Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada
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...
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Taylor & Francis Open
2015
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Online Access: | https://eprints.whiterose.ac.uk/122991/ https://eprints.whiterose.ac.uk/122991/1/Healthcare%20use%20for%20acute%20gastrointestinal%20illness%20in%20two%20Inuit%20communities%3A%20Rigolet%20and%20Iqaluit,%20Canada.pdf |
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ftleedsuniv:oai:eprints.whiterose.ac.uk:122991 2023-05-15T15:55:29+02:00 Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada Harper, SL Edge, VL Ford, J Thomas, MK Pearl, D Shirley, J IHACC RICG McEwen, SA 2015-05-21 text https://eprints.whiterose.ac.uk/122991/ https://eprints.whiterose.ac.uk/122991/1/Healthcare%20use%20for%20acute%20gastrointestinal%20illness%20in%20two%20Inuit%20communities%3A%20Rigolet%20and%20Iqaluit,%20Canada.pdf en eng Taylor & Francis Open https://eprints.whiterose.ac.uk/122991/1/Healthcare%20use%20for%20acute%20gastrointestinal%20illness%20in%20two%20Inuit%20communities%3A%20Rigolet%20and%20Iqaluit,%20Canada.pdf Harper, SL, Edge, VL, Ford, J orcid.org/0000-0002-2066-3456 et al. (6 more authors) (2015) Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada. International Journal of Circumpolar Health, 74 (1). 26290. ISSN 1239-9736 cc_by_4 CC-BY Article NonPeerReviewed 2015 ftleedsuniv 2023-01-30T22:00:06Z 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. Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health inuit Iqaluit Nunavut Rigolet White Rose Research Online (Universities of Leeds, Sheffield & York) Nunavut Canada Rigolet ENVELOPE(-58.430,-58.430,54.180,54.180) |
institution |
Open Polar |
collection |
White Rose Research Online (Universities of Leeds, Sheffield & York) |
op_collection_id |
ftleedsuniv |
language |
English |
description |
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. |
format |
Article in Journal/Newspaper |
author |
Harper, SL Edge, VL Ford, J Thomas, MK Pearl, D Shirley, J IHACC RICG McEwen, SA |
spellingShingle |
Harper, SL Edge, VL Ford, J Thomas, MK Pearl, D Shirley, J IHACC RICG McEwen, SA Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada |
author_facet |
Harper, SL Edge, VL Ford, J Thomas, MK Pearl, D Shirley, J IHACC RICG McEwen, SA |
author_sort |
Harper, SL |
title |
Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada |
title_short |
Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada |
title_full |
Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada |
title_fullStr |
Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada |
title_full_unstemmed |
Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada |
title_sort |
healthcare use for acute gastrointestinal illness in two inuit communities: rigolet and iqaluit, canada |
publisher |
Taylor & Francis Open |
publishDate |
2015 |
url |
https://eprints.whiterose.ac.uk/122991/ https://eprints.whiterose.ac.uk/122991/1/Healthcare%20use%20for%20acute%20gastrointestinal%20illness%20in%20two%20Inuit%20communities%3A%20Rigolet%20and%20Iqaluit,%20Canada.pdf |
long_lat |
ENVELOPE(-58.430,-58.430,54.180,54.180) |
geographic |
Nunavut Canada Rigolet |
geographic_facet |
Nunavut Canada Rigolet |
genre |
Circumpolar Health International Journal of Circumpolar Health inuit Iqaluit Nunavut Rigolet |
genre_facet |
Circumpolar Health International Journal of Circumpolar Health inuit Iqaluit Nunavut Rigolet |
op_relation |
https://eprints.whiterose.ac.uk/122991/1/Healthcare%20use%20for%20acute%20gastrointestinal%20illness%20in%20two%20Inuit%20communities%3A%20Rigolet%20and%20Iqaluit,%20Canada.pdf Harper, SL, Edge, VL, Ford, J orcid.org/0000-0002-2066-3456 et al. (6 more authors) (2015) Healthcare use for acute gastrointestinal illness in two Inuit communities: Rigolet and Iqaluit, Canada. International Journal of Circumpolar Health, 74 (1). 26290. ISSN 1239-9736 |
op_rights |
cc_by_4 |
op_rightsnorm |
CC-BY |
_version_ |
1766390968109498368 |