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A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations

BACKGROUND: To date, determinants of respiratory health in First Nations people living on reserves and means of addressing and redressing those determinants have not been well established. Hence the Saskatchewan First Nations Lung Health Project (FNLHP) is a new prospective cohort study of aborigina...

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Autores principales: Pahwa, Punam, Abonyi, Sylvia, Karunanayake, Chandima, Rennie, Donna C, Janzen, Bonnie, Kirychuk, Shelley, Lawson, Joshua A, Katapally, Tarun, McMullin, Kathleen, Seeseequasis, Jeremy, Naytowhow, Arnold, Hagel, Louise, Dyck, Roland F, Fenton, Mark, Senthilselvan, Ambikaipakan, Ramsden, Vivian, King, Malcolm, Koehncke, Niels, Marchildon, Greg, McBain, Lesley, Smith-Windsor, Thomas, Smylie, Janet, Episkenew, Jo-Ann, Dosman, James A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4440281/
https://www.ncbi.nlm.nih.gov/pubmed/25981585
http://dx.doi.org/10.1186/s13104-015-1137-5
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author Pahwa, Punam
Abonyi, Sylvia
Karunanayake, Chandima
Rennie, Donna C
Janzen, Bonnie
Kirychuk, Shelley
Lawson, Joshua A
Katapally, Tarun
McMullin, Kathleen
Seeseequasis, Jeremy
Naytowhow, Arnold
Hagel, Louise
Dyck, Roland F
Fenton, Mark
Senthilselvan, Ambikaipakan
Ramsden, Vivian
King, Malcolm
Koehncke, Niels
Marchildon, Greg
McBain, Lesley
Smith-Windsor, Thomas
Smylie, Janet
Episkenew, Jo-Ann
Dosman, James A
author_facet Pahwa, Punam
Abonyi, Sylvia
Karunanayake, Chandima
Rennie, Donna C
Janzen, Bonnie
Kirychuk, Shelley
Lawson, Joshua A
Katapally, Tarun
McMullin, Kathleen
Seeseequasis, Jeremy
Naytowhow, Arnold
Hagel, Louise
Dyck, Roland F
Fenton, Mark
Senthilselvan, Ambikaipakan
Ramsden, Vivian
King, Malcolm
Koehncke, Niels
Marchildon, Greg
McBain, Lesley
Smith-Windsor, Thomas
Smylie, Janet
Episkenew, Jo-Ann
Dosman, James A
author_sort Pahwa, Punam
collection PubMed
description BACKGROUND: To date, determinants of respiratory health in First Nations people living on reserves and means of addressing and redressing those determinants have not been well established. Hence the Saskatchewan First Nations Lung Health Project (FNLHP) is a new prospective cohort study of aboriginal people being conducted in two First Nations reserves to evaluate potential health determinants associated with respiratory outcomes. Using the population health framework (PHF) of Health Canada, instruments designed with the communities, joint ownership of data, and based on the 4-phase concept of the First Nations Regional Longitudinal Health Survey, the project aims to evaluate individual factors, contextual factors, and principal covariates on respiratory outcomes. The objective of this report is to clearly describe the methodology of (i) the baseline survey that consists of two components, an interviewer-administered questionnaire and clinical assessment; and (ii) potential intervention programs; and present descriptive results of the baseline data of longitudinal FNLHP. METHODS: The study is being conducted over 5 years (2012–2017) in two phases, baseline and longitudinal. Baseline survey has been completed and consisted of (i) an interviewer-administered questionnaire-based evaluation of individual and contextual factors of importance to respiratory health (with special focus on chronic bronchitis, chronic obstructive pulmonary disease, asthma and obstructive sleep apnea), and (ii) clinical lung function and allergy tests with the consent of study participants. The address-redress phase consists of potential intervention programs and is currently being rolled out to address-at community level (via green light program and environmental study), and redress-at policy level (via obesity reduction and improved diagnosis and treatment of obstructive sleep apnea) the issues that have been identified by the baseline data. RESULTS: Interviewer-administered surveys were conducted in 2012–2013 and collected data on 874 individuals living in 406 households from two reserve communities located in Saskatchewan, Canada. Four hundred and forty six (51%) females and 428 (49%) males participated in the FNLHP. CONCLUSIONS: The information from this project will assist in addressing and redressing many of the issues involved including the provision of adequate housing, health lifestyle practices, and in planning for health service delivery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13104-015-1137-5) contains supplementary material, which is available to authorized users.
