Canadian Adults Research Articles

“It’s the Best of Both Worlds!”: Investigating Bicultural Stress in Adult Bicultural Canadians

This study delves into the ecological factors that predict bicultural stress among bicultural adult Canadians while uncovering common themes surrounding their bicultural identity and developmental journey. A sample of bicultural Canadians (N = 147; 88% female, Mage = 20.72) participated in an online survey consisting of standardized self-report measures and open-ended inquiries about their bicultural experience. The study identified factors contributing to current levels of bicultural stress through regression analysis. Additionally, thematic analysis was conducted to explore participants’ narratives about their bicultural experiences. Participants were of diverse racial/ethnic Canadian backgrounds (Middle Eastern, n = 50; East and Southeast Asian, n = 22; South Asian, n = 27; Black, n = 21; multiple ethnicities, n = 22; Latin, n = 5). The regression results demonstrated that ethnic identity, family cultural socialization towards heritage culture, perceived discrimination, and generational status contributed to feelings of bicultural stress. Thematic analysis revealed a developmental trajectory encompassing participants’ realization of their bicultural identity, navigating bicultural stress, and cultivating an appreciation for their dual cultures. Findings suggest that bicultural individuals’ interactions with their social environment may develop their bicultural identity towards more positive outcomes as they approach adulthood.

Sexual health practices: A comparison of international and domestic students on Canadian campuses

Since 2011, an increasing incidence of sexually transmitted infections and risky sexual practices has been reported among young adults in Canada. However, research on sexual risk behaviours of international students in North America is limited, despite an increasing number of students from abroad attending higher education institutions on this continent. This article shares research findings comparing the sexual practices of international and domestic students in five postsecondary institutions in three Canadian provinces (Manitoba, Ontario, Quebec). Two hundred forty-two international students and 1220 domestic students took part in the bilingual online and paper-based survey. Female international students were less likely to be sexually active than international male, domestic male, and domestic female students. International students were significantly less likely to partake in many risky sexual behaviours, such as inconsistent condom use and unplanned sex after consuming alcohol or drugs. However, male international students were more likely to report having multiple sexual partners than male domestic students. These findings are relevant to those who counsel and advise postsecondary students on Canadian campuses and for healthcare practitioners to better understand postsecondary students’ sexual practices. Strategies to enhance sexual health and knowledge include targeted promotion of safe sexual practices and sexual education in postsecondary institutions.

Living arrangements and housing affordability issues of young adults in Canada: Differences by nativity status.

Housing prices in Canada have increased dramatically, giving rise to a housing affordability crisis. Young adults have been disproportionately affected by this crisis. To cope, many young adults have had to alter their living arrangements, contributing to the diversification of their living arrangements. Young adults' diverse living arrangements are the product of growing inequalities in young adults' economic prospects and access to family support. Extant work has yet to document how young adults' risk of having unaffordable housing varies according to their living arrangements. Our comparison of young adults' risk of having unaffordable housing according to their living arrangements reveals that co-residence with parents, relatives, or roommates reduces young adults' risk of having unaffordable housing. This protective effect is smaller for the foreign-born than the Canadian-born. The National Housing Strategy should allocate more resources to increase the supply of affordable housing earmarked for young adults, particularly the foreign-born who live alone or with children.

Exploring the need for sexually transmitted infection education among university student athletes in Saskatchewan.

Sexually transmitted infections (STIs) are common in young adults in Canada and their prevalence is rising. Assessing sexual health knowledge among young adults is essential for developing effective STI education strategies. However, there is limited research on the sexual health knowledge of Canadian university athletes, who have increased risks of STIs. To determine perceived and objective levels of knowledge on STIs among university athletes and their preferred methods of knowledge translation regarding sexual health information. U SPORTS athletes at the University of Saskatchewan and the University of Regina were invited to complete an electronic survey between January-March 2022. Participants completed the Sexual Transmitted Disease Knowledge Questionnaire (STD-KQ) and self-reported their confidence in their answers. Participants were asked about testing beliefs, where they receive their sexual health information and their preferred format for STI information delivery. One hundred participants completed the survey (14% response rate). Participants had a median composite self-reported STI knowledge score of 2.8 out of 5 (interquartile range [IQR]: 2.4-3.6). The median participant scored 12 out of 27 (44%) on the STD-KQ (IQR: 8-17). Sixty-seven percent of participants received sexual health information from a physician. Sixty-one percent of participants believed embarrassment may prevent them from getting tested or screened. The three most popular methods of health information sharing were online modules (34%), in-person lectures/conferences (24%) and self-paced videos (20%). This study highlighted that STI knowledge is limited in university athletes. Comprehensive online educational interventions may be effective at improving knowledge.

