The role of economic and cultural status as risk indicators for alcohol and marijuana use among adolescents.

Abstract:

INTRODUCTION:A number of reports suggest that Aboriginal cultural status is a major risk indicator for drug and alcohol use. The primary purpose of the present paper was to determine whether Aboriginal cultural status is independently associated with risk behaviours, such as marijuana use and alcohol abuse, among youth after multivariate adjustment for other factors, such as socioeconomic status. METHODS:Every student between grades 5 and 8 in Saskatoon, Saskatchewan, was asked to complete a questionnaire in February 2007. Logistic regression was used to determine the independent risk indicators associated with alcohol abuse and marijuana use. RESULTS:Four thousand ninety-three youth participated in the school health survey. At the cross-tabulation level, cultural status and neighbourhood income were both strongly associated with alcohol and marijuana use. After multivariate adjustment, the association between Aboriginal cultural status and alcohol abuse was not statistically significant (crude OR=3.52 to adjusted OR=0.80). For marijuana use, the association was significantly reduced (crude OR=9.91 to adjusted OR=2.79). After controlling for all other variables, results showed that low-income youth were 103% more likely to get drunk at least once and were 163% more likely to have tried marijuana at least once. CONCLUSION:To be more successful, future policies directed toward reducing risk behaviours among youth should consider neighbourhood income characteristics.

journal_name

Paediatr Child Health

authors

Lemstra M,Neudorf C,Nannapaneni U,Bennett N,Scott C,Kershaw T

doi

10.1093/pch/14.4.225

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

225-30

issue

4

eissn

1205-7088

issn

1918-1485

journal_volume

14

pub_type

杂志文章
  • Constipation and paediatric emergency department utilization.

    abstract:Background:Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used. Methods:We conducted a cross-sec...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx041

    authors: Nutter A,Meckler G,Truong M,Doan Q

    更新日期:2017-06-01 00:00:00

  • Home injury patterns in children: A comparison by hospital sites.

    abstract:BACKGROUND:Many intervention studies typically require data from several centres to ensure adequate power. The usual intention is to pool data after testing for heterogeneity. Sites that differ in sample characteristics may, on the one hand, complicate the assessment of the intervention, but on the other hand, they may...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/8.7.433

    authors: Bernard-Bonnin AC,Pless IB,Robitaille Y,Leblanc J,King WJ,Tenenbein M,Klassen TP

    更新日期:2003-09-01 00:00:00

  • A new paradigm for parent and patient education.

    abstract::Details of an innovative model for providing health education to families and patients using a coordinated series of skill-based educational opportunities are described. The model offers a variety of educational courses for parents of children at each developmental stage. Each course provides transferable skills that ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/5.6.329

    authors: Buchanan D

    更新日期:2000-09-01 00:00:00

  • Banning children and youth younger than 18 years of age from commercial tanning facilities.

    abstract::Cutaneous malignant melanoma has increased more than three-fold in the past 35 years. Because damage is cumulative, exposure to ultraviolet radiation early in life elevates a risk that is increased further as individuals use artificial sources of ultraviolet radiation. The full impact and scope of damage caused by yea...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.2.89

    authors: Taddeo D,Stanwick R,Canadian Paediatric Society, Adolescent Health Committee.

    更新日期:2012-02-01 00:00:00

  • The gap between coverage and care-what can Canadian paediatricians do about access to health services for refugee claimant children?

    abstract:Introduction:In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesize...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx115

    authors: Rink N,Muttalib F,Morantz G,Chase L,Cleveland J,Rousseau C,Li P

    更新日期:2017-11-01 00:00:00

  • Sexual knowledge of Canadian adolescents after completion of high school sexual education requirements.

    abstract:BACKGROUND:Formal sexual education is a mandatory component of the high school curriculum in most Canadian provinces. The present study was a preliminary assessment of sexual knowledge among a sample of Ontario adolescents who had completed their high school sexual education requirements. METHODS:A questionnaire, test...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Kumar MM,Lim R,Langford C,Seabrook JA,Speechley KN,Lynch T

    更新日期:2013-02-01 00:00:00

  • Pediatric Emergency Medicine Fellows Education Day: Addressing CanMEDS objectives at a national subspecialty conference.

    abstract::Canadian subspecialty residency training programs are developed around the learning objectives listed in the seven Canadian Medical Education Directives for Specialists (CanMEDS) criteria. Delivering content on objectives outside of those traditionally acquired in clinical rotations can be a challenge. In the present ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/17.10.544

    authors: Hung GR,Bialy L,Cheng A

    更新日期:2012-12-01 00:00:00

  • EPIQ Review.

    abstract:BACKGROUND:A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE:To determine whether the use of bundled interventions that include a checklist during central-line inser...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/19.4.176

    authors: Simpson CD,Hawes J,James AG,Lee KS

    更新日期:2014-04-01 00:00:00

  • The Baby-Friendly Initiative: Protecting, promoting and supporting breastfeeding.

    abstract::Breastfeeding confers extensive and well-established benefits and is recognized as an extremely effective preventative health measure for both mothers and babies. Except in very few specific medical situations, breastfeeding should be universally encouraged for all mothers and infants. To improve worldwide breastfeedi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Pound CM,Unger SL,Canadian Paediatric Society, Hospital Paediatrics Section, Nutrition and Gastroenterology Committee.