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spelling pubmed-44402812015-05-22 A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations Pahwa, Punam Abonyi, Sylvia Karunanayake, Chandima Rennie, Donna C Janzen, Bonnie Kirychuk, Shelley Lawson, Joshua A Katapally, Tarun McMullin, Kathleen Seeseequasis, Jeremy Naytowhow, Arnold Hagel, Louise Dyck, Roland F Fenton, Mark Senthilselvan, Ambikaipakan Ramsden, Vivian King, Malcolm Koehncke, Niels Marchildon, Greg McBain, Lesley Smith-Windsor, Thomas Smylie, Janet Episkenew, Jo-Ann Dosman, James A BMC Res Notes Research Article BACKGROUND: To date, determinants of respiratory health in First Nations people living on reserves and means of addressing and redressing those determinants have not been well established. Hence the Saskatchewan First Nations Lung Health Project (FNLHP) is a new prospective cohort study of aboriginal people being conducted in two First Nations reserves to evaluate potential health determinants associated with respiratory outcomes. Using the population health framework (PHF) of Health Canada, instruments designed with the communities, joint ownership of data, and based on the 4-phase concept of the First Nations Regional Longitudinal Health Survey, the project aims to evaluate individual factors, contextual factors, and principal covariates on respiratory outcomes. The objective of this report is to clearly describe the methodology of (i) the baseline survey that consists of two components, an interviewer-administered questionnaire and clinical assessment; and (ii) potential intervention programs; and present descriptive results of the baseline data of longitudinal FNLHP. METHODS: The study is being conducted over 5 years (2012–2017) in two phases, baseline and longitudinal. Baseline survey has been completed and consisted of (i) an interviewer-administered questionnaire-based evaluation of individual and contextual factors of importance to respiratory health (with special focus on chronic bronchitis, chronic obstructive pulmonary disease, asthma and obstructive sleep apnea), and (ii) clinical lung function and allergy tests with the consent of study participants. The address-redress phase consists of potential intervention programs and is currently being rolled out to address-at community level (via green light program and environmental study), and redress-at policy level (via obesity reduction and improved diagnosis and treatment of obstructive sleep apnea) the issues that have been identified by the baseline data. RESULTS: Interviewer-administered surveys were conducted in 2012–2013 and collected data on 874 individuals living in 406 households from two reserve communities located in Saskatchewan, Canada. Four hundred and forty six (51%) females and 428 (49%) males participated in the FNLHP. CONCLUSIONS: The information from this project will assist in addressing and redressing many of the issues involved including the provision of adequate housing, health lifestyle practices, and in planning for health service delivery. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13104-015-1137-5) contains supplementary material, which is available to authorized users. BioMed Central 2015-05-16 /pmc/articles/PMC4440281/ /pubmed/25981585 http://dx.doi.org/10.1186/s13104-015-1137-5 Text en © Pahwa et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Pahwa, Punam
Abonyi, Sylvia
Karunanayake, Chandima
Rennie, Donna C
Janzen, Bonnie
Kirychuk, Shelley
Lawson, Joshua A
Katapally, Tarun
McMullin, Kathleen
Seeseequasis, Jeremy
Naytowhow, Arnold
Hagel, Louise
Dyck, Roland F
Fenton, Mark
Senthilselvan, Ambikaipakan
Ramsden, Vivian
King, Malcolm
Koehncke, Niels
Marchildon, Greg
McBain, Lesley
Smith-Windsor, Thomas
Smylie, Janet
Episkenew, Jo-Ann
Dosman, James A
A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations
title A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations
title_full A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations
title_fullStr A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations
title_full_unstemmed A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations
title_short A community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among First Nations
title_sort community-based participatory research methodology to address, redress, and reassess disparities in respiratory health among first nations
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4440281/
https://www.ncbi.nlm.nih.gov/pubmed/25981585
http://dx.doi.org/10.1186/s13104-015-1137-5
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