首页 > 最新文献

International Journal of Circumpolar Health最新文献

英文 中文
Reproducibility and validity of a 45 item food-frequency questionnaire for inuit in Greenland. 针对格陵兰因纽特人的 45 项食物频率问卷的可重复性和有效性。
IF 1.3 4区 医学 Q2 Social Sciences Pub Date : 2024-12-01 Epub Date: 2024-03-26 DOI: 10.1080/22423982.2024.2332008
Peter Bjerregaard, Ingelise Olesen

Since 1993, dietary assessment has been carried out in Greenland as part of recurrent population health surveys. In preparation for the next survey in 2024, 91 participants from the survey in 2018 were selected for a validation study of the Food Frequency Questionnaire (FFQ). The 91 participants were reinterviewed 38-50 months after the first FFQ and invited to complete a food diary. As part of the 2018 survey, blood was analysed for mercury. The food diary was completed by 65 participants. The agreement between the two FFQ interviews was very good for macronutrients and fatty acids (p > 0.20), whereas the calculated intake of mercury was 22% higher in the second FFQ (p = 0.04) due to a higher intake of whale meat and muktuk (whale skin). The agreement between the second FFQ and the food diary was good for local food, imported meat and cakes/sweets/snacks but fruit and vegetables, dairy products, beverages and added sugar were significantly underreported in the food diary. Food items not included in the FFQ were identified from the food diaries. The correlation between the intake of marine mammals and blood mercury was moderate (Spearman's rho = 0.41-0.50; p < 0.0001). The results will inspire future dietary studies in the circumpolar North.

自 1993 年以来,格陵兰一直在开展膳食评估,作为经常性人口健康调查的一部分。为准备 2024 年的下一次调查,从 2018 年的调查中选取了 91 名参与者进行食物频率问卷(FFQ)验证研究。在第一次食物频率问卷调查 38-50 个月后,对这 91 名参与者进行了再次访谈,并邀请他们填写食物日记。作为 2018 年调查的一部分,对血液进行了汞分析。65 名参与者填写了食物日记。在宏量营养素和脂肪酸方面,两次 FFQ 问卷调查之间的一致性非常好(p > 0.20),而在第二次 FFQ 问卷调查中,由于鲸鱼肉和 muktuk(鲸鱼皮)的摄入量较高,计算出的汞摄入量高出 22%(p = 0.04)。在本地食品、进口肉类和蛋糕/甜食/零食方面,第二份家庭食物调查表与食物日记的一致性较好,但在食物日记中,水果和蔬菜、乳制品、饮料和添加糖的报告明显偏低。从食物日记中确定了未列入家庭食物调查表的食物项目。海洋哺乳动物摄入量与血汞之间的相关性适中(Spearman's rho = 0.41-0.50; p
{"title":"Reproducibility and validity of a 45 item food-frequency questionnaire for inuit in Greenland.","authors":"Peter Bjerregaard, Ingelise Olesen","doi":"10.1080/22423982.2024.2332008","DOIUrl":"10.1080/22423982.2024.2332008","url":null,"abstract":"<p><p>Since 1993, dietary assessment has been carried out in Greenland as part of recurrent population health surveys. In preparation for the next survey in 2024, 91 participants from the survey in 2018 were selected for a validation study of the Food Frequency Questionnaire (FFQ). The 91 participants were reinterviewed 38-50 months after the first FFQ and invited to complete a food diary. As part of the 2018 survey, blood was analysed for mercury. The food diary was completed by 65 participants. The agreement between the two FFQ interviews was very good for macronutrients and fatty acids (<i>p</i> > 0.20), whereas the calculated intake of mercury was 22% higher in the second FFQ (<i>p</i> = 0.04) due to a higher intake of whale meat and muktuk (whale skin). The agreement between the second FFQ and the food diary was good for local food, imported meat and cakes/sweets/snacks but fruit and vegetables, dairy products, beverages and added sugar were significantly underreported in the food diary. Food items not included in the FFQ were identified from the food diaries. The correlation between the intake of marine mammals and blood mercury was moderate (Spearman's rho = 0.41-0.50; <i>p</i> < 0.0001). The results will inspire future dietary studies in the circumpolar North.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2332008"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10967668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140293384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impacts of the Nutrition North Canada program on the accessibility and affordability of perishable, nutritious foods among eligible communities: a scoping review. 加拿大北部营养计划对合格社区易腐营养食品的可获得性和可负担性的影响:范围界定审查。
IF 1.3 4区 医学 Q2 Social Sciences Pub Date : 2024-12-01 Epub Date: 2024-02-12 DOI: 10.1080/22423982.2024.2313255
Jason Edward Pagaduan, Calin Lazarescu, Eric Vallieres, Kelly Skinner, Alexandra M E Zuckermann, Leanne Idzerda

The Nutrition North Canada (NNC) program, introduced in April 2011 is a federal strategy to improve access to perishable, nutritious foods for remote and isolated communities in northern Canada by subsidising retailers to provide price reductions at the point of purchase. As of March 2023, 123 communities are eligible for the program. To evaluate existing evidence and research on the NNC program to inform policy decisions to improve the effectiveness of NNC. A scoping review of peer-reviewed articles was conducted in ten databases along with a supplemental grey literature search of government and non-government reports published between 2011 and 2022. The search yielded 172 publications for screening, of which 42 were included in the analysis. Narrative thematic evidence synthesis yielded 104 critiques and 341 recommendations of the NNC program across eight themes. The most-identified recommendations focus on transparency, communication, and support for harvesting, hunting, and community food initiatives. This review highlights recommendations informed by the literature to address critiques of the NNC program to improve food security, increase access to perishable and non-perishable items, and support community-based food initiatives among eligible communities. The review also identifies priority areas for future policy directions such as additional support for education initiatives, communication and transparency amidst program changes, and food price regulations.

