Factors associated with the use of oral health care services among seniors in Canada.

Background: This study explores the link between dental insurance, income, and oral health care access among seniors (aged 65 and over) in Canada. It contributes to the understanding of oral health care among seniors before the implementation of the Canadian Dental Care Plan. Data and methods: This study uses data from the 2019/2020 Canadian Health Survey on Seniors (n=41,635) to report descriptive statistics and logistic regression model results and examine factors associated with seniors living in the community and access to oral health care services. Results: At the time of the survey (2019/2020), 72.5% of seniors in Canada reported having had a dental visit in the past 12 months, with 83.0% of insured and 65.3% of uninsured seniors reporting visits. Seniors reporting excellent or very good oral health had a higher prevalence of visits (79.2%) compared with those with good, fair, or poor oral health (62.3%). Among seniors who had not visited a dental professional in three years, 56.3% deemed it unnecessary, and 30.8% identified cost as the major barrier. After sociodemographic characteristics were controlled for, insured seniors were more likely to have had a dental visit in the past 12 months (adjusted odds ratio [OR]: 2.27; 95% confidence interval [CI]: 2.03 to 2.54) and were less likely to avoid dental visits because of cost (OR: 0.18; 95% CI: 0.12 to 0.28) compared with their uninsured counterparts. Interpretation: This study underscores the role of dental insurance in seniors' oral health care access. While insurance is associated with seniors' access to oral health care services, the study also emphasizes the need to consider social determinants of oral health such as income, gender, age, level of education, and place of residence when assessing oral health care access for seniors.

Data profile: The Statistics Canada Biobank.

Introduction: The Statistics Canada Biobank (Biobank) is a valuable source of nationally representative health information. It contains biospecimens collected from the Canadian Health Measures Survey (CHMS) and the Canadian COVID-19 Antibody and Health Survey (CCAHS). Both surveys are voluntary and aim to collect a variety of important health information from Canadians to create nationally representative estimates. This information is collected through questionnaires, physical measures, and self-administered sample collection. Biospecimens collected as part of the CHMS and CCAHS from consenting participants include whole blood, plasma, serum, urine, DNA samples, and dried blood spots. These samples are stored as part of the Biobank for future health research. Canadian researchers can apply to the Biobank program to use this nationally representative source of biospecimens. Results obtained from their research can also be combined with a wide variety of health and lifestyle information collected as part of the CHMS and CCAHS, making the Biobank a rich source of health-related information that can fill data gaps on the health concerns that are important to Canadians. This data resource profile provides an overview of the Biobank to inform researchers and data users about the program and how it can be used as a resource for the advancement of health-related research.

COVID-19 infection in the Canadian household population.

Background: Certain population groups face a disproportionate burden of exposure to COVID-19. This study examined characteristics of Canadians living in private households in fall 2020 and winter 2021 who had been infected with COVID-19. Data and Methods: With an online questionnaire and an at-home finger-prick blood test, the Canadian COVID-19 Antibody and Health Survey was designed to estimate the seroprevalence of COVID-19 infection among people in private households in Canada. Data were collected from respondents aged 1 or older in the 10 provinces and the three territorial capitals, from November 2020 to April 2021. Descriptive statistics and logistic regression were used to identify characteristics that were associated with being seropositive for a past COVID-19 infection. Gender differences in observed associations were examined. Results: After covariate adjustment, younger age and visible minority status were associated with an increased likelihood of being seropositive for a past COVID-19 infection. For males, having a visible minority status, having less education and living in a multi-unit dwelling increased the likelihood of being seropositive. Females were more likely to have been seropositive if they worked in health care in direct contact with others. Interpretation: As Canada navigates the fifth and possibly a sixth wave of the pandemic, understanding who was more likely to be infected in earlier waves can help ongoing public health efforts to stop the transmission of COVID-19.

Resilience in the context of conflict-related sexual violence and beyond: A "sentient ecology" framework.

In his research with Indigenous Evenki people living in Arctic Siberia, Anderson introduces the concept of "sentient ecology", defined as "the mutual interrelation of person and place". This interdisciplinary article starts from the basic premise that sentient ecology is relevant for research on resilience, and it aims to demonstrate this in two key ways. First, it uses sentient ecology as a novel framework for thinking about resilience, with a particular focus on conflict-related sexual violence (CSRV)-an area of scholarship that to date has given very little attention to the concept of resilience. The article locates resilience in the fluid and dynamic interactions between individuals and their social ecologies. What sentient ecology contributes in this regard is a different way of thinking about these interactions. In particular, it highlights some of the ways that female and male victims-/survivors of CRSV actively utilize and engage with the more-than-human living world around them in the process of rebuilding and moving on with their lives. Second, the article uses sentient ecology as a framework for thinking in new "sentient" ways about social-ecological systems (SES)-and how the social and ecological parts of these systems communicate with each other. Taking this a step further, it argues that sentient ecology offers a potential basis for developing more posthumanist accounts of resilience as an extension of SES.

Measuring Resilience in the Context of Conflict-Related Sexual Violence: A Novel Application of the Adult Resilience Measure (ARM).

There is a rich body of research addressing the issues of conflict-related sexual violence, and a similar wealth of scholarship focused on resilience. To date, however, these literatures have rarely engaged with each other. This article developed from an ongoing research project that seeks to address this gap, by exploring how victims-/survivors of conflict-related sexual violence in three highly diverse settings - Bosnia-Herzegovina, Colombia and Uganda - demonstrate resilience. This research is the first to apply the Adult Resilience Measure (ARM), a 28-item scale that seeks to measure protective resources across individual, relational, and contextual subscales, to the context of conflict-related sexual violence. A total of 449 female and male participants in the three aforementioned countries completed the ARM (in the framework of the study questionnaire) as part of this research. This article presents some of the results of the analyses. Specifically, we first sought to establish through Confirmatory Factor Analysis whether the ARM was actually measuring the same construct in all three countries, by confirming the invariance (or otherwise) of the factor structure. The second aim was to explore how different resources function and cluster in different cultural contexts, to arrive at a more nuanced understanding of the different protective factors in the lives of study participants. We generated different factor structures for BiH, Colombia, and Uganda respectively, suggesting that a single factor structure does not sufficiently capture the diverse groupings of protective factors linked to the particularities of each country, including the dynamics of the conflicts themselves. Ultimately, we use the findings to underscore the need for policy approaches that move away from a deficit model and give greater attention to strengthening and investing in the (often overlooked) protective resources that victims-/survivors may already have in their everyday lives.

Resilience as a multi-directional movement process: A conceptual and empirical exploration.

Movement is a recurrent thematic within extant resilience scholarship. Ecological theorizations of resilience emphasize systems that are in constant movement and flux. Terms such as "bouncing back" and "bouncing forward" are frequently used to describe how individuals recover and move on from adversity and trauma. However, integrated individual-systemic explanations of resilience movement dynamics are lacking. Seeking to address this gap, this interdisciplinary article expressly frames resilience as a multi-directional movement process. Individuals do not just move forward and backwards. Rather, they move in multiple and varied ways as they seek to navigate their way through adversity-and through systems and social-ecological traps that both shape how they move and require them to keep moving. Drawing on interview data with victims-/survivors of conflict-related sexual violence in Bosnia-Herzegovina (BiH), Colombia, and Uganda, the article empirically explores what "movement" looks like at the microlevel through a focus on everyday forms and expressions of movement, while also examining how wider systemic environments shape and influence these movements.