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Article ; Online: Prevalence and sociodemographic correlates of marriage among adolescent mothers in Canada, 1989-2018.

Fafard St-Germain, Andrée-Anne / Busby, Karen / Urquia, Marcelo L

Canadian journal of public health = Revue canadienne de sante publique

2022 Volume 114, Issue 3, Page(s) 474–483

Abstract: Objectives: Female marriage before age 18 is a global health issue related to gender inequality, but it is understudied in Canada. This study examined marriage trends among mothers aged < 18 versus older mothers and the sociodemographic correlates of ... ...

Abstract	Objectives: Female marriage before age 18 is a global health issue related to gender inequality, but it is understudied in Canada. This study examined marriage trends among mothers aged < 18 versus older mothers and the sociodemographic correlates of marriage among adolescent mothers aged < 18 and older adolescent mothers. Methods: Using the Canadian Vital Statistics - Birth Database, marriage prevalence was estimated by maternal age groups (< 18-year, 18-19-year, 20-24-year, and 25-49-year) between 1989-1990 and 2017-2018 (n = 10,399,250). Multivariable logistic regression was then used to examine the sociodemographic characteristics associated with marriage within adolescent maternal age group (< 18-year, 18-19-year, and 20-24-year) among births registered between 2000 and 2018. Results: From 1989-1990 to 2017-2018, marriage prevalence declined 80.5%, 60.2%, 47.3%, and 16.0% in the < 18-year, 18-19-year, 20-24-year, and 25-49-year groups, respectively. Within the < 18-year, 18-19-year, and 20-24-year adolescent maternal age groups, older maternal age, larger parental age gap, foreign-born parents, rurality, and earlier birth period were associated with higher adjusted odds of marriage. Higher maternal neighbourhood income was associated with marriage among births to mothers aged 18-19 and 20-24 years but not among those to mothers aged < 18 years. Conclusion: Marriage prevalence declined among mothers of all ages, but the shifts away from marriage appear stronger among younger mothers. The sociodemographic correlates of marriage are generally similar among mothers below age 18 and slightly older adolescent mothers.
MeSH term(s)	Adolescent ; Female ; Humans ; Marriage ; Canada/epidemiology ; Adolescent Mothers ; Prevalence ; Maternal Age ; Mothers
Language	English
Publishing date	2022-12-23
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	417262-0
ISSN	1920-7476 ; 0008-4263
ISSN (online)	1920-7476
ISSN	0008-4263
DOI	10.17269/s41997-022-00728-3
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Article ; Online: Marital status, immigration, and reproductive health among adolescent mothers in Canada, 1990-2018: A population-based, observational study.

Fafard St-Germain, Andrée-Anne / Busby, Karen / Urquia, Marcelo L

Preventive medicine

2022 Volume 164, Page(s) 107315

Abstract: Immigrants to Canada increasingly come from regions where child marriage (<18 years) is prevalent. We described the prevalence, demographic characteristics, and reproductive health correlates of marriage among births to Canadian-born and foreign-born ... ...

Abstract	Immigrants to Canada increasingly come from regions where child marriage (<18 years) is prevalent. We described the prevalence, demographic characteristics, and reproductive health correlates of marriage among births to Canadian-born and foreign-born adolescent mothers. Using Canadian birth registrations from 1990 to 2018, marriage prevalence, parental birth region, and parental age gap were examined by maternal birthplace (Canada and 12 world regions) among births to mothers <18 years. Adjusted odds ratios (AORs) of preterm birth (PTB), small for gestational age (SGA), and repeat birth were estimated for the joint associations of adolescent maternal age group (<18-year, 18-19-year, and 20-24-year), marriage, and nativity status (n = 1,904,200). Depending on maternal birthplace, marital births represented 2.6% to 81.8% of births to mothers <18 years. Marriage among mothers giving birth at <18 years was associated with higher proportions of parents from the same birthplace and larger parental age gaps. AORs of PTB tended to increase with lower maternal age. AORs of SGA were generally higher among births to foreign-born mothers. Marriage was associated with lower AORs of PTB and SGA among births to Canadian-born mothers and PTB among births to foreign-born mothers in the older adolescent age groups, but no association existed in the <18-year group. Marriage was positively associated with repeat birth in all adolescent age groups, with stronger associations in the <18-year group. The reproductive health correlates of marriage are similar between births to Canadian-born and foreign-born mothers <18 years but some differ between births to mothers <18 years and those to older adolescent mothers.
MeSH term(s)	Adolescent ; Female ; Child ; Pregnancy ; Infant, Newborn ; Humans ; Emigration and Immigration ; Premature Birth/epidemiology ; Reproductive Health ; Adolescent Mothers ; Canada/epidemiology ; Marital Status ; Mothers
Language	English
Publishing date	2022-10-21
Publishing country	United States
Document type	Observational Study ; Journal Article
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2022.107315
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Article ; Online: Universal Design in Architectural Education - Community Liaison on 'Live Projects'.

