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Gender-Affirming Surgery Experience Survey and the Qualitative Study of Gender-Affirming Surgery Experiences in BC

Gender-Affirming Surgery Experience Survey and the Qualitative Study of Gender-Affirming Surgery Experiences in BC

The Gender-Affirming Surgery Experience Survey and the Qualitative Study of Gender-Affirming Surgery Experiences in BC are the results of a collaboration between the Stigma and Resilience Among Vulnerable Youth Centre (SARAVYC) at the University of British Columbia, and Trans Care BC, a program of the Provincial Health Services Authority. Trans Care BC’s role is to […]

Being Safe, Being Me in Alberta: Results of the Canadian Trans Youth Health Survey

Being Safe, Being Me in Alberta: Results of the Canadian Trans Youth Health Survey

The Canadian Trans Youth Health Survey was a national online survey conducted by researchers from several Canadian universities and community organizations. This report is focused specifically on  trans youth who live in Alberta, who made up 12% of the total respondents nation-wide. The survey included somewhat different questions for younger (14-18 years) and older (19-25 […]

Marla E. Eisenberg, Christopher J. Mehus, Elizabeth M. Saewyc, Heather L. Corliss, Amy L. Gower, Richard Sullivan & Carolyn M. Porta. Helping Young People Stay Afloat: A Qualitative Study of Community Resources and Supports for LGBTQ Adolescents in the United States and Canada. Journal of Homosexuality (2017).

LGBTQ youth are at increased risk of poor health outcomes. This qualitative study gathered data from LGBTQ adolescents regarding their communities and describes the resources they draw on for support. We conducted 66 go-along interviews with diverse LGBTQ adolescents (mean age = 16.6) in Minnesota, Massachusetts, and British Columbia in 2014–2015, in which interviewers accompanied participants in […]

Being Safe, Being Me in the Prairie Provinces: Results of the Canadian Trans Youth Health Survey in Saskatchewan & Manitoba.

Being Safe, Being Me in the Prairie Provinces: Results of the Canadian Trans Youth Health Survey in Saskatchewan & Manitoba.

This regional report is a part of a larger project, The Canadian Trans Youth Health Survey. Researchers from universities and other organizations in Canada created the survey, which was administered online to 923 participants across Canada, with 67 respondents coming from the Prairie Provinces (Saskatchewan & Manitoba). Two different surveys were distributed: one to younger […]

Frohard-Dourlent, H, Dobson S, Clark B, Doull M, Saewyc E. “I would have preferred more options”: accounting for non-binary youth in health research. Nursing Inquiry. 24 (2017): 1-9.

As a research team focused on vulnerable youth, we increasingly need to find ways to acknowledge non-binary genders in health research. Youth have become more vocal about expanding notions of gender beyond traditional categories of boy/man and girl/woman. Integrating non-binary identities into established research processes is a complex undertaking in a culture that often assumes […]

Porta C, Gower A, Mehus C, Yu X, Saewyc E, Eisenberg, M (2017). “Kicked out”: LGBTQ youths’ bathroom experiences and preferences. Journal of Adolescence. 56 (2017): 107-112.

Abstract Attention toward who can use which gender binary, multi-stall bathroom has brought to the forefront, once again, the ways in which youth are supported or marginalized. No study has documented sexual and gender minority youths’ experiences with and perspectives about bathrooms. We collected qualitative data in 2014–2015. Participants were 25 lesbian, gay, bisexual, transgender, […]

Marion Doull, Ryan J. Watson, Annie Smith, Yuko Homma, Elizabeth Saewyc, Are we leveling the playing field? Trends and disparities in sports participation among sexual minority youth in Canada, Journal of Sport and Health Science (2016), 1-9.

Sports participation and physical fitness are widely beneficial for young people, yet activity levels among young people are declining. Despite growing popular media attention on the participation of sexual minority (e.g., lesbian, gay, and bisexual) youth in sports and various campaigns to improve the often homophobic climate of sports, there is limited evidence that sexual […]

Adjei, J, Saewyc E (2017). Boys are not exempt: Sexual exploitation of adolescents in sub-Saharan Africa. Child Abuse & Neglect. 65 (2017): 14-23.

Research on youth sexual exploitation in Africa has largely neglected the experiences of exploited boys. To date, much of the research in sub-Saharan Africa continues to consider boys mainly as exploiters but not as exploited. Using the only publicly available population-based surveys from the National Survey of Adolescents, conducted in four sub-Saharan African countries — […]

Wolowic J, Heston L, Saewyc E, Porta C, Eisenberg M (2016). Chasing the rainbow: lesbian, gay, bisexual, transgender and queer youth and pride semiotics. Culture, Health and Sexuality. 2016 Nov 10:1-15

While the pride rainbow has been part of political and social intervention for decades, few have researched how lesbian, gay, bisexual, transgender and queer young people perceive and use the symbol. How do lesbian, gay, bisexual, transgender and queer youth who experience greater feelings of isolation and discrimination than heterosexual youth recognise and deploy the […]

Smith, A., Stewart, D., Poon, C., Peled, M., Saewyc, E. and McCreary Centre Society. (2014). From Hastings Street to Haida Gwaii: Provincial results of the 2013 BC Adolescent Health Survey.McCreary Centre Society

The 2013 BC Adolescent Health Survey was administered to almost 30,000 public school students across the province. It provides a comprehensive look at the health of youth aged 12–19. The results from the survey show us that British Columbia youth come from increasingly diverse backgrounds. For example, between 2008 and 2013 the percentage of students […]

Dick B, Ferguson J, Saewyc E, Baltag V, & Bosek K.(2014). Health for the World’s Adolescents: A Second Chance in the Second Decade of Life.World Health Organization

The achievements since the 1989 World Health Assembly Resolution on the health of adolescents underpin this report. It synthesizes the progress made and the many lessons learned about rectifying the misconceptions about adolescent health, developing consensus on core indicators, better analysing the available data, strengthening the evidence base for effective interventions across a range of […]

Poon C, Smith A, Saewyc E, & McCreary Centre Society. (2015). Sexual health of youth in BC. McCreary Centre Society

In 2013, the h BC Adolescent Health Survey (BC AHS) was completed by nearly 30,000 students in grades 7 to 12 in public schools across British Columbia. Sexual health was one of many topics covered in the survey. Youth were asked about their sexual health behaviours and sexual experiences. As some youth do not consider engaging in oral […]

Smith A, Peled M, Poon C, Stewart D, Saewyc E, & McCreary Centre Society. (2015). We all have a role: Building social capital among youth in care. McCreary Centre Society

Research has shown the value of social capital in relation to an individual’s health, happiness, and improved life expectancy, as well as the benefits to a community of having social networks that can come together to support the community and make positive change happen. Using data from the 2013 BC Adolescent Health Survey which was […]

Smith A, Stewart D, Poon C, Peled M, Saewyc E, & McCreary Centre Society. (2015). Our communities, our youth: The health of homeless and street-involved youth in BC. McCreary Centre Society

Youth across British Columbia most commonly first became homeless or street-involved when they were 13 or 14 years old, although more than a quarter (28%) first became homeless at a younger age. As in 2006, Aboriginal youth were over-represented among homeless and street-involved youth (53% of survey respondents). Other marginalized groups of youth who were […]

McInnis OA, Young MM, Saewyc E, Jahrig J, Adlaf E, Lemaire J, Taylor S, Pickett W, Stephens M, Di Gioacchino L, Pica L, Levin D, Tonita A, Wang H, and Xiong H. (2015). Urban and rural student substance use: Technical report. Canadian Centre on Substance Abuse

Background Differences in economic, cultural, social and educational factors between urban and rural areas in Canada might influence behavioural and mental health outcomes. However, most research assessing differences in urban and rural patterns of substance use has been conducted in the United States. Within Canada, information is limited on whether students who attend urban and […]

Smith A, Stewart D, Poon C, Peled M, Saewyc E, & McCreary Centre Society. (2015). How many is too many for BC youth? Alcohol use and associated harms. McCreary Centre Society

Among 12- to 19-year-olds who completed the 2013 BC Adolescent Health Survey (BC AHS), 45% of males and females had tried alcohol. With this percentage of BC students consuming alcohol it is important to establish the level at which use becomes harmful. Some people would argue that any use is risky, and some of the […]

Saewyc EM. (2016). Health Behaviour in School-aged Children (HBSC) in Canada: Focus on Relationships – Chapter 14. Sexual Health. Public Health Agency of Canada

Sexual health is an important aspect of adolescent development, and the results from the most recent HBSC study are in line with other evidence in Canada that suggests sexual health is continuing to improve among adolescents in Grades 9 and 10 (Poon et al., 2015; McKay & Barrett, 2010). That youth are waiting longer before […]

Saewyc, EM. (2016). Health Behaviour in School-aged Children (HBSC) in Canada: Focus on Relationships – Chapter 13. Substance Use. Public Health Agency of Canada

Although the continuing decline of cigarette smoking among adolescents in Canada is good news, the emergence of e-cigarettes use among adolescents bears watching. At present, the research is limited on the health effects of the liquids in e-cigarettes, and it is unclear whether they serve as a route to nicotine dependence and regular tobacco use […]

Tourand, J., Smith, A., Poon, C., Saewyc,E. & McCreary Centre Society. (2016). Raven’s Children IV: Aboriginal youth health in BC.McCreary Centre Society

There have been many improvements in Aboriginal youth health over the past decade. For example, there was a decrease in the percentage reporting serious injuries and an increase in those eating fruit and vegetables. Youth were less likely to have tried tobacco, alcohol, marijuana, or other substances than in previous years; and the percentages who […]

Creighton G*, MacMillan E*, Oliffe J, Saewyc E. (2015). Living for the moment: Men consider risk practices following the death of a friend.Sociology of Health and Illness. 37(3): 355-369.

The primary cause of death for men under the age of 30 is unintentional injury and, despite health-promotion efforts and programme interventions, male injury and death rates have not decreased in recent years. Drawing on 22 interviews from a study of men, risk and grief, we describe how a risk-related tragedy shaped the participants’ understandings […]

Mitchell K*, Roberts A, Gilbert M, Homma Y*, Warf C, Daly K*, Saewyc, E. (2015). Improving the accuracy of Chlamydia trachomatis incidence rate estimates among adolescents in Canada. Canadian Journal of Human Sexuality. 24(1): 12-18.