Attitudes toward premarital and casual sex in Canada: A secondary analysis of the seventh wave of the World Values Survey

Numerous studies have examined associations between sociodemographic characteristics and attitudes toward premarital sex and, more recently, toward casual sex. However, no recent study has examined these associations in Canada’s general population. The present exploratory study consists of a secondary analysis of the World Values Survey’s seventh wave of data collected in 2020 from a sample of 4,018 Canadian adults. Results indicate moderately positive attitudes toward premarital sex and lower levels of approval for casual sex, on average. Religion-related variables yielded moderate to strong effect sizes, with identifying as religious, higher frequencies of religious service attendance, and greater attributed importance to religion being associated with lower levels of approval for premarital and casual sex. Small to moderate effects were found for politics-related, family-related, and ethnocultural variables. On average, participants who considered premarital and casual sex as justifiable tended to be more left-leaning, have fewer children, live together as married, have been born in Canada, identify as White, report French as the language they normally speak at home, and live in Quebec. While age and generation were weakly associated with premarital sex attitudes, they were more strongly associated with casual sex attitudes, with younger participants being somewhat more accepting of casual sex than older participants. Small gender differences were found for casual but not premarital sex attitudes. Attitudinal differences based on socioeconomic variables were overall statistically insignificant or negligible. The findings are consistent with and expand on the existing literature. They also shed light on Canada’s ethnocultural and provincial particularities.

"Everything has changed since COVID": Ongoing challenges faced by Canadian adults with intellectual disabilities during waves 2 and 3 of the COVID-19 pandemic.

The COVID-19 pandemic has disrupted the lives of people with intellectual disabilities in many ways, impacting their health and wellbeing. Early in the pandemic, the research team delivered a six-week virtual group-based program to help Canadian adults with intellectual disabilities cope and better manage their mental health. The study's objective was to explore ongoing concerns among individuals with intellectual disabilities following their participation in this education and support program. Thematic analysis was used to analyze participant feedback provided eight weeks after course completion. Twenty-four participants were interviewed in January 2021 and May 2021 across two cycles of the course. Three themes emerged: 1) employment and financial challenges; 2) navigating changes and ongoing restrictions; and 3) vaccine anticipation and experience. These findings suggest that despite benefiting from the program, participants continued to experience pandemic-related challenges in 2021, emphasising the need to continually engage people with intellectual disabilities.

Inequalities in Health between First Nations Adults Living Off-Reserve and Non-Indigenous Adults in Canada: A Decomposition Analysis

Le présent article, qui s’appuie sur le sous-échantillon d’adultes des Premières Nations de l’Enquête auprès des peuples autochtones (EAPA) de 2017 et d’adultes non autochtones de l’Enquête sur la santé dans les collectivités canadiennes de 2017 (N = 35 390), examine les inégalités en matière d’état général de santé et de santé mentale autodéclarés, d’asthme diagnostiqué et de diabète diagnostiqué entre les adultes non autochtones et les adultes des Premières Nations vivant hors réserve au Canada. L’approche Blinder-Oaxaca a été utilisée pour décomposer les inégalités de chaque résultat sur la santé en différences de caractéristiques et en différences de rendement. L’étude révèle que les résultats sur la santé des adultes des Premières Nations sont 5 à 10% inférieurs à ceux des populations non autochtones; les personnes adultes des Premières Nations non inscrites se déclarant en moins bonne santé que les personnes adultes des Premières Nations inscrites, à l’exception du diabète. L’étude révèle également que les caractéristiques observables représentent 20 à 45% des inégalités en matière d’état de santé général, de santé mentale et de diabète. Les facteurs socio-économiques, tels que la situation de l’emploi, le revenu et le niveau d’études, représentent 10 à 25% des différences en matière d’auto-évaluation de l’état de santé général, de santé mentale et de diabète diagnostiqué chez les membres des Premières Nations, qu’ils soient ou non inscrits, par rapport à la population non autochtone. Bien que cette contribution n’ait pas été en mesure d’évaluer d’autres voies critiques par lesquelles divers aspects du colonialisme continuent de nuire aux peuples des Premières Nations, les résultats laissent à penser que l’amélioration du statut socio-économique des peuples des Premières Nations vivant hors réserve pourrait potentiellement réduire les inégalités en matière de santé entre ces personnes et la population non autochtone au Canada.

