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Accessing HAART in northern BC: Understanding the barriers and supports to medication adherence and engagement in HIV-related care.
Title
Accessing HAART in northern BC: Understanding the barriers and supports to medication adherence and engagement in HIV-related care.
Contributors
Michael David Jordan (author), Jos~e Lavoie (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
Highly active antiretroviral therapy (HAART) has significantly improved the health and well-being of many people living with HIV. Successful treatment with HAART requires a very high level of adherence, and continued engagement with health care services. Particular challenges to successful treatment with HAART exist in northern BC, but little research has been done in this region. This study investigated the experiences of those prescribed HAART who live in northern BC in order to identify what barriers and supports exist to optimal adherence, and engagement in HIV-related care. In-depth interviews indicated the complex and intersecting factors which affect adherence and engagement in care. Proximal, intermediate and distal social determinant of health which are relevant to adherence and engagement in HIV-related care were identified. Depression and stress, prioritization, and access to medications and care were identified as mechanisms in which various factors acted as barriers to adherence and engagement in care. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2014
Perinatal outcomes for Bella Coola General Hospital: 1940 to 2001.
Title
Perinatal outcomes for Bella Coola General Hospital: 1940 to 2001.
Contributors
Tara Mackenzie (author), Harvey Thommasen (Thesis advisor), Lela Zimmer (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2004
Theatre for health: "Playing" the price of colonialism on the health of indigenous peoples in Saik'uz territory.
Title
Theatre for health: "Playing" the price of colonialism on the health of indigenous peoples in Saik'uz territory.
Contributors
Lisa Striegler (author), Sarah de Leeuw (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
Strong evidence exists that anti-Indigenous racism is built into the fabric of Canadian society and that it is a determinant of Indigenous peoples' health. Colonial policies that historically de-humanized and dislocated Indigenous peoples in order to open territory for European settlement continue to have a negative impact on Indigenous health status today. A mixed methods study combining data from focus groups, individual interviews, participant observation field notes, and surveys explored the use of community-based theatre as a means to ameliorate racism-based health inequities in Saik'uz territory in Northern British Columbia. The findings suggest that community-based theatre provides an effective means for enhancing trust and building relationships within community, and between the traditionally racially divided communities of Saik'uz and the neighbouring District of Vanderhoof. Relationships of trust are crucial elements that contribute to greater well-being for those living in Saik'uz territory. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2014
The implementation of a family education program by the British Columbia Schizophrenia Society.
Title
The implementation of a family education program by the British Columbia Schizophrenia Society.
Contributors
Heather Jane Dereth Baxter (author), Kenneth Prkachin (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2002
Teen pregnancy and low birthweight infants: An analysis of three regions in northern British Columbia.
Title
Teen pregnancy and low birthweight infants: An analysis of three regions in northern British Columbia.
Contributors
Margaret Martha Miskelly (author), K. Prkachin (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
1999
A retrospective cohort study of injurious falls in community dwelling older persons.
Title
A retrospective cohort study of injurious falls in community dwelling older persons.
Contributors
Kathleen O'Malley (author), Don Voaklander (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2005
The development and validation of a Televisitation Attitude Scale (TAS).
Title
The development and validation of a Televisitation Attitude Scale (TAS).
Contributors
Katherine Wood (author), Jos~e Lavoie (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
The 12 item Televisitation Attitude Scale (TAS) was developed in this study using the method of factor analysis. The prototype Televisitation Attitude Scale (TAS) was administered to UNBC students (N=204) in an on-line format. Kaiser-Meyer-Olkin’s (KMO) test was .900 and Barlett’s test was χ² (66) = 1198.500, p<.001, confirming the validity of the obtained data. The Chronbach’s alpha test reliability for the final TAS was .91. It was found that the students’ attitudes toward televisitation were one-dimensional (Evaluation dimension) and had a positive tendency (M = 1.29 on -3 +3 scale). Independent sample t-tests (p ≲ .05) found significant differences in attitudes toward televisitation among subpopulations of UNBC students distinguished by gender, presence of children, and place of birth. TAS and its methodology can help researchers and televisitation investors to predict with some degree of accuracy whether a support person would televisit a patient in a hospital or a nursing home.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2011
Stigma and resilience: Lived experiences of people with HIV in a northern community.
Title
Stigma and resilience: Lived experiences of people with HIV in a northern community.
Contributors
Orlando McLeish (author), Jos~e Lavole (Thesis advisor), Tina Fraser (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
Stigma is a reality for millions of individuals who are living with HIV/AIDS and is accompanied with many challenges, however individuals are resilient in spite of the negative impacts of stigma. The purpose of this research was to explore and highlight the lived experience of people living with HIV-related stigmas in Prince George, secondly, to understand the impacts of stigma, and thirdly, to identify the ways in which those living with HIV/AIDS respond to stigma. The research draws on hermeneutics phenomenology as this enables the exploration of participants' experiences of stigma and resilience. Findings that have emerged from the thematic analysis have shown that stigma both enacted and felt is still prevalent in the lives of the participants. Also, participants' experienced various challenges such as: mental health problems, substance abuse, financial problems and the lack of relationships. However, despite these challenges, participants reported feeling optimistic and hopeful as well as experiencing spiritual growth, finding a sense of purpose while living with their diagnosis. Overall participants in the study are adapting to their hardship and choosing not to be victims of HIV but survivors and fighters. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2015
"Who works in northern B.C.?" Identifying personal characteristics and experiences shared by long-term health professionals in northern British Columbia.
