- Global Health Care Issues
- Health disparities and outcomes
- demographic modeling and climate adaptation
- Global Cancer Incidence and Screening
- Health Systems, Economic Evaluations, Quality of Life
- Income, Poverty, and Inequality
- Employment and Welfare Studies
- Colorectal Cancer Screening and Detection
- Economic Theory and Policy
- Healthcare Policy and Management
- Gender, Labor, and Family Dynamics
- Economic theories and models
- Lung Cancer Diagnosis and Treatment
- Insurance, Mortality, Demography, Risk Management
- Canadian Policy and Governance
- Primary Care and Health Outcomes
- Fiscal Policy and Economic Growth
- BRCA gene mutations in cancer
- Esophageal Cancer Research and Treatment
- Public Health Policies and Education
- Social Policy and Reform Studies
- Economic and Financial Impacts of Cancer
- Census and Population Estimation
- Economic Growth and Productivity
- Chronic Disease Management Strategies
University of Ottawa
2014-2025
The Centre for Health (New Zealand)
2024
Statistics Canada
2001-2020
Canadian Partnership Against Cancer
2018-2020
McMaster University
2020
University of Toronto
2020
Australian Institute of Tropical Health and Medicine
2020
James Cook University
2020
University of British Columbia
2018
Institute of Population and Public Health
2011-2014
The Royal Society of Canada Task Force on COVID-19 was formed in April 2020 to provide evidence-informed perspectives major societal challenges response and recovery from COVID-19. established a series working groups rapidly develop policy briefings, with the objective supporting makers evidence inform their decisions. This paper reports findings Long-Term Care (LTC) group addressing preferred future for LTC Canada, specific focus workforce. First, report addresses research context...
The main aim of this paper has been to summarize the impact noncash income–health and health education benefits, imputed rent‐on living standards, income distribution poverty in seven nations at beginning 1980s using Luxembourg Income Study database. Our results do not give rise a pattern national differences rates or inequality which are markedly different from that emerges previous LIS research based on cash alone. While these may be sensitive techniques used measure value benefits paper,...
Widely used summary measures of inequality or the idea “disappearing middle class” are potentially misleading. Divergences between evidence cited and conclusions drawn include failing to distinguish concepts polarization, using scalar “inequality” which not consistent with rankings based on Lorenz curves. In addition, inappropriate claims about trends in can arise from focusing only a sub‐population such as full‐time male workers, account for sampling variability. These divergences...
Background Contemporary bioscience sometimes demands vast sample sizes and there is often then no choice but to synthesize data across several studies undertake an appropriate pooled analysis. This same need also faced in health-services socio-economic research. When a analysis required, analytic efficiency flexibility are best served by combining the individual-level from all sources analysing them as single large set. But ethico-legal constraints, including wording of consent forms privacy...
The US National Lung Screening Trial supports screening for lung cancer among smokers using low-dose computed tomographic (LDCT) scans. cost-effectiveness of in a publically funded health care system remains concern.To assess the LDCT scan within Canadian system.The Cancer Risk Management Model (CRMM) simulated individual lives population from 2014 to 2034, incorporating risk, disease management, outcome, and cost data. Smokers former eligible (30 pack-year smoking history, ages 55-74 years,...
Early detection of breast cancer through screening reduces mortality. The benefits must also be considered within the context potential harms (e.g., false positives, overdiagnosis). Furthermore, while risk is highly variable population, most programs use age to determine eligibility. A risk-based approach expected improve benefit-harm ratio programs. PERSPECTIVE I&I (Personalized Risk Assessment for Prevention and Detection Breast Cancer: Integration Implementation) project seeks...
Objective To assess the extent to which observed associations between income inequality and mortality at population level are statistical artifacts. Design Indirect "what if" simulation using risks of individual as a function construct hypothetical state-level specific for age sex if artifact argument were 100% correct. Method Data from 1990 census 50 US states plus Washington, DC, used distributions by age, sex, state, range; data disaggregated state Centers Disease Control Prevention...
There is widespread interest in disparities health status across income groups and other classifications of socioeconomic status. In Canada, as many countries, there considerable evidence showing such disparities. This study reports an analysis male mortality at ages 65 to 74 relation characteristics, specifically employment self-employment earnings histories during the 10 20 years prior age 65, marital status, disability, retirement. The based on administrative data from Canada Pension Plan...
<h3>Abstract</h3> <b>Objective:</b> To assess the extent to which observed associations at population level between income inequality and mortality are statistical artefacts. <b>Design:</b> Indirect "what if" simulation by using risks of individual as a function construct hypothetical state specific for age sex if artefact argument were 100% correct. <b>Setting:</b> Data from 1990 census 50 US states plus Washington, DC, used distributions age, sex, state, range; data disaggregated Centers...
Some of the most consistent evidence in favour an association between income inequality and health has been among US states. However, multilevel studies mortality, only two out five have reported a positive relationship with after adjustment for compositional characteristics state's inhabitants. In this study, we attempt to clarify these mixed results by analysing within age-sex groups applying previously unused analytical method database that contains more deaths than any study date.The...
The POpulation HEalth Model (POHEM) is a health microsimulation model that was developed at Statistics Canada in the early 1990s. POHEM draws together rich multivariate data from wide range of sources to simulate lifecycle Canadian population, specifically focusing on aspects health. dynamically simulates individuals' disease states, risk factors, and determinants, order describe project outcomes, including incidence, prevalence, life expectancy, health-adjusted quality life, healthcare...
Abstract Background We assessed the clinical utility of a first-degree breast cancer family history and polygenic risk score (PRS) to inform screening decisions among women aged 30-50 years. Methods Two established models evaluated digital mammography strategies in 1985 US birth cohort by groups defined PRS based on 313 single nucleotide polymorphisms. Strategies varied initiation age (30, 35, 40, 45, 50 years) interval (annual, hybrid, biennial, triennial). The benefits (breast deaths...
Abstract Building on Canadian data at the provincial, regional, community, and personal levels, Social Determinants Urban Laboratory (CSDUL) will enable multilevel longitudinal investigation of how social determinants health (SDOH) impact population (both mental physical) inequities in Canada. Utilizing administrative linkage, CSDUL be developed by combining social, economic, political mechanisms multiple from national to individual, following World Health Organization (WHO) SDOH framework....
<sec> <title>BACKGROUND</title> Two decades of research have highlighted persistent income-related health inequities in Canada at municipal, provincial, and national levels, but it remains underutilized. </sec> <title>OBJECTIVE</title> This project aims to examine how social, economic, political factors create conditions that shape inequalities, investigate structural intermediate determinants explain disparities across national, city, neighbourhood, individual levels. <title>METHODS</title>...
Income inequality in Canada has not changed significantly over the past two decades, though this apparent stability may be surprising view of major economic and social changes that occurred period. The share income going to bottom quintile remains at about four percent while top continues receive 40 income. Social trends such as lower fertility rates have coincided with increased female labour force participation increase family incomes middle upper‐middle parts spectrum. At same time, trend...