Suchergebnisse

OBJECTIVE: This study sought to examine differences in sociodemographic risk factors, comorbid mental conditions, clinical presentations, and functional impairments associated with past-year generalized anxiety disorder (GAD) between Canadian Armed Forces (CAF) Regular Force personnel and the Canadian general population (CGP). METHOD: Data were from 2 nationally representative surveys collected by Statistics Canada: 1) the Canadian Community Health Survey on Mental Health, collected in 2012 (N = 25,113; response rate = 68.9%); and 2) the Canadian Forces Mental Health Survey, collected in 2013 (N = 8,161; response rate = 79.8%). RESULTS: The prevalence of lifetime and past-year GAD was significantly higher in the CAF (12.1% and 4.7%) than in the CGP (9.5% and 3.0%). Comorbid mental disorders were strongly associated with GAD in both populations. Although the content area of worry and the GAD symptoms endorsed were similar, CAF personnel were significantly more likely to endorse specific types of worries (i.e., success at school/work, social life, mental health, being away from home or loved ones, and war or revolution) and specific symptoms of GAD (i.e., restless, keyed up, or on edge and more irritable than usual) than civilians, after adjusting for sociodemographic covariates and comorbid mental disorders. CAF personnel with past-year GAD reported significantly higher functional impairment at home than civilians with past-year GAD. CONCLUSION: GAD is a substantial public health concern associated with significant impairment and disability in both military and civilian populations. GAD in military and civilian populations shows similarities and differences: Key similarities include its extensive comorbidity and significant functional impairment, whereas key differences include the focus of worries and symptom profile.

OBJECTIVES: Research suggests a high prevalence of problematic alcohol use among military personnel relative to civilians. Our primary objectives were to compare the prevalence, correlates, help-seeking behaviors, perceived need for care, and barriers to care for alcohol use disorders (AUDs) in the Canadian Armed Forces (CAF) and the Canadian general population (CGP). METHODS: Data were from 2 nationally representative surveys collected by Statistics Canada: (1) the Canadian Community Health Survey on Mental Health collected in 2012 (N = 25,113; response rate = 68.9%) and (2) the Canadian Forces Mental Health Survey collected in 2013 (N = 8,161; response rate = 79.8%). Descriptive statistics and logistic regression were used to examine differences in outcomes of interest associated with AUDs in the CAF and CGP. RESULTS: The prevalence of lifetime AUDs was significantly higher in the CAF (32.0%) than the CGP (20.3%; adjusted odds ratio [AOR] = 1.14, 95% confidence interval [CI, 1.02 to 1.27]) after adjustment for sociodemographic covariates. In contrast, the past-year prevalence of AUDs was significantly lower among CAF personnel (4.5%) than civilians (3.8%; AOR = 0.78, 95% CI [0.61 to 0.99]) after adjustment for sociodemographic covariates. Child abuse history and comorbid mental disorders were strongly associated with past-year AUDs in both populations. CAF personnel compared to the CGP were more likely to perceive a need for care (AOR = 4.15, 95% CI [2.56 to 6.72]) and engage in help-seeking behaviors (significant AORs ranged from 1.85 to 5.54). CAF personnel and civilians with past-year AUDs reported different barriers to care. CONCLUSIONS: Findings argue for the value of different approaches to address unmet need for AUD care in the CAF and CGP.

Introduction: An Expert Panel on suicide prevention convened October 23–26, 2016 to review current practices and recommend suicide prevention strategies for the Canadian Forces Health Services (CFHS). It included subject matter experts from Canada, the United States, and the United Kingdom, and representatives from Veterans Affairs Canada (VAC). Methods: We reviewed evidence and best practices for suicide prevention in civilian and military populations as well as the components of the CFHS mental health services and suicide prevention programs, and compared them to current evidence-informed best practices. We suggested improvements for CFHS mental health services and suicide prevention programs, and areas of future inquiry to improve suicide prevention. Results: Over the past 10 years there have been an average 16.6 suicide deaths annually among Canadian Armed Forces (CAF) regular force and primary reserves combined. Available mental health services for serving military personnel with suicidal behaviour exceed that for the Canadian civilian population. We identified many factors associated with suicidal behaviour, but acknowledged that it is extremely difficult to predict at an individual level. We agreed that the goal is to have no suicides in the CAF regular force population, but that not all suicides are preventable. We made 11 suggestions to improve suicide prevention in the CFHS. Discussion: The CFHS provides the highest quality mental health care for military personnel. Our recommendations are based on state-of-the-art research evidence, and their implementation will ensure that the CFHS leads the way in providing outstanding care for military personnel dealing with suicidal behaviour.