Busby, Kevin / Harrison, Jim

Studies in health technology and informatics

2018 Volume 256, Page(s) 205–213

Abstract: The infusion of Universal Design principles into existing courses in architecture should become evident in any project work undertaken. 'Live project' is a term used to describe projects that engage the academic world with real-world groups/organizations. ...

Abstract	The infusion of Universal Design principles into existing courses in architecture should become evident in any project work undertaken. 'Live project' is a term used to describe projects that engage the academic world with real-world groups/organizations. CCAE sees such projects as valuable exercises in a student's education, particularly, the practical experience of interaction with 'user-experts.' In 2016 Cork County Council approached CCAE with a proposal to promote age-friendly housing as part of their age-friendly initiative. CCAE developed this into a 'live project' for Year 2 architecture students, continuing the integration of UD into the curriculum. This helps students to identify the negative disabling aspects of ageing and show UD principles can be seen as commonplace. For their part, the County Council were able to expand their own thinking, availing of the less constrained ideas that students brought to their schemes. An approach to achieving the adoption of UD is to consider the Vitruvian definition of architecture as having 'commodity, firmness and delight'. From this, the aesthetic integration of features to benefit users of limited ability can be achieved without stigmatising anyone as being old or disabled. Now in its second year the project is being run in West Cork. The chosen site in Bantry town centre, has interesting challenges for the students to incorporate UD principles. This paper will present imaginative but viable projects as examples of student' responses to the challenges of designing housing solutions and will report on their ability to integrate age-friendly features at different scales.
MeSH term(s)	Architectural Accessibility ; Curriculum ; Disabled Persons ; Humans ; Students
Language	English
Publishing date	2018-10-29
Publishing country	Netherlands
Document type	Journal Article
ISSN	1879-8365
ISSN (online)	1879-8365
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Article ; Online: The benefits of index telephone consultations in patients referred on the two-week wait colorectal cancer pathway.

Wanigasooriya, K / Sarma, D R / Woods, P / O'Connor, P / Matthews, A / Aslam, M I / Dando, C / Ferguson, H / Francombe, J / Lal, N / Murphy, P D / Papettas, T / Ramcharan, S / Busby, K

Annals of the Royal College of Surgeons of England

2022 Volume 105, Issue 4, Page(s) 314–322

Abstract: Introduction: The coronavirus disease 2019 (COVID-19) pandemic led to hospitals in the UK substituting face-to-face (FtF) clinics with virtual clinic (VC) appointments. We evaluated the use of virtual two-week wait (2-ww) lower gastrointestinal (LGI) ... ...

Abstract	Introduction: The coronavirus disease 2019 (COVID-19) pandemic led to hospitals in the UK substituting face-to-face (FtF) clinics with virtual clinic (VC) appointments. We evaluated the use of virtual two-week wait (2-ww) lower gastrointestinal (LGI) clinic appointments, conducted using telephone calls at a district general hospital in England. Methods: Patients undergoing index outpatient 2-ww LGI clinic assessment between 1 June 2019 and 31 October 2019 (FtF group) and 1 June 2020 and 31 October 2020 (VC group) were identified. Relevant data were obtained using electronic patient records. Compliance with national cancer waiting time targets was assessed. Environmental and financial impact analyses were performed. Results: In total, 1,531 patients were analysed (median age=70, male=852, 55.6%). Of these, 757 (49.4%) were assessed virtually via telephone; the remainder were seen FtF ( Conclusion: Virtual 2-ww LGI clinics were effective, safe and were associated with tangible environmental and financial benefits.
MeSH term(s)	Humans ; Male ; Aged ; Referral and Consultation ; COVID-19/epidemiology ; Telephone ; Appointments and Schedules ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/therapy
Language	English
Publishing date	2022-04-29
Publishing country	England
Document type	Journal Article
ZDB-ID	80044-2
ISSN	1478-7083 ; 0035-8843
ISSN (online)	1478-7083
ISSN	0035-8843
DOI	10.1308/rcsann.2021.0364
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Article ; Online: Good Intentions in Universal Design: A Global Challenge for Higher Education.