2011 年 4 月推出的 "加拿大北部营养"(NNC)计划是一项联邦战略,旨在通过补贴零售商在购买点提供降价,改善加拿大北部偏远和孤立社区获得易腐营养食品的机会。截至 2023 年 3 月,共有 123 个社区符合该计划的条件。评估有关 "全国营养计划 "的现有证据和研究,为决策提供信息,以提高 "全国营养计划 "的有效性。我们在 10 个数据库中对同行评审文章进行了范围审查,并对 2011 年至 2022 年间发表的政府和非政府报告进行了补充灰色文献检索。搜索结果共筛选出 172 篇出版物,其中 42 篇被纳入分析。叙事性专题证据综述得出了对新生儿营养计划的 104 条批评意见和 341 条建议,涉及八个主题。最多人认同的建议集中在透明度、沟通以及对收获、狩猎和社区食品计划的支持上。本审查报告重点介绍了根据文献资料提出的建议,这些建议旨在解决对 NNC 计划的批评,以改善粮食安全、增加易腐烂和非易腐烂物品的获取途径,并支持符合条件的社区开展以社区为基础的食品行动。本综述还确定了未来政策方向的优先领域,如对教育倡议的额外支持、计划变化中的沟通和透明度以及食品价格法规。
{"title":"The impacts of the Nutrition North Canada program on the accessibility and affordability of perishable, nutritious foods among eligible communities: a scoping review.","authors":"Jason Edward Pagaduan, Calin Lazarescu, Eric Vallieres, Kelly Skinner, Alexandra M E Zuckermann, Leanne Idzerda","doi":"10.1080/22423982.2024.2313255","DOIUrl":"10.1080/22423982.2024.2313255","url":null,"abstract":"<p><p>The Nutrition North Canada (NNC) program, introduced in April 2011 is a federal strategy to improve access to perishable, nutritious foods for remote and isolated communities in northern Canada by subsidising retailers to provide price reductions at the point of purchase. As of March 2023, 123 communities are eligible for the program. To evaluate existing evidence and research on the NNC program to inform policy decisions to improve the effectiveness of NNC. A scoping review of peer-reviewed articles was conducted in ten databases along with a supplemental grey literature search of government and non-government reports published between 2011 and 2022. The search yielded 172 publications for screening, of which 42 were included in the analysis. Narrative thematic evidence synthesis yielded 104 critiques and 341 recommendations of the NNC program across eight themes. The most-identified recommendations focus on transparency, communication, and support for harvesting, hunting, and community food initiatives. This review highlights recommendations informed by the literature to address critiques of the NNC program to improve food security, increase access to perishable and non-perishable items, and support community-based food initiatives among eligible communities. The review also identifies priority areas for future policy directions such as additional support for education initiatives, communication and transparency amidst program changes, and food price regulations.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2313255"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of indoor air pollutants from First Nation homes in North Central British Columbia, Canada. 加拿大不列颠哥伦比亚省中北部原住民家庭室内空气污染物的普遍性。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-08-22 DOI: 10.1080/22423982.2024.2389612
Ivan Kamurasi, Karen Bartlett, Travis Holyk, Benna Rathburn, Débora Petry Moecke, Ashley Winter, Pat G Camp

Poor indoor air quality poses significant health risks. This study addresses the gap in knowledge regarding the prevalence of indoor air pollutants in remote and rural First Nation communities in north-central British Columbia, Canada. Dust samples from 75 homes were collected and analysed for house dust mites, pet allergens, mould antigens, and bacterial endotoxins. Indoor air quality parameters, including carbon monoxide, carbon dioxide, particulate matter, temperature, and humidity, were measured. A detailed questionnaire on household characteristics and potential pollutant sources was administered. Homes exhibited exposure to multiple pollutants, with wood stove smoke identified as a primary source. Felis domesticus (cat allergen) and Canis familiaris (dog allergen) were prevalent, with detectable levels in 64% and 60% of homes, respectively. Bacterial endotoxins were present in all households. One-third of homes exceeded recommended thresholds for 3 or more pollutants. This study provides critical insights into the prevalence and magnitude of indoor air pollutants, contributing to a broader initiative to characterise respiratory health in First Nations communities. While many homes in First Nations communities had acceptable air quality, one-third of homes exceeded thresholds for 3 or more pollutants. The results can guide ongoing community efforts to address housing concerns and advocate for increased federal funding.