In the connected highlands of southwest China, Vietnam, and Laos, recalling the past is a highly sensitive act. Among local societies, many may actively avoid recalling the past for fear of endangering themselves and others. Oral traditions and rare archives remain the main avenues to visit the past, but the national revolutionary narrative and the language of heritagization have strongly affected the local expression of historical memory. Yet this does not prevent local societies from producing their stories in their own terms, even if often in conflict with both national and Western categories. Producing history, ethnohistory, historical anthropology, and historical geography in the Southeast Asian highlands raises significant questions relating to methodology, epistemology, and ethics, for which most researchers are often ill-prepared. How can scholars manage to competently access information about the past? How is one to capture history-in-the-making through events, speech acts, rituals, and performances? How is the memory of the past transmitted—or not—and with what logic?Based on the experiences and reflections of a dozen diverse scholars rooted in decades of work in these three communist states, Chasing Traces is the first book about historical ethnography and related issues in the Southeast Asian highlands. Taking a critically reflexive posture, the authors make a plea for the individual, the hidden, and the backstage, for what life is really like on the ground, as opposed to imagined homogeneity, legibility, and unambiguousness. Their investigations on the history of ethnic minority communities adds archival historiography to ethnographic fieldwork and examines the relationship between the two fields. The individual chapters each tell distinctive stories of the conjunction of fieldwork, archival research, official surveillance, community participation, cultural norms, partnership with local scholars, and the other factors that both facilitate and frustrate the research enterprise of writing about the past in these societies. A timely work, this volume also provides guidelines for alternative ways to document and reflect when physical access becomes limited due to factors such as pandemic, political instability, and violence, and offers creative ways for researchers to cope with these dramatic shifts

Human milk is a highly complex liquid food tailor-made to match an infant's needs. Beyond documented positive effects of breastfeeding on infant and maternal health, there is increasing evidence that milk constituents also impact child neurodevelopment. Non-nutrient milk bioactives would contribute to the (long-term) development of child cognition and behavior, a process termed 'Lactocrine Programming'. In this review we discuss the current state of the field on human milk composition and its links with child cognitive and behavioral development. To promote state-of-the-art methodologies and designs that facilitate data pooling and meta-analytic endeavors, we present detailed recommendations and best practices for future studies. Finally, we determine important scientific gaps that need to be filled to advance the field, and discuss innovative directions for future research. Unveiling the mechanisms underlying the links between human milk and child cognition and behavior will deepen our understanding of the broad functions of this complex liquid food, as well as provide necessary information for designing future interventions. ; All authors participated in the four-day hybrid meeting on 'Lactational Programming: joining forces to optimize research on how maternal milk composition influences child cognition and behavior' (Zeist, the Netherlands, 16-19 November 2020), which was financed by an Early Career Partnership 2020 Grant of the Royal Netherlands Academy of Arts and Sciences (awarded to Beijers). Funding sources for individual authors: Netherlands Organization for Scientific Research VICI grant (016.Vici.185.038-to de Weerth), The National Center for Advancing Translational Sciences Clinical Science and Translational Award (UL1TR001863-to Dettmer), NWO Food Cognition and Behaviour (057-14-003-to Korosi), Turku University Foundation, Maire Taponen Foundation and Finnish Psychiatry Foundation (-to Aatsinki), Polish National Science Centre OPUS grant (2015/17/B/NZ8/02436 -to Ziomkiewicz), Canadian Research Chair in Human Nutrition and Metabolism and funding from Natural Science and Engineering Council of Canada NSERC (RGPIN-2017-04746-to Field), The USDA National Institute of Food and Agriculture Hatch Project (1021411-to Slupsky), USDA NRI (2007-35203-18098 and 2013-67016-20523-to Bartol), Spanish Ministry of Science and Innovation grant (PID2019-105606RB-I00-to Rodríguez), UC San Diego Chair of Collaborative Human Milk Research, endowed by the Family Larsson-Rosenquist Foundation, Switzerland (-to Bode), Wellcome Trust (220225/Z/20/Z-to Moore), Tier 2 Canada Research Chair and Fellow in the CIFAR Humans and the Microbiome Program, Canadian Institutes of Health Research (CIHR), Research Manitoba, the Canada Foundation for Innovation, the Bill and Melinda Gates Foundation, the Manitoba Children's Hospital Foundation, Prolacta Biosciences, Mitacs, CIFAR, and the Garfield G. Weston Foundation (-to Azad), CIHR Vanier Canada Graduate Scholarship (-to Turner), European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (ERC starting grant, no. 639226-to Collado), Netherlands Organization for Scientific Research VENI grant (016.195.197-to Beijers). ; Peer reviewed

Our experiences of the city are dependent on our gender, race, class, age, ability, and sexual orientation. It was already clear before the pandemic that cities around the world were divided and becoming increasingly unequal. The pandemic has torn back the curtain on many of these pre-existing inequalities. Contributions to this volume engage directly with different urban communities around the world. They give voice to those who experience poverty, discrimination and marginalisation in order to put them in the front and center of planning, policy, and political debates that make and shape cities. Offering crucial insights for reforming cities to be more resilient to future crises, this is an invaluable resource for scholars and policy makers alike