In this study, the authors assessed the impact of adjusting for sexual activity on population-based chlamydia incidence and screening rates among adolescents in the province of British Columbia (BC), Canada. They estimated the proportion of adolescent males (15 years-18 years) and females (14 years-18 years) who had ever had sexual intercourse using data from a […]

Blander E*, Saewyc E. (2015). Adolescent reactions to icon-driven response modes in a tablet-based health screening tool. Computing, Informatics, & Nursing. 33(5): 181-8.

Increasingly popular touch-screen electronic tablets offer clinics a new medium for collecting adolescent health screening data in the waiting area before visits, but there has been limited evaluation of interactive response modes. This study investigated the clarity, comprehensibility, and utility of icon-driven and gestural response functions employed in one such screening tool, TickiT. We conducted […]

Edinburgh LD, Harpin S, Pape-Blabolil J, Saewyc E. (2015). Assessing exploitation experiences of adolescent girls and boys seen at a Child Advocacy Center. Child Abuse & Neglect. 46: 47-59.

The primary aim of this study was to describe the abuse experiences of sexually exploited runaway adolescents seen at a Child Advocacy Center (N = 62). We also sought to identify risk behaviors, attributes of resiliency, laboratory results for sexually transmitted infection (STI) screens, and genital injuries from colposcopic exams. We used retrospective mixed-methods with in-depth forensic […]

Moynihan M*, Saewyc E, Whitehouse S, Paone M, McPherson G. (2015). Assessing readiness for transition from paediatric to adult health care: Revision and psychometric evaluation of the “Am I ON TRAC for Adult Care”. Journal of Advanced Nursing. 71(6): 1324-1355.

Aim To refine and psychometrically test the Am I ON TRAC for Adult Care questionnaire. Background Inadequate transition to adult care for adolescents with special healthcare needs has been associated with greater risk of treatment non-adherence, lack of medical follow-up, increased morbidity and mortality. Presently, there are no well-validated measures assessing adolescents’ readiness to transition […]

Al Makadma A, Moynihan M*, Dobson S, Saewyc E. (2015). Tobacco use among adolescents in Riyadh, Saudi Arabia. International Journal of Adolescent Medicine and Health. 27(3): 357-360.

Initiation of smoking behavior during adolescence is associated with negative health outcomes. Understanding initiation of smoking behavior in adolescents in relation to other behavioral, health, and environmental factors is essential for effective behavioral modification. The aim of this study was to describe tobacco use behaviors among adolescents in Riyadh, Saudi Arabia, and related demographic and […]

Jenkins E*, Johnson J, Bungay V, Kothari A, & Saewyc E. (2015). Divided and disconnected – an examination of young people’s experiences with emotional distress within the context of their everyday lives. Health & Place. 35: 105-112.

This paper is based on a qualitative study conducted in a rural community in British Columbia, Canada. Ethnographic methods were used to: (1) to bring youth voice to the literature on emotional distress; and (2) to capture the ways in which context shapes young peoples’ experiences of emotional distress within their everyday lives. Our findings […]

Homma Y*, Wong S, Zumbo B, Saewyc E.(2015). Ethnic identity and sexual initiation among East Asian youth in Canada.Journal of Immigrant and Minority Health. 17(5): 1580-1584.

Despite the large number of East Asian youth in Canada, little is known about their health and risk behaviors. We examined the relationship between ethnic identity and sexual initiation among East Asians. This secondary analysis of a population-based survey selected 4,311 students in 7-12th grades who described themselves as East Asian (e.g., Chinese, Japanese, Korean). […]

Creighton G*, Matthews J, Oliffe J, Saewyc E. (2016). “Dulling the edges”: Young men’s use of alcohol to deal with grief following the death of a male friend. Health Education & Behavior. 43(1): 54-60.

The death of a male friend can be challenging for men because expressions of grief can be governed and restrained by dominant ideals of masculinity. It is common for young men to engage in health risk practices, such as alcohol overuse, to deal with feelings of sadness. This qualitative study investigated the ways that young […]

Ybarra M, Rosario M, Saewyc E, Goodenow C. (2016). Sexual behaviors and partner characteristics among lesbian, bisexual, and other sexual minority adolescent women compared to their heterosexual peers. Journal of Adolescent Health. 58(3): 310-16.

Purpose Data suggest that lesbian and bisexual adolescents engage in risky sexual behaviors at higher rates than heterosexual girls. Whether these findings also apply to girls of other sexual identities is less well understood. Potential differences in risky sexual behaviors reported by lesbian versus bisexual adolescents are also underreported in the literature. Methods Data were […]

Saewyc E., Poon C., Kovaleva K., Tourand J., & Smith A. (2016). School-based interventions to reduce health disparities among LGBTQ youth: Considering the evidence. Vancouver: McCreary Centre Society & Stigma and Resilience Among Vulnerable Youth Centre.

There is a need for health promotion interventions for LGBTQ youth that can reduce critical health gaps that LGBTQ youth experience. Schools are an important environment for youth, and a key place where public health professionals, partnering with school staff, can support effective health promotion strategies. Indeed, some of the best strategies for promoting youth […]

Wolowic, Jennifer, Heston, Laura, Saewyc, Elizabeth, Porta, Carolyn, and Eisenberg, Marla. “Embracing the Rainbow: LGBTQ Youth Navigating “Safe” Spaces and Belonging in North America. “ Journal of Adolescent Health 58(2016): S1. Print.

Purpose While rainbows and safe space stickers have been a part of health care and school interventions promoting LGBTQ youth health and well-being, little research has been published describing how youth perceive and use the symbol. As part of a larger study on LGBTQ youth wellness, we explored youth perceptions of the rainbow and other symbols […]

Taylor C., Peter T., Edkins T., Campbell C., Émond G., & Saewyc E. (2016). The National Inventory of School District Interventions in Support of LGBTQ Student Wellbeing: Final Report. Vancouver, BC: Stigma and Resilience Among Vulnerable Youth Centre, University of British Columbia

Taylor C., Peter T., Edkins T., Campbell C., Émond G., & Saewyc E. (2016). The National Inventory of School District Interventions in Support of LGBTQ Student Wellbeing: Final Report. Vancouver, BC: Stigma and Resilience Among Vulnerable Youth Centre, University of British Columbia

A new national SARAVYC survey headed by The University of Winnipeg’s Dr. Catherine Taylor finds that most Canadian school administrators want to offer specific supports to enhance the safety and wellbeing of lesbian, gay, bisexual, transgender, Two Spirit, queer and questioning (LGBTQ) students. The study surveyed 141 Canadian school districts, including rural, urban, regional; French, […]

Reorienting risk to resilience: street-involved youth perspectives on preventing the transition to injection drug use

Kira Tozer1, Despina Tzemis1, Ashraf Amlani1, Larissa Coser2, Darlene Taylor13, Natasha Van Borek1, Elizabeth Saewyc4 and Jane A. Buxton Background The Youth Injection Prevention (YIP) project aimed to identify factors associated with the prevention of transitioning to injection drug use (IDU) among street-involved youth (youth who had spent at least 3 consecutive nights without a […]

Veale J, Saewyc E, Frohard-Dourlent H, Dobson S, Clark B & the Canadian Trans Youth Health Survey Research Group (2015). Being Safe, Being Me: Results of the Canadian Trans Youth Health Survey. Vancouver, BC: Stigma and Resilience Among Vulnerable Youth Centre, School of Nursing, University of British Columbia

Read in English Read in French A new national study by SARAVYC shows that while Canada’s transgender youth face significant physical and mental health issues, strong family, school and community connections are helping many of them navigate these challenges. The study, funded by the Canadian Institute for Health Research and completed in collaboration with universities […]

Creighton G., Shumay S., Moore E., Saewyc E. (2014). Capturing the wisdom and the resilience: How the Pinnacle Program fosters connections for alternative high school students. Vancouver: Stigma and Resilience Among Vulnerable Youth Centre, University of British Columbia.

The Pinnacle Program is a joint partnership between the Vancouver Board of Education and the Ministry of Children and Family Development (MCFD–the Provincial Ministry responsive for child protection) which provides grades 11 and 12 secondary education for adolescents. The Pinnacle Program is an innovative educational model that provides low barrier access for youth who wish […]

Peter, T. & Taylor, C. (2014). Buried above ground: A university-based study of prevalence and risk/protective factors for suicidality among sexual minority youth. Journal of LGBT Youth, 11(2), 125-149

This study examined differences in suicidal behavior between lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) and non-LGBTQ university students as well as investigated the importance of risk and protective factors in the prediction of suicidality between these two groups. A total of 1,205 university students participated in the survey. Findings show, compared to non-LGBTQ respondents, […]

Saewyc, E. (2013). “School Connectedness as a protective factor in youth mental health.”

Invited workshop. Presented at the BC Alternate Education Association annual meeting, 15 February, Vancouver.

Saewyc, E. (2013). “Health inequities of marginalized youth: Developmental science and public health research approaches to mobilize change.”

Presented to the Equity & Justice committee of the Society for Research on Child Development, 1 February, Washington DC.

Saewyc. E. (2013). Invited Pediatric Grand Rounds, “Introduction to Research Methods.”

Presented at the Children’s Hospital at King Fahad Medical Centre, Riyadh, Saudi Arabia, 18 March 2013.

Saewyc, E. (2013). “Designing adolescent health research studies: Crafting the research question and determining the methods.”

Invited workshop, presented at the 10th International Symposium of the Saudi Society for Family and Community Medicine, in Riyadh, Saudi Arabia, March 20, 2013.

Saewyc, E. (2013). “Reducing health inequities among Indigenous youth through fostering cultural connectedness: Population-level evidence of a decade of interventions in Western Canada.”

Invited presentation. University of Pittsburgh School of Public Health, April 10.

Saewyc, E. (2013). “Understanding stigma and resilience among LGBTQ youth: Suggested mechanisms for health inequities and population-level interventions to address them.”

Invited presentation for the University of Pittsburgh Graduate School of Public Health, April 10.

Saewyc, E. (2013). “Practical steps toward engaging available nursing personnel into school health nursing.”

Invited workshop. Presented at the Saudi School Health Strategy, a Consulting Workshop, Kingdom of Saudi Arabia Ministry of Health, Riyadh, Saudi Arabia, June 1.

Saewyc, E. (2013). “Working with public health nurses to engage in school nursing: Canadian & American experience.”

Presented at the Saudi School Health Strategy, a Consulting Workshop, Kingdom of Saudi Arabia Ministry of Health, Riyadh, Saudi Arabia, June 2.

Hilario C., Saewyc E. (2013). The study of risk and resilience in adolescent mental health research: Examining protective factors in the lives of Southeast Asian youth in BC.

Poster presented at the UVic School of Nursing Biennial Research Conference, May 10, 2013 in Victoria, BC.