室内空气质量差会对健康造成严重危害。这项研究填补了加拿大不列颠哥伦比亚省中北部偏远农村原住民社区在室内空气污染物流行方面的知识空白。研究人员收集了 75 户家庭的灰尘样本,并对室内尘螨、宠物过敏原、霉菌抗原和细菌内毒素进行了分析。此外,还测量了室内空气质量参数,包括一氧化碳、二氧化碳、颗粒物、温度和湿度。还就家庭特征和潜在污染源进行了详细的问卷调查。结果显示,家庭暴露于多种污染物,其中木柴炉的烟雾是主要来源。猫过敏原和狗过敏原在家庭中普遍存在,分别有 64% 和 60% 的家庭可检测到这两种过敏原。所有家庭都存在细菌内毒素。三分之一的家庭超过了 3 种或更多污染物的建议阈值。这项研究为了解室内空气污染物的普遍性和严重程度提供了重要依据,有助于更广泛地了解原住民社区呼吸系统健康的特点。虽然原住民社区许多家庭的空气质量可以接受,但有三分之一的家庭超过了 3 种或更多污染物的临界值。这些结果可以指导社区解决住房问题的持续努力,并倡导增加联邦资金。
{"title":"Prevalence of indoor air pollutants from First Nation homes in North Central British Columbia, Canada.","authors":"Ivan Kamurasi, Karen Bartlett, Travis Holyk, Benna Rathburn, Débora Petry Moecke, Ashley Winter, Pat G Camp","doi":"10.1080/22423982.2024.2389612","DOIUrl":"10.1080/22423982.2024.2389612","url":null,"abstract":"<p><p>Poor indoor air quality poses significant health risks. This study addresses the gap in knowledge regarding the prevalence of indoor air pollutants in remote and rural First Nation communities in north-central British Columbia, Canada. Dust samples from 75 homes were collected and analysed for house dust mites, pet allergens, mould antigens, and bacterial endotoxins. Indoor air quality parameters, including carbon monoxide, carbon dioxide, particulate matter, temperature, and humidity, were measured. A detailed questionnaire on household characteristics and potential pollutant sources was administered. Homes exhibited exposure to multiple pollutants, with wood stove smoke identified as a primary source. Felis domesticus (cat allergen) and Canis familiaris (dog allergen) were prevalent, with detectable levels in 64% and 60% of homes, respectively. Bacterial endotoxins were present in all households. One-third of homes exceeded recommended thresholds for 3 or more pollutants. This study provides critical insights into the prevalence and magnitude of indoor air pollutants, contributing to a broader initiative to characterise respiratory health in First Nations communities. While many homes in First Nations communities had acceptable air quality, one-third of homes exceeded thresholds for 3 or more pollutants. The results can guide ongoing community efforts to address housing concerns and advocate for increased federal funding.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2389612"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Personal experiences of living with sucrose intolerance and attitudes towards genetic research in Greenland - a user study. 格陵兰蔗糖不耐症患者的个人生活经历和对基因研究的态度--一项用户研究。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-01 Epub Date: 2024-07-23 DOI: 10.1080/22423982.2024.2383023
Silvia Isidor, Ninna Senftleber, Cecilie Schnoor, Kristine Skoett Pedersen, Lene Seibæk, Marit Eika Jørgensen, Jette Marcussen

There is high prevalence of the genetic SI variant c.273_274delAG in the sucrase-isomaltase-encoding gene in Greenland, resulting in congenital sucrase-isomaltase deficiency and thereby an inability to digest sucrose, the most common dietary sugar. There are no studies of Greenlanders' everyday experiences of sucrose intolerance related to this genetic variant. This study therefore explored, how Greenlandic people experience sucrose intolerance influences life and their attitudes towards research in health and genetics. The study is qualitative, using semi-structured focus groups and/or individual telephone interviews. The analysis was based on the phenomenological-hermeneutic approach of Paul Ricoeur, consisting naïve reading, structural analysis, interpretation and discussion. We identified two themes; "Sucrose intolerance impacts daily living", dealt with physical and emotional reactions and coping with social adaption to activities. And "openness to participate in genetic and health research" were caused by participants wanting more knowledge to improve their people and family's life. The study concluded that most of the participants with symptoms of sucrose intolerance experienced the impact in their daily life, both physically, emotionally, and socially. Further, they expressed openness to participate in health and genetic research. There is a need for more accessible health knowledge and support from health care to manage sucrose intolerance.

在格陵兰岛,蔗糖酶-异麦芽糖酶编码基因中的遗传 SI 变异 c.273_274delAG 的发病率很高,导致先天性蔗糖酶-异麦芽糖酶缺乏症,从而无法消化蔗糖这种最常见的膳食糖。目前还没有关于格陵兰人与这种基因变异有关的蔗糖不耐受的日常经验的研究。因此,本研究探讨格陵兰人如何体验蔗糖不耐受对生活的影响,以及他们对健康和遗传学研究的态度。本研究采用半结构化焦点小组和/或个人电话访谈的定性研究方法。分析以保罗-呂科爾(Paul Ricoeur)的現象學-哲學方法為基礎,包括天真閱讀、結構分析、詮釋和討論。我们确定了两个主题:"蔗糖不耐受对日常生活的影响",涉及身体和情绪反应以及应对社会适应活动。而 "参与遗传和健康研究的开放性 "则是由于参与者希望获得更多知识,以改善自己和家人的生活。研究得出结论,大多数有蔗糖不耐受症状的参与者在日常生活中都感受到了身体、情绪和社交方面的影响。此外,他们还表示愿意参与健康和基因研究。在控制蔗糖不耐受方面,需要更多的健康知识和来自医疗保健的支持。
{"title":"Personal experiences of living with sucrose intolerance and attitudes towards genetic research in Greenland - a user study.","authors":"Silvia Isidor, Ninna Senftleber, Cecilie Schnoor, Kristine Skoett Pedersen, Lene Seibæk, Marit Eika Jørgensen, Jette Marcussen","doi":"10.1080/22423982.2024.2383023","DOIUrl":"10.1080/22423982.2024.2383023","url":null,"abstract":"<p><p>There is high prevalence of the genetic <i>SI</i> variant c.273_274delAG in the sucrase-isomaltase-encoding gene in Greenland, resulting in congenital sucrase-isomaltase deficiency and thereby an inability to digest sucrose, the most common dietary sugar. There are no studies of Greenlanders' everyday experiences of sucrose intolerance related to this genetic variant. This study therefore explored, how Greenlandic people experience sucrose intolerance influences life and their attitudes towards research in health and genetics. The study is qualitative, using semi-structured focus groups and/or individual telephone interviews. The analysis was based on the phenomenological-hermeneutic approach of Paul Ricoeur, consisting naïve reading, structural analysis, interpretation and discussion. We identified two themes; \"Sucrose intolerance impacts daily living\", dealt with physical and emotional reactions and coping with social adaption to activities. And \"openness to participate in genetic and health research\" were caused by participants wanting more knowledge to improve their people and family's life. The study concluded that most of the participants with symptoms of sucrose intolerance experienced the impact in their daily life, both physically, emotionally, and socially. Further, they expressed openness to participate in health and genetic research. There is a need for more accessible health knowledge and support from health care to manage sucrose intolerance.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2383023"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11268221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One health in the Arctic - connections and actions. 北极同一健康--联系与行动。