The Association of Personality Characteristics with Learning Strategy Preferences

The purpose of this study was to describe the association between the learning strategy preference of the learners as identified by Assessing The Learning Strategies of AdultS (ATLAS) and the individual personality traits as defined by the Myers-Briggs Type Indicator (MBTI). The sample was 553 adults in Canada and the United States. Two types of analyses were used to investigate the association between learning strategy preferences and personality traits. First, discriminant analysis explored the interaction of personality traits with the learning strategy preference. Second, analysis of variance measured the association of each personality trait with the learning-strategy-preference groups separately. The findings provided several explicit personality traits associated with each learning-strategy-preference group. These findings support the conclusion that a strong association exists between personality traits and learning-strategy-preference characteristics. Learning strategy preferences and personality traits complement each other. Each clarifies and enriches the other. As a result, teachers have two indicators that can help them personalize the teaching-learning environment for each student. Teachers can use the learning-strategy-group descriptions as guides for organizing each learner's instructional activities and plans and as a cognitive framework for uncovering and monitoring student behaviors and alerting teachers to potential learning difficulties for some students. Students can apply the descriptions of the learning-strategy-preference groups to facilitate self-assessment and metacognition. Theory can be enhanced by considering the two concepts of learning strategy preferences and personality traits coupled and by conducting quantitative and qualitative research to test and expand the generalizability of the learning-strategy-group descriptions. (Permission is granted to use Assessing The Learning Strategies of AdultS and the Personality Identity Estimator in practice and research. Links to printable copies and online completion are appended.)

The relationship between household food insecurity and overweight or obesity among children and adults in Canada: a population-based, propensity score weighting analysis.

Household food insecurity is independently associated with adverse health outcomes among Canadians, but its association with overweight and obesity is poorly understood partly because of limited attention to confounding. This study assessed the relationship between food insecurity status and overweight/obesity in Canada. Cross-sectional data for individuals aged 2-64 years were drawn from the 2004 and 2015 Canadian Community Health Survey-Nutrition. Overweight/obesity was defined using body mass index calculated with measured height and weight. Food insecurity status was assessed with the 18-item Household Food Security Survey Module. The relationship was examined among preschool children (n=2007), girls (n=5512), boys (n=5507), women (n=8317), and men (n=7279) using propensity score weighted logistic regressions to control for confounding. Relative to their food-secure counterparts, girls in moderately food-insecure households (39.7%vs. 28.5%), boys in severely food-insecure households (54.4%vs. 35.0%), and women in moderately and severely food-insecure households (58.9% and 73.1%vs. 50.7%) had higher overweight/obesity prevalence; men in moderately food-insecure households had a lower prevalence (48.9%vs. 66.3%). With propensity score weighting, no association existed between food insecurity and overweight/obesity among preschool children, girls, boys, or men. For women, moderate (adjusted odds ratio (AOR): 1.61; 95% confidence interval (95%CI): 1.06-2.47) and severe (AOR: 2.33; 95%CI: 1.22-4.44) food insecurity was positively associated with overweight/obesity; the association was strongest for severe food insecurity and obesity (AOR: 3.38; 95%CI: 1.60-7.16). Additional research is needed to better understand the nature of the relationship among women. Problems of food insecurity and overweight/obesity among Canadian children and men should not be conflated in public health interventions.