Saewyc E, Mogensen D, Yiu, L. (2013). The Role of Teachers in School Conectedness and Youth Mental Health.

Workshop presented at the New Teachers’ Conference of the BC Teachers Federation, March 1 in Burnaby, BC.

Hilario C, Saewyc E, Vo D, Johnson J. (2013). Acculturation, gender, and protective factors in the mental health of Southeast Asian adolescents in Western Canada.

Plenary presentation at the 45th annual meeting of the Society for Adolescent Health and Medicine, March 13-16, Atlanta, Georgia.

Saewyc E, Tsuruda S, Homma Y, Smith A, Brunanski D. (2013). Population-based evidence for fostering cultural connectedness to reduce inequities among Indigenous Canadian adolescents.

Plenary presentation at the 45th annual meeting of the Society for Adolescent Health and Medicine, March 13-16, Atlanta, Georgia.

Rivers R, Saewyc E, MacKay L, Roelefson D, Matthews J, Creighton G, Oliffe J. (2013). Masculinities and marginalized young men’s patterns of accessing health services.

Poster presented at the 45th annual meeting of the Society for Adolescent Health and Medicine, March 13-16, Atlanta, Georgia.

Saewyc E, Rivers R, Miller B, Drozda C. (2013). The link between transience, social disconnection, and health inequities among street-involved youth in 9 Western Canadian cities.

Poster presented at the 45th annual meeting of the Society for Adolescent Health and Medicine, March 13-16, Atlanta, Georgia.

Moynihan M, Saewyc E, Whitehouse S, Paone M, McPherson G. (2013). Evaluation of the Transition Readiness Assessment Questionnaire (TRAQ) in a younger adolescent population.

Poster presented at the 45th annual meeting of the Society for Adolescent Health and Medicine, held March 13-16, Atlanta, Georgia.

Drozda C, Marshall S, Saewyc E, Charles G. (2013). Street-involved young fathers across 9 cities in Western Canada.

Poster presented at the 45th annual meeting of the Society for Adolescent Health and Medicine, held March 13-16, Atlanta, Georgia.

Saewyc E, Carlson S, Konishi C, Drozda C, Matthews J, Kaiser C, DeLongis A. (2013). Intersections of stigma among adolescents: Development and evaluation of a non-specific, multidimensional stigma measure.

Poster presented at the 45th annual meeting of the Society for Adolescent Health and Medicine, held March 13-16, Atlanta, Georgia.

Russell S, Moody R, Toomey R, and Saewyc E [discussant]. (2013). Understanding Mental and Behavioral Health Risk for LGBTQ Youth: Results From a New Multi-site Study.

Symposium presented at the Society for Research on Child Development biennial meeting, April 18-20 in Seattle, WA.

Mâsse, L.C., de Niet, J.E., Naylor P.J., & Saewyc, E. (2013). Weight status of grades 7-12 students exposed to less healthful school nutrition environments.

Paper presented at the annual meeting of the International Society of Behavioral Nutrition and Physical Activity, Belgium in May 2013.

de Niet, J.E., Mâsse, L.C., Naylor P.J., & Saewyc, E. (2013). The school food environment and adolescents’ intake of sugar-sweetened beverages and less healthful foods.

Paper presented at the annual meeting of the International Society of Behavioral Nutrition and Physical Activity, Belgium in May 2013.

Saewyc E. (2013). “Risk and protective factors for suicide attempt among Aboriginal adolescents in British Columbia.”

Presentation as part of the symposium, Intersections of gender and adolescent suicidality: Populations at risk, protective factors, and promising interventions across the gender spectrum, as part of the World Congress on Suicide of the International Association for Suicide Research, held in Montreal June 10-12.

Homma Y, Saewyc E (2013). “Population Interventions to Reduce Suicidality among Sexual Minority Youth.”

Presentation as part of the symposium, Intersections of gender and adolescent suicidality: Populations at risk, protective factors, and promising interventions across the gender spectrum, as part of the World Congress on Suicide of the International Association for Suicide Research, held in Montreal June 10-12.

Moynihan M., Saewyc E., Whitehouse S., Paone M., McPherson G. (2013). Am I On TRAC for Adult Care: Assessing adolescents’ readiness to transition.

Poster presented at the 10th annual International Association for Adolescent Health meeting, Istanbul, Turkey, June 11-13.

Saewyc, E. (2013, March 19-22). “Monitoring the key determinants of adolescent health to promote healthy development.”

Keynote. Presented at the 10th International Symposium of the Saudi Society for Family and Community Medicine, to be held in Riyadh, Saudi Arabia.

Sathi P, Kalyan S, Hitchcock CL, Pudek M, Prior JC (2013) Progesterone Therapy increases Free Thyroxine Levels- data from a randomized placebo-controlled 12-week hot flush trial. Clinical Endocrinology, [Dec 17 2012 Epub ahead of print].

Thyroid hormones and progesterone both influence core temperature, metabolism and are crucial during pregnancy. Our objective was to discover whether progesterone therapy caused changes in thyroid physiology compared with placebo. Post hoc analysis from a randomized (1:1) placebo-controlled 12-week trial of oral micronized progesterone (Progesterone, 300 mg/d at bedtime) for hot flushes (vasomotor symptoms, VMS) […]

Although less than 10% of East Asian adolescents in British Columbia were sexually active, approx. 70% of those who’d had sex engaged in one or more risky sexual behaviours (Homma, Saewyc, Wong & Zumbo, 2013)

Although less than 10% of East Asian adolescents in British Columbia were sexually active, approx. 70% of those who’d had sex engaged in one or more risky sexual behaviours (Homma, Saewyc, Wong & Zumbo, 2013).

Eliminating verbal, physical, or sexual violence in the lives of Canadian boys and girls would decrease youth suicide attempts by up to 78% (Saewyc & Chen, 2013).

Eliminating verbal, physical, or sexual violence in the lives of Canadian boys and girls would decrease youth suicide attempts by up to 78% (Saewyc & Chen, 2013).

1 in 3 street-involved boys and girls age 12-18 in BC have been sexually exploited. (Saewyc, Anderson, MacKay & Drozda, 2008)

1 in 3 street-involved boys and girls age 12-18 in BC have been sexually exploited. (Saewyc, Anderson, MacKay & Drozda, 2008)

In schools with established GSAs or anti-homophobia policies, heterosexual boys and girls of all sexual orientations are half as likely to binge drink. (Konishi, Saewyc, Homma & Poon, 2013)

In schools with established GSAs or anti-homophobia policies, heterosexual boys and girls of all sexual orientations are half as likely to binge drink. (Konishi, Saewyc, Homma & Poon, 2013)

80-90% of sexually active teens in BC used some form of effective birth control the last time they had sex. (Miller, Saewyc & Cox, 2010)

80-90% of sexually active teens in BC used some form of effective birth control the last time they had sex. (Miller, Saewyc & Cox, 2010)

Tsuruda S., Hoogeveen C., Smith A., Poon C., Saewyc E., & the McCreary Centre Society (2012). Raven’s Children III: Aboriginal youth health in BC. Vancouver, BC: McCreary Centre Society.

McCreary’s review of the health of Aboriginal youth in BC. The report was overseen by an advisory committee of experts in Aboriginal youth health, and includes data from over 3,000 Aboriginal youth as well as input from more than 100 Aboriginal youth and adults across the province who reviewed the findings. Using data from the […]

Tsuruda, S., Smith, A., Poon, C., Saewyc, E., & McCreary Centre Society (2012). Métis youth health in BC. Vancouver, BC: McCreary Centre Society.

This brief report explores the health picture of Métis youth in British Columbia. It is based on data from the 2008 BC Adolescent Health Survey (AHS). The data presented here is about Métis youth in the mainstream public school system, and includes youth who were present on the day the survey was administered. It therefore […]

Smith A., Stewart D., Poon C., Hoogeveen C, Saewyc E. (2012). Promoting positive mental health: risk and protective factors for youth who experienced physical and sexual abuse [abstract]. Chronic Diseases and Injuries in Canada, Volume 32, Suppl 1.

Background: Sexual abuse and physical abuse are risk factors for a trajectory of poor mental health. Purpose: To identify specific risk and protective factors associated with mental health for male and female youth who have experienced physical and sexual abuse. Study/Intervention Design: A mixed methods study using data from the 2008 BC‡ Adolescent Health Survey […]

Devries K, Free C, Saewyc E. (2012). “I like to think I’m a pretty safe guy but sometimes a 40-pounder will change that”: A mixed methods study of substance use and sexual risk among Aboriginal young people. Journal of Aboriginal Health, 9(1), 41-51.

We conducted a mixed methods study to explore links between substance use and sexual risk among Aboriginal young people in British Columbia, Canada. Individual in-depth interviews were conducted in 2004–2005 with 30 young people ages 15–19; we present a descriptive thematic analysis. Data from a 2003 provincially representative survey that included 2,467 Aboriginal young people […]

Saewyc, E. (2012). “Making the right connections: Promoting mental health of youth in BC.”

For the BC Ministry of Health’s Healthy Minds, Healthy People Knowledge Exchange Day, 27 February, 2012 in Vancouver.

Saewyc. E., & Mogensen, D. (2012). “Making the right connections: Positive mental health among BC youth.”

Invited workshop, March 1, at the Crosscurrents 2012 conference of the Special Education Association of BC, in Vancouver.

Saewyc, E. (2012). “Making the right connections: Promoting the mental health of youth in British Columbia.”

Invited workshop, for the International Child and Youth Mental Health conference, held May 7-8 in Vancouver.

Stewart, J., Anderson, K., Saewyc, E. (2012). “Mental Health: The Missing Conversation in Our Schools. ”

Invited workshop for the BC Principals and Vice Principals Association, Oct. 19-20, Richmond, BC.

Saewyc, E. (2012). “Positive mental health among adolescents: The difference schools can make.”

Afternoon workshop for the Comox Valley School District 71 Tsolum Speakers Series, held 21 November in Courtenay, BC.

Saewyc, E. (2012). “Growing absolutely fantastic teens: How families, schools and communities can support positive mental health among young people in the Comox Valley.”

Evening public presentation for the Comox Valley School District 71 Tsolum Speakers Series, held 21 November in Courtenay, BC.

Saewyc, E. (2012). “LGBTQ Youth and Suicide: Key Risk Factors from an Intersectional Perspective.”

Invited panel. Presented at the LGBTQ Youth Suicide Prevention Summit hosted by Egale Canada and Ryerson University, held May 30-31 in Toronto.