IF 1.3 4区 医学 Q2 Social Sciences Pub Date : 2024-12-01 Epub Date: 2024-06-13 DOI: 10.1080/22423982.2024.2361544
Jim Berner, Solveig Jore, Khaled Abass, Arja Rautio

There is growing awareness and recognition of the importance of the One Health paradigm to address existing environmental threats and recognise emerging ones at an early stage among Arctic residents, public health agencies, and wildlife resource managers. The One Health approach, emphasising the interconnectedness of human, animal, and ecosystem health, plays a pivotal role in addressing these multifaceted issues. Warming climate and permafrost thaw may influence both contaminant exposure and the spread of zoonotic infectious diseases and have impacts on water and food security. Migration from rural regions to larger communities and urban centres along with increased tourism may be accompanied by changes in exposure to contaminants and zoonotic diseases. Universities have developed educational programmes and research projects on One Health in the Arctic, and under the Arctic Council there is running a project of One Arctic, One Health. These arctivities have produced interdisciplinary information and practical solutions for local communities, decision-makers, and in scientific forums. There is a need for epidemiological zoonotic/human disease models, as well as new approaches to integrate existing and future surveillance data to climatic and environmental data. This requires not only regional and international collaboration but also multi-agency and transdisciplinary research.

北极居民、公共卫生机构和野生动植物资源管理者越来越认识到 "一体健康 "模式对于解决现有环境威胁和早期识别新出现环境威胁的重要性。统一健康 "方法强调人类、动物和生态系统健康之间的相互联系,在解决这些多方面问题方面发挥着关键作用。气候变暖和永久冻土融化可能会影响污染物暴露和人畜共患传染病的传播,并对水和粮食安全产生影响。随着旅游业的发展,人们从农村地区向更大的社区和城市中心迁移,污染物和人畜共患疾病的接触也可能随之发生变化。各大学已经制定了关于北极地区 "同一健康 "的教育计划和研究项目,北极理事会正在实施 "同一北极,同一健康 "项目。这些活动为当地社区、决策者和科学论坛提供了跨学科信息和实用解决方案。需要建立流行病学的人畜共患疾病/人类疾病模型,以及将现有和未来的监测数据与气候和环境数据相结合的新方法。这不仅需要地区和国际合作,还需要多机构和跨学科研究。
{"title":"One health in the Arctic - connections and actions.","authors":"Jim Berner, Solveig Jore, Khaled Abass, Arja Rautio","doi":"10.1080/22423982.2024.2361544","DOIUrl":"10.1080/22423982.2024.2361544","url":null,"abstract":"<p><p>There is growing awareness and recognition of the importance of the One Health paradigm to address existing environmental threats and recognise emerging ones at an early stage among Arctic residents, public health agencies, and wildlife resource managers. The One Health approach, emphasising the interconnectedness of human, animal, and ecosystem health, plays a pivotal role in addressing these multifaceted issues. Warming climate and permafrost thaw may influence both contaminant exposure and the spread of zoonotic infectious diseases and have impacts on water and food security. Migration from rural regions to larger communities and urban centres along with increased tourism may be accompanied by changes in exposure to contaminants and zoonotic diseases. Universities have developed educational programmes and research projects on One Health in the Arctic, and under the Arctic Council there is running a project of One Arctic, One Health. These arctivities have produced interdisciplinary information and practical solutions for local communities, decision-makers, and in scientific forums. There is a need for epidemiological zoonotic/human disease models, as well as new approaches to integrate existing and future surveillance data to climatic and environmental data. This requires not only regional and international collaboration but also multi-agency and transdisciplinary research.</p>","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2361544"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The intersection of social and Indigenous determinants of health for health system strengthening: a scoping review. 加强卫生系统的社会和土著健康决定因素的交叉:范围界定审查。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-17 DOI: 10.1080/22423982.2024.2401656
Christina E Oré,Madalyn Law,Tia Benally,Myra E Parker
The COVID-19 pandemic exposed long-standing gaps in health service systems and realities of environmental changes impacting Native nations and Indigenous communities in the US and circumpolar regions. Despite increased awareness and funding, there is limited research and few practical resources available for the work. This is a scoping review of the current literature on social determinants of health (SDOH) impacting Indigenous peoples, villages, and communities in the US and circumpolar region. The review used the York methodology to identify research questions, chart, and synthesize findings. Thirty-two articles were selected for full review and analysis. The articles were scoping reviews, evaluations, and studies. The methods used were 44% mixed (n = 14), 31% quantitative (n = 10) and 25% qualitative (n = 8). The synthesis identified four areas for discussion: 1) systemic and structural determinant study designs, 2) strengthening Indigenous health systems, 3) mapping the relationship of co-occurring health conditions and SDOH, and 4) emergent areas of inquiry. While the scoping review has limitations, it provides a snapshot of broad SDOH and shared Indigenous social determinants of health (ISDOH) to create tailored frameworks for use by tribal and urban Indigenous health organisations, with their partners, in public health and system strengthening.
