the management of future PSGN outbreaks.

scholarly journals Critique of a Community-Based Population Health Intervention in First Nations Community: Public Health and Cultural Anthropology Perspectives

2016 ◽  
Vol 6 (1) ◽  
pp. 52-61
Author(s):  
Selim M. Khan
Keyword(s):  
Public Health ◽  
First Nations ◽  
Population Health ◽  
Cultural Anthropology ◽  
Health Intervention ◽  
Health Determinants ◽  
Community Based ◽  
Community Stakeholders ◽  
Population Health Intervention ◽  
Nations Community

Launched as a community-based partnership endeavour, the Sandy Lake Health and Diabetes Project (SLHDP) aimed to prevent diabetes in a First Nations community (FNC) in Toronto. With active engagement of the key stakeholders, SLHDP conducted a series of studies that explored public health needs, priorities, and the contexts. These led to the adoption of a variety of culturally appropriate health interventions, addressing several health determinants such as health education, physical environments, nutrition, personal health practices, health services, and FNC culture. SLHDP built reciprocal capacity for both the community stakeholders and academic partners, thus evolved as a model of population health intervention. The school components are being scaled-up in other parts of FNCs in Canada. This paper presents a critique from public health and medical anthropology perspectives and draws evidence-based recommendations on how such programs can do better.

Dementia Care Knowledge Sharing within a First Nations Community

2013 ◽  
Vol 32 (4) ◽  
pp. 360-374 ◽  
Author(s):  
Dorothy Forbes ◽  
Catherine Blake ◽  
Emily Thiessen ◽  
Sara Finkelstein ◽  
Maggie Gibson ◽  
...  
Keyword(s):  
Knowledge Sharing ◽  
First Nations ◽  
Dementia Care ◽  
Premières Nations ◽  
Premieres Nations ◽  
Nations Community

RÉSUMÉCet article discute l’échantillon d’une étude des Premières Nations plus vaste sur les décisions de soins de la démence et le partage des connaissances. L’objectif de cette étude est de mieux comprendre le processus de partage des connaissances entre les praticiens de la santé (PS), les partenaires de soins, et les personnes atteintes de démence (PAD) au sein d’une communauté rurale des Premières Nations. Une méthodologie de la théorie constructiviste ancrée a été utilisée. Dix-neuf entrevues ont ete menées à trois reprises avec deux réseaux de soins de la démence qui comprenait deux PAD, trois partenaires de soins, et deux PS. Un modèle, “Partage des connaissances sur les soins de la démence,” a été conçue, centrée sur les PAD et leurs partenaires de soins. Trois grands thèmes du partage des connaissances sont representées dans le modèle: (1) le développement des relations de confiance, (2) l’accès et l’adaptation aux informations, et (3) application des informations. Des approches sensibles à la culture sont essentiels pour le développement des relations de confiance. Une fois que les relations ont été développées, le partage des connaissances grâce à l’accès, l’adaptation et l’application des informations est devenu possible.

Exploring concussion awareness in hockey with a First Nations community in Canada

2018 ◽  
Vol 35 (3) ◽  
pp. 202-210 ◽  
Author(s):  
Cindy Hunt ◽  
Alicja Michalak ◽  
Chrissy Lefkimmiatis ◽  
Elaine Johnston ◽  
Leila Macumber ◽  
...  
Keyword(s):  
First Nations ◽  
Nations Community

504 EVALUATION OF AN ORAL HEALTH PROMOTION PROGRAM IN A REMOTE FIRST NATIONS COMMUNITY

2005 ◽  
Vol 53 (1) ◽  
pp. S166.3-S166
Author(s):  
J. Ho ◽  
Y. H. Lai ◽  
D. Benton ◽  
D. Duffy ◽  
R. Harrison ◽  
...  
Keyword(s):  
Health Promotion ◽  
Oral Health ◽  
First Nations ◽  
Health Promotion Program ◽  
Oral Health Promotion ◽  
Promotion Program ◽  
Nations Community

scholarly journals 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

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e030386
Author(s):  
Jennifer E Enns ◽  
Mariette Chartier ◽  
Nathan Nickel ◽  
Dan Chateau ◽  
Rhonda Campbell ◽  
...  
Keyword(s):  
Public Health ◽  
Cohort Study ◽  
Parental Involvement ◽  
Health Outcomes ◽  
First Nations ◽  
Retrospective Cohort ◽  
Home Visiting ◽  
Community Support ◽  
Childhood Vaccination ◽  
Families First

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.

Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model

2020 ◽  
Vol 57 (2) ◽  
pp. 346-362
Author(s):  
Corinne A Isaak ◽  
Natalie Mota ◽  
Maria Medved ◽  
Laurence Y Katz ◽  
Brenda Elias ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Services ◽  
First Nations ◽  
Help Seeking ◽  
Behavioral Model ◽  
Community Members ◽  
Health Services Use ◽  
Health Concerns ◽  
Andersen Behavioral Model ◽  
Nations Community

This qualitative study explored the fit between on-reserve First Nations community members’ conceptualizations of help-seeking for mental health concerns and the Andersen Behavioral Model of Health Services Use. Youth, adults and elders (N = 115) living and or working in eight distinct First Nations communities within a tribal council area in Canada participated in focus groups or individual interviews that were transcribed, coded and then analyzed using a thematic analysis approach informed by grounded theory methodology. Resulting themes were then mapped onto the Andersen Behavioral Model of Health Services Use. Participants’ conceptualizations of predisposing characteristics including social structures, health beliefs and mental illness, enabling and impeding resources had a high degree of fit with the model. While perspectives on perceived need for mental health care, and spirituality as a health and lifestyle practice had only moderate fit with the model, these domains could be modified to fit First Nations’ interpretations of help-seeking. Participants’ perceptions of avoidant strategies and non-use of mental health services, however did not map onto the model. These findings suggest conceptualizations of help-seeking for mental health issues in these First Nations communities are only partially characterized by the Andersen Behavioral Model, suggesting there are a number of considerations to Indigenize the model. Findings also highlight potential explanations for why some members of this population may not access or receive appropriate mental health treatment. Multi-pronged efforts are warranted to link culturally normed pathways of help-seeking with effective mental health supports for First Nations community members in Canada.

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