Saewyc, E. (2012). “Suicide among vulnerable populations of youth: Risk and protective factors.”

For the CIHR Best Brains Exchange on gender and sex-based considerations in youth suicide prevention, 31 January, Ottawa.

Saewyc, E. (2012). Invited roundtable symposium on the next decade in LGBTQ youth research.

Society for Research on Adolescence, presented March 11, 2012 in Vancouver.

Saewyc, E. (2012). Invited panel member, “Leadership in health care, the role of the university.”

Invited panel member, for the U21 Health Disciplines annual meeting, held at the University of Auckland, New Zealand, Sept. 2-7.

Shojaei A., Aleksejuniene J., Gardner K.M., Saewyc E., and Salimpour N. (2012). Oral Health-Related Lifestyle In Vancouver Inner City Elementary Schools.

Poster presented at the annual meeting of the Public Health Agency of BC, held November 22-23, in Burnaby.

Saewyc E., Rivers R, MacKay L, Hirakata P, Roelofsen D, Oliffe J, Matthews J, and Creighton G. (2012). Patterns of health care access among marginalized urban young men: How sexual orientation, quality, and masculinity influence decisions to access care.

Oral presentation at the CIHR-IGH conference, Advancing Excellence in Gender, Sex and Health Research, October 29-31, 2012 in Montreal.

Daly K., Saewyc E., Johnson J., Bungay V. (2012). Making space for youth voices: Adolescent and clinician perspectives on clinical encounters for sexual health.

Poster presentation at the CIHR-IGH conference, Advancing Excellence in Gender, Sex and Health Research, October 29-31, 2012 in Montreal.

Daly K., Saewyc E., Johnson J. Bungay V. (2012). “They don’t talk about sex like making love”: Positive sexuality in clinical encounters for youth sexual health.

Poster presentation at the Qualitative Health Research annual conference, October, 2012 in Montreal.

Laye-Gindhu A, Saewyc E. (2012). Non-suicidal self-injury among Canadian street-involved adolescents.

As part of the symposium, “Adolescent self-injury across cultures: Similarities and differences in risk and protection.” Paper presented 10 March, 2012 at the biennial international conference of the Society for Research in Adolescence, held in Vancouver.

Marshall S, Saewyc E. (2012). Peer sexual harassment and sex motives: A gendered analysis.

Poster presented at the Society for Adolescent Health and Medicine conference, to be held in March 2012 in New Orleans.

Saewyc E., Homma Y., Hitchcock C., Prior J. (2012). Sexual orientation, stigma, and menarche among adolescent girls in Canada.

Poster presented at the Society for Adolescent Health and Medicine conference, March 14-17 in New Orleans.

Saewyc E, Chen W. (2012). Weakening the links between violence exposure and teen pregnancy involvement in Western Canada: Protective factors that may promote resilience.

Oral paper presented March 16 at the Society for Adolescent Health and Medicine conference, held in March 14-17 in New Orleans.

Young, M.M., Saewyc, E., Boak, A., Jahrig, J., Anderson, B., Doiron, Y., Taylor, S., Pica, L., Laprise, P., & Clark, H. (2012). The prevalence of student alcohol and drug use in Canada.

Poster presented at the Society for Prevention Research annual meeting, special session sponsored by the National Institutes on Drug Abuse, in Washington DC, May 29-June 1.

Society for Menstrual Cycle Research Position Statement, 2012: Prior JC. Naming Women’s Midlife Reproductive Transition.

In the interest of reducing confusion and improving midlife women’s quality of life, as well as access, if desired or needed, to appropriate health care, and promoting the use of clearer terminology, we recommend specific and precise use of the terms of perimenopause and menopause. Click here to read the Position Statement.

Macneil JA, Adachi JD, Goltzman D, Josse RG, Kovacs CS, Prior JC, Olszynski W, Davison KS, Kaiser SM; the CaMos Research Group (2012) Predicting fracture using 2D finite element modeling. Medical Engineering & Physics, 34(4):478-84.

A decrease in bone density at the hip or spine has been shown to increase the risk of fracture. A limitation of the bone mineral density (BMD) measurement is that it provides only a measure of a bone sample’s average density when projected onto a 2D surface. Effectively, what determines bone fracture is whether an […]

Lix LM, Azimaee M, Osman BA, Caetano P, Morin S, Metge C, Goltzman D, Kreiger N, Prior J, Leslie WD. (2012) Osteoporosis-related fracture case definitions for population-based administrative data. BMC Public Health, 12:301.

Population-based administrative data have been used to study osteoporosis-related fracture risk factors and outcomes, but there has been limited research about the validity of these data for ascertaining fracture cases. The objectives of this study were to: (a) compare fracture incidence estimates from administrative data with estimates from population-based clinically-validated data, and (b) test for […]

Langsetmo L, Hitchcock CL, Kingwell EJ, Davison KS, Berger C, Forsmo S, Zhou W, Kreiger N, Prior JC; CaMos Research Group.(2012) Physical activity, body mass index and bone mineral density-associations in a prospective population-based cohort of women and men: the Canadian Multicentre Osteoporosis Study (CaMos). Bone, 50(1):401-8.

Physical activity (PA) is an important modifiable risk factor for both bone mineral density (BMD) and body mass index (BMI). However, BMI is itself strongly predictive of BMD. Our aim was to determine the association between PA and BMD, with consideration of BMI as a potential mediating factor. The Canadian Multicentre Osteoporosis Study (CaMos) is […]

Berger C, Greene-Finestone LS, Langsetmo L, Kreiger N, Joseph L, Kovacs CS, Richards JB, Hidiroglou N, Sarafin K, Davison KS, Adachi JD, Brown J, Hanley DA, Prior JC, Goltzman D; the CaMos Research Group (2012) Temporal trends and determinants of longitudinal change in 25-Hydroxyvitamin D and parathyroid hormone levels. Journal of Bone Mineral Research, 27(6):1381-1389.

Vitamin D is essential for facilitating calcium absorption and preventing increases in parathyroid hormone (PTH), which can augment bone resorption. Our objectives were to examine serum levels of 25-hydroxyvitamin D [25(OH)D] and PTH, and factors related to longitudinal change in a population-based cohort. This is the first longitudinal population-based study looking at PTH and 25(OH)D […]

Hitchcock CL, Prior JC. (2012) Oral Micronized Progesterone for Vasomotor Symptoms -a placebo-controlled randomized trial in healthy postmenopausal women. Menopause – The Journal of The North American Menopause Society,19(8) 866-93.

The aim of this study was to compare oral micronized progesterone (progesterone) with placebo as therapy for postmenopausal hot flushes and night sweats (vasomotor symptoms [VMS]). Healthy volunteer community women 1 to 10 years since final menstruation were recruited for a randomized double-blind placebo-controlled trial of progesterone (300 mg daily at bedtime) between 2003 and […]

Targownik LE, Leslie WD, Davison KS, Goltzman D, Jamal SA, Kreiger N, Josse RG, Kaiser SM, Kovacs CS, Prior JC, Zhou W; the CaMos Research Group (2012) The Relationship Between Proton Pump Inhibitor Use and Longitudinal Change in Bone Mineral Density: A Population-Based From the Canadian Multicentre Osteoporosis Study (CaMos). The American Journal of Gastroenteroogy. 107(9):1361-9.

Proton pump inhibitor (PPI) use has been identified as a risk factor for hip and vertebral fractures. Evidence supporting a relationship between PPI use and osteoporosis remains scant. Demonstrating that PPIs are associated with accelerated bone mineral density (BMD) loss would provide supportive evidence for a mechanism through which PPIs could increase fracture risk. We […]

Hitchcock CL, Elliot TG, Norman EG, Stajic V, Teede HJ and Prior JC (2012). Hot flushes and night sweats differ in associations with cardiovascular markers in healthy early postmenopausal women. Menopause – The Journal of The North American Menopause Society, 19(11):1208-14.

The aim of this study was to evaluate the associations between vasomotor symptoms ([VMS] hot flushes or flashes and night sweats) and markers of cardiovascular risk. Healthy postmenopausal women in a randomized controlled trial of progesterone for VMS recorded VMS frequency in the Daily Menopause Diary for 28 days at baseline. Accepted risks for cardiovascular […]

Prior JC, Hitchcock CL (2012) Progesterone for hot flush and night sweat treatment – effectiveness for severe vasomotor symptoms and lack of withdrawal rebound. Gynecological Endocrinology – the Journal of the International Society of Gynecological Endocrinology, 28 Suppl 2:7-11.

A controlled trial recently showed that oral micronized progesterone (Progesterone, 300 mg at h.s. daily) was effective for vasomotor symptoms (VMS) in 133 healthy early postmenopausal women. Here, we present subgroup data in women with severe VMS (50 VMS of moderate–severe intensity/wk) and also 1-mo withdrawal study outcomes. Women with severe VMS (n = 46) resembled […]

Koller DL, Zheng HF, Karasik D, Yerges-Armstrong L, Liu CT, McGuigan F, Kemp JP, Giroux S, Lai D, Edenberg HJ, Peacock M, Czerwinski SA, Choh AC, McMahon G, St Pourcain B, Timpson NJ, Lawlor DA, Evans DM, Towne B, Blangero J, Carless MA, Kammerer C, Goltzman D, Kovacs CS, Prior JC, Spector TD, Rousseau F, Tobias JH, Akesson K, Econs MJ, Mitchell BD, Richards JB, Kiel DP, Foroud T (2012). Meta-analysis of genome-wide studies identifies WNT16 and ESR1 SNPS associated with bone mineral density in premenopausal women. Journal of Bone Mineral Research, 28(3): 547-58.

Previous genome-wide association studies (GWAS) have identified common variants in genes associated with variation in bone mineral density (BMD), although most have been carried out in combined samples of older women and men. Meta-analyses of these results have identified numerous single-nucleotide polymorphisms (SNPs) of modest effect at genome-wide significance levels in genes involved in both […]

Young, M. M., Saewyc, E., Boak, A., Jahrig, J., Anderson, B., Doiron-Brun, Y., Taylor, S., Pica, L., Laprise, P., and Clark, H. [Student Drug Use Surveys Working Group]. (September 2011). The Cross Canada Report on Student Drug Use. Ottawa, ON: Canadian Centre on Substance Abuse.

