This page has only limited features, please log in for full access.
The role of infrastructure in encouraging transportation cycling in smaller cities with a low prevalence of cycling remains unclear. To investigate the relationship between the presence of infrastructure and transportation cycling in a small city (Lethbridge, AB, Canada), we interviewed 246 adults along a recently-constructed bicycle boulevard and two comparison streets with no recent changes in cycling infrastructure. One comparison street had a separate multi-use path and the other had no cycling infrastructure. Questions addressed time spent cycling in the past week and 2 years prior and potential socio-demographic and psychosocial correlates of cycling, including safety concerns. Finally, we asked participants what could be done to make cycling safer and more attractive. We examined predictors of cycling using gender-stratified generalized linear models. Women interviewed along the street with a separate path reported cycling more than women on the other streets. A more favorable attitude towards cycling and greater habit strength were associated with more cycling in both men and women. Qualitative data revealed generally positive views about the bicycle boulevard, a need for education about sharing the road and for better cycling infrastructure in general. Our results suggest that, even in smaller cities, cycling infrastructure may encourage cycling, especially among women.
Richard Larouche; Nimesh Patel; Jennifer Copeland. Relationship between Cycling Infrastructure and Transportation Cycling in a Small Urban Area. Future Transportation 2021, 1, 99 -112.
AMA StyleRichard Larouche, Nimesh Patel, Jennifer Copeland. Relationship between Cycling Infrastructure and Transportation Cycling in a Small Urban Area. Future Transportation. 2021; 1 (1):99-112.
Chicago/Turabian StyleRichard Larouche; Nimesh Patel; Jennifer Copeland. 2021. "Relationship between Cycling Infrastructure and Transportation Cycling in a Small Urban Area." Future Transportation 1, no. 1: 99-112.
Background Tobacco use, alcohol use, and sugar-sweetened beverage consumption are each associated with increased cancer-risk. Psychological trauma is a common experience and a key driver of these behaviours among adults. The primary aim of this study is to evaluate the effect of trauma-informed yoga, drumming, and psychoeducation compared to control on tobacco use, alcohol use, and sugar-sweetened beverage consumption among community-based adults. Secondary aims are to evaluate the effect of these interventions compared to control on psychological and physiological stress symptomology, social connection, and coping behaviour. Methods Recruitment for this single-blinded randomized trial began in April 2019 in the Faculty of Health Sciences at the University of Lethbridge. Adults who consumed tobacco, alcohol, or sugar-sweetened beverages in the past month and live in Lethbridge, Alberta are being recruited using ads placed in public spaces. Participants are randomly allocated to a 12-session group yoga class, 12-session group drumming class, a 12-session psychoeducation class, or control. Participants attend an appointment in-person to fill out an online questionnaire package, provide a saliva sample, and complete physical measures pre-intervention, and 1-month and 6-months post-intervention. Discussion This study provides a unique opportunity to compare the impacts of two trauma-informed body-based interventions to psychoeducation and control for cancer-risk behaviour among community-based adults. The findings can be used to develop trauma-informed group interventions to reduce cancer-risk behaviour in general populations. Results are expected in 2022. Trial registration This trial was registered with ClinicalTrials.govISRCTN15583681 on 22 August 2019 (retrospectively registered).
Cheryl L. Currie; Jennifer L. Copeland; M. Lauren Voss; Lisa-Marie Swanepoel; Mirela Ambeskovic; Nimesh B. Patel; Erin K. Higa. Trauma-informed interventions versus control for cancer-risk behaviours among adults: rationale and design for a randomized trial. BMC Public Health 2019, 19, 1 -11.
AMA StyleCheryl L. Currie, Jennifer L. Copeland, M. Lauren Voss, Lisa-Marie Swanepoel, Mirela Ambeskovic, Nimesh B. Patel, Erin K. Higa. Trauma-informed interventions versus control for cancer-risk behaviours among adults: rationale and design for a randomized trial. BMC Public Health. 2019; 19 (1):1-11.
Chicago/Turabian StyleCheryl L. Currie; Jennifer L. Copeland; M. Lauren Voss; Lisa-Marie Swanepoel; Mirela Ambeskovic; Nimesh B. Patel; Erin K. Higa. 2019. "Trauma-informed interventions versus control for cancer-risk behaviours among adults: rationale and design for a randomized trial." BMC Public Health 19, no. 1: 1-11.
The objective of this research was to use intersectionality to explore Asian men’s experiences of stigma and mental illness to tease out the ways in which stigma of mental illness among Asian men is mediated by age, immigration experiences, sexual and gender identities, racism and racialization processes, normative expectations about masculinity, and material inequality. The data for this research are based on a 4-year, multi-site (Calgary, Vancouver, and Toronto) mixed-methods intervention study that evaluated the effectiveness of interventions in reducing self and social mental health stigma among Asian men (Livingston et al. International Journal of Social Psychiatry 64, 679-689, 2018; Guruge et al. Contemporary Clinical Trials 71, 133–139, 2018). Participants were Asian men living with or affected by mental illness and community leaders interested in stigma reduction and advocacy. Quantitative survey data captured participants’ self-reports of stigma, psychological flexibility, valued life domains, mindfulness, and empowerment readiness. Qualitative data included focus group transcripts, field notes, and participants’ logs about anti-stigma activities in their communities. The data analyzed here are from ten pre-intervention and seven post-intervention focus groups conducted at the Vancouver site. The data collected pre- and post-interventions revealed that men understand and experience stigma as inextricably linked to social location, specifically age, race, masculinity, ethnicity, and time of migration. Our analysis also revealed that mental health stigma cannot be understood in isolation of other social and structural barriers. The application of intersectional frameworks must figure prominently in psychological research and in public health policies that seek to reduce mental health stigma in racialized communities.