COVID-19 大流行暴露了医疗服务体系中长期存在的差距,以及环境变化对美国和环极地区土著民族和土著社区的现实影响。尽管认识和资金都有所提高,但这方面的研究却很有限,可用于这项工作的实用资源也很少。这是对当前影响美国和环极地区原住民、村庄和社区健康的社会决定因素 (SDOH) 文献的一次范围界定审查。该综述采用约克方法来确定研究问题、绘制图表并综合研究结果。选取了 32 篇文章进行全面审查和分析。这些文章包括范围综述、评估和研究。所使用的方法有 44% 的混合方法(n = 14)、31% 的定量方法(n = 10)和 25% 的定性方法(n = 8)。综述确定了四个讨论领域:1)系统性和结构性决定因素研究设计;2)加强土著卫生系统;3)绘制共存健康状况与 SDOH 的关系图;4)新兴调查领域。虽然范围界定审查有其局限性,但它提供了广泛的 SDOH 和共同的土著健康社会决定因素 (ISDOH) 的概貌,以创建有针对性的框架,供部落和城市土著卫生组织与其合作伙伴在公共卫生和系统强化中使用。
{"title":"The intersection of social and Indigenous determinants of health for health system strengthening: a scoping review.","authors":"Christina E Oré,Madalyn Law,Tia Benally,Myra E Parker","doi":"10.1080/22423982.2024.2401656","DOIUrl":"https://doi.org/10.1080/22423982.2024.2401656","url":null,"abstract":"The COVID-19 pandemic exposed long-standing gaps in health service systems and realities of environmental changes impacting Native nations and Indigenous communities in the US and circumpolar regions. Despite increased awareness and funding, there is limited research and few practical resources available for the work. This is a scoping review of the current literature on social determinants of health (SDOH) impacting Indigenous peoples, villages, and communities in the US and circumpolar region. The review used the York methodology to identify research questions, chart, and synthesize findings. Thirty-two articles were selected for full review and analysis. The articles were scoping reviews, evaluations, and studies. The methods used were 44% mixed (n = 14), 31% quantitative (n = 10) and 25% qualitative (n = 8). The synthesis identified four areas for discussion: 1) systemic and structural determinant study designs, 2) strengthening Indigenous health systems, 3) mapping the relationship of co-occurring health conditions and SDOH, and 4) emergent areas of inquiry. While the scoping review has limitations, it provides a snapshot of broad SDOH and shared Indigenous social determinants of health (ISDOH) to create tailored frameworks for use by tribal and urban Indigenous health organisations, with their partners, in public health and system strengthening.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"103 1","pages":"2401656"},"PeriodicalIF":1.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Levels and trends of persistent organic pollutants in human populations living in the Arctic. 生活在北极地区的人类体内持久性有机污染物的水平和趋势。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-17 DOI: 10.1080/22423982.2024.2392405
Bryan Adlard,Eva C Bonefeld-Jørgensen,Alexey A Dudarev,Kristin Olafsdottir,Khaled Abass,Maria Averina,Pierre Ayotte,James Berner,Sam Byrne,Élyse Caron-Beaudoin,Mallory Drysdale,Pierre Dumas,Joshua Garcia-Barrios,Irina Gyllenhammar,Brian Laird,Melanie Lemire,Amira Aker,Sanna Lignell,Manhai Long,Karin Norström,Sara Packull-McCormick,Maria Skaalum Petersen,Mylene Ratelle,Arja Rautio,Amalie Timmerman,Gunnar Toft,Pal Weihe,Therese Haugdahl Nøst,Maria Wennberg
The Arctic Monitoring Assessment Program (AMAP) is tasked with monitoring and assessing the status of environmental contaminants in the Arctic, documenting levels and trends, and producing science-based assessments. The objectives of this paper are to present the current levels of persistent organic pollutants (POPs) across the Arctic, and to identify trends and knowledge gaps as detailed in the most recent AMAP Human Health Assessment Report. Many Arctic populations continue to have elevated levels of these contaminants, and the highest levels of POPs were observed in populations from Greenland, Faroe Islands, and Nunavik (Canada), as well as populations in the coastal Chukotka district (Russia) for legacy POPs only. Concentrations of most POPs are declining in Arctic populations in regions where time trends data exist, although the declines are not consistent across all regions. The exceptions are per- and polyfluoroalkyl substances, with concentrations of some long-chain PFAS such as perfluorononanoic acid increasing in populations in Nunavik, Greenland and Sweden. This paper provides a more extensive summary of levels of contaminants in adults, pregnant women, and children across the Arctic than previous AMAP human health assessments, particularly for levels of long-chain PFAS, which are currently under consideration for inclusion in the Stockholm Convention.