Student drug use surveys provide an essential source of information about the prevalence and frequency of substance use, associated harms, socio-demographic correlates, and identification of high-risk groups in a youth population. Surveys that ask about drug use are conducted intermittently in nine of Canada’s 10 provinces. Unfortunately, there is large variability in methodologies employed and […]

Saewyc E, Warf C. (2011). Sexual orientation development and health issues of the adolescent patient. Treatment Strategies-Pediatrics, 2(1), 32-34

Clinicians and parents share the goal of promoting the healthy development of children and their maturation into healthy, engaged, and happy adults who will have positive and mutually supportive relationships. A core component of healthy development is the development of one’s sexual identity, shaped by one’s sexual orientation. Though contemporary thinking conceptualizes sexual orientation as […]

Poon C., Saewyc E., Chen, W. (2011). Enacted stigma, problem substance use, and protective factors among Asian sexual minority youth in British Columbia. Canadian Journal of Community Mental Health. 30(2), 47-64.

This study examined enacted stigma and problem substance use among Asian sexual minority youth and the buffering role of protective factors. Logistic regression analyses of a weighted sample of 5,423 Asian youth who completed the 2003 BC Adolescent Health Survey indicated that sexual minority youth were more likely to be victimized compared to heterosexual peers. […]

Sociologists for Women in Society Fact Sheet, 2011: The Menstrual Cycle: A Feminist Lifespan Perspective—Society for Menstrual Cycle Research, Bobel C, Prior JC, Hitchcock CL et. al.

View the Fact Sheet here.

Prior J.C (2011) Tempestade de Estrogenio :historias de perimenopausa. Editora E-papers, Rio de Janeiro, Brazil.

ISBN 978-85-7650-266-1

Kalyan, S., Hitchcock, C. L., Pudek, M., & Prior, J. C. (2011). Acute effects of premenopausal hysterectomy with bilateral oophorectomy on serum lipids, hormonal values, inflammatory markers and metabolism. Journal of Gynecologic Surgery, 27(1):9-15.

The aim of this study was to provide a clinical reference for the acute postoperative changes to lipids and inflammation following premenopausal hysterectomy with bilateral oophorectomy and compare them to normal reference values. The study design was a planned secondary analysis of data from a randomized double-blind trial comparing the effectiveness of two different hormone […]

Langsetmo L., Nguyen T.V., Nguyen N.D., Kovacs C.S, Prior J.C., Center J.R., Morin S., Josse R.G., Adachi J.D., Hanley D.A., Eisman J.A. and the CaMos Research Group (2011) Independent External Validation of Nomograms for Low Trauma Fracture and Hip Fracture Risk in a Population of Canadian Men and Women Ages 55-95. Canadian Medical Association Journal 183(2):E107-14.

A set of nomograms based on the Dubbo Osteoporosis Epidemiology Study predicts the five- and ten-year absolute risk of fracture using age, bone mineral density and history of falls and low-trauma fracture. We assessed the discrimination and calibration of these nomograms among participants in the Canadian Multicentre Osteoporosis Study. We included participants aged 55–95 years […]

Langsetmo L, Hanley DA, Prior JC, Barr SI, Anastassiades T, Towheed T ; CaMos Research Group (2011) Dietary patterns and incident low-trauma fractures in postmenopausal women and men aged ≥50 y: a population-based cohort study. American Journal of Clinical Nutrition 93(1):192-199.

Previous research has shown that dietary patterns are related to the risk of several adverse health outcomes, but the relation of these patterns to skeletal fragility is not well understood. Our objective was to determine the relation between dietary patterns and incident fracture and possible mediation of this relation by body mass index, bone mineral […]

Leslie WD, Kovacs CS, Olszynski WP, Towheed T, Kaiser SM, Prior JC, Josse RG, Jamal SA, Kreiger N, Goltzman D; CaMos Research Group (2011) Spine-Hip T-Score Difference Predicts Major Osteoporotic Fracture Risk Independent of FRAX(®): A Population-Based Report From CAMOS. Journal of Clinical Densitometry,14(3):286-93.

The WHO fracture risk assessment tool (FRAX®) estimates an individual’s 10-yr major osteoporotic and hip fracture probabilities. When bone mineral density (BMD) is included in the FRAX calculation, only the femoral neck measurement can be used. Recently, a procedure was reported for adjusting major osteoporotic fracture probability from FRAX with femoral neck BMD based on […]

Leslie WD, Berger C, Langsetmo L, Lix LM, Adachi JD, Hanley DA, Ioannidis G, Josse RG, Kovacs CS, Towheed T, Kaiser S, Olszynski WP, Prior JC, Jamal S, Kreiger N, Goltzman D; CaMos Research Group (2011) Construction and validation of a simplified fracture risk assessment tool for Canadian women and men: results from the CaMos and Manitoba cohorts. Osteoporosis International, 22(6):1873-83.

A procedure for creating a simplified version of fracture risk assessment tool (FRAX®) is described. Calibration, fracture prediction, and concordance were compared with the full FRAX tool using two large, complementary Canadian datasets. The Canadian Association of Radiologists and Osteoporosis Canada (CAROC) system for fracture risk assessment is based upon sex, age, bone mineral density […]

Prior JC (2011) Progesterone for Symptomatic Perimenopause Treatment – Progesterone politics, physiology and potential for perimenopause. Facts, Views and Vision in Obstetrics and Gynaecology, 3(2):109-120.

Perimenopause, women’s normal midlife reproductive transition, is highly symptomatic for about 20% of women who are currently inaccurately counseled and inappropriately treated with oral contraceptives, menopausal hormone therapy or hysterectomy. About 80% of perimenopausal women experience vasomotor symptoms (VMS), 25% have menorrhagia, and about 10% experience mastalgia. The majority of women describe varying intensities of […]

White CP, Hitchcock CL, Vigna YM and Prior JC (2011) Fluid Retention over the Menstrual Cycle: 1-Year Data from the Prospective Ovulation Cohort. Obstetrics and Gynecology International, vol. 2011 Article ID 138451.

We report menstrual and mid-cycle patterns of self-reported “fluid retention” in 765 menstrual cycles in 62 healthy women. Self-reported “fluid retention,” commonly described as bloating, is one element of the clinical assessment and diagnosis of premenstrual symptoms. These daily diary data were collected as part of an observational prospective one-year study of bone changes in […]

Creighton, G., Matthews, J., Oliffe, J., Butterwick, S., & Saewyc, E. (2011). “Picturing masculinity: Young men’s health/risk practices following the death of a friend.”

Paper presented at the Canadian Public Health Association annual meeting, June 2011, Montreal Quebec.

Saewyc, E. (2010). “Bruised but not broken: Strategies for fostering resilience in youth exposed to gendered violence.”

Invited speaker for the opening event of a CIHR Institute for Gender & Health special forum on Violence, Gender and Health research, held January 27 in Ottawa.

Saewyc, E. (2010). Invited presentation, “Building hope: Fostering resilience among vulnerable populations of youth.”

Child Family Research Institute, as part of UBC Celebrate Research Week, presented March 9 at Children’s Hospital in Vancouver; also available as webcast.

Saewyc E. (2010). Knowledge without Harm: Ethical issues in research among sexual minority youth.

For Diversity in the 21st Century, Forum hosted by Society for Research on Adolescence Biennial Meeting on March 11.

Saewyc, E. (2010). “Stigma on the streets: LGBT marginalized and street involved youth.”

Invited workshop for the Surrey Child and Youth Mental Health Team, held March 16 in Surrey.

Saewyc, E.(2010). “In the News: Do print news media accurately portray sexually exploited youth in Canada?”

Invited presentation for the Senate Committee Against Commercial Sexual Exploitation of Children, presented 22 April, Ottawa.

Saewyc, E. (2010). Invited workshop, “What about the guys? Young men’s invisibility in sexual health research and practice.”

To be presented at the 32nd Annual Guelph Sexuality Conference, University of Guelph, held June 21-23, in Guelph, Ontario.

Saewyc, E. (2010). “Teen pregnancy among LGB adolescents.”

For Vancouver Coastal Health’s Child and Youth Health annual training day, June 30, Vancouver, BC.

Saewyc E. (2010). The SMART guidelines for assessing sexual orientation in population surveys.

For the LGBTQ Committee of the Joint Statistical Meeting, American Statistical Association and Canadian Statistical Association on Aug. 3, Vancouver, BC.

Saewyc E & Edinburgh L. (2010). Fostering resilience among sexually exploited young runaways in Minnesota.

For the National Child Advocacy Center’s 11th Annual Conference on Child Sexual Abuse and Exploitation Prevention, held on 24-26, New Orleans, USA.

Saewyc E. (2010). “What a difference a year can make: Early alcohol and marijuana use among BC students”.

For the Federal/Provincial/Territorial Liaison Committee on Problematic Substance Use, Nov. 1, Ottawa.

Saewyc E. (2010). “Strong in spite of Stigma: Protective factors, resilience, and mental health among gay and bisexual teens in BC.”

Opening Keynote. Presented at the BC Gay Mens Health Summit, November 25, Vancouver.

Saewyc, E, Chen W, Hirakata, P. (2010). Quantifying the influence of violence exposure on adolescent risk behaviours in Western Canada.

Poster presented at the Society for Adolescent Health Medicine meeting, April 8 in Toronto

Hirikata P, Saewyc, E, Callaghan S, Joo S, Metcalfe Q. (2010). In the news: Do print news media accurately portray sexually exploited youth in Canada?

Poster presented at Society for Adolescent Health and Medicine meeting, April 7, in Toronto

Drozda C, Kim K, Saewyc E, Mackay L, Ki D. (2010). Challenges of health equity for South Korean and Canadian street-involved youth.

Poster to be presented at the Canadian Public Health Association annual conference, held in Toronto, June 14-17.

Van Borek N, Coser L, YIP Co-Researchers, Botnick M, Chambers C, Taylor D, Saewyc E, Buxton J. (2010). Youth co-researchers explore street-involved youth perspectives on preventing the transition into injection drug use.

Poster at the 18th International AIDS Conference, Vienna, Austria, 18-23 July.

Saewyc E, Edinburgh L, (2010). Improving resiliency and changing trajectories for sexually exploited youth.

Workshop at the Society for Adolescent Health and Medicine Meeting, 7 April in Toronto, Ont.

Saewyc E, Poon C, Homma Y. (2010). Lowering the odds of HIV risk behaviour among sexual minority adolescents experiencing enacted stigma.

Paper presented at the Pathways to Resilience II: The Social Ecology of Resilience conference, held June 7-10, Halifax

Saewyc E, Chen W, & Hirakata P. (2010). ‘Sticks and stones my break my bones, but words will never hurt me?’ The population fraction of adolescent risk behaviour attributable to verbal violence.

Presented at Canadian Public Health Association annual conference, held June 13-16, Toronto, Ontario.

