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There is a dearth of information on the cardiovascular health of immigrant women. The present study analyzed the dataset from the National Population Health Survey to describe the modifiable CVD risk factors of Canadian immigrant women. Results indicated a statistically significant difference in modifiable CVD risk factors with respect to the country of birth, spoken language, and the length of time in Canada. The prevalence of smoking was significantly different across all income groups, with the lowest and middle income groups having the highest prevalence rate. Compared with their non‐white counterparts, the white immigrant women had a greater prevalence of obesity, hypertension, and smoking. Irrespective of race and country of birth, immigrant women tended to have worse CVD risk factors than non‐immigrant women. Age was the most important predictor of heart disease and hypertension. Implications of the study results for evidence‐based practice are discussed.

This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/14664109910315578. When citing the article, please cite: Julia Wong, Shirley Wong, (1999), “Criteria for determining optimal time of discharge after total hip replacement”, British Journal of Clinical Governance, Vol. 4 Iss: 4, pp. 135 - 141.

Total hip replacement is a common and expensive procedure. Any attempt to shorten the length of hospital stay safely is desirable. Proposes a scoring system specifically designed for this patient population, to determine the optimal timing of safe discharge and post‐acute care placement. Discusses its implications for the quality of patient care.

Total hip replacement is a common and expensive procedure and any attempt to shorten the length of hospital stay safely is desirable. This paper proposes a scoring system specifically designed for this patient population, to determine the optimal timing of safe discharge and post‐acute care placement. The authors discuss the implications for the quality of patient care.

To describe the process of building partnerships between a health professional group (university‐based researchers and organizations from within and outside the health sector) and the black communities, highlight the accomplishments and identify problems in the process.

The description of the process of building partnerships with four black communities in Nova Scotia is organized in the following sections: the impetus for launching a Diabetes Primary Prevention for the Black Communities Project, its preparation, implementation, and evaluation. The accomplishments and the problems associated with the Project are analysed.

Recruitment of participants for the focus groups was challenging. Response rate to survey questionnaire was moderate. Presentation of the Project results by one of the black Project assistants to the participant communities was well received. The Project was quite successful in encouraging community involvement by engaging community groups in several small‐scale activities. Three issues related to project implementation were identified: recruitment of focus groups, participant disappointment, and survey return rates. Strategies incorporating the principles of involving a target audience, providing a service, empowering people and respecting cultural diversity with the aim to ensure successful partnership building with the black communities were proposed.

This paper describes the process of forging partnership with the black communities. The results of the Project could serve as a paradigm for developing culturally sensitive and responsive strategies to lessen the burden of type 2 diabetes in other racial minority communities.

Type 2 diabetes mellitus has emerged as a major public health problem in Canada. Although the prevalence of Type 2 diabetes among black people is higher than that of white people in Canada, there is no diabetes prevention programme specifically designed to address the behavioural and sociocultural influences on the development of the disease in the black communities. This paper discusses a proposed conceptual framework for the development and evaluation of a diabetes prevention programme that is culturally relevant and responsive to the black communities in Canada. The research literature and results of a recent pilot study that assessed the programming needs of four black communities provide the basis upon which the proposed framework is developed.

The purpose of this paper is to examine the prevalence of suicide attempts and explore the suicide methods among community-dwelling Chinese older adults.

Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE) study, a population-based epidemiological study of Chinese older adults aged 60 years and above in the greater Chicago area. Guided by the community-based participatory research (CBPR) approach, the study enrolled 3,159 community-dwelling Chinese older adults from 2011 to 2013.

The lifetime prevalence of suicide attempts is 791 per 100,000 and the past 12-month prevalence of suicide attempts is 285 per 100,000. Medication overdose is the most common suicide method both in the group of lifetime suicide attempts and 12-month suicide attempts. Lower income is positively correlated with lifetime suicide attempts and 12-month suicide attempts. Living with fewer household members is positively correlated with lifetime suicide attempts but not with 12-month suicide attempts.

The findings emphasize the needs for improved understanding of suicidal behavior among minority older adults and to develop culturally and linguistically sensitive prevention and intervention strategies.

Community stakeholders should improve the accessibility and availability of culturally sensitive mental health services and extend timely and effective suicide interventions in the Chinese community.

This study represents the first and largest population-based epidemiological study to investigate the suicide attempts and methods among US Chinese older adults. In addition, the implementation of the CBPR approach allows us to minimize the cultural barriers associated with suicide investigation. The study emphasizes the need for improved understanding on suicidal behavior among minority older adults to inform culturally and linguistically sensitive prevention and intervention strategies.

Strong leadership in primary care is necessary to coordinate an effective pandemic response; however, descriptions of leadership roles for family physicians are absent from previous pandemic plans. This study aims to describe the leadership roles and functions family physicians played during the COVID-19 pandemic in Canada and identify supports and barriers to formalizing these roles in future pandemic plans.

This study conducted semi-structured qualitative interviews with family physicians across four regions in Canada as part of a multiple case study. During the interviews, participants were asked about their roles during each pandemic stage and the facilitators and barriers they experienced. Interviews were transcribed and a thematic analysis approach was used to identify recurring themes.

Sixty-eight family physicians completed interviews. Three key functions of family physician leadership during the pandemic were identified: conveying knowledge, developing and adapting protocols for primary care practices and advocacy. Each function involved curating and synthesizing information, tailoring communications based on individual needs and building upon established relationships.

Findings demonstrate the need for future pandemic plans to incorporate formal family physician leadership appointments, as well as supports such as training, communication aides and compensation to allow family physicians to enact these key roles.

The COVID-19 pandemic presents a unique opportunity to examine the leadership roles of family physicians, which have been largely overlooked in past pandemic plans. This study’s findings highlight the importance of these roles toward delivering an effective and coordinated pandemic response with uninterrupted and safe access to primary care.