北极监测评估计划 (AMAP) 的任务是监测和评估北极地区的环境污染物状况,记录污染物水平和趋势,并进行科学评估。本文旨在介绍整个北极地区持久性有机污染物 (POP) 的当前水平,并确定最新的 AMAP 人类健康评估报告中详述的趋势和知识差距。许多北极地区的居民体内持久性有机污染物含量持续升高,其中格陵兰岛、法罗群岛和努纳维克(加拿大)居民体内的持久性有机污染物含量最高,楚科奇沿海地区(俄罗斯)居民体内的持久性有机污染物含量也仅次于传统持久性有机污染物。在有时间趋势数据的地区,大多数持久性有机污染物在北极种群中的浓度都在下降,但并非所有地区的下降趋势都一致。但全氟烷基和多氟烷基物质除外,在努纳维克、格陵兰和瑞典,一些长链 PFAS(如全氟壬酸)的浓度在增加。与以前的北极监测评价方案人类健康评估相比,本文件更广泛地概述了北极地区成人、孕妇和儿童的污染物水平,特别是长链全氟辛烷磺酸的水平,目前正在考虑将其纳入《斯德哥尔摩公约》。
{"title":"Levels and trends of persistent organic pollutants in human populations living in the Arctic.","authors":"Bryan Adlard,Eva C Bonefeld-Jørgensen,Alexey A Dudarev,Kristin Olafsdottir,Khaled Abass,Maria Averina,Pierre Ayotte,James Berner,Sam Byrne,Élyse Caron-Beaudoin,Mallory Drysdale,Pierre Dumas,Joshua Garcia-Barrios,Irina Gyllenhammar,Brian Laird,Melanie Lemire,Amira Aker,Sanna Lignell,Manhai Long,Karin Norström,Sara Packull-McCormick,Maria Skaalum Petersen,Mylene Ratelle,Arja Rautio,Amalie Timmerman,Gunnar Toft,Pal Weihe,Therese Haugdahl Nøst,Maria Wennberg","doi":"10.1080/22423982.2024.2392405","DOIUrl":"https://doi.org/10.1080/22423982.2024.2392405","url":null,"abstract":"The Arctic Monitoring Assessment Program (AMAP) is tasked with monitoring and assessing the status of environmental contaminants in the Arctic, documenting levels and trends, and producing science-based assessments. The objectives of this paper are to present the current levels of persistent organic pollutants (POPs) across the Arctic, and to identify trends and knowledge gaps as detailed in the most recent AMAP Human Health Assessment Report. Many Arctic populations continue to have elevated levels of these contaminants, and the highest levels of POPs were observed in populations from Greenland, Faroe Islands, and Nunavik (Canada), as well as populations in the coastal Chukotka district (Russia) for legacy POPs only. Concentrations of most POPs are declining in Arctic populations in regions where time trends data exist, although the declines are not consistent across all regions. The exceptions are per- and polyfluoroalkyl substances, with concentrations of some long-chain PFAS such as perfluorononanoic acid increasing in populations in Nunavik, Greenland and Sweden. This paper provides a more extensive summary of levels of contaminants in adults, pregnant women, and children across the Arctic than previous AMAP human health assessments, particularly for levels of long-chain PFAS, which are currently under consideration for inclusion in the Stockholm Convention.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"81 1","pages":"2392405"},"PeriodicalIF":1.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regional, rural and remote medicine attracts students with a similar approach to learning in both the Northern and Southern hemisphere. 地区、农村和偏远地区的医学吸引了南北半球学习方法相似的学生。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-16 DOI: 10.1080/22423982.2024.2404274
Kylie J Mansfield,Anita Iversen,Maja-Lisa Løchen
Doctors who work in areas of workforce shortage, such as regional, rural and remote areas or areas of low socioeconomic means need to be more self-motivated, adaptable and self-directed than their metropolitan counterparts. This study aimed to examine the goal orientation and learning characteristics of students recruited into two medical programmes, one from the Northern hemisphere and one from the Southern hemisphere; both with a commitment to producing doctors to practice medicine in rural locations. Three survey tools were administered to 263 medical students: 1. achievement goal orientation survey; 2. learning characteristics survey and 3. the study process questionnaire. Medical students from both cohorts showed a learning goal orientation, which significantly increased with age (P0.007). In terms of learning characteristics, the students from the south had significantly higher scores for curiosity (P0.003), while the northern students had significantly higher scores for methodical (p < 0.001). Both cohorts were similar for adaptability and consciousness. Across the entire student cohort, three of the four learning disposition characteristics were also seen to correlate with learning goal orientation. In both cohorts of medical students deep learning scores exceeded surface learning scores. Selection of students with a learning goal orientation and learning characteristics of curiosity, adaptability and conscientiousness could potentially help students to flourish in rural placement environments.