Harrison, Jim / Busby, Kevin / O'Shaughnessy, Tessa

Studies in health technology and informatics

2018 Volume 256, Page(s) 594–601

Abstract: It is not often that a high-level edict requires higher education centres to promote universal design through their programmes; however the recent United Nations Beijing Declaration and Action Plan (UNESCAP 2017) expressly states that, "academic ... ...

Abstract	It is not often that a high-level edict requires higher education centres to promote universal design through their programmes; however the recent United Nations Beijing Declaration and Action Plan (UNESCAP 2017) expressly states that, "academic institutions should provide training programmes on universal design for policymakers, building inspectors and contractors, as well as integrating universal design and accessibility into curricula related to architecture, urban planning, transport, civil engineering and other relevant academic branches". This is particularly timely in the Asia-Pacific region, where economies continue to show massive expansion of their built environments. This imperative to future-proof any development therefore is vital, especially considering the growing percentile of older people with their needs for safe and accessible living. Achieving these ends clearly implies a need both to educate professionals and to enact appropriate codes and standards, which in turn require the training of personnel to carry them out. Anticipating this need, Goal 3 of the United Nations Incheon Strategy (UNESCAP 2012) optimistically calls for "civil society involvement in conducting accessibility audits, creating guidelines and advocacy work to promote universal design" and "to enhance mechanisms for tracking its progress". While such good intentions are admirable, they will require radical steps to be achieved. The paper describes examples, including those from the writers' own experiences, outlining a range of practical methods which academics and teachers involved in inculcating universal design principles in both European and Asian centres, through their teaching, training and technology transfer, can positively support continued cooperation towards a more inclusive World for everyone.
MeSH term(s)	Architectural Accessibility ; Asia ; Beijing ; Curriculum ; Environment Design ; Intention ; United Nations
Language	English
Publishing date	2018-10-29
Publishing country	Netherlands
Document type	Journal Article
ISSN	1879-8365
ISSN (online)	1879-8365
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Article ; Online: Integrative medical group visits for patients with chronic pain: results of a pilot single-site hybrid implementation-effectiveness feasibility study.

Roth, Isabel / Tiedt, Malik / Miller, Vanessa / Barnhill, Jessica / Chilcoat, Aisha / Gardiner, Paula / Faurot, Keturah / Karvelas, Kris / Busby, Kenneth / Gaylord, Susan / Leeman, Jennifer

Frontiers in pain research (Lausanne, Switzerland)

2023 Volume 4, Page(s) 1147588

Abstract: Background: Approximately 20% of adults in the United States experience chronic pain. Integrative Medical Group Visit (IMGV) offers an innovative approach to chronic pain management through training in mindfulness, nutrition, and other mind-body ... ...

Abstract	Background: Approximately 20% of adults in the United States experience chronic pain. Integrative Medical Group Visit (IMGV) offers an innovative approach to chronic pain management through training in mindfulness, nutrition, and other mind-body techniques combined with peer support. To date, there are no studies on IMGV implementation, despite its promise as a feasible non-pharmacological intervention for chronic pain management. In this study, we assessed the feasibility of implementing IMGV and assessing its effectiveness for chronic pain. Methods: Implementation Mapping was used to develop and evaluate implementation strategies for IMGV. Strategies included disseminating educational materials, conducting ongoing training, and conducting educational meetings. IMGV was delivered by three healthcare providers: an allopathic physician, registered yoga teacher, and naturopathic physician. The effectiveness of IMGV on patient health outcomes was assessed through qualitative interviews and a Patient-Reported Outcomes Scale (PROMIS-29). Provider perspectives of acceptability, appropriateness, and feasibility were assessed through periodic reflections (group interviews reflecting on the process of implementation) and field notes. Paired Results: Of the initial 16 patients enrolled in research, 12 completed at least two sessions of the IMGV. Other than fatigue, there was no statistically significant difference between the pre- and post-scores. Patients reported high satisfaction with IMGV, noting the development of new skills for self-care and the supportive community of peers. Themes from patient interviews and periodic reflections included the feasibility of virtual delivery, patient perspectives on acceptability, provider perspectives of feasibility and acceptability, ease of recruitment, complexity of referral and scheduling process, balancing medical check-in with group engagement, and nursing staff availability. Conclusions: IMGV was feasible, acceptable, and effective from the perspectives of patients and providers. Although statistically significant differences were not observed for most PROMIS measures, qualitative results suggested that participants experienced increased social support and increased pain coping skills. Providers found implementation strategies effective, except for engaging nurses, due to staff being overwhelmed from the pandemic. Lessons learned from this pilot study can inform future research on implementation of IMGV.
Language	English
Publishing date	2023-09-27
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-561X
ISSN (online)	2673-561X
DOI	10.3389/fpain.2023.1147588
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Article: The queer sensitive interveners in the Little Sisters case: a response to Dr. Kendall.

