Jennifer Spiegel
Biographic Data
| ID | 129829 |
|---|---|
| NAME | Jennifer Spiegel |
| GIVEN NAMES | Jennifer |
| FAMILY NAME | Spiegel |
| SIGNATURE | SPIEGEL J |
| AFFILIATIONS | University of British Columbia |
| ORCID | 0000-0002-4699-3082 |
| VERIFIED | Yes |
| TOTAL WORKS | 35 |
| TOTAL CITATIONS | 79 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 5 |
Protecting healthcare workers during a pandemic: What can a WHO collaborating centre research partnership contribute
Objectives. To ascertain whether and how working as a partnership of two World Health Organization collaborating centres (WHOCCs), based respectively in the Global North and Global South, can add insights on “what works to protect healthcare workers (HCWs) during a pandemic, in what contexts, using what mechanism, to achieve what outcome”. Methods. A realist synthesis of seven projects in this research program was carried out to characterize cont…
Psychological Distress in South African Healthcare Workers Early in the Covid-19 Pandemic: An Analysis of Associations and Mitigating Factors
While the global COVID-19 pandemic has been widely acknowledged to affect the mental health of health care workers (HCWs), attention to measures that protect those on the front lines of health outbreak response has been limited. In this cross-sectional study, we examine workplace contextual factors associated with how psychological distress was experienced in a South African setting where a severe first wave was being experienced with the objecti…
Towards TB elimination: How are macro-level factors perceived and addressed in policy initiatives in a high burden country
BACKGROUND: Notwithstanding extensive general discussion of the effects of upstream forces on health, there has been limited empirical examination, let alone systematic evidence documenting policy responses to such pathways in the area of tuberculosis (TB) management and control. Our study aimed to gain insight into how macro level drivers of TB are perceived by key stakeholders involved in TB management and control in a high-endemic country, and…
Predictors of household food insecurity and relationship with obesity in First Nations communities in British Columbia, Manitoba, Alberta and Ontario
Objective: To further understandings of household food insecurity in First Nations communities in Canada and its relationship with obesity. Design: Analysis of a cross-sectional dataset from the First Nations Food, Nutrition and Environment Study representative of First Nations communities south of the 60th parallel. Multivariate logistic regression was used to assess associations between food insecurity and sociodemographic factors, as well as t…
Preventing Occupational Tuberculosis in Health Workers: An Analysis of State Responsibilities and Worker Rights in Mozambique
Given the very high incidence of tuberculosis (TB) among health workers in Mozambique, a low-income country in Southern Africa, implementation of measures to protect health workers from occupational TB remains a major challenge. This study explores how Mozambique's legal framework and health system governance facilitate-or hinder-implementation of protective measures in its public (state-provided) healthcare sector. Using a mixed-methods approach…
Current Guidelines for Protecting Health Workers from Occupational Tuberculosis Are Necessary, but Not Sufficient: Towards a Comprehensive Occupational Health Approach
Health workers globally are at elevated occupational risk of tuberculosis infection and disease. While a raft of guidelines have been published over the past 25 years on infection prevention and control (IPC) in healthcare, studies in different settings continue to show inadequate implementation and persistence of risk. The aim of this commentary is to argue, based on the literature and our own research, that a comprehensive occupational health a…
Empowering Health Workers to Protect their Own Health: A Study of Enabling Factors and Barriers to Implementing HealthWise in Mozambique, South Africa, and Zimbabwe
Ways to address the increasing global health workforce shortage include improving the occupational health and safety of health workers, particularly those in high-risk, low-resource settings. The World Health Organization and International Labour Organization designed HealthWISE, a quality improvement tool to help health workers identify workplace hazards to find and apply low-cost solutions. However, its implementation had never been systematica…
Occupational Tuberculosis Among Laboratory Workers in South Africa: Applying a Surveillance System to Strengthen Prevention and Control
Functional occupational health surveillance systems can identify subgroups most at risk as well as areas of programme success and areas where increased support is needed, helping to target and monitor policy and procedure modification and training needs
Social Support and Physical Activity Among American Indians in Oklahoma: Results From a Community‐based Participatory Research Study
PURPOSE: Little is known about the contribution of social support to physical activity (PA) behavior among American Indians (AIs). This community-based participatory research study examined the prevalence of and associations between different types of PA social support and PA among AIs in rural Oklahoma. METHODS: Our tribal-academic partnership surveyed AI adults (N = 513) living within the tribal jurisdictional areas of 2 tribal nations. We used…
A Healthy Retail Intervention in Native American Convenience Stores: The THRIVE Community-Based Participatory Research Study
Objectives. To assess a healthy retail intervention in Tribal convenience stores in Oklahoma. Methods. We adapted healthy retail strategies to the context of 8 Tribally owned stores. We assessed individual- and store-level outcomes in a cluster-controlled intervention trial (April 2016–June 2017). We measured fruit and vegetable intake, store environment perceptions, and purchases before and after the intervention among a cohort of 1637 Native Am…
Health, environment and colonial legacies: Situating the science of pesticides, bananas and bodies in Ecuador
Pesticide-related health impacts in Ecuador's banana industry illustrate the need to understand science's social production in the context of major North-South inequities. This paper explores colonialism's ongoing context-specific relationships to science, and what these imply for population health inquiry and praxis. Themes in postcolonial science and technology studies and critical Latin American scholarship guide this exploration, oriented aro…
Tackling injustices of occupational lung disease acquired in South African mines: Recent developments and ongoing challenges