Title
"Who works in northern B.C.?" Identifying personal characteristics and experiences shared by long-term health professionals in northern British Columbia.
Contributors
Candice Manahan (author), Cindy Hardy (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
With new health sciences programs designed to serve northern British Columbia (B.C.), student recruitment will focus on applicants who are likely to remain in northern B.C. long-term. The primary objective of this project was to identify personal characteristics and experiences shared by health care professionals who have worked in northern B.C. long-term to potentially create a northern suitability component for health education program selection criteria. Six speech-language pathologists, 4 psychologists, 4 occupational therapists, 8 social workers, and 4 physiotherapists were interviewed in northern B.C. A qualitative descriptive design was used to identify influences in choosing rural or northern training, initiating practice in northern B.C., and remaining in the region. The findings suggest personal characteristics and experiences, along with age and stage of life, rural background, and location of family influence values about family, career, personal preferences, and community. Personal values determine the decision to come and/or stay in northern B.C.--P.ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2009
Staging relationships: using devised theatre to explore First Nations youths' experiences and perceptions of their relationships with healthcare providers
Title
Staging relationships: using devised theatre to explore First Nations youths' experiences and perceptions of their relationships with healthcare providers
Contributors
Julia Petrasek MacDonald (author), Sarah de Leeuw (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
In Canada, vast inequities exist between Aboriginal and non-Aboriginal youth, especially in northern, rural communities. Research has shown positive relationships with physicians greatly impacts on health, yet, to date, research on relationships between healthcare providers and Aboriginal peoples has not widely consulted or involved the younger population. The goal of this research was to explore relationships between Nisga'a First Nations youth (ages 19-25) and their healthcare providers by identifying cultural and social factors that encourage or hinder meaningful access to healthcare. Using a social determinants of health framework, this research employed community-based participatory approaches and decolonizing methodologies as well as arts-based methods (devised theatre). Four key themes emerged exemplifying two Nisga'a First Nations youths' experiences of relationships with healthcare providers. The most important finding was that Nisga'a youth participants identified "~relationships' as a determinant of their interactions with healthcare providers. Furthermore, using theatre proved to be a successful way to engage youth in research. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2016
The influence of scientists and scientific knowledge on international environmental policy: Canada, persistent organic pollutants, and the Stockholm Convention.
Title
The influence of scientists and scientific knowledge on international environmental policy: Canada, persistent organic pollutants, and the Stockholm Convention.
Contributors
Charles M. Thrift (author), Kenneth Wilkening (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2006
Maternal and perinatal community outcomes associated with having a "no caesarean section policy".
Title
Maternal and perinatal community outcomes associated with having a "no caesarean section policy".
Contributors
Nancy Elizabeth Lynch (author), Harvey Thommasen (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2003
Public health importance of child labour-related injuries in Mongolia: A comparison with Canada.
Title
Public health importance of child labour-related injuries in Mongolia: A comparison with Canada.
Contributors
Nansalmaa Myagmarjav Conway (author), Henry G. Harder (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
Child labour environments with significant health problems leading to non-fatal and fatal injuries are the pooled consequence of unsatisfactory work conditions and unhealthy behavior which may be cultivated by such circumstances. In Mongolia, nomadic herder children are susceptible to child labour-related injuries and most child laborers work in agriculture subsectors such as animal husbandry. Injury is the third-ranking cause of all Mongolian children's morbidity and the leading cause of children's mortality. Based on Chi-square test and odds ratio analysis, herder children were at increased risk of serious injury including head/neck trauma and bones broken while horse riding. The principal child labour-related risk factor is riding horses for multiple chores. Psychosocial factors contribute to work stress and may further predispose these young workers to injury. Such injuries are of great public health importance in children's health. Evaluation of Canadian youth employment policy holds promise as a possible model for decreasing unsafe child labour and it deleterious effects in Mongolia. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2013
"Running to stand still": Nurses' roles with children and families in the community in Scotland. Relationships between policy and practice.
Title
"Running to stand still": Nurses' roles with children and families in the community in Scotland. Relationships between policy and practice.
Contributors
Carolyn May Schellenberg (author), Martha MacLeod (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2001
"How do you measure the loss of a lake?": Assessing community relevance of health impact assessment frameworks to the Tl'azt'en nation of northern-interior British Columbia.
Title
"How do you measure the loss of a lake?": Assessing community relevance of health impact assessment frameworks to the Tl'azt'en nation of northern-interior British Columbia.