Busby, Karen

Journal of homosexuality

2004 Volume 47, Issue 3-4, Page(s) 129–150

Abstract: Three queer sensitive organizations intervened before the Supreme Court of Canada in Little Sisters v. Canada, a case that challenged whether and how Canada Customs treated cross border shipments to a gay and lesbian bookstore. This paper reviews the ... ...

Abstract	Three queer sensitive organizations intervened before the Supreme Court of Canada in Little Sisters v. Canada, a case that challenged whether and how Canada Customs treated cross border shipments to a gay and lesbian bookstore. This paper reviews the queer sensitive organizations' arguments on some of the issues in the case, especially the scope of obscenity law, and challenges misconceptions about their positions, including those presented in Dr. Kendall's paper (appearing in this volume).
MeSH term(s)	Canada ; Erotica/legislation & jurisprudence ; Female ; Homosexuality/psychology ; Humans ; Male ; Prejudice
Language	English
Publishing date	2004
Publishing country	United States
Document type	Comment ; Journal Article
ZDB-ID	193138-6
ISSN	1540-3602 ; 0091-8369
ISSN (online)	1540-3602
ISSN	0091-8369
DOI	10.1300/J082v47n03_07
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Article: Detection of BRAF mutations in colorectal tumours and peritoneal washings using a mismatch ligation assay.

Busby, K / Morris, A

Journal of clinical pathology

2005 Volume 58, Issue 4, Page(s) 372–375

Abstract: Aims: To detect cells bearing BRAF mutations in colorectal tumour samples and peritoneal washings, using a mismatch ligation assay (MLA).: Methods: DNA from 46 colorectal tumours was studied. Part of exon 15 of the BRAF gene was amplified using the ... ...

Abstract	Aims: To detect cells bearing BRAF mutations in colorectal tumour samples and peritoneal washings, using a mismatch ligation assay (MLA). Methods: DNA from 46 colorectal tumours was studied. Part of exon 15 of the BRAF gene was amplified using the polymerase chain reaction, and T-->A mutations at codon 600 were detected using MLA. When a mutation was detected, the same mutation was sought in peritoneal washings from that patient. Results: BRAF mutations were detected in five of the 45 analysable tumour samples. In four cases, this result was confirmed by sequencing analysis. More tumours with BRAF mutations were Dukes' stage C or D rather than A or B (p < 0.02). Dilution experiments revealed that one mutant cell could be detected in 1000 normal cells. Cells with the same BRAF mutation were present in the peritoneal washing taken at the start of the operation in four of the five patients. Conclusions: MLA is a suitable technique for the detection of BRAF mutations, and allows the detection of small numbers of isolated tumour cells shed from the primary tumour.
MeSH term(s)	Aged ; Ascitic Fluid/pathology ; Base Sequence ; Colorectal Neoplasms/genetics ; Colorectal Neoplasms/pathology ; DNA, Neoplasm/genetics ; Female ; Humans ; Male ; Middle Aged ; Mutation/genetics ; Neoplasm Proteins/genetics ; Neoplasm Staging ; Nucleic Acid Amplification Techniques/methods ; Peritoneal Lavage/methods ; Polymerase Chain Reaction/methods ; Proto-Oncogene Proteins B-raf/genetics
Chemical Substances	DNA, Neoplasm ; Neoplasm Proteins ; BRAF protein, human (EC 2.7.11.1) ; Proto-Oncogene Proteins B-raf (EC 2.7.11.1)
Language	English
Publishing date	2005-04
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	80261-x
ISSN	1472-4146 ; 0021-9746
ISSN (online)	1472-4146
ISSN	0021-9746
DOI	10.1136/jcp.2004.018655
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Article ; Online: Learning outcomes with visual thinking strategies in nursing education.