Predictors of Rape Myth Acceptance Among South Asian Students in Canada.

Transmission of rape myths is expected in every culture, yet limited research exists on rape myth acceptance (RMA) within global South Asian (SA) diasporas. We examined whether gender, attitudes toward gender roles, and patriarchal beliefs contributed to RMA among young SA adults in Canada. An ethnically diverse sample of 116 (ages 17-25) students, comprising equal numbers of men and women and domestic and international students, completed an online survey. SA students were generally egalitarian with low RMA similar to the majority of North American samples. As predicted, male gender, traditional attitudes towards SA women, and patriarchal beliefs were strong predictors of RMA.

Ready-to-eat cereal consumption is associated with improved nutrient intakes and diet quality in Canadian adults and children across income levels.

Results from observational studies suggest ready-to-eat cereal (RTEC) consumption is associated with higher diet quality. In the United States, studies have shown that RTEC is an important contributor to nutrient intakes across income levels. However, it is unknown if this association varies by income level in the Canadian population. Given its affordability, RTEC may represent an important source of nutrients for lower-income individuals. This study evaluated the association of RTEC consumption with nutrient intakes and diet quality across household income levels in Canadian adults and children. Income and dietary data from 24 h dietary recalls were obtained from the 2015 Canadian Community Health Survey (CCHS)-Nutrition in 6,181 children (2-18 years) and 13,908 adults (19+ years). Diet quality was assessed with a modified Nutrient Rich Food Index (NRF) 9.3. Income levels were stratified into low, middle, and high based on family size, and data were analyzed by RTEC consumption and income level using multivariate linear regression adjusted for energy, age, and sex. Diet quality was greater in adult and child RTEC consumers across all household income levels. Children and adults consuming RTEC also had higher nutrient intakes, including shortfall nutrients such as calcium, dietary fiber, iron, magnesium, and vitamin D. RTEC provided <10% of energy intake, <4% of saturated fat intake, and <9% of total sugar intake across all ages and income levels, while also providing one-third of daily iron intake and at least 10% of daily intake of dietary fiber, thiamin, folate, and vitamin B6. RTEC consumption was associated with improved nutrient intakes and diet quality in adults and children across household income levels. Nutrient dense and affordable food choices, such as RTEC, may be a helpful strategy to improve the diet quality of Canadians, particularly those with a lower household income.

Understanding what shapes the priorities of women who are mothering in the context of intimate partner violence: A qualitative study.

To explore the priorities of women mothering children in the context of intimate partner violence and to understand what shapes those priorities. A qualitative study using interpretive description, informed by Feminist Intersectionality adhering to the COREQ guidelines. Thematic analysis was used to analyse the data. Dialogic, semi-structured interviews were conducted with a community sample of 20 adult Canadian women who were mothering dependent children (under 18 years) in the context of recent intimate partner violence from a current or former partner. Women's main priorities focused on their own and their children's well-being and creating stability related to housing and finances. Three themes identified: it's all about the kids; my safety…totally disregarded; and I have to take care of him. Multiple external factors (coercive control, structural inequities, assumptions about mothering) shape priorities and the tensions arising from competing priorities women felt compelled to address simultaneously. Priorities of women mothering in the context of intimate partner violence are complex, shaped not only by what they want but by the limited options available to them given constraints such as income, employment, housing and service responses. Coercive control, structural inequities and assumptions about mothering are important factors influencing mothers' priorities and experiences. Better understanding mothers' priorities can support better tailored policies, services and nursing practice. Structural inequities that negatively impact health and well-being by limiting access to resources and the supports needed to enhance health can be better recognized and addressed through a trauma and violence informed care approach. This study addressed understanding the priorities of women mothering in the context of intimate partner violence. This research will impact women mothering in the context of intimate partner violence who receive care from nurses and other providers as well as those who provide care. This study adhered to relevant EQUATOR guidelines (the COREQ checklist). The women who took part in the interviews for this study did not participate in the study design, analysis or manuscript preparation.

