This article presents a programme for cardiovascular health for 9 to 12 years old children, called "Healthy Heart" Saint-Louis du Parc and carried out in low socioeconomic and multiethnic part of Montreal, Quebec, Canada. These five years programme targets were more both spheres: school and community (leisure centre, ethnocultural centre, groceries and other places). We develop the objectives, the conceptual models underlying to the programme, the perspective of work, the infrastructure of the programme: its staff and financing, the partnerships and the structure organising. Then we present the various interventions carried out along the period and so a description of many evaluations. At last, we discuss about the programme continuation.
A non-randomized controlled trial was conducted in two family medicine centers. The objectives were to evaluate whether or not a systematic prescription by family physicians of a screening mammography to women aged 50 to 69 belonging in majority to a disadvantaged socio-economic group, would permit to reach at least 60% of them and to explore which factors were associated with compliance to the prescription. The experimental intervention consisted in the prescription by the family physician of a mammogram to those patients found eligible for the screening procedure irrespective of the reason for encounter. A total of 468 of the 870 women who consulted a physician during the study period were eligible for a screening mammography. In the experimental group, the mammography prescription rate was 89% for eligible women. At the end of the study, 58.8% (95% Conf. Int.:51.9%-65.7%) of the women in the experimental group and 13.4% (95% Conf. Int.:9.4%-17.4%) of those in the control group had passed a mammography (p
Over the past fifteen years, the Canadian population has undergone increasing cultural diversification. Many researchers have investigated the role of culture with respect to social and health services. Most studies confirm the fact that increased cultural diversification related to immigration challenges the public health system in many ways. Certain groups, such as economically challenged immigrant women, may pose even greater problems to the health system. While these individuals are in relatively good health upon arrival to Canada, there is a need to ensure that adequate health promotion as well as disease prevention strategies are instituted. It is important to examine the concepts of health promotion and disease prevention through a cultural perspective. Little research has been done in this area. Concepts of promotion and prevention as they are understood by immigrants may not always coincide with North American or European definitions. Therefore, it is essential to consider life conditions that surround potential health promotion and prevention behaviors of immigrants. Empowerment, economic integration and acculturation are among the many factors that need to be taken into account when studying immigrants' health promotion behavior. Here, we present a critical analysis of current knowledge in this field. This is followed by research recommendations aimed at facilitating the development of health promotion and prevention strategies that are appropriate to the needs of Canadian, and more specifically of immigrant women in Québec.
One of the essential elements of the "Programme intégré de prévention en périnatalité--Naître-égaux-Grandir-en-san t" (Born Equal--Brought up Healthy) is to have a health professional offering general support to pregnant women living in poverty. This research is based on a secondary analysis of the transcriptions of interviews done in order to implement the program. The thematic content analysis was employed to analyze the women's perception of the support provided by the health professional, the relationship between client-professional, and the perceptions of these women about the impact that the social support had on their pregnancy experience. The categories of support that emerged from the analysis are: information support, emotional support, instrumental support, changing life style support, recreational support, and availability of support. The categories of impact perceived by the participants are: learning, changes in life style, to be in a good mood, and the use of community resources. A key element in the perception of support by the participants is the establishment of a relationship of trust between professional and client. This relationship of trust is important to the development of intimacy and to foster the perception of a more intense kind of support. Hence social support and the relationship of trust work in synergy and reinforce each other.
The relation between "poverty and mental health" has long been established. However, the dynamic underlying the relation between social and psychic processes has received much less attention. This article presents certain preliminary results of research whose aim is to promote the emergence of the multiple dimensions behind the problematic of mental health in social conditions characterized by extreme poverty. In addition, the authors base their approach on the assumption that human beings, even underprivileged, are very active players, and explore the strategies that are hereby developed in order to maintain or recover their equilibrium.
This article presents a preliminary study, a descriptive one, on the sexual intercourse precocity rates at adolescence. 765 male adolescents francophones, 13 years old, from low economic status answered the QAS, questionnaire on aspects of sexual life including. The results show that 11.3% of subjects are sexually active by 13 years old. The first sexual partner is known from many months to many years from the majority of subjects. The majority (61.8%) of the non-sexually active subjects of the research would be near to transit to the first sexual intercourse if we consider the results of our predictive measure of the transition. Discussed at the light of the literature, these results show that early sexual behaviors are: 1) a concrete reality for an important proportion of male adolescents from low economic status; 2) to consider in the future in terms of research priority.
This report marks over 50 years of publication by Statistics Canada of annual reports on Tuberculosis Statistics. These years have witnessed what has been described as a conquest of tuberculosis in Canada. To quote George Jasper Wherrett in the Miracle of the Empty Beds: One hundred years ago the word consumption (as tuberculosis was then called) struck horror in human hearts. Today, in the western world, it barely evokes any emotion save a too easy surprise that it still exists. This statistical chronicle of tuberculosis in Canada is divided into two parts. Part I: From the Era of Sanatorium Treatment to the Present pulls together data from yellowed-with-age reports on tuberculosis and vital statistics, historical accounts, and modern computer files, to document the changes in tuberculosis incidence and mortality over past decades to the present. Part II: Risk Today and Control takes a closer look at those most vulnerable to contracting tuberculosis. It also looks at the future, the need for maintaining and, indeed, strengthening vigilance, and the work yet to be done to eradicate tuberculosis in Canada. The fight against tuberculosis is far from over.
In 1994, a total of 2,074 people in Canada were diagnosed with tuberculosis, a rate of 7.1 cases per 100,000 population. The same year, tuberculosis and its late effects caused 150 deaths-just over one in every 1,400 deaths. Although tuberculosis is no longer a major health problem in Canada or a leading cause of death, some groups are particularly susceptible to the disease: Aboriginal people, residents of low-income households, immigrants, and the elderly. In the first two instances, the occurrence of tuberculosis is associated with poor living conditions. The risk of tuberculosis among immigrants is high because of the greater likelihood of exposure in their countries of origin. Among the elderly, the potential for developing active tuberculosis is relatively high due to exposure decades ago when the disease was far more prevalent. Since 1980, the rate of pulmonary tuberculosis has declined, while the rate of extra-pulmonary tuberculosis has remained steady. As a result, the proportion of cases attributable to extra-pulmonary tuberculosis has risen.