Drozda C, Rodney P, Pauly B, Daly K, & Saewyc E. (2010). “A social justice perspective for policy analysis of health inequities of marginalized youth.”

Paper presented at the 14th International Philosophy of Nursing conference, 20 September, Vancouver.

Smith A, Stewart D, Poon C, Saewyc E. (2010). Drug use among 16 to 18 year old BC students. (Adolescent Health Survey IV Bulletin). Vancouver, BC: McCreary Centre Society.

While the use of alcohol and marijuana is widespread among 16-18 year olds the use of  other substances is much less common. Those youth who do use these substances are often coping with negative experiences in their lives and need the support of family, schools, peers and their communities. Find the fact sheet here.

Buxton J, Coser L, Van Borek N, Botnick M, Chambers C, Taylor D, Saewyc E. (2010). Service providers’ and street-involved youth perspectives on preventing the transition into injection drug use among street-involved youth: Successes, barriers and opportunities for youth prevention services [abstract]. International Journal of Qualitative Methods, Volume 9, Issue 4, pages 341-342.

“The Youth Injection Prevention (YIP) Project” is a research study collaboratively conducted by the BC Centre for Disease Control, University of British Columbia (University of British Columbia) School of Population and Public Health, University of British Columbia School of Nursing, community partners and youth coresearchers. It focuses on identifying service components that may prevent the […]

Kalyan S., Hitchcock C.L., Sirrs S., Pudek M., Prior J.C. (2010) Cardiovascular and metabolic effects of medroxyprogesterone acetate versus conjugated equine estrogen: A one-year randomized double-blind trial following premenopausal hysterectomy with bilateral ovariectomy. Pharmacotherapy. 2010; 30(5):442–452.

Study Objective: To compare the cardiovascular and metabolic effects of medroxyprogesterone acetate (MPA) with those of conjugated equine estrogen (CEE) as single-hormone therapies in women who underwent hysterectomy with bilateral ovariectomy. Design:  Secondary analysis of a 12–month, double-blind, randomized, parallel-therapy trial. Setting: Four teaching hospitals and one community hospital in Vancouver, Canada. Participants: Thirty-three healthy […]

Marks M., Hitchcock C.L., Sathi P., Prior J.C. (2010) Community pharmacists’ therapeutic recommendations for heavy flow, androgen excess, fragility fractures and night sweats in menstruating women. Canadian Pharmacist’s Journal 143;(2):88-95.e2.

Physicians and menstruating women often ask pharmacists for recommendations about menstrual cycle–related problems. Progesterone and medroxyprogesterone may provide physiology-based treatment, but official indications in menstruating women in Canada are minimal. To describe pharmacists’ responses to vignette-based questions about the treatment of common clinical problems in menstruating women and review evidence-based therapies.  A pharmacist interviewer administered […]

Battistella, E., Kalyan S., Prior J.C. (2010) Evaluation of successful methods and costs associated with recruiting 600 healthy women volunteers to a study of ovulation. Journal of Women’s Health. 19(8):1519-1524.

We address the crucial and challenging task of anticipating the resources needed to recruit eligible participants for research. We provide our analysis of various recruitment strategies and their cost-effectiveness in our experience in enrolling 610 women for an observational study on ovulation. We assess the cost-effectiveness and success of multiple recruitment strategies we employed and […]

Langsetmo L., Poliquin S., Hanley D.A., Prior J.C., Barr S., Anastassiades T., Towheed T., Goltzman D., Kreiger N. (2010) Dietary patterns in Canadian Men and Women Ages 25 and Older: Relationship to Demographics, Body Mass Index and Bone Mineral Density. BMC- Musculoskelet Disord; 11:20-26.

Previous research has shown that underlying dietary patterns are related to the risk of many different adverse health outcomes, but the relationship of these underlying patterns to skeletal fragility is not well understood. The objective of the study was to determine whether dietary patterns in men (ages 25-49, 50+) and women (pre-menopause, post-menopause) are related […]

Kingwell E, Prior J.C., Ratner P.A, Kennedy S.M., (2010) Direct-to-participant feedback and awareness of bone mineral density testing results in a population-based sample of mid-aged Canadians. Osteoporosis Int. 21(2):307-19.

This population-based study of mid-aged Canadians assessed awareness of diagnosis by bone mineral density (BMD) following dual-energy X-ray absorptiometry (DXA) testing and compared the effects of feedback only to the physician with direct-to-participant feedback. Poor recall of osteoporosis results was observed irrespective of the feedback destination, but direct-to-participant feedback improved recall of borderline or normal […]

Bedford J., Prior J.C., Barr S. (2010) A prospective exploration of cognitive dietary restraint, subclinical ovulatory disturbances, cortisol and change in bone density over two years in healthy young women. Journal of Clinical Endocrinology and Metabolism 95(7):3291-9.

Cross-sectional studies have found associations among elevated cognitive dietary restraint (CDR), increased ovulatory disturbances, and lower bone mass, possibly mediated by cortisol. To determine whether healthy young women with higher CDR have more menstrual cycles with subclinical ovulatory disturbances (SOD), elevated 24-h urinary free cortisol (UFC), and less positive 2-yr areal bone mineral density change […]

Zhou W., Langsetmo L., Berger C., Adachi J.D., Papaioannou A., Ioannidis G., Webber C., Atkinson S.A., Olszynski W.P., Brown J.P., Hanley D.A, Josse R., Kreiger N., Prior J.C, Kaiser S., Kirkland S., Goltzman D. and Davison K.S., the CaMos Research Group (2010) Normative bone mineral density Z-Scores for Canadians aged 16-24 yr: the Canadian Multicentre Osteoporosis Study Journal of Clinical Densitometry 13(3):267-7.

The objectives of the study were to develop bone mineral density (BMD) reference norms and BMD Z-scores at various skeletal sites, to determine whether prior fracture and/or asthma were related to BMD, and to assess possible geographic variation of BMD among Canadian youth aged 16–24 yr. Z-Scores were defined as the number of standard deviations […]

Berger C, Goltzman D, Langsetmo L, Joseph L, Jackson S, Kreiger N, Tenenhouse A, Davison KS, Josse RG, Prior JC, Hanley DA; CaMos Research Group (2010). Peak bone mass from longitudinal data: implications for the prevalence, pathophysiology, and diagnosis of osteoporosis. Journal of Bone Mineral Research, 25(9):1948-57.

We estimated peak bone mass (PBM) in 615 women and 527 men aged 16 to 40 years using longitudinal data from the Canadian Multicentre Osteoporosis Study (CaMos). Individual rates of change were averaged to find the mean rate of change for each baseline age. The age range for PBM was defined as the period during […]

Prior J.C., Hitchcock, C. L. (2010) The endocrinology of perimenopause: need for a paradigm shift. Frontiers in Bioscience (Schol Ed) 1 (3):474-86.

Perimenopause, rather than a time of declining estrogen, is characterized by three major hormonal changes that may begin in regularly menstruating women in their mid-thirties: erratically higher estradiol levels, decreased progesterone levels (in normally ovulatory, short luteal phase or anovulatory cycles), and disturbed ovarian-pituitary-hypothalamic feedback relationships. Recent data show that approximately a third of all […]

Langsetmo L, Leslie WD, Zhou W, Goltzman D, Kovacs CS, Prior J, Josse R, Olszynski WP, Davison KS, Anastassiades T, Towheed T, Hanley DA, Kaiser S, Kreiger N; CaMOS Research Group (2010) Using the same bone density reference database for men and women provides a simpler estimation of fracture risk. Journal of Bone Mineral Research 25(10):2108-14.

Although low bone mineral density (BMD) predicts fractures, there are postulated sex differences in the fracture “threshold.” Some studies demonstrate a higher mean BMD for men with fractures than for women, whereas others note similar absolute risk at the same level of BMD. Our objective was to test the preceding observations in the population-based Canadian […]

Langsetmo L, Morin S, Kovacs CS, Kreiger N, Josse R, Adachi JD, Papaioannou A, Goltzman D, Hanley DA, Olszynski WP, Prior J, Jamal SA; CaMos Research Group (2010) Determining whether women with osteopenic bone mineral density have low, moderate, or high clinical fracture risk. Menopause 17(5):1010-6.

Most low-trauma fractures occur among women with osteopenic bone mineral density (BMD), a population considered to have moderate absolute fracture risk. Our purpose was to refine the fracture risk prediction in women with osteopenic BMD to determine the subgroups at lowest and highest risk. We included 2,588 women aged 50 to 90 years with osteopenic […]

Kalyan S, Prior JC (2010) Bone Changes and Fracture Related to Menstrual Cycles and Ovulation. Critical Reviews of Eukaryotic Gene Expression 20(3):213-33.

Women’s menstrual cycles and bone remodeling are linked in part by their co-dependency on the stress- and resource-associated variables that govern both of their cyclical natures. Therefore, it is not surprising that evolution has resulted in the same signaling molecules and pathways that regulate normal ovarian function to be involved in bone remodeling and turnover. […]

Seifert-Klauss V and Prior J.C (2010) Progesterone and Bone – Actions Promoting Bone Health in Women. Journal of Osteoporosis Oct 31;2010:845180.

Estradiol ( E 2 ) and progesterone ( P 4 ) collaborate within bone remodelling on resorption ( E 2 ) and formation ( P 4 ). We integrate evidence that P 4 may prevent and, with antiresorptives, treat women’s osteoporosis. P 4 stimulates osteoblast differentiation in vitro. Menarche ( E 2 ) and onset […]

Stewart D, Vallance K, Stockwell T, Reimber B, Smith A, Reist D, & Saewyc E. (2009). Adolescent Substance Use and Related Harms in BC (CARBC and McCreary Centre Society Statistical Bulletin). Victoria, British Columbia: University of Victoria.

This 8 page bulletin using data from the 2008 Adolescent Health Survey shows that the rates of students using alcohol, marijuana or tobacco have declined over the past decade. The report is a joint publication of McCreary Centre Society and the Centre of Addictions Research of BC. Find the fact sheet here.

Smith, A., Stewart D., Peled, M., Poon, C. Saewyc, E. & the McCreary Centre Society (2009). A Picture of Health: Highlights of the 2008 British Columbia Adolescent Health Survey. Vancouver, BC: McCreary Centre Society.