Evaluating the impact of motivational interviewing on engagement and outcomes in a web-based self-help intervention for gambling disorder: A randomised controlled trial

BackgroundSelf-paced internet interventions for gambling problems offer cost-effective, accessible, and private alternatives to traditional psychotherapy for a population that rarely seeks help. However, these interventions have been relatively slow to develop, evaluate, and deploy at scale relative to those for other addictive behaviors. Moreover, user engagement remains low despite the high interest. Motivational interviews have improved the effectiveness gambling bibliotherapy but have not been augmented with an analogous web-based self-guided program. ObjectivesThis trial aimed to replicate and extend prior work by translating a paperback workbook to the internet and pairing it with a single motivational interview. It was hypothesized that the motivational interview would enhance program engagement and gambling outcomes. MethodsA two-arm randomised controlled trial was conducted. Treatment-seeking Canadian adults recruited solely via social media received one year of access to a web-based self-guided program, either alone (N = 158) or in combination with a virtual motivational interview completed upon enrolment (N = 155). The program was based on principles of cognitive-behavioral therapy and motivational interviewing. Gambling severity, expenditures, frequency, and duration were assessed via online questionnaires at baseline and 3-, 6-, and 12-months post-baseline, along with secondary outcomes (i.e., depression, anxiety, nonspecific psychological distress, alcohol consumption). ResultsBaseline characteristics were indicative of severe gambling problems and concurrent mental health problems but not problematic alcohol consumption in this sample. Both treatment groups demonstrated roughly equal improvements across all gambling outcomes and most secondary outcomes over time, except alcohol consumption, which did not meaningfully change. Changes were most prominent by 3 months, followed by more gradual change by 6 and 12 months. Only 57 % of gamblers who were assigned to receive a motivational interview completed that interview. About 40 % of users did not complete any program modules and 11 % completed all four. No group differences in program engagement were observed, although the number of modules completed was associated with greater reductions in gambling behaviors in both groups. DiscussionThe problem of user engagement with web-based self-help programs remains. There is a dose-response relationship between engagement and outcomes when engagement is measured in terms of therapeutic content completed. ConclusionsThe addition of a motivational interview to a web-based self-help program for gambling problems was unsuccessful in improving engagement or outcomes. Future work should aim to make self-guided programs more engaging rather than solely making users more engaged. Trial registrationRegistered on 7 July 2020 (ISRCTN13009468).

Comparing Canada's 2018 proposed and 2022 final front-of-pack labelling regulations using generic food composition data and a nationally representative dietary intake survey.

The objective of the study was to compare the potential dietary impact of proposed and final front-of-pack labelling (FOPL) regulations (published in Canada Gazette I (CG1) and Canada Gazette II (CG2), respectively) by examining the difference in the prevalence of foods that would require a 'High in' front-of-pack nutrition symbol and nutrient intakes from those foods consumed by Canadian adults. Foods in a generic food composition database (n 3676) were categorised according to the details of FOPL regulations in CGI and CGII, and the differences in the proportion of foods were compared. Using nationally representative dietary survey data, potential intakes of nutrients from foods that would display a 'High in' nutrition symbol according to CGI and CGII were compared. Canada. Canadian adults (≥ 19 years; n 13 495). Compared with CGI, less foods would display a 'High in' nutrition symbol (Δ = -6 %) according to CGII (saturated fat = -4 %, sugars = -1 %, sodium = -3 %). Similarly, potential intakes of nutrients-of-concern from foods that would display a 'High in' nutrition symbol were reduced according to CGII compared with CGI (saturated fat = -21 %, sugars = -2 %, sodium = -6 %). Potential intakes from foods that would display a 'High in' nutrition symbol were also reduced for energy and nutrients-to-encourage, including protein, fibre, calcium and vitamin D. Changes to FOPL regulations may have blunted their potential to limit intakes of nutrients-of-concern; however, they likely averted potential unintended consequences on intakes of nutrients-to-encourage for Canadians (e.g. calcium and vitamin D). To ensure policy objectives are met, FOPL regulations must be monitored regularly and evaluated over time.

Health care barriers and perceived mental health among adults in Canada during the COVID-19 pandemic: a population-based cross-sectional study.