Contributors
Jennifer H. Mackie (author), Sarah de Leeuw (Thesis advisor), Henry Harder (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
The purpose of this research was to critically engage a contemporary means by which impacts to Indigenous health are gauged during federal and/or provincial environmental assessments (EAs). Specifically, I was interested in the utility of health impact assessments (HIAs) conducted during environmental assessments, which concern the effects of mining on First Nations communities. For this research, I dialogued with participants from the Tl'azt'en nation in order to learn their opinions and concerns about the impact of industrial development on health from an Indigenous world-view perspective. An Indigenous methodological research design was followed and participants were recruited to share their perspectives on health impact assessments in a focus group setting. From stories and narratives gathered during these focus group sessions, themes emerged that I argue must form a foundation for future health impact assessments. If rooted within the context of the Indigenous nation, the health impact assessment might accurately and justly represent Indigenous health realities in terms of the negative changes(s) that industrial development may create on unceded Indigenous lands. --P. ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2012
Consuming connections: experiences of food systems during times of homelessness in Prince George, British Columbia
Title
Consuming connections: experiences of food systems during times of homelessness in Prince George, British Columbia
Contributors
Julia Russell (author), Margot Parkes (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
This research sought to explore the seasonal dimensions of food security for people experiencing homelessness in Prince George, BC and the effects of this on their health and well-being. Data were collected using a modified approach to community mapping, a focus group and semi-structured interviews. The results indicate that people have a wide variety of strategies that they employ to access food. There was a strong desire for more culturally appropriate food to be provided through charitable food aid and for participants to become more actively engaged in producing their own food. Physical environments, social environments and relationships were found to influence what food people consumed, and there were important seasonal trends in food availability and accessibility. A holistic approach that can accommodate complexity is necessary to improve food security and health, thus the promotion of Indigenous food systems and Indigenous food sovereignty are seen as important future directions. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2015
Assessment of a health program database: the British Columbia pregnancy outreach program
Title
Assessment of a health program database: the British Columbia pregnancy outreach program
Contributors
Karen Michelle Davison (author), David Fish (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
The mandate of the British Columbia Pregnancy Outreach Program (POP) is to provide education and support to high risk pregnant women. The purpose of the POP is to reduce the incidence of adverse birth outcomes. The initial intent of this study was to use the 1994/95 POP database as a basis for an epidemiological investigation of the relationship between the identification of risk factors and actual birth outcomes. In the course of the initial analyses, it was discovered, however, that significant data quality issues precluded any undertaking of the proposed research. The focus of the research was redirected to a methodical assessment of the database, using a conceptual framework outlining criteria for assessing such databases. In order to establish the database's utility within these areas, a review of each variable of the database was made in terms of record completion rates, verification of internal consistency, and assessment of coding errors. The findings of this investigation revealed that completion of data for each variable was consistently low. In addition, measurements of internal consistency indicated inaccuracies. In the process of the analysis of the database it was clear that definitions of variables required clarification and methods to reduce coding errors within the database needed to be introduced. Currently, stakeholders of the POP are reviewing the evaluation of the Program and its corresponding database. This thesis has documented fully the problems encountered in the database with respect to every variable that is entered. Ideally, the next phase of the development of this database would address the data quality issues identified in this investigation in order that the resulting information could be analyzed with confidence.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
1998
Health promotion & environmental activism: Haida Gwaii, Bc, the Northern Gateway Project, and a model of collective interest.
Title
Health promotion & environmental activism: Haida Gwaii, Bc, the Northern Gateway Project, and a model of collective interest.
Contributors
Jessica Madrid (author), Margot Parkes (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
This study inductively explores the theoretical connections between health promotion and environmental activism. A conceptual framework was developed that illustrates the theoretical connections between these concepts. Deductively, this study responds to a call for quantitative and case study research on the social dimensions of environmental activism and health. An empirical model of collective interest (CI), which has been used to investigate protest behaviours, was adapted to emphasize a health promotion focus and the case study context: the Canadian archipelago, Haida Gwaii, BC, and its communities' opposition towards a controversial petrochemical project, the Enbridge Northern Gateway Project. The adapted version of the CI model was used to statistically analyse survey data using logistic regression techniques that suggested predictors of activism in this context. Together, the conceptual framework and the amended CI model were integrated into an analytical framework to address the research questions and implications for health promotion practice and policy. --Leaf ii.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2015
The epidemiology of cerebral palsy in British Columbia.
Title
The epidemiology of cerebral palsy in British Columbia.
Contributors
Leslie Smith (author), Glenda Prkachin (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2006
Capacity building: The experience of health education workers in the Yukon.
Title
Capacity building: The experience of health education workers in the Yukon.
Contributors
Janet E. Horton (author), Martha MacLeod (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract
No abstract available.
Discipline
Community Health
Content Model
info:fedora/ir:thesisCModel
Date added
2006

Pages