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Tytuł:
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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.
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Autorzy:
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Nickel NC; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada .
Clark W; Manitoba Inuit Association, Winnipeg, Manitoba, Canada.
Phillips-Beck W; First Nations Health and Social Secretariat of Manitoba, Winnipeg, Manitoba, Canada.; College of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada.
Sanguins J; Manitoba Metis Federation, Winnipeg, Manitoba, Canada.
Enns JE; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Lavoie JG; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Romanescu R; Biostatistics, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Katz A; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.; Department of Family Medicine, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Mahar AL; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Brownell M; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Lix L; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Urquia M; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Tso Deh M; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
O'Conaill C; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Durksen A; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
Brownell E; Department of Community Health Sciences, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.
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Corporate Authors:
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COVID Equity Team
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Źródło:
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BMJ open [BMJ Open] 2021 Sep 14; Vol. 11 (9), pp. e052936. Date of Electronic Publication: 2021 Sep 14.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
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MeSH Terms:
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COVID-19*
Inuit*
COVID-19 Testing ; Canada ; Cohort Studies ; Humans ; Manitoba/epidemiology ; SARS-CoV-2 ; Vaccination
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References:
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CMAJ. 2021 Apr 26;193(17):E617-E621. (PMID: 33837040)
Pediatr Dent. 2007 Sep-Oct;29(5):387-96. (PMID: 18027773)
Annu Rev Public Health. 2011;32:91-108. (PMID: 21219160)
Lancet Respir Med. 2020 Jun;8(6):547-548. (PMID: 32401711)
Can J Aging. 2005 Spring;24 Suppl 1:153-70. (PMID: 16080132)
Soc Sci Med. 2008 Jan;66(1):117-29. (PMID: 17919795)
Lancet. 2020 Mar 28;395(10229):1015-1018. (PMID: 32197103)
BMC Public Health. 2012 Dec 20;12:1098. (PMID: 23256553)
Soc Sci Med. 2004 Jun;58(11):2231-41. (PMID: 15047080)
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Contributed Indexing:
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Investigator: M Brownell; M Chartier; A Frances Chartrand; D Chateau; W Clark; M Driedger; R Dutton; J Edwards; JE Enns; A Katz; J Lavoie; L Lix; A Mahar; NC Nickel; W Phillips-Beck; R Romanescu; J Sanguins; L Star; M Urquia
Keywords: COVID-19; health policy; public health
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Entry Date(s):
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Date Created: 20210915 Date Completed: 20210920 Latest Revision: 20221207
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Update Code:
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20240105
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PubMed Central ID:
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PMC8441222
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DOI:
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10.1136/bmjopen-2021-052936
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PMID:
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34521679
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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 other jurisdictions where detailed administrative data may not be available.
Competing Interests: Competing interests: None declared.
(© 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.)
