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Robert J. Williams Carrie A. Leonard Yale D. Belanger Darren R. Christensen Nady el-Guebaly David C. Hodgins Daniel S. McGrath Fiona Nicoll Rhys M.G. Stevens 《Revue canadienne de psychiatrie》2021,66(5):485
Objective:The purpose of this study was to provide an updated profile of gambling and problem gambling in Canada and to examine how the rates and pattern of participation compare to 2002.Method:An assessment of gambling and problem gambling was included in the 2018 Canadian Community Health Survey and administered to 24,982 individuals aged 15 and older. The present analyses selected for adults (18+).Results:A total of 66.2% of people reported engaging in some type of gambling in 2018, primarily lottery and/or raffle tickets, the only type in which the majority of Canadians participate. There are some significant interprovincial differences, with perhaps the most important one being the higher rate of electronic gambling machine (EGM) participation in Manitoba and Saskatchewan. The overall pattern of gambling in 2018 is very similar to 2002, although participation is generally much lower in 2018, particularly for EGMs and bingo. Only 0.6% of the population were identified as problem gamblers in 2018, with an additional 2.7% being at-risk gamblers. There is no significant interprovincial variation in problem gambling rates. The interprovincial pattern of problem gambling in 2018 is also very similar to what was found in 2002 with the main difference being a 45% decrease in the overall prevalence of problem gambling.Conclusions:Gambling and problem gambling have both decreased in Canada from 2002 to 2018 although the provincial patterns are quite similar between the 2 time periods. Several mechanisms have likely collectively contributed to these declines. Decreases have also been reported in several other Western countries in recent years and have occurred despite the expansion of legal gambling opportunities, suggesting a degree of inoculation or adaptation in large parts of the population. 相似文献
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Testing associations between cannabis use and subcortical volumes in two large population‐based samples 下载免费PDF全文
Nathan A. Gillespie Michael C. Neale Timothy C. Bates Lisa T. Eyler Christine Fennema‐Notestine Jasmin Vassileva Michael J. Lyons Elizabeth C. Prom‐Wormley Katie L. McMahon Paul M. Thompson Greig de Zubicaray Ian B. Hickie John J. McGrath Lachlan T. Strike Miguel E. Rentería Matthew S. Panizzon Nicholas G. Martin Carol E. Franz Margaret J. Wright 《Addiction (Abingdon, England)》2018,113(9):1661-1672
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Approximately one in three people over the age of 65 will fall each year, resulting in significant financial, physical, and
emotional cost on the individual, their family, and society. Currently, falls are managed using on-body sensors and alarm
pendants to notify others when a falls event occurs. However these technologies do not prevent a fall from occurring. There
is now a growing focus on falls risk assessment and preventative interventions. Falls risk is currently assessed in a clinical
setting by expert physiotherapists, geriatricians, or occupational therapists following the occurrence of an injurious fall.
As the population ages, this reactive model of care will become increasingly unsatisfactory, and a proactive community-based
prevention strategy will be required. Recent advances in technology can support this new model of care by enabling community-based
practitioners to perform tests that previously required expensive technology or expert interpretation. Gait and balance impairment
is one of the most common risk factors for falls. This paper reviews the current technical and non-technical gait and balance
assessments, discusses how low-cost technology can be applied to objectively administer and interpret these tests in the community,
and reports on recent research where body-worn sensors have been utilized. It also discusses the barriers to adoption in the
community and proposes ethnographic research as a method to investigate solutions to these barriers. 相似文献
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Purpose
To date, the research on relocation has been conducted in countries such as Australia where there are vast distances that need to be travelled by regional, rural and remote patients to access specialist metropolitan treatment. This research considers the issue of relocation for specialist treatment in a New Zealand context. 相似文献100.
Meaghan McGrath 《Health care for women international》2017,38(6):571-592
Despite many medical advances, pregnant women with type-1 diabetes are still considered to be at high risk. Previous research suggests that physicians’ focus on strict glycemic control and negative outcomes can result in fear and uncertainty about undertaking pregnancy. The present study was designed to gain insight into the lived pregnancy experiences of women with type-1 diabetes and to solicit their thoughts on what health care providers could do to assist them to have a healthy pregnancy. Ten U.S. women with type-1 diabetes who were currently pregnant and/or had previously given birth participated in structured interviews. They described the hard work required to attain the strict glycemic control necessary during pregnancy to maintain their health and that of their fetus. However, they found diabetes and pregnancy to be a more positive and successful experience than they had anticipated. The results suggest that early diabetes education, pregnancy planning, and social support are important, yet often overlooked, factors that increase the likelihood of physically and emotionally successful pregnancy experiences for women with type-1 diabetes. 相似文献