Moorman, Margaret / Hensel, Desiree / Decker, Kim A / Busby, Katie

Nurse education today

2017 Volume 51, Page(s) 127–129

Abstract: Background: There is a need to develop innovative strategies that cultivate broad cognitive, intrapersonal, and interpersonal skills in nursing curricula. The purpose of this project was to explore transferable skills students gained from Visual ... ...

Abstract	Background: There is a need to develop innovative strategies that cultivate broad cognitive, intrapersonal, and interpersonal skills in nursing curricula. The purpose of this project was to explore transferable skills students gained from Visual Thinking Strategies (VTS). Method: This qualitative descriptive study was conducted with 55 baccalaureate nursing students enrolled in an entry level healthy population course. The students participated in a 1h VTS session led by a trained facilitator. Data came from the group's written responses to a question about how they would use skills learned from VTS in caring for patients and in their nursing practice. Results: Content analysis showed students perceived gaining observational, cognitive, interpersonal, and intrapersonal skills from the VTS session. Conclusions: VTS is a unique teaching strategy that holds the potential to help nursing students develop a broad range of skills. Studies are needed on optimal exposure needed to develop observational, communication, collaboration, and critical thinking skills. Research is also needed on how skills gained in VTS translate to practice.
MeSH term(s)	Creativity ; Curriculum ; Education, Nursing, Baccalaureate ; Female ; Humans ; Learning ; Models, Educational ; Nursing Education Research ; Qualitative Research ; Students, Nursing/psychology ; Thinking
Language	English
Publishing date	2017-04
Publishing country	Scotland
Document type	Editorial
ZDB-ID	1062570-7
ISSN	1532-2793 ; 0260-6917
ISSN (online)	1532-2793
ISSN	0260-6917
DOI	10.1016/j.nedt.2016.08.020
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Article ; Online: One little, too little: Counting Canada's indigenous people for improved health reporting.

Elias, Brenda / Busby, Karen / Martens, Pat

Social science & medicine (1982)

2015 Volume 138, Page(s) 179–186

Abstract: The way state governments, worldwide, count or do not count Indigenous peoples has contributed to inconsistent reporting of Indigenous health statistics. To address unreliable reporting in Canada, we reviewed laws on Indian status and the development of ... ...

Abstract	The way state governments, worldwide, count or do not count Indigenous peoples has contributed to inconsistent reporting of Indigenous health statistics. To address unreliable reporting in Canada, we reviewed laws on Indian status and the development of a national Indian Registration System (IRS) to track Indian status and eligibility. With this information as a guide, we linked the IRS to the Manitoba provincial health registry systems and were able to identify individuals with Indian status for health reporting. To improve reporting, we identified individuals often missed in this type of linkage. For instance, we identified children and adult children who were eligible for Indian status but not yet registered. Equally as important, we identified individuals not eligible for Indian status but have Indian heritage and/or represent potential individual Indian status eligibility cases before the courts to right a historic form of identity sex discrimination that has made them invisible in Canadian society and health reporting. A familial kinship approach was used to identify Indian children and adult children typically missed when a strict legal entitlement criteria is used for data linkage. Our reflective socio-legal data linkage approach expanded the number of Indian peoples for health reporting purposes and demonstrated a feasible, inclusive way to report on the health of Indians in Canada.
MeSH term(s)	Databases, Factual ; Health Services, Indigenous ; Humans ; Indians, North American/classification ; Indians, North American/statistics & numerical data ; Manitoba ; Medical Record Linkage/methods ; Registries
Language	English
Publishing date	2015-08
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	4766-1
ISSN	1873-5347 ; 0037-7856 ; 0277-9536
ISSN (online)	1873-5347
ISSN	0037-7856 ; 0277-9536
DOI	10.1016/j.socscimed.2015.06.014
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