Search

Your search keyword '"M. Kate Thomas"' showing total 2 results
Start Over Author "M. Kate Thomas" Publisher taylor & francis group
2 results on '"M. Kate Thomas"'

1. Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada

Author

Sherilee L. Harper, Victoria L. Edge, James Ford, M. Kate Thomas, David Pearl, Jamal Shirley, and Scott A. McEwen

Subjects
Aboriginal health, Indigenous health, Inuit health, gastrointestinal illness, healthcare utilization, Nunatsiavut, Nunavut, Arctic medicine. Tropical medicine, RC955-962
Abstract

Background: The incidence of self-reported acute gastrointestinal illness (AGI) in Rigolet, Nunatsiavut, and Iqaluit, Nunavut, is higher than reported elsewhere in Canada; as such, understanding AGI-related healthcare use is important for healthcare provision, public health practice and surveillance of AGI. Objectives: This study described symptoms, severity and duration of self-reported AGI in the general population and examined the incidence and factors associated with healthcare utilization for AGI in these 2 Inuit communities. Design: Cross-sectional survey data were analysed using multivariable exact logistic regression to examine factors associated with individuals’ self-reported healthcare and over-the-counter (OTC) medication utilization related to AGI symptoms. Results: In Rigolet, few AGI cases used healthcare services [4.8% (95% CI=1.5–14.4%)]; in Iqaluit, some cases used healthcare services [16.9% (95% CI=11.2–24.7%)]. Missing traditional activities due to AGI (OR=3.8; 95% CI=1.18–12.4) and taking OTC medication for AGI symptoms (OR=3.8; 95% CI=1.2–15.1) were associated with increased odds of using healthcare services in Iqaluit. In both communities, AGI severity and secondary symptoms (extreme tiredness, headache, muscle pains, chills) were significantly associated with increased odds of taking OTC medication. Conclusions: While rates of self-reported AGI were higher in Inuit communities compared to non-Inuit communities in Canada, there were lower rates of AGI-related healthcare use in Inuit communities compared to other regions in Canada. As such, the rates of healthcare use for a given disease can differ between Inuit and non-Inuit communities, and caution should be exercised in making comparisons between Inuit and non-Inuit health outcomes based solely on clinic records and healthcare use.

Published
2015
Full Text
View/download PDF

2. Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada

Author

Ricg, Ihacc, Sherilee L. Harper, David L. Pearl, James D. Ford, Victoria L. Edge, Jamal Shirley, M. Kate Thomas, Scott A. McEwen, Public Health Agency of Canada, and IDRC, SSHRC, CIHR, NSERC

Subjects
Male, Pediatrics, Health (social science), Gastrointestinal Diseases, Epidemiology, Cross-sectional study, Nunavut, Disease, Aboriginal health, Inuit health, Severity of Illness Index, Health Services Accessibility, Outcome Assessment, Health Care, Health care, Original Research Article, Indigenous health, gastrointestinal illness, healthcare utilization, Nunatsiavut, education.field_of_study, Incidence, Incidence (epidemiology), General Medicine, Middle Aged, 3. Good health, Inuit, Acute Disease, Female, Risk assessment, Adult, Canada, medicine.medical_specialty, lcsh:Arctic medicine. Tropical medicine, lcsh:RC955-962, Population, Risk Assessment, epidemiology, Environmental health, Severity of illness, medicine, Health Services, Indigenous, Humans, education, Aged, business.industry, Public health, Public Health, Environmental and Occupational Health, Cross-Sectional Studies, Logistic Models, Multivariate Analysis, Self Report, business
Abstract

Background . The incidence of self-reported acute gastrointestinal illness (AGI) in Rigolet, Nunatsiavut, and Iqaluit, Nunavut, is higher than reported elsewhere in Canada; as such, understanding AGI-related healthcare use is important for healthcare provision, public health practice and surveillance of AGI. Objectives . This study described symptoms, severity and duration of self-reported AGI in the general population and examined the incidence and factors associated with healthcare utilization for AGI in these 2 Inuit communities. Design . Cross-sectional survey data were analysed using multivariable exact logistic regression to examine factors associated with individuals’ self-reported healthcare and over-the-counter (OTC) medication utilization related to AGI symptoms. Results . In Rigolet, few AGI cases used healthcare services [4.8% (95% CI=1.5–14.4%)]; in Iqaluit, some cases used healthcare services [16.9% (95% CI=11.2–24.7%)]. Missing traditional activities due to AGI (OR=3.8; 95% CI=1.18–12.4) and taking OTC medication for AGI symptoms (OR=3.8; 95% CI=1.2–15.1) were associated with increased odds of using healthcare services in Iqaluit. In both communities, AGI severity and secondary symptoms (extreme tiredness, headache, muscle pains, chills) were significantly associated with increased odds of taking OTC medication. Conclusions . While rates of self-reported AGI were higher in Inuit communities compared to non-Inuit communities in Canada, there were lower rates of AGI-related healthcare use in Inuit communities compared to other regions in Canada. As such, the rates of healthcare use for a given disease can differ between Inuit and non-Inuit communities, and caution should be exercised in making comparisons between Inuit and non-Inuit health outcomes based solely on clinic records and healthcare use. Keywords: Aboriginal health; Indigenous health; Inuit health; gastrointestinal illness; healthcare utilization; Nunatsiavut; Nunavut (Published: 21 May 2015) Citation: Int J Circumpolar Health 2015, 74: 26290 - http://dx.doi.org/10.3402/ijch.v74.26290

Published
2015

Catalog

Books, media, physical & digital resources
See catalog results