Factors associated with booster seat use among Indigenous peoples in Canada.

Objective: Booster seat use among the general population remains relatively low, despite their effectiveness in preventing injury among children when involved in motor vehicle collisions. Given the prevention of injuries that booster seats provide, understanding the factors that hinder or facilitate the use of these seats is critical, particularly in communities that are often overlooked when conducting general population studies. To date, no studies have examined the prevalence and predictors of booster seat use among Indigenous peoples in Canada.

Exploring the Impact of Health Care Provider Cultural Competence on New Immigrant Health-Related Quality of Life: A Cross-Sectional Study of Canadian Newcomers.

Introduction: New immigrants underutilize health care because of multiple barriers. Although culturally competent health care improves access, it is typically assessed by providers, not newcomers whose perceptions matter most.

Methodology: Surveys that included measures of cultural competence and health-related quality of life (QOL) were completed by 117 new immigrants in Windsor, Ontario, Canada.

Extending the olive branch.

Using data from a study of qualitative researchers' experiences with ethics review and our own lens as both researchers and REB/IRB members, we explore the ethics review process and provide recommendations for improvements. Our findings suggest that the review process would benefit from a strengthened trust relationship between REB/IRBs and qualitative researchers that would require a commitment from both sides. Regarding REBs/IRBs, increased transparency of the review process, consistent application of federal guidelines, and a more collaborative review approach may improve the trust of qualitative researchers.

Community treatment programs take up buprenorphine.

Clinicians have been working out ways to incorporate buprenorphine into their treatment models. Representatives of three addiction treatment programs - a Veterans Affairs methadone clinic, a group of outpatient mental health centers, and a nationwide organization of therapeutic communities - talk about their plans and experiences.

Development of a revised Health Care System Distrust scale.

Context: Growing evidence suggests that most forms of distrust are multidimensional, including domains of technical competence and value congruence. Prior measures of health care system distrust have not reflected this multidimensional structure and may be limiting research into the role of health care system distrust in health and health care in the US.

Objective: To develop a revised a scale of health care system distrust.

Differences in the patterns of health care system distrust between blacks and whites.

Context: Although health care-related distrust may contribute to racial disparities in health and health care in the US, current evidence about racial differences in distrust is often conflicting, largely limited to measures of physician trust, and rarely linked to multidimensional trust or distrust.

Objective: To test the hypothesis that racial differences in health care system distrust are more closely linked to values distrust than to competence distrust.

Design: Cross-sectional telephone survey.

Racial/ethnic differences in physician distrust in the United States.

Objectives: We examined the racial/ethnic and geographic variation in distrust of physicians in the United States.

Methods: We obtained data from the Community Tracking Study, analyzing 20 sites where at least 5% of the population was Hispanic and 5% was Black.

Results: In univariate analyses, Blacks and Hispanics reported higher levels of physician distrust than did Whites.

Clinic-based treatment for opioid dependence: a qualitative inquiry.

Objectives: To identify barriers and facilitators to treatment of opioid dependence in primary care clinics.

Methods: In-depth interviews with 27 New York State clinic directors.

Results: Stigmatizing attitudes emerged as a major barrier.

Distrust of the health care system and self-reported health in the United States.

Context: Despite theoretical concerns that health care related distrust may lead to poor health outcomes by interfering with effective health care, little is currently known about the prevalence or outcomes of distrust of the health care system in the United States.

Objective: To investigate the association between distrust of the health care system and self-reported health status among the general population in the United States.

Design: Random-digit-dialing telephone survey.