Black Health

Examining Health-Seeking Behavior among Diverse Ethnic Subgroups within Black Populations in the United States and Canada: A Cross-Sectional Study

March 19, 2024

The Black populations, often treated as ethnically homogenous, face a constant challenge in accessing and utilizing healthcare services. This study examines the intra-group differences in health-seeking behavior among diverse ethnic subgroups within Black communities. A crosssectional analysis included 239 adults ≥18 years of age who self-identified as Black in the United States and Canada. Multiple…
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“There is nothing to protect us from dying”: Black women’s perceived sense of safety accessing pregnancy and intrapartum care

March 18, 2024

Pregnancy and childbirth have become a dangerous journey for Black women as harrowing stories of death and near ‐ death experiences resonate within Black communities. While the causes of pregnancy ‐ related morbidity and mortality are well documented, little is known about how Black Canadian women feel protected from undesirable maternal health outcomes when accessing…
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Racial and sociodemographic distribution of colorectal cancer screening in Canada: A cross ‑ sectional study

March 14, 2024

Objectives: To assess the racial and sociodemographic distribution of colorectal cancer (CRC) screening uptake in Canada,identify disparities, and evaluate the potential predictors and barriers to CRC screening. Methods: Data from the 2017 cycle of the Canadian Community Health Survey (CCHS) were analyzed, focusing on individuals aged 50–74 years. CRC screening participation rates were evaluated at…
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Stage of diagnosis and survival for prostate cancer among immigrant men in Ontario, Canada

February 29, 2024

Introduction: We previously identified specific immigrant groups (West African and Caribbean) with increased incidence of prostate cancer in Ontario, Canada. In this population-level retrospective cohort study, we used administrative databases to compare stage of diagnosis, 5-year overall survival and prostate cancer-specific survival for immigrants versus long-term residents of Ontario. Methods: We linked several provincial-level databases…
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Varying circumstances surrounding opioid toxicity deaths across ethno-racial groups in Ontario, Canada: a population-based descriptive cross-sectional study.

February 23, 2024

Introduction: The North American toxic drug crisis has been framed as an epidemic primarily affecting white people. However, evidence suggests that deaths are rising among racialised people. Accordingly, we sought to describe and compare characteristics and circumstances of opioid toxicity deaths across ethnoracial groups. Methods: We conducted a population-based, descriptive cross-sectional study of all individuals…
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Inequities in dietary intake and eating behaviours among adolescents in Canada.

February 21, 2024

Objective: To provide contemporary evidence of how dietary intake and eating behaviours vary by social positions among adolescents. Methods: We used survey data collected during the 2020–2021 school year from 52,138 students attending 133 secondary schools in Alberta, British Columbia, Ontario, and Quebec, Canada. Multiple regression models tested whether self-reported indicators of dietary intake and…
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COVID-19 vaccine uptake, conspiracy theories, and health literacy among Black individuals in Canada: Racial discrimination, confidence in health, and COVID-19 stress as mediators.

February 13, 2024

Factors influencing vaccine uptake in Black individuals remain insufficiently documented. Understanding the role of COVID-19 related stress, conspiracy theories, health literacy, racial discrimination experiences, and confidence in health authorities can inform programs to increase vaccination coverage. We sought to analyze these factors and vaccine uptake among Black individuals in Canada. A representative sample of 2002…
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Decision Support Tool to Improve Decision-Making for HIV Pre-Exposure Prophylaxis (PrEP): Development Process and Alpha Testing.

February 13, 2024

Background: Black communities in Canada are disproportionately affected by the HIV epidemic. There is currently no patient decision support intervention for Black patients being asked to consider PrEP for HIV prevention, especially in the context of previous studies indicating that most of these patients do have decisional conflict regarding PrEP. Objective: The aim of this…
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Disproportionate Rates of COVID-19 Among Black Canadian Communities: Lessons from a Cross-Sectional Study in the First Year of the Pandemic.

January 22, 2024

Background: Racialized communities, including Black Canadians, have disproportionately higher COVID-19 cases. We examined the extent to which SARS-CoV-2 infection has affected the Black Canadian community and the factors associated with the infection. Methods: We conducted a cross-sectional survey in an area of Ontario (northwest Toronto/Peel Region) with a high proportion of Black residents along with…
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Safety of BEN guidelines in clozapine treatment: A Canadian perspective

January 22, 2024

Objective: Unidentified benign ethnic neutropenia (BEN) has been recognized as a factor contributing to clozapine underutilization and discontinuation. Guidelines were implemented to accommodate BEN in Canada, and our main objective was to evaluate clozapine’s safety in a sample of Canadian psychiatric patients with BEN. Method: A retrospective chart review was conducted at the Centre for…
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