This report provides the results of the fourth Adolescent Health Survey conducted in 1,760 classrooms across 50 of BC’s 59 school districts. The 2008 AHS is the largest survey of its kind in Canada and provides the most comprehensive picture of the physical and emotional health of BC youth, including risk and protective factors. The […]

Sexual Minority Assessment Research Team [E. Almazan, G. Ayala, M.V.L. Badgett, L. Bye, C. Carpenter, D. Chae, S. Cochran, K. Conron, R. Diaz, G.J. Gates, M. Klawitter, S. Landers, E. Saewyc, R. Sell]. (2009). Best Practices for Asking Questions about Sexual Orientation on Surveys. The Williams Institute, University of California at Los Angeles.

In 2003 the Ford Foundation began funding a multi-year project that sought to increase the quantity and quality of data on gay, lesbian, and bisexual people, and, by extension, on heterosexual people. Over a five-year period, many researchers participated in the expert panel funded by the grant, thus contributing to the knowledge embodied in this […]

Saewyc, E. (2009). Alcohol and other drug use among BC students: Myths and realities. Visions, BC’s Mental Health and Addictions Journal, 5(2), 8-9.

Alcohol and other drug use by young people is a frequent concern among adults. Most people know someone who has suffered problems from misuse of alcohol or other drugs. They worry that any use during the teen years will lead to addiction. There is a widespread perception that drugs are easier to get now than […]

Saewyc, EM. (2009). Sexual abuse: Medical and psychological perspectives. In R.A. Shweder, T.R. Bidell, A.C. Dailey, S.D. Dixon, P.J. Miller, & J. Modell (eds.), The Child: An Encyclopedic Companion. Chicago: University of Chicago Press. pp 882-884.

The Child: An Encyclopedic Companion offers both parents and professionals access to the best scholarship from all areas of child studies in a remarkable one-volume reference. Bringing together contemporary research on children and childhood from pediatrics, child psychology, childhood studies, education, sociology, history, law, anthropology, and other related areas, The Child contains more than 500 […]

Phillips, J.C., & Saewyc, E.M. (2009). Chapter 11: HIV disease and gay, lesbian, bisexual and transgender persons. In J. Durham & F.R. Lashley (eds.), The Person with HIV/AIDS: Nursing Perspectives, (4th ed.), New York, NY: Springer Publishing. ISBN13# 9780826121370. Pp 365-404.

HIV/AIDS is no longer a certain death sentence. Patients fighting the chronic symptoms of HIV/AIDS are now living longer, fuller lives due to recent scientific and pharmaceutical breakthroughs. As a result, the new generation of caregivers must keep pace with cutting-edge, evidence-based practices to better serve patients who may live with HIV/AIDS for several decades. […]

Certain H, Harahan B, Saewyc E, Fleming M. (2009). Condom use in heavy drinking college students: The importance of always using condoms. Journal of American College Health, 58(3), 187-194.

Objective: The authors examined whether alcohol use decreased condom use Participants: The subjects were heavy-drinking students on 5 different college campuses. Methods: A face-to-face interview, administered between November of 2004 and February of 2007, gathered information about condom use, alcohol use, and other behaviors. Multivariate logistic regression was used to assess predictors of condom use. […]

Baxter, S; Prior J.C. (2009). The Estrogen Errors-Why Progesterone is Better for Women’s Health. Praeger/Greenwood Publishing Group/ ABC-Clio. Conn, USA.

ISBN-10: 0313353980 ISBN-13: 978-0313353987

Berger, C., Langsetmo, L., Joseph, L., Hanley, D.A., Davison, S.K., Josse, R.G., Prior, J.C., Krieger, N., Tenenhouse, A., Goltzman, D., and the CaMos Research Group (2009). Association between change in BMD and fragility fracture in women and men. Journal of Bone Mineral Research, 24(2): 361-371.

Our objective was to estimate the relationship between longitudinal change in BMD and fragility fractures. We studied 3635 women and 1417 men 50–85 yr of age in the Canadian Multicentre Osteoporosis Study who had at least two BMD measurements (lumbar spine, femoral neck, total hip, and trochanter) within the first 5 yr of the study […]

Papaioannou A, Kennedy C.C., Ioanidis G., Sawka A., Hopman W.M., Pickard L., Brown J.P., Josse R.G., KaiserS., Anastassiades T., Goltzman., D Papadimirtopoulous M., Tenenhouse A., Prior J.C., Olszynski W.P., Adachi J.D., for the CaMos Research Group (2009). The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study. Osteoporosis International, 20:703-714.

Using prospective data from the Canadian Multicentre Osteoporosis Study (CaMos), we compared health utilities index (HUI) scores after 5 years of follow-up among participants (50 years and older) with and without incident clinical fractures. Incident fractures had a negative impact on HUI scores over time. This study examined change in health-related quality of life (HRQL) […]

Jamal S.A, Goltzman D, Hanley D.A., Papaioannou D., Prior J.C., Josse R.G. (2009). Nitrate use and changes in bone mineral density: the Canadian Multicentre Osteoporosis Study. Osteoporosis International, 20, (5): 737-741.

Nitrates may have beneficial effects on bone. To determine if nitrates were associated with increased bone mineral density (BMD), we conducted a secondary analysis using data from subjects in a prospective study. Subjects reporting nitrate use had increased BMD compared with non-users, confirming that nitrates have positive BMD effects in women and men. Prior studies […]

Langsetmo L.A, Morin, S., Richards, J.B., Davison, K.S., Olszynski W.P, Prior, J.C., Josse, R., Goltzman, D., & CaMos Research Group (2009). Effectiveness of antiresorptives for the prevention of non-vertebral low-trauma fractures in a population-based cohort of women. Osteoporosis International, 20:283–290.

Observational studies are needed to quantify real-life effectiveness of antiresorptive therapy in the prevention of clinical fractures. Antiresorptive therapies were associated with an overall 32% reduction in low-trauma nonvertebral fracture risk among women 50 and older. Effectiveness may be lower among older women and those without risk factors. Randomized controlled trials have shown that antiresorptive […]

Chen P., Krege J.H., Adachi J.D., Prior J.C., Tenenhouse A., Brown J.P., Papadimitropoulos M., Kreiger N., Olszynski W.P., Josse R.G., Goltzman D. (2009). Vertebral Fracture Status and the World Health Organization (WHO) Risk Factors for Predicting Osteoporotic Fracture Risk. Journal of Bone Mineral Research, 24(3): 495-502.

Vertebral fractures are the most common osteoporotic fracture, and patients with prevalent vertebral fractures have a greater risk of future fractures. However, radiographically determined vertebral fractures are not identified as a distinct risk factor in the World Health Organization (WHO) fracture risk assessment tool. The objective of this study was to evaluate and compare potential […]

Harvey A.T., Hitchcock C.L., Prior J.C. (2009). Ovulation disturbances and mood across the menstrual cycles of healthy women. Journal of Psychosomatic Obstetrics and Gynecology, 30(4), 207-214.

We examined the cyclicity of negative mood relative to ovulation and ovulation disturbances in Menstrual Cycle Diary© data collected daily during a 1-year study of ovulation, exercise, and bone change. A validated quantitative basal temperature-based methodology was used to determine the onset of the luteal phase. ‘Feeling depressed’, ‘feeling anxious’, and ‘feeling angry/frustrated’ were scored […]

Ioannidis G., Papaioannou A., Hopman W.M., Akhatar-Danesh N., Anastassiades T., Pickard L., Kennedy C.C., Prior J.C., Olszynski W.P., Davison K.S., Goltzman D., Thabane L., Gafni A., Papadimitriopoulos E.A., Brown J.P., Josse R.G., Hanley D.A., Adachi J.D. (2009) Relationship between fractures and mortality: results from the Canadian Multicentre Osteoporosis Study. Canadian Medical Association Journal, 181: 265-271.

Fractures have largely been assessed by their impact on quality of life or health care costs. We conducted this study to evaluate the relation between fractures and mortality. A total of 7753 randomly selected people (2187 men and 5566 women) aged 50 years and older from across Canada participated in a 5-year observational cohort study. […]

Bedford J.L., Prior J.C., Hitchcock C.L., & Barr S.I. (2009). Detecting evidence of luteal activity by least squares quantitative basal temperature analysis against urinary progesterone metabolites and the effect of wake-time variability. European Journal of Obstetrics and Gynecology and Reproductive Biology, 146:76-80.

Objective: To assess computerised least-squares analysis of quantitative basal temperature (LS-BT) against urinary pregnanediol glucuronide (PdG) as an indirect measure of ovulation, and to evaluate the stability of LS-QBT to wake-time variation. Study design: Cross-sectional study of 40 healthy, normal-weight, regularly menstruating women aged 19–34. Participants recorded basal temperature and collected first void urine daily […]

Langsetmo L., Goltzman D., Kovacs C.S., Adachi J.D., Hanley D.A., Kreiger N., Josse R., Papaionnou A., Olszynski W.P., Jamal SA, CaMOS Research Group (2009). Repeat low-trauma fractures occur frequently among men and women who have osteopenic BMD. Journal of Bone and Mineral Research, (9):1515-22.

Fracture risk assessment based solely on BMD has limitations. Additional risk factors include the presence of a previous low-trauma fracture. We sought to quantify the fracture burden attributable to first versus repeat fracture. We studied 2179 men and 5269 women, 50–90 yr of age, participating in the Canadian Multicentre Osteoporosis Study (CaMos). We included all […]

Jamal S.A., Swan V.J., Brown J.P., Hanley D.A., Prior J.C., Papaioannou A., Langsetmo L., Josse R.G., Canadian Multicentre Osteoporosis Study Research Group. (2009) Kidney Function and Rate of Bone Loss at the Hip and Spine: The Canadian Multicentre Osteoporosis Study. American Journal of Kidney Function, 55(2):291-299.

Background: The relationship between kidney function and bone loss is unclear. Study Design: A prospective observational study. Setting & Participants: 191 men and 444 women aged ≥50 years participating in a population-based observational study designed to determine risk factors for bone loss and fractures. Predictors: The primary predictor of change in bone mineral density (BMD) […]

Hopman WM, Berger C, Joseph L, Towheed T, Prior JC, Anastassiades T, Poliquin S, Zhou W, Adachi JD, Hanley DA, Papadimitropoulos EA, Tenenhouse A, CaMos Research Group (2009). Health-related quality of life in Canadian adolescents and young adults: Normative data using the SF-3. Canadian Journal of Public Health, 100:449-52.

Normative data for the SF-36 measure of health-related quality of life (HRQOL) exist for those over 25 years of age, based on data from the population-based Canadian Multicentre Osteoporosis Study (CaMos). CaMos recently recruited a sample of young Canadians aged between 16 and 24 years. The purpose of this study was to develop normative SF-36 […]

Smith, A., Peled, M., Albert, M., MacKay, L., Stewart, D, Saewyc, E., & the McCreary Centre Society. (2008). Making the Grade: A Review of Alternate Education Programs in British Columbia. Vancouver, BC: McCreary Centre Society.

