Determinants of a healthy lifestyle and use of preventive screening in Canada

Qi, Vikky; Phillips, Susan P.; Hopman, Wilma M.

doi:10.1186/1471-2458-6-275

Cited by 96 publications

(81 citation statements)

References 17 publications

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“…10 At the individual level, there was a negative association between income and daily smoking -a finding consistent with results from a general population study in Canada. 32 The protective effect of social support for both smoking and heavy drinking is consistent with the results of previous investigations. 24,25 This study has some limitations.…”

Section: Discussionsupporting

confidence: 81%

Community- and individual-level factors associated with smoking and heavy drinking among Aboriginal people in Canada

Kyu

Georgiades

MacMillan

et al. 2015

Can J Public Health

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OBJECTIVES: 1) To examine the association between place of residence (i.e., on-versus off-communities and between provinces) and daily smoking and heavy drinking among Aboriginal people in Canada; and 2) to identify community-and individual-level factors that may account for these associations. RESULTS: Living in First Nations communities (compared with living off-communities) was associated with daily smoking, and this association was accounted for by perceived community social problems. However, the association between Inuit communities and daily smoking remained after controlling for all covariates (odds ratio (OR) = 1.97, 95% confidence intervals (CI) = 1.44-2.70). Residence in First Nations communities was associated with heavy drinking (OR = 1.54, 95% CI = 1.17-2.04), however this risk became evident only after controlling for community SES, which was also positively associated with heavy drinking (OR = 1.46, 95% CI = 1.26-1.69). Compared with Saskatchewan, Aboriginal people in Atlantic Provinces (OR = 2.80, 95% CI = 2.08-3.78) or Territories (OR = 1.39, 95% CI = 1.01-1.92) were more likely to engage in heavy drinking. METHODS: CONCLUSION:Studies are needed to better understand the increased risk for smoking in Inuit communities and heavy drinking in First Nations communities, Atlantic Provinces and Territories, and to identify possible reasons for the positive association between community SES and heavy drinking among Aboriginal people.KEY WORDS: Aboriginal people; place of residence; smoking; heavy drinking La traduction du résumé se trouve à la fin de l'article.

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Section: Discussionsupporting

confidence: 81%

Community- and individual-level factors associated with smoking and heavy drinking among Aboriginal people in Canada

Kyu

Georgiades

MacMillan

et al. 2015

Can J Public Health

View full text Add to dashboard Cite

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“…With the advancement of age, preventive health behaviors are made more often 20,21) . This is considered to be because workers become more aware of their health as their physical functions worsen with age.…”

Section: Discussionmentioning

confidence: 99%

The Degree of Workers' Use of Annual Health Checkup Results among Japanese Workers

et al. 2008

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“…Women with less income and education are known to have lower cervical cancer screening rates relative to their more affluent and more educated peers, [31][32][33][34][35][36] a disparity that is evident even within a universal health care system, such as Ontario's. Research has also suggested that married women are more likely to be screened, [37][38][39][40][41][42] which is consistent with our finding that women who were less likely to be screened were also less likely to be in a married or common-law relationship.…”

Section: Cmaj Openmentioning

confidence: 99%

Screening for cervical cancer in women with disability and multimorbidity: a retrospective cohort study in Ontario, Canada

et al. 2014

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Background: People with disability, multiple chronic conditions or both may experience challenges in accessing primary care. We aimed to determine the association between appropriate cervical cancer screening and level of disability among women eligible for screening in Ontario and the influence of relevant sociodemographic and health-related variables, including level of morbidity (measured by number of chronic conditions), on screening. Methods:We used multiple linked databases, including 2 waves of the Canadian Community Health Survey (2005 and 2007/08). Of the 22 824 women included in the study, 7600 reported some level of disability. We used Ontario Health Insurance Plan fee codes to identify appropriate cervical cancer screening.Results: Compared with women without disability, women with disability were older, less educated, had lower income and had more chronic conditions (36.2% had at least 2 conditions v. 8.4% of women without disability). Women with no disability and no chronic conditions were more frequently screened appropriately than those with severe disability and 2 or more chronic conditions (64.5% v. 39.8%). In multivariable logistic regression analysis, age, rurality, education, marital status and household income were each independently associated with cervical cancer screening. There was a significant interaction between level of morbidity and level of disability. Women with a higher level of disability were less likely to be screened than women with lower level of disability as their level of morbidity increased. Conclusion:The rate of screening for cervical cancer is low among women with both disability and multimorbidity. Policymakers should note these results as they work toward improving cancer screening rates for an aging population with complex medical needs. AbstractCMAJ OPEN, 2(4) E241

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Determinants of a healthy lifestyle and use of preventive screening in Canada

Abstract: Background: This study explores the associations between individual characteristics such as income and education with health behaviours and utilization of preventive screening.

Cited by 96 publications

References 17 publications

Community- and individual-level factors associated with smoking and heavy drinking among Aboriginal people in Canada

Community- and individual-level factors associated with smoking and heavy drinking among Aboriginal people in Canada

The Degree of Workers' Use of Annual Health Checkup Results among Japanese Workers

Screening for cervical cancer in women with disability and multimorbidity: a retrospective cohort study in Ontario, Canada

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