Evidence map›Paper›PMID 29483026›Full record

ReviewLancet (London, England)2018

Canada's global health role: supporting equity and global citizenship as a middle power.

Stephanie A Nixon, Kelley Lee, Zulfiqar A Bhutta, James Blanchard, Slim Haddad, Steven J Hoffman, Peter Tugwell

Abstract readReview
In one paragraph

Review in Lancet (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Adenosine APharmaceuticals (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Developing a National Set of Health Equity Indicators Using a Consensus Building Process.International journal of health policy and management · 2022
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Systematic analysis of global health research funding in Canada, 2000-2016.Canadian journal of public health = Revue canadienne de sante publique · 2020
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stephanie A NixonDepartment of Physical Therapy, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; International Centre for Disability and Rehabilitation, and Rehabilitation Sciences Institute, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. Electronic address: stephanie.nixon@utoronto.ca.
Kelley LeeFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Zulfiqar A BhuttaDepartment of Nutrition, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON, Canada.
James BlanchardCentre for Global Public Health, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Slim HaddadCentre de Recherche du Centre Hospitalier Universitaire de Québec-Université Laval, Québec City, QC, Canada; Département de Médecine Sociale et Préventive, Université Laval, Québec City, QC, Canada.
Steven J HoffmanGlobal Strategy Lab, Dahdaleh Institute for Global Health Research, School of Health Policy and Management, and Osgoode Hall Law School, York University, Toronto, ON, Canada.
Peter TugwellOttawa Hospital Research Institute, Ottawa, ON, Canada; Department of Medicine and School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canada's history of nation building, combined with its status as a so-called middle power in international affairs, has been translated into an approach to global health that is focused on equity and global citizenship. Canada has often aspired to be a socially progressive force abroad, using alliance building and collective action to exert influence beyond that expected from a country with moderate financial and military resources. Conversely, when Canada has primarily used economic self-interest to define its global role, the country's perceived leadership in global health has diminished. Current Prime Minister Justin Trudeau's Liberal federal government has signalled a return to progressive values, driven by appreciation for diversity, equality, and Canada's responsibility to be a good global citizen. However, poor coordination of efforts, limited funding, and the unaddressed legacy of Canada's colonisation of Indigenous peoples weaken the potential for Canadians to make meaningful contributions to improvement of global health equity. Amid increased nationalism and uncertainty towards multilateral commitments by some major powers in the world, the Canadian federal government has a clear opportunity to convert its commitments to equity and global citizenship into stronger leadership on the global stage. Such leadership will require the translation of aspirational messages about health equity and inclusion into concrete action at home and internationally.

Indexed as

Global HealthHealth EquityInternational CooperationCanadaHumans

Identifiers

PMID29483026
PMCPMC7138077

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.