A review of alternative education programs in BC, involving three hundred thirty-nine youth attending 34 alternative education programs for “at-risk” and “high risk” youth across the province, and 62 adult stakeholders. The review documents the positive impact of these programs for at-risk youth. ISBN #: 978-1-895438-86-1 Find the report here.

Saewyc E, & Duncan S. (November 2008). Evidence for healthy child and youth development interventions for core public health functions. Report for the BC Ministry of Healthy Living & Sport, Core Functions in Public Health.

For children and youth in British Columbia, the school years are important periods of physical, cognitive, social, and moral development. Choices made during this time influence health and behaviours throughout their lives, but these choices are influenced by social environments and broader determinants of health. There is a large body of research focused on effective […]

Albert M, Saewyc E, Smith A, MacKay L. (2008). Changes in substance use patterns for street-involved youth cohorts in British Columbia [abstract]. Journal of Adolescent Health, Volume 42, Issue 2 Supplement, page S49.

Purpose: The purpose of this study was to examine whether substance use patterns among younger street-involved youth have changed in 5 cities across British Columbia between 2000 and 2006. Methods: This study involved data from two surveys of street-involved youth in 2000 and 2006. Both surveys were conducted using nearly identical community-based participatory methods in […]

Homma Y, & Saewyc E. (2008). Acculturation and sexual behavior among East Asian adolescents in British Columbia, Canada. [abstract]. Journal of Adolescent Health, Volume 42, Issue 2 Supplement, page S45.

Purpose: Culture is believed to shape people’s values and beliefs, which influence their behavior; thus, acculturation may help to explain health behavior among ethnic-minority youth. To develop culturally-relevant sexual health education programs, we need to assess how culture influences adolescent sexual behavior. The purpose was to examine associations between levels of acculturation and prevalence of […]

Clarke M, Lin L, Saewyc E, Whitehouse S. (2008). Alcohol-related visits in youth: Pediatric emergency department utilization [abstract]. Canadian Journal of Emergency Medicine, Volume 10, Issue 3, page 106.

Introduction: The incidence of binge drinking is increasing in Canadian youth. Its impact on emergency department resource utilization is unknown. This study characterizes the demographics, clinical features and management of youth who present to the pediatric emergency department (PED) with alcohol ingestion. Methods: A retrospective study in an academic, urban, tertiary care PED with an […]

Brunanski D, Bingham B, Smith A, & Saewyc E. (2008). Mental health issues among Aboriginal street-involved youth in Western Canada. [abstract] International Journal of Psychology, Volume 43, Issue 3-4, 230.

This study explored health issues of younger Aboriginal street-involved youth (< 19 years) from nine communities of a Western Canadian province. A participatory research population-based survey (N = 762) found disproportionate Aboriginal representation (54%) vs. census data (~9%). Despite high levels of risk exposures, Aboriginal youth reported connectedness to family and school, and hope for […]

Berger, C., Langsetmo, L., Joseph, L., Hanley, D.A., Davison, K.S., Josse, R., Krieger, N., Tenenhouse, A., Goltzman, D., & CaMos Research Group. (2008). Change in bone mineral density as a function of age in women and men and association with the use of antiresorptive agents. Canadian Medical Association Journal, 178(13): 1660-8.

Measurement of bone mineral density is the most common method of diagnosing and assessing osteoporosis. We sought to estimate the average rate of change in bone mineral density as a function of age among Canadians aged 25–85, stratified by sex and use of antiresorptive agents. We examined a longitudinal cohort of 9423 participants. We measured […]

Papaioannou, A., Kennedy, C.C., Ioannidis, G., Gao, Y., Sawka, A.M., Goltzman, D., Tenenhouse, A., Pickard, L., Olszynski, W.P., Davison, K.S., Kaiser, S., Josse, R.G., Kreiger, N., Hanley, D.A., Prior, J.C., Brown, J.P., Anastassiades, T., Adachi, J.D., & CaMos Research Group. (2008). The osteoporosis care gap in men with fragility fractures: The Canadian Multicentre Osteoporosis Study. Osteoporosis International, 19(4): 581-587.

We examined osteoporosis diagnosis/treatment in 2,187 community dwelling men age 50+. After five years in the study, 90% of men with fragility fractures remained undiagnosed and untreated for osteoporosis. The need to treat fragility fractures is well established in guidelines, and these numbers represent an important care gap. Whether physicians in the community are recognizing […]

Langsetmo, L., Hanley, D.A., Kreiger, N., Jamal, S.A., Prior, J.C., Adachi, J.D., Davison, K.S., Kovacs, C., Anastassiades, T., Tenenhouse, A., Goltzman, D., & CaMos Research Group. (2008). Geographic variation of bone mineral density and selected risk factors for prediction of incident fracture among Canadians 50 and older. Bone, 43 (4): 672-678.

Background: Striking geographic variation in the incidence of osteoporotic fracture has been shown in national and international studies. The contributing risk factors for this variation are not fully understood. Objective: To determine the geographic variation of bone mineral density (BMD) values, prevalent low-trauma fracture, prior falls, and vertebral deformity and to determine how this variation […]

Harris A., Prior J.C., Koehoorn M. (2008). Age at menarche in the Canadian population: secular trends and relationship to adulthood BMI. Journal of Adolescent Health, 43:548–554.

Studies from around the world indicate a trend toward younger ages of menarche. The extent of this trend in the Canadian population is unknown, and the relationship to later-life health indicators has not yet been fully elucidated. The objective of this study is to estimate the trend in age at menarche (AAM) in the Canadian […]

Smith A., Saewyc E., Albert M., MacKay L., Northcott M., & the McCreary Centre Society (2007). Against the Odds: A Profile of Marginalized and Street-Involved Youth in BC. Vancouver, BC: McCreary Centre Society.

The lives of marginalized and street-involved youth are complex and filled with challenges, dangers and opportunities. This report summarizes the results of surveys with marginalized youth in the North, Interior, Fraser Valley, Vancouver Island and Vancouver. It also serves as a follow-up to McCreary’s 2000 health survey of marginalized and street-involved youth (street youth) in […]

Saewyc E., Poon C., Wang N., Homma Y., Smith A., & the McCreary Centre Society. (2007). Not Yet Equal: The Health of Lesbian, Gay, & Bisexual Youth in BC. Vancouver, BC: McCreary Centre Society.

Not Yet Equal: The Health of Lesbian, Gay and Bisexual Youth in BC takes a closer look at the health of LGB youth, their life experiences, and risk behaviours across all three Adolescent Health Surveys. This report reveals both hopeful and worrying trends, fewer than expected differences between rural and urban LGB youth, and ongoing […]

Saewyc E.M. (2007). Chapter 2. Substance abuse among non-mainstream youth. In Substance Abuse in Canada: Youth In Focus. Ottawa: Canadian Centre on Substance Abuse.

While most adolescents do not have substance abuse problems, certain groups of youth are more likely than their peers to report heavy use, multi-drug use, social and economic problems due to use, and substance abuse or dependence disorders. Emerging research exploring the reasons for this higher risk suggests that some teens may be self-medicating to […]

Meininger E, Saewyc E, Skay C, Clark T, Poon C, Robinson E, Pettingell S, & Homma Y. (2007). Enacted stigma and HIV risk behaviors in sexual minority youth of European heritage across three countries. [abstract]. Journal of Adolescent Health, Volume 40, Issue 2 Supplement, page S27.

Purpose: Lesbian, gay, and bisexual (LGB) adolescents are stigmatized at home, at school, and in communities. They can be targeted for exclusion, discrimination, harassment, bullying, or physical assault (enacted stigma). LGB teens also have higher rates of HIV risk behaviors than heterosexual (HET) peers. Does experiencing enacted stigma help explain higher HIV risk? Methods: International […]

Saewyc EM, Edinburgh L, Richtman K. (2007). Outcomes of a runaway intervention project for sexually exploited young girls. [abstract]. Journal of Adolescent Health, Volume 40, Issue 2 Supplement, page S40.

Purpose: A growing number of sexually exploited young runaway Hmong girls in the Midwest prompted a multi-agency intervention designed to address mental health issues, reduce risky behaviors, promote reproductive health, and help re-connect these vulnerable girls to family and school. The purpose was to evaluate outcomes at 3 months vs. baseline for girls enrolled during […]

Homma Y, & Saewyc EM. (2007). The emotional well-being of Asian-American sexual minority youth in school. Journal of LGBT Health Research, 3(1), 67-78.

This study examined family and school correlates of emotional distress among Asian-American sexual minority youth in the Midwestern United States. Responses from 91 predominantly Hmong Asian-American youth who participated in a state-wide, school-based census survey and reported recent same-gender sexual activity were analyzed. Results showed that sexual minority youth who perceived lower levels of family […]

Garcia CM & Saewyc EM. (2007). Perceptions of mental health among recently-immigrated Mexican adolescents. Issues in Mental Health Nursing, 28(1), 37-54.

Rates of anxiety, depression, and suicidal ideation are high among Latino adolescents in the U.S., many of whom are immigrants. Immigration during adolescence creates risk factors for mental health problems. The purpose of this study was to explore the health-related perceptions of Mexican-origin immigrant adolescents to inform the design of culturally and developmentally appropriate mental […]

Garcia CM, Duckett LJ, Saewyc EM, Bearinger LH. (2007). Perceptions of Health among Immigrant Latino Adolescents from Mexico. Journal of Holistic Nursing, 25, 81-91.

Purpose: This ethnographic study describes the health-related perceptions of immigrant Latino adolescents from Mexico. Method: Fourteen adolescents, purposively recruited from two non-health-based community settings, participated. Each was interviewed twice and completed a visual narrative project using disposable cameras. Audiotaped transcripts and photographs were inductively analyzed. Findings: Being healthy is holistically perceived by these adolescents and […]

Saewyc EM, Skay CL, Hynds P, Pettingell S, Bearinger LH, Resnick MD, Reis E. (2007). Suicidal ideation and attempts among adolescents in North American school-based surveys: Are bisexual youth at increasing risk? Journal of LGBT Health Research, 3(2), 25-36.

This study explored the prevalence, disparity, and cohort trends in suicidality among bisexual teens vs. heterosexual and gay/lesbian peers in 9 population-based high school surveys in Canada and the U.S. Multivariate logistic regressions were used to calculate age-adjusted odds ratios separately by gender; 95% confidence intervals tested cohort trends where surveys were repeated over multiple […]

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