在劳动力短缺地区工作的医生,如地区、农村和偏远地区或社会经济条件较差的地区,需要比大都市的医生更具有自我激励性、适应性和自我导向性。本研究旨在考察两个医学项目所招学生的目标定位和学习特点,一个来自北半球,一个来自南半球;这两个项目都致力于培养在农村地区行医的医生。对 263 名医科学生进行了三项调查:1.成就目标定位调查;2.学习特点调查;3.学习过程问卷。两届医学生均表现出学习目标取向,且随年龄增长而显著增加(P0.007)。在学习特征方面,南方学生的好奇心得分明显较高(P0.003),而北方学生的方法论得分明显较高(P < 0.001)。在适应能力和意识方面,两批学生的表现相似。从整个学生群体来看,四个学习倾向特征中有三个也与学习目标定向相关。在两批医学生中,深度学习得分均高于表面学习得分。选择具有学习目标导向以及好奇心、适应性和自觉性等学习特征的学生,可能有助于学生在农村实习环境中取得成功。
{"title":"Regional, rural and remote medicine attracts students with a similar approach to learning in both the Northern and Southern hemisphere.","authors":"Kylie J Mansfield,Anita Iversen,Maja-Lisa Løchen","doi":"10.1080/22423982.2024.2404274","DOIUrl":"https://doi.org/10.1080/22423982.2024.2404274","url":null,"abstract":"Doctors who work in areas of workforce shortage, such as regional, rural and remote areas or areas of low socioeconomic means need to be more self-motivated, adaptable and self-directed than their metropolitan counterparts. This study aimed to examine the goal orientation and learning characteristics of students recruited into two medical programmes, one from the Northern hemisphere and one from the Southern hemisphere; both with a commitment to producing doctors to practice medicine in rural locations. Three survey tools were administered to 263 medical students: 1. achievement goal orientation survey; 2. learning characteristics survey and 3. the study process questionnaire. Medical students from both cohorts showed a learning goal orientation, which significantly increased with age (P0.007). In terms of learning characteristics, the students from the south had significantly higher scores for curiosity (P0.003), while the northern students had significantly higher scores for methodical (p < 0.001). Both cohorts were similar for adaptability and consciousness. Across the entire student cohort, three of the four learning disposition characteristics were also seen to correlate with learning goal orientation. In both cohorts of medical students deep learning scores exceeded surface learning scores. Selection of students with a learning goal orientation and learning characteristics of curiosity, adaptability and conscientiousness could potentially help students to flourish in rural placement environments.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"23 1","pages":"2404274"},"PeriodicalIF":1.3,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing our knowledge about the epidemiology of Helicobacter pylori in Nunavik's Inuit population (Québec, Canada) using Qanuilirpitaa? 2017 cross-sectional survey. 通过 Qanuilirpitaa? 2017 年横断面调查,增加我们对努纳维克因纽特人(加拿大魁北克省)幽门螺杆菌流行病学的了解。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-16 DOI: 10.1080/22423982.2024.2398864
Julie Ducrocq,Benoit Lévesque,Gaston De Serres,Véronique Boiteau,Cedric P Yansouni,Jean-François Proulx,Denis Talbot
Helicobacter pylori is a bacterium that may colonise and proliferate in human stomachs, leading invariably to chronic inflammation and, to a lesser extent, to peptic ulcers and cancer. The main objective of this study is to describe the epidemiology surrounding H. pylori in Nunavik's Inuit population using the 2004 and 2017 Health Surveys. Estimated prevalences were 70.9% for bacterial colonisation using a stool antigens test (SAT), 72.5% for anti-H. pylori antibodies, 12.7% for faecal occult blood in participants aged ≥ 50 and respectively of 28.4%, 11.2% and 2.4% for a prior diagnosis of colonisation, gastritis and peptic ulcer in the medical charts, with under five cases of gastric cancer reported. Variables associated with higher SAT+ prevalence were the number of household members (prevalence ratio [PR] = 1.03) and age (quadratic relationship), whereas mainly drinking municipal (PR = 0.84) and natural water (PR = 0.72) compared to bottled water, and increasing alcohol consumption (PR = 0.96) were associated with reduced prevalence. Despite current regional guidelines targeting high risk individuals in the context of high prevalence, Nunavik's health authorities must remain vigilant by following gastric cancer incidence and the rapid evolution of guidelines, while considering local realities.
幽门螺杆菌是一种可在人类胃部定植和增殖的细菌,通常会导致慢性炎症,并在较小程度上导致消化性溃疡和癌症。本研究的主要目的是利用 2004 年和 2017 年的健康调查,描述努纳维克因纽特人中幽门螺杆菌的流行病学情况。通过粪便抗原检测(SAT),估计细菌定植率为 70.9%,抗幽门螺杆菌抗体为 72.5%,年龄≥50 岁的参与者粪便隐血率为 12.7%,病历中先前诊断为定植、胃炎和消化性溃疡的比例分别为 28.4%、11.2% 和 2.4%,报告的胃癌病例不足 5 例。与 SAT+ 患病率较高相关的变量是家庭成员数量(患病率比 [PR] = 1.03)和年龄(二次方关系),而与瓶装水相比,主要饮用市政水(PR = 0.84)和天然水(PR = 0.72)以及饮酒量增加(PR = 0.96)与患病率降低相关。尽管目前的地区指南针对的是高发病率下的高危人群,但努纳维克的卫生当局必须保持警惕,在考虑当地实际情况的同时,关注胃癌的发病率和指南的快速发展。