Marina Morrow; Stephanie Bryson; Rodrick Lal; Peter Hoong; Cindy Jiang; Sharalyn Jordan; Nimesh B Patel; Sepali Guruge. Intersectionality as an Analytic Framework for Understanding the Experiences of Mental Health Stigma Among Racialized Men. International Journal of Mental Health and Addiction 2019, 18, 1304 -1317.
AMA StyleMarina Morrow, Stephanie Bryson, Rodrick Lal, Peter Hoong, Cindy Jiang, Sharalyn Jordan, Nimesh B Patel, Sepali Guruge. Intersectionality as an Analytic Framework for Understanding the Experiences of Mental Health Stigma Among Racialized Men. International Journal of Mental Health and Addiction. 2019; 18 (5):1304-1317.
Chicago/Turabian StyleMarina Morrow; Stephanie Bryson; Rodrick Lal; Peter Hoong; Cindy Jiang; Sharalyn Jordan; Nimesh B Patel; Sepali Guruge. 2019. "Intersectionality as an Analytic Framework for Understanding the Experiences of Mental Health Stigma Among Racialized Men." International Journal of Mental Health and Addiction 18, no. 5: 1304-1317.
Mercury is toxic to the developing brain, but the lowest concentration associated with the development of behavior problems is unclear. The purpose of this study was to examine the association between very low-level mercury exposure during fetal development and behavior problems in children. We used data from 389 mothers and children in a prospective pregnancy and birth cohort study. We defined mean prenatal mercury concentration as the mean of total whole blood mercury concentrations in maternal samples collected at 16- and 26-weeks of gestation, delivery, and neonatal cord blood samples. We assessed parent-reported child behavior up to five times from two to 8 years of age using the Behavioral Assessment System for Children (BASC-2). At 8 years of age, we assessed self-reported child anxiety using the Spence Children’s Anxiety Scale (SCAS). We used multiple linear mixed models and linear regression models to estimate the association between mean prenatal mercury concentrations and child behavior and anxiety, respectively. The median prenatal total blood mercury concentrations was 0.67 μg/L. Overall, we did not find statistically significant associations between mean prenatal mercury concentrations and behavior problems scores, but a 2-fold increase in mercury concentrations at 16-weeks gestation was associated with 0.83 point (95% CI: 0.05, 1.62) higher BASC-2 anxiety scores. Maternal and cord blood mercury concentrations at delivery were associated with parent-reported anxiety at 8 years. We found limited evidence of an association between very-low level prenatal mercury exposure and behaviors in children, with an exception of anxiety.
Nimesh B. Patel; Yingying Xu; Lawrence C. McCandless; Aimin Chen; Kimberly Yolton; Joseph Braun; Robert L. Jones; Kim N. Dietrich; Bruce P. Lanphear. Very low-level prenatal mercury exposure and behaviors in children: the HOME Study. Environmental Health 2019, 18, 4 .
AMA StyleNimesh B. Patel, Yingying Xu, Lawrence C. McCandless, Aimin Chen, Kimberly Yolton, Joseph Braun, Robert L. Jones, Kim N. Dietrich, Bruce P. Lanphear. Very low-level prenatal mercury exposure and behaviors in children: the HOME Study. Environmental Health. 2019; 18 (1):4.
Chicago/Turabian StyleNimesh B. Patel; Yingying Xu; Lawrence C. McCandless; Aimin Chen; Kimberly Yolton; Joseph Braun; Robert L. Jones; Kim N. Dietrich; Bruce P. Lanphear. 2019. "Very low-level prenatal mercury exposure and behaviors in children: the HOME Study." Environmental Health 18, no. 1: 4.
Background: Due to racism, xenophobic nationalism, acculturation pressures and patriarchal social relations, Asian men in Western societies may be particularly susceptible to negative experiences and beliefs regarding mental illness and treatment services. Aims: We examine factors associated with stigma toward mental illness among Asian men in Canada. Methods: Between 2013 and 2017, 428 self-identified Asian men living in proximity to Vancouver, Canada, were recruited and completed self-administered questionnaires assessing social stigma and self-stigma. The degree to which these variables were associated with the men’s sociodemographic characteristics was analyzed. Results: Multivariable regression revealed that social stigma was significantly predicted by age, immigration, employment status and experience with mental illness. Together, these variables accounted for 12.36% of variance in social stigma. Interaction terms were added to the regression models to examine whether the effects of immigration on social stigma varied by age and experience with mental illness, but none of the interaction terms were statistically significant. Among the 94 Asian men identified as living with mental illness, self-stigma was predicted by age, immigration and employment status, which together accounted for 14.97% of variance in self-stigma. Conclusion: These results offer new knowledge about the factors predicting stigma toward mental illness among Asian men in Western societies.
James Livingston; Nimesh B. Patel; Stephanie Bryson; Peter Hoong; Rodrick Lal; Marina Morrow; Sepali Guruge. Stigma associated with mental illness among Asian men in Vancouver, Canada. International Journal of Social Psychiatry 2018, 64, 679 -689.
AMA StyleJames Livingston, Nimesh B. Patel, Stephanie Bryson, Peter Hoong, Rodrick Lal, Marina Morrow, Sepali Guruge. Stigma associated with mental illness among Asian men in Vancouver, Canada. International Journal of Social Psychiatry. 2018; 64 (7):679-689.
Chicago/Turabian StyleJames Livingston; Nimesh B. Patel; Stephanie Bryson; Peter Hoong; Rodrick Lal; Marina Morrow; Sepali Guruge. 2018. "Stigma associated with mental illness among Asian men in Vancouver, Canada." International Journal of Social Psychiatry 64, no. 7: 679-689.