Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data
INTRODUCTION: Decades of research demonstrate that First Nations, Metis and Inuit (FN/M/I) populations have differential access to diagnostic and therapeutic healthcare. Emerging evidence shows that this continues to be the case during the SARS-CoV-2 pandemic. In an effort to rectify these differenc...
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ftpubmed:oai:pubmedcentral.nih.gov:8441222 2023-05-15T16:15:50+02:00 Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data Nickel, Nathan C Clark, Wayne Phillips-Beck, Wanda Sanguins, Julianne Enns, Jennifer Emily Lavoie, Josée G Romanescu, Razvan Katz, Alan Mahar, Alyson L Brownell, Marni Lix, Lisa Urquia, Marcelo Tso Deh, Miyosha O’Conaill, Carrie Durksen, Anita Brownell, Emily 2021-09-14 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8441222/ https://doi.org/10.1136/bmjopen-2021-052936 en eng BMJ Publishing Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8441222/ http://dx.doi.org/10.1136/bmjopen-2021-052936 © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . CC-BY-NC BMJ Open Public Health Text 2021 ftpubmed https://doi.org/10.1136/bmjopen-2021-052936 2021-09-19T00:48:54Z INTRODUCTION: Decades of research demonstrate that First Nations, Metis and Inuit (FN/M/I) populations have differential access to diagnostic and therapeutic healthcare. Emerging evidence shows that this continues to be the case during the SARS-CoV-2 pandemic. In an effort to rectify these differences in access to care, our team, which is co-led by FN/M/I partners, will generate and distribute evidence on COVID-19 diagnostic testing and vaccination in high-priority FN/M/I populations in Manitoba, with the goal of identifying system-level and individual-level factors that act as barriers to equitable care and thereby informing Indigenous-led public health responses. METHODS AND ANALYSIS: Our nations-based approach focuses on FN/M/I populations with separate study arms for each group. Linked administrative health data on COVID-19 diagnostic testing and vaccinations are available on a weekly basis. We will conduct surveillance to monitor trends in testing and vaccination among each FN/M/I population and all other Manitobans, map the geographic distribution of these outcomes by health region and tribal council, and identify barriers to testing and vaccination to inform public health strategies. We will follow the course of the pandemic starting from January 2020 and report findings quarterly. ETHICS AND DISSEMINATION: Ethics approvals have been granted by the University of Manitoba Research Ethics Board and from each of our FN/M/I partners’ organisations. Our team is committed to engaging in authentic relationship-based research that follows First Nations, Metis and Inuit research ethics principles. Our FN/M/I partners will direct the dissemination of new information to leadership in their communities (health directors, community health organisations) and to decision-makers in the provincial Ministry of Health. We will also publish in open-access journals. The study will create ongoing capacity to monitor Manitoba’s pandemic response and ensure potential health inequities are minimised, with learnings applicable to ... Text First Nations inuit Metis PubMed Central (PMC) Canada BMJ Open 11 9 e052936 |
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Public Health |
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Public Health Nickel, Nathan C Clark, Wayne Phillips-Beck, Wanda Sanguins, Julianne Enns, Jennifer Emily Lavoie, Josée G Romanescu, Razvan Katz, Alan Mahar, Alyson L Brownell, Marni Lix, Lisa Urquia, Marcelo Tso Deh, Miyosha O’Conaill, Carrie Durksen, Anita Brownell, Emily Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data |
topic_facet |
Public Health |
description |
INTRODUCTION: Decades of research demonstrate that First Nations, Metis and Inuit (FN/M/I) populations have differential access to diagnostic and therapeutic healthcare. Emerging evidence shows that this continues to be the case during the SARS-CoV-2 pandemic. In an effort to rectify these differences in access to care, our team, which is co-led by FN/M/I partners, will generate and distribute evidence on COVID-19 diagnostic testing and vaccination in high-priority FN/M/I populations in Manitoba, with the goal of identifying system-level and individual-level factors that act as barriers to equitable care and thereby informing Indigenous-led public health responses. METHODS AND ANALYSIS: Our nations-based approach focuses on FN/M/I populations with separate study arms for each group. Linked administrative health data on COVID-19 diagnostic testing and vaccinations are available on a weekly basis. We will conduct surveillance to monitor trends in testing and vaccination among each FN/M/I population and all other Manitobans, map the geographic distribution of these outcomes by health region and tribal council, and identify barriers to testing and vaccination to inform public health strategies. We will follow the course of the pandemic starting from January 2020 and report findings quarterly. ETHICS AND DISSEMINATION: Ethics approvals have been granted by the University of Manitoba Research Ethics Board and from each of our FN/M/I partners’ organisations. Our team is committed to engaging in authentic relationship-based research that follows First Nations, Metis and Inuit research ethics principles. Our FN/M/I partners will direct the dissemination of new information to leadership in their communities (health directors, community health organisations) and to decision-makers in the provincial Ministry of Health. We will also publish in open-access journals. The study will create ongoing capacity to monitor Manitoba’s pandemic response and ensure potential health inequities are minimised, with learnings applicable to ... |
format |
Text |
author |
Nickel, Nathan C Clark, Wayne Phillips-Beck, Wanda Sanguins, Julianne Enns, Jennifer Emily Lavoie, Josée G Romanescu, Razvan Katz, Alan Mahar, Alyson L Brownell, Marni Lix, Lisa Urquia, Marcelo Tso Deh, Miyosha O’Conaill, Carrie Durksen, Anita Brownell, Emily |
author_facet |
Nickel, Nathan C Clark, Wayne Phillips-Beck, Wanda Sanguins, Julianne Enns, Jennifer Emily Lavoie, Josée G Romanescu, Razvan Katz, Alan Mahar, Alyson L Brownell, Marni Lix, Lisa Urquia, Marcelo Tso Deh, Miyosha O’Conaill, Carrie Durksen, Anita Brownell, Emily |
author_sort |
Nickel, Nathan C |
title |
Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data |
title_short |
Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data |
title_full |
Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data |
title_fullStr |
Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data |
title_full_unstemmed |
Diagnostic testing and vaccination for COVID-19 among First Nations, Metis and Inuit in Manitoba, Canada: protocol for a nations-based cohort study using linked administrative data |
title_sort |
diagnostic testing and vaccination for covid-19 among first nations, metis and inuit in manitoba, canada: protocol for a nations-based cohort study using linked administrative data |
publisher |
BMJ Publishing Group |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8441222/ https://doi.org/10.1136/bmjopen-2021-052936 |
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Canada |
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Canada |
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First Nations inuit Metis |
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First Nations inuit Metis |
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BMJ Open |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8441222/ http://dx.doi.org/10.1136/bmjopen-2021-052936 |
op_rights |
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
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CC-BY-NC |
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https://doi.org/10.1136/bmjopen-2021-052936 |
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BMJ Open |
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11 |
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9 |
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e052936 |
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