    更新日期:2012-06-01 00:00:00

  • Where physicians look for information on drug prescribing for children.

    abstract:BACKGROUND:Despite the important role of drug therapy in children, there is often a lack of readily available information regarding the indications and dosing regimens for medications in paediatrics. OBJECTIVE:To collect data on where family physicians obtain this prescribing information. METHOD:A structured question...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/8.4.219

    authors: Matsui DM,Jardine ME,Steer E,Cukernik V,Rieder MJ

    更新日期:2003-04-01 00:00:00

  • Retinopathy of prematurity: A systematic review of the literature.

    abstract:OBJECTIVE:To assist in the diagnosis of retinopathy of prematurity (ROP) to facilitate treatment in a timely manner to help prevent blindness. DATA SOURCES:Systematic review using MEDLINE including the following key words, "retinopathy of prematurity", "retrolental fibroplasia", "blind", "blindness", "vision screening...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Fetus and Newborn Committee, Canadian Paediatric Society.

    更新日期:1998-05-01 00:00:00

  • The medical evaluation of prepubertal children with suspected sexual abuse.

    abstract::Child sexual abuse is an important and not uncommon problem. Children who have been sexually abused may present to a physician's office, urgent care centre, or emergency department for medical evaluation. A medical evaluation can provide reassurance to both child and caregiver, identify care needs, and offer an accura...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/pxaa019

    authors: Smith T,Chauvin-Kimoff L,Baird B,Ornstein A

    更新日期:2020-04-01 00:00:00

  • Kawasaki disease at British Columbia's Children's Hospital.

    abstract:OBJECTIVES:To describe the clinical features, diagnosis, treatment and outcome of children with Kawasaki disease (KD) treated at a large tertiary care Canadian paediatric hospital and to try to identify correlations between clinical features and the development of coronary artery abnormalities. METHODS:The charts of 1...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/9.7.466

    authors: Ebbeson RL,Riley MR,Potts JE,Human DG,Malleson PN

    更新日期:2004-09-01 00:00:00

  • The child with developmental delay: An approach to etiology.

    abstract:OBJECTIVE:To describe an approach to history, physical examination and investigation for the developmentally delayed child. METHODS:A review of electronic databases from 1997 to 2001 was done searching for articles relating to the approach to or investigations of children with developmental delay. Five studies, includ...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/8.1.16

    authors: Meschino WS

    更新日期:2003-01-01 00:00:00

  • Home intravenous therapy: Accessibility for Canadian children and youth.

    abstract::The administration of intravenous (IV) therapy at home is an alternative to hospitalization for treatment of infection and a number of other conditions, and has been demonstrated to be effective and safe, to reduce cost and to improve quality of life. While home IV therapy has many advantages for children, it is not u...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/16.2.105

    authors: Moore D,Bortolussi R

    更新日期:2011-02-01 00:00:00

  • Environmental risks to Canadian children travelling overseas.

    abstract::Canadian children and youth travelling overseas face numerous environmental risks, including trauma, extreme temperatures, sun exposure, high altitudes, environmental pollution, and a variety of bites, stings and envenomations. Because skilled emergency response is limited or nonexistent in places where serious illnes...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/5.7.387

    authors: Kuhn S,Davies HD

    更新日期:2000-10-01 00:00:00

  • Quality of referral of short children to the paediatric endocrinologist and impact of a fax communication system.

    abstract:BACKGROUND/OBJECTIVES:In 2001, a chart review of children referred to the authors' endocrine clinic because of short stature revealed that many were referred with insufficient baseline data, had normal height velocity and were within genetic target height. Therefore, a two-way fax communication system was implemented b...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/18.10.533

    authors: Chiniara L,Perry RJ,Van Vliet G,Huot C,Deal C

    更新日期:2013-12-01 00:00:00

  • Cross-cultural communication: Tools for working with families and children.

    abstract::The ability to communicate effectively with patients and families is paramount for good patient care. This practice point reviews the importance of communicating effectively in cross-cultural encounters. The concept of cultural competence is introduced, along with the LEARN (Listen, Explain, Acknowledge, Recommend, Ne...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx126

    authors: Ladha T,Zubairi M,Hunter A,Audcent T,Johnstone J

    更新日期:2018-02-01 00:00:00

  • Regional paediatric asthma centre: An intervention model.

    abstract:OBJECTIVE:To evaluate the effectiveness of a multidisciplinary paediatric asthma clinic in reducing the morbidity associated with paediatric asthma. METHODS:An initial survey of need was undertaken in the community of Orillia, Ontario and the surrounding area. The clinic was established as a separate entity from the a...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/9.3.159

    authors: Smith W,Downey K,Frampton B,Collings A,Fletcher J

    更新日期:2004-03-01 00:00:00

  • Obesity management in adolescence: Clinical recommendations.

