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A Canadian peer-reviewed journal of population health and health services research

June 2009

The influence of childhood obesity on the development of self-esteem

by F. Wang, T.C. Wild, W. Kipp, S. Kuhle and P.J. Veugelers

Childhood overweight has become pandemic, and prevalence rates continue to rise. While the consequences of overweight in childhood for physical health are well described, relatively little research has examined the mental health consequences.

Variations by health region in treatment and survival after heart attack

by Helen Johansen, Julie Bernier, Philippe Finès, Susan Brien, William Ghali and Michael Wolfson for the Canadian Cardiovascular Outcomes Research Team

Substantial variations in the nature, extent and availability of health care across geographical areas, without any clear association with outcomes, have long been observed. Two decades ago, such variations in the United States led to calls for guidelines to determine appropriateness in the delivery of services. Investments were made in Patient Outcome Review Teams to develop clinical guidelines for deciding when a given surgical procedure or diagnostic imaging study is warranted. The underlying premise was that the wide variations might indicate that health care was being provided based on different protocols or with different benefits to patients.

May 2009

Validation of disability categories derived from Health Utilities Index Mark 3 scores

by Yan Feng, Julie Bernier, Cameron McIntosh and Heather Orpana

Functional health status and health-related quality of life are important outcomes in a variety of research contexts, such as population studies, clinical trials, and the evaluation of health care programs. One of the leading instruments for measuring functional health status and health-related quality of life is the Health Utilities Index Mark III (HUI3).

April 2009

Factors related to on-the-job abuse of nurses by patients

by Margot Shields and Kathryn Wilkins

Health care providers are subject to a particularly high risk of workplace violence, and nurses are most at risk. Evidence from numerous studies indicates that on-the-job abuse can result in a variety of negative outcomes among nurses, including anger, fear, depression, anxiety, sleep disruption, increased sick leave, symptoms of posttraumatic stress disorder, and job dissatisfaction. In addition, the likelihood of intending to leave their jobs or even the nursing profession altogether is greater among nurses who have experienced abuse on the job.

Identifying deliberate self-harm in emergency department data

by Jennifer Bethell and Anne E. Rhodes

Worldwide, suicide is among the three leading causes of death of people aged 15 to 44. In Canada, approximately 3,700 suicides are recorded annually–more deaths than from transport accidents and assaults combined.