The perceived mental health of individuals in Canada who faced health care barriers during the COVID-19 pandemic is underexplored. We analyzed data collected March to June 2021 from adults who reported needing health care services within the past 12 months in the Survey on Access to Health Care and Pharmaceuticals during the Pandemic. Unadjusted and adjusted logistic regression analyses examined the associations between health care barriers (appointment scheduling problems, delaying contacting health care) and high self-rated mental health and perceived worsening mental health compared to before the pandemic, overall and stratified by gender, age group, number of chronic health conditions and household income tertile. Individuals who experienced pandemic-related appointment changes or had appointments not yet scheduled were less likely to have high self-rated mental health (aOR = 0.81 and 0.64, respectively) and more likely to have perceived worsening mental health (aOR = 1.50 and 1.94, respectively) than those with no scheduling problems. Adults who delayed contacting health care for pandemic-related reasons (e.g. fear of infection) or other reasons were less likely to have high self-rated mental health (aOR = 0.52 and 0.45, respectively) and more likely to have perceived worsening mental health (aOR = 2.31 and 2.43, respectively) than those who did not delay. Delaying contacting health care for pandemic-related reasons was associated with less favourable perceived mental health in all subgroups, while the association between perceived mental health and pandemic-related appointment changes was significant in some groups. Health care barriers during the pandemic were associated with less favourable perceived mental health. These findings could inform health care resource allocation and public health messaging.

The effects of age on quality of mental health during the COVID-19 pandemic

Mental health plays a crucial role in the health and well-being of an individual. Although it is becoming an increasingly prominent topic today, the relationship between age and measures of mental health, such as the frequency of mental illness or perceived mental health, has not been formally studied. Over the last 50 years, the median age of Canadians increased, so studying the impacts of increased age on mental health is important. Furthermore, understanding the impacts of age on mental health disorders is crucial for targeting support to correct populations and challenging associated stigmas. We hypothesized that older age groups would have a lower incidence of mental health disorders and a higher rate of people reporting fair or poor perceived mental health because of increased emotional stability and maturity. Using the Survey on COVID-19 and Mental Health by the government of Canada, we investigated the prevalence of two mental health disorders, generalized anxiety disorder (GAD) and major depressive disorder (MDD) to examine the incidence of mental health disorders across four age brackets. From the Canadian Community Health Survey, data on the perceived mental health of Canadians during the pandemic was compared across age groups. We found significant increase in the prevalence of GAD and MDD in the younger age groups. We also found significant negative correlations between the prevalence of mental health disorders and age using linear regressions. These data suggest that more attention should be placed on the mental well-being of younger adults in Canada.

Impaired sleep, multimorbidity, and self-rated health among Canadians: Findings from a nationally representative survey.

Self-rated health (SRH) is a globally recognized measure of health status. Both impaired sleep (IS) and the presence of multimorbidity are related to poorer SRH, but the precise nature of these associations remains unclear. This study explored the association between IS, multimorbidity, and SRH among Canadian adults. We used 2017-18 Canadian Community Health Survey (CCHS) data for this study. The main variable of interest, self-rated health (SRH), measured participants' health on a 5-point Likert scale, later categorized as "good or better" vs. "fair or poor". The primary predictor, IS, was derived from two variables and categorized into four groups: no sleep issues; fewer sleeping hours (<7 hours) only; trouble sleeping only; and fewer hours & trouble sleeping. Multimorbidity was present (yes/no) if a participant indicated being diagnosed with two or more chronic conditions. Just over one in ten Canadians reported fair/poor SRH and approximately one-quarter had multimorbidity or experienced few sleep hours in combination with trouble sleeping. The adjusted model indicated greater odds of fair/poor SRH associated with the 40-64 years age group, male sex, and lower socio-economic status. It also suggested the presence of multimorbidity (AOR= 4.63, 95% CI: 4.06-5.28) and a combination of fewer sleep hours and troubled sleep (AOR= 4.05, 95% CI: 2.86-5.74) is responsible for poor SRH. Forty-four percent of the total effect of IS on SRH was mediated by multimorbidity. This unique finding highlights the mediating role of multimorbidity, emphasizing the importance of addressing it alongside sleep issues for optimal health outcomes.

