ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2018
Occurrence of and referral to specialists for pain-related diagnoses in First Nations and non-First Nations children and youth.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 29 citations in OpenAlex.
- Emotional and behavioural development among Indigenous Sámi and non-Sámi preschool children in Norway: Sámi parental background, community context and gender.International journal of circumpolar health · 2026Article
- Complications of tympanostomy tubes in patients with cleft palate.Paediatrics & child health · 2026Article
- Prevalence, incidence, and factors associated with pain-related disabilities, and experiences of limitations due to pain among First Nations, Inuit, and Métis peoples in Canada: A scoping review.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Social determinants of health equity for people with pain: from understanding to action.Pain reports · 2026Article
- Development and Testing of the Kids Hurt App, a Web-Based, Pain Self-Report App for First Nations Youths: Mixed Methods Study.JMIR human factors · 2025Article
- Prevalence of chronic pelvic pain and associated factors among indigenous women of reproductive age in Ecuador.BMC women's health · 2024Article
- Understanding Needs for Chronic Musculoskeletal Pain Management in a Northern Dene and Métis Community: A Community Based Needs Assessment.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- Physical pain among Indigenous Peoples in Canada: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Protective and resilience factors to promote mental health among Indigenous youth in Canada: a scoping review protocol.BMJ open · 2022Article
- Clinical Strategies to Develop Connections, Promote Health and Address Pain From the Perspectives of Indigenous Youth, Elders, and Clinicians.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- Communities take the lead: exploring Indigenous health research practices through Two-Eyed Seeing & kinship.International journal of circumpolar health · 2021Article
- Towards health equity for people experiencing chronic pain and social marginalization.International journal for equity in health · 2021Article
- Are we walking the talk of participatory Indigenous health research? A scoping review of the literature in Atlantic Canada.PloS one · 2021Article
- Co-creating better healthcare experiences for First Nations children and youth: The FIRST approach emerges from Two-Eyed seeing.Paediatric & neonatal pain · 2020Article
- Review
- Comparison of outcomes after appendectomy in First Nations and non-First Nations patients in Northern Alberta.Canadian journal of surgery. Journal canadien de chirurgieReview
- Estimating the prevalence and correlates of pain among people living with HIV who use unregulated drugs in a Canadian setting.Journal of opioid managementArticle
- Review
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndigenous youth have higher rates of chronic health conditions interfering with healthy development, including high rates of ear, dental, chest and musculoskeletal pain, as well as headache, arthritis and mental health issues. This study explores differences in pain-related diagnoses in First Nations and non-First Nations children.
methodsData from a study population of age- and sex-matched First Nations and non-First Nations children and youth were accessed from a specific region of Atlantic Canada. The primary objective of the study was to compare diagnosis rates of painful conditions and specialist visits between cohorts. The secondary objective was to determine whether there were correlations between early physical pain exposure and pain in adolescence (physical and mental health).
resultsAlthough ear- and throat-related diagnoses were more likely in the First Nations group than in the non-First Nations group (ear 67.3% v. 56.8%,
interpretationFirst Nations children were diagnosed with more pain than non-First Nations children, but did not access specific specialists or mental health services, and were not diagnosed with mental health conditions, at the same rate as their non-First Nations counterparts. Discrepancies in pain-related diagnoses and treatment are evident in these specific comparative cohorts. Community-based health care access and treatment inquiries are required to determine ways to improve care delivery for common childhood conditions that affect health and development.
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Registered trials
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