{"title":"Increasing our knowledge about the epidemiology of Helicobacter pylori in Nunavik's Inuit population (Québec, Canada) using Qanuilirpitaa? 2017 cross-sectional survey.","authors":"Julie Ducrocq,Benoit Lévesque,Gaston De Serres,Véronique Boiteau,Cedric P Yansouni,Jean-François Proulx,Denis Talbot","doi":"10.1080/22423982.2024.2398864","DOIUrl":"https://doi.org/10.1080/22423982.2024.2398864","url":null,"abstract":"Helicobacter pylori is a bacterium that may colonise and proliferate in human stomachs, leading invariably to chronic inflammation and, to a lesser extent, to peptic ulcers and cancer. The main objective of this study is to describe the epidemiology surrounding H. pylori in Nunavik's Inuit population using the 2004 and 2017 Health Surveys. Estimated prevalences were 70.9% for bacterial colonisation using a stool antigens test (SAT), 72.5% for anti-H. pylori antibodies, 12.7% for faecal occult blood in participants aged ≥ 50 and respectively of 28.4%, 11.2% and 2.4% for a prior diagnosis of colonisation, gastritis and peptic ulcer in the medical charts, with under five cases of gastric cancer reported. Variables associated with higher SAT+ prevalence were the number of household members (prevalence ratio [PR] = 1.03) and age (quadratic relationship), whereas mainly drinking municipal (PR = 0.84) and natural water (PR = 0.72) compared to bottled water, and increasing alcohol consumption (PR = 0.96) were associated with reduced prevalence. Despite current regional guidelines targeting high risk individuals in the context of high prevalence, Nunavik's health authorities must remain vigilant by following gastric cancer incidence and the rapid evolution of guidelines, while considering local realities.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"53 1","pages":"2398864"},"PeriodicalIF":1.3,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Childhood conditions and mental health among youth and young adults in Greenland: a latent class analysis. 格陵兰岛青少年的童年状况与心理健康:潜类分析。
IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-16 DOI: 10.1080/22423982.2024.2400397
Charlotte Brandstrup Ottendahl,Peter Bjerregaard,Durita Lyngsø Svartá,Ivalu Katajavaara Seidler,Ingelise Olesen,Martine Stecher Nielsen,Christina Viskum Lytken Larsen
Poor mental health among youth in Greenland is a major challenge, childhood conditions are critical for mental health later in life. The study aimed to examine the clustering of childhood conditions by considering risk and protective factors for mental health among youth and young adults in Greenland and to explore the relationship between these clusters and mental health outcomes in youth. The study included 565 participants aged 15-34 living in Greenland. Seven indicators including childhood adversities (ACEs), childhood residence, language, and cultural indicators (protective factors) were used to define clusters via latent class analysis (LCA). The associations between clusters and mental health outcomes (satisfaction with life (Cantrill's ladder), self-esteem, self-efficacy, loneliness, psychological distress (General Health Questionnaire) and mental illness (Kessler 6)) were assessed by logistic regression. Four clusters were identified through LCA. While most participants reported positive childhoods, 40% (in two clusters) experienced ACEs. The two clusters differed as more participants in one cluster had experienced protective factors than the other. ACEs were associated with increased odds of negative aspects of mental health in youth. However, participants who faced high levels of adversity and few protective factors also had reduced odds of positive aspects of mental health in youth.
格陵兰青少年心理健康状况不佳是一项重大挑战,童年时期的状况对日后的心理健康至关重要。这项研究旨在通过考虑格陵兰青年和年轻成年人心理健康的风险和保护因素来研究童年状况的群集,并探讨这些群集与青年心理健康结果之间的关系。这项研究包括 565 名生活在格陵兰的 15-34 岁的参与者。通过潜类分析法(LCA),使用包括童年逆境(ACEs)、童年居住地、语言和文化指标(保护因素)在内的七个指标来定义聚类。聚类与心理健康结果(生活满意度(Cantrill's ladder)、自尊、自我效能、孤独、心理困扰(一般健康问卷)和精神疾病(Kessler 6))之间的关联通过逻辑回归进行评估。通过 LCA 确定了四个群组。虽然大多数参与者报告了积极的童年生活,但有 40%(在两个群组中)的人经历过 ACE。这两个群组不同之处在于,一个群组中经历过保护性因素的参与者多于另一个群组。ACE 与青少年心理健康消极方面的几率增加有关。然而,逆境程度高且保护因素少的参与者,其青少年心理健康积极方面的几率也会降低。
{"title":"Childhood conditions and mental health among youth and young adults in Greenland: a latent class analysis.","authors":"Charlotte Brandstrup Ottendahl,Peter Bjerregaard,Durita Lyngsø Svartá,Ivalu Katajavaara Seidler,Ingelise Olesen,Martine Stecher Nielsen,Christina Viskum Lytken Larsen","doi":"10.1080/22423982.2024.2400397","DOIUrl":"https://doi.org/10.1080/22423982.2024.2400397","url":null,"abstract":"Poor mental health among youth in Greenland is a major challenge, childhood conditions are critical for mental health later in life. The study aimed to examine the clustering of childhood conditions by considering risk and protective factors for mental health among youth and young adults in Greenland and to explore the relationship between these clusters and mental health outcomes in youth. The study included 565 participants aged 15-34 living in Greenland. Seven indicators including childhood adversities (ACEs), childhood residence, language, and cultural indicators (protective factors) were used to define clusters via latent class analysis (LCA). The associations between clusters and mental health outcomes (satisfaction with life (Cantrill's ladder), self-esteem, self-efficacy, loneliness, psychological distress (General Health Questionnaire) and mental illness (Kessler 6)) were assessed by logistic regression. Four clusters were identified through LCA. While most participants reported positive childhoods, 40% (in two clusters) experienced ACEs. The two clusters differed as more participants in one cluster had experienced protective factors than the other. ACEs were associated with increased odds of negative aspects of mental health in youth. However, participants who faced high levels of adversity and few protective factors also had reduced odds of positive aspects of mental health in youth.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"17 1","pages":"2400397"},"PeriodicalIF":1.3,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Circumpolar Health
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1