Can VO2max be accurately estimated using exercise-duration based prediction equations and a nomogram?

Abstract Study aim: The purpose of this study was to examine a large cohort of young Canadian adults to determine if exercise time from a maximal Bruce Treadmill Protocol could accurately predict measured VO2max values by inputting the total exercise time into prediction equations and a nomogram. Materials and methods: 550 kinesiology undergraduate student (280 male and 270 female) participants, with a mean body mass (BM) of 72.08 ± 15.05 kg, mean age of 21.16 ± 1.26 years old and mean height of 171.95 ± 10.25 cm completed a maximal graded exercise test to obtain their VO2max (measured). Predicted VO2max was calculated with various equations using the variable of total exercise test time. Linear regression models were created to determine how well the predicted VO2max values compared to the measured values. Results: Across all VO2max calculation methods, males obtained higher VO2max values on both the measured (49.89 ± 9.21 mL/ kg/min) and predicted values (46.04–55.40 mL/kg/min) and exercised for a longer duration of time (14.33 minutes) compared to females (40.89 ± 7.50 mL/kg/min, 38.87–48.36 mL/kg/min, 11.92 minutes). Classifications and percentile rankings were created using each measured and predicted method. Conclusions: The Healthy Persons Equation [6], Healthy Men and Women Equation [2], Active and Sedentary Women/Men Equations [10, 22] and nomogram [13] cannot accurately predict VO2max in healthy young adults, with R2 values between 0.38–0.50. The Healthy Persons Equation [6] was found to very closely mimic the seven-category classifications determined from the measured CPET VO2max values.

Family language policy retention across generations: childhood language policies, multilingualism experiences, and future language policies in multilingual emerging Canadian adults.

Language policies in multilingual families refer to parents' decisions, whether explicitly articulated or not, regarding which languages will be used in which contexts. However, because most studies that explore language allocation focus on families with young children, they do not address how family language policies impact the retention of a home language through to the next generation. The present study investigates an important perspective on this issue, specifically how emerging adults' childhood experiences with their family language policy relate to the languages they currently use and plan to retain in the future. In all, 62 multilingual Canadian adults, aged between 17 and 29 years, participated in focus group interviews concerning their experience of language policies in their birth families, their current beliefs concerning language allocation and retention, and their plans about language policy in their future families. The data revealed that not only are most participants interested in retaining their home language, thereby continuing to speak the language in their future families, but most are also open to incorporating additional languages into their policies. The results provide insight into how to identify effective heritage language retention policies that transcend generations.

Patient preferences for active ulcerative colitis treatments and fecal microbiota transplantation.

Fecal microbiota transplantation (FMT) is a promising treatment for active ulcerative colitis (UC). Understanding patient preferences can identify treatment features that may impact treatment decisions, improve shared decision-making, and contribute to patient-centered care, which is especially important in the context of novel treatments like FMT. We aimed to quantify preferences for active UC treatments, specifically FMT and biologics, and identify patient characteristics associated with different preference patterns. This is a cross-sectional survey study. We administered a discrete choice experiment (DCE) survey to elicit preferences in a sample of Canadian adults with UC. DCE data were analyzed using a main-effects mixed logit model and used to predict uptake of hypothetical scenarios reflecting alternative combinations of treatment features. Latent class modeling identified heterogeneity in patient preference patterns. Participants' (n = 201) mean age was 47.1 years (SD: 14.5 years), 58% were female, and most (84%) had at least some post-secondary education. Almost half were willing to undergo FMT. When considering treatments for active UC, the most important attributes were chance of remission and severity of rare unknown side effects. All else equal, participants were most likely to uptake treatment that involves oral capsules/pills. Participants in the class with the highest utility for chance of remission were younger, had more severe disease, and 58% indicated that they would be willing to undergo FMT. We identified characteristics of UC patients who are more likely to be interested in FMT using preference elicitation methods. Patient-centered care can be enhanced by knowing which patients are more likely to be interested in FMT, potentially improving satisfaction with and adherence to treatments for active UC to maximize the effectiveness of treatment while considering heterogeneity in patient preferences.