    abstract::Obesity is recognized by the World Health Organization as an emerging epidemic with significant health risks. This paper outlines the issues for overweight and obese adolescents in Canada, and provides guidelines for providing practical, office-based management in the community. The focus is upon promoting healthy app...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Tonkin RS,Sacks D

    更新日期:1998-11-01 00:00:00

  • A longitudinal study of the physical growth and health of postinstitutionalized Romanian adoptees.

    abstract::In the present longitudinal study, the physical growth and health of 36 early-deprived postinstitutionalized Romanian orphans (ROs; 17 boys) adopted by Canadian families are documented. Data were collected for each child at three time points: at 11 months postadoption, at 4.5 years of age and at 10.5 years of age. Dat...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:

    authors: Le Mare L,Audet K

    更新日期:2006-02-01 00:00:00

  • Contraceptive care for Canadian youth.

    abstract::Sexual and reproductive health is an important component of comprehensive health care for youth. This statement provides guidance for selecting and prescribing contraceptives for youth, including commonly prescribed hormonal contraceptives-the pill, patch, ring and injectable progestin-and long-acting reversible contr...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章,评审

    doi:10.1093/pch/pxx192

    authors: Di Meglio G,Crowther C,Simms J

    更新日期:2018-07-01 00:00:00

  • Antimicrobial stewardship in daily practice: Managing an important resource.

    abstract::Antimicrobial stewardship is a recent concept that embodies the practical, judicious use of antimicrobials to decrease adverse outcomes from antimicrobials while optimizing the treatment of bacterial infections to reduce the emergence of resistant pathogens. The objectives of the present statement are to illustrate th...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/19.5.261

    authors: Le Saux N

    更新日期:2014-05-01 00:00:00

  • Standards of care for students with type 1 diabetes: Ensuring safety, health and inclusion in school.

    abstract::Parents of children with type 1 diabetes commonly worry about the ability of school personnel to respond to their child's diabetes needs, and may feel anxious about the health, safety and inclusion of their child in school. Physicians may be confronted by parents' fears, anxieties and apprehension, and need to know ho...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/10.1.25

    authors: Henderson G

    更新日期:2005-01-01 00:00:00

  • Has the Alberta daily physical activity initiative been successfully implemented in Calgary schools?

    abstract:INTRODUCTION:In September 2005, the Alberta government introduced the daily physical activity (DPA) initiative, which requires that students from grades 1 to 9 be physically active in school for a minimum of 30 min per day. OBJECTIVE:To obtain information on whether and how the DPA initiative has been implemented in C...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/15.7.e19

    authors: Kennedy CD,Cantell M,Dewey D

    更新日期:2010-09-01 00:00:00

  • Day of discharge and hospital readmission rates within 30 days in children: A population-based study.

    abstract:BACKGROUND:Adults discharged from hospital on a Friday are more likely to be readmitted within 30 days than are adults discharged midweek. No study has examined readmission rates for children by day of discharge. OBJECTIVE:To determine the risk of readmission within 30 days by day of discharge in the paediatric popula...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/11.7.409

    authors: Beck CE,Khambalia A,Parkin PC,Raina P,Macarthur C

    更新日期:2006-09-01 00:00:00

  • Follow-up issues with multiples.

    abstract::The rate of multiple pregnancy has increased in developed countries, a finding usually attributed to more widespread use of assisted reproductive technologies. Multiple pregnancies are associated with a greater risk of pregnancy complications, including intrauterine growth restriction of one or more of the fetuses, va...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/11.5.283

    authors: Moore AM,O'Brien K

    更新日期:2006-05-01 00:00:00

  • Adolescent male health.

    abstract::Although adolescent males have as many health issues and concerns as adolescent females, they are much less likely to be seen in a clinical setting. This is related to both individual factors and the health care system itself, which is not always encouraging and set up to provide comprehensive male health care. Workin...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/13.1.31

    authors: Westwood M,Pinzon J

    更新日期:2008-01-01 00:00:00

  • The 18-month well-child visit in primary care: Clinical strategies for early intervention.

    abstract::Family physicians, paediatricians, nurse practitioners and all primary health care providers are well-positioned in the health care system to provide identification and intervention for developmental delay in early childhood. This can be accomplished through the promotion of healthy child development by supporting chi...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/13.10.845

    authors: Mousmanis P,Watson WJ

    更新日期:2008-12-01 00:00:00

  • Blood pressure in children with attention deficit/hyperactivity disorder.

    abstract:Objectives:Children with attention deficit/hyperactivity disorder (ADHD) are frequently treated with psycho-stimulant agents causing a modest but significant increase in blood pressure and heart rate. The objective of this study was to define blood pressure characteristics in children with ADHD treated with a variety o...

    journal_title:Paediatrics & child health

    pub_type: 杂志文章

    doi:10.1093/pch/pxx207

    authors: Grisaru S,Yue M,Samuel SM,Chaput KH,Hamiwka LA

    更新日期:2018-09-01 00:00:00