BACKGROUND: South Africa's mineral resources have produced, and continue to produce, enormous economic wealth; yet decades of colonialism, apartheid, capital flight, and challenges in the neoliberal post-apartheid era have resulted in high rates of occupational lung disease and low rates of compensation for ex-miners and their families. Given growing advocacy and activism of current and former mine workers, initiatives were launched by the South …
Food choice considerations among American Indians living in rural Oklahoma: The THRIVE study
Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study
Objectives. To examine food insecurity and cardiovascular disease–related health outcomes among American Indians (AIs) in rural Oklahoma. Methods. We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. Results. Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of di…
Political Ecologies of Global Health: Pesticide Exposure in Southwestern Ecuador's Banana Industry
Pesticide exposure in Ecuador's banana industry reflects political economic and ecological processes that interact across scales to affect human health. We use this case study to illustrate opportunities for applying political ecology of health scholarship in the burgeoning field of global health. Drawing on an historical literature review and ethnographic data collected in Ecuador's El Oro province, we present three main areas where a political …
Cardiovascular Disease Risk Factors and Health Outcomes Among American Indians in Oklahoma: The THRIVE Study
CVD risk factors and health outcomes persist among American Indians even as some risks (e.g., smoking) appear to be stabilizing or even declining in the general US population. Efforts to include American Indians in national health surveys, implement broad reaching environmental and policy interventions, and address the social determinants of health are critical to the elimination of these disparities
Protecting health workers from infectious disease transmission: An exploration of a Canadian-South African partnership of partnerships
BACKGROUND: Health workers are at high risk of acquiring infectious diseases at work, especially in low and middle-income countries (LMIC) with critical health human resource deficiencies and limited implementation of occupational health and infection control measures. Amidst increasing interest in international partnerships to address such issues, how best to develop such collaborations is being actively debated. In 2006, a partnership developed…
Why language matters: Insights and challenges in applying a social determination of health approach in a North-South collaborative research program
BACKGROUND: Focus on "social determinants of health" provides a welcome alternative to the bio-medical illness paradigm. However, the tendency to concentrate on the influence of "risk factors" related to living and working conditions of individuals, rather than to more broadly examine dynamics of the social processes that affect population health, has triggered critical reaction not only from the Global North but especially from voices the Global…
Barriers to HIV counselling and testing uptake by health workers in three public hospitals in Free State Province, South Africa
Recent WHO/ILO/UNAIDS guidelines recommend priority access to HIV services for health care workers (HCWs), in order to retain and support HCWs, especially those at risk of occupationally acquired tuberculosis (TB). The purpose of this study was to identify barriers to uptake of HIV counselling and testing (HCT) services for HCWs receiving HCT within occupational health units (OHUs). Questions were included within a larger occupational health surv…
Considerations for preparing a randomized population health intervention trial: Lessons from a South African–Canadian partnership to improve the health of health workers
BACKGROUND: Community-based cluster-randomized controlled trials (RCTs) are increasingly being conducted to address pressing global health concerns. Preparations for clinical trials are well-described, as are the steps for multi-component health service trials. However, guidance is lacking for addressing the ethical and logistic challenges in (cluster) RCTs of population health interventions in low- and middle-income countries. OBJECTIVE: We aime…
Food sovereignty, food security and health equity: A Meta-Narrative Mapping Exercise
There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity-i.e. health inequalities that are socially produced-and food systems, where the concepts of 'food security' and 'food sovereignty' are prominent. We undertook exploratory scoping and mapping stages of a 'meta-narrative synthesis' on pathways from global food systems …
The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
Facilitating the Relationship Between Researchers and Policy-Makers: Experiences from Three Ecohealth Projects in West and Central Africa
Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
BACKGROUND: The Sustainably Managing Environmental Health Risk in Ecuador project was launched in 2004 as a partnership linking a large Canadian university with leading Cuban and Mexican institutes to strengthen the capacities of four Ecuadorian universities for leading community-based learning and research in areas as diverse as pesticide poisoning, dengue control, water and sanitation, and disaster preparedness. METHODS: In implementing curricu…
Collaboration between infection control and occupational health in three continents: A success story with international impact
Globalization has been accompanied by the rapid spread of infectious diseases, and further strain on working conditions for health workers globally. Post-SARS, Canadian occupational health and infection control researchers got together to study how to better protect health workers, and found that training was indeed perceived as key to a positive safety culture. This led to developing information and communication technology (ICT) tools. The rese…
Food sovereignty, food security and health equity: A Meta-Narrative Mapping Exercise
There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity-i.e. health inequalities that are socially produced-and food systems, where the concepts of 'food security' and 'food sovereignty' are prominent. We undertook exploratory scoping and mapping stages of a 'meta-narrative synthesis' on pathways from global food systems …
Tools for Thoughtful Action: The Role of Ecosystem Approaches to Health in Enhancing Public Health
Political Ecologies of Global Health: Pesticide Exposure in Southwestern Ecuador's Banana Industry
Pesticide exposure in Ecuador's banana industry reflects political economic and ecological processes that interact across scales to affect human health. We use this case study to illustrate opportunities for applying political ecology of health scholarship in the burgeoning field of global health. Drawing on an historical literature review and ethnographic data collected in Ecuador's El Oro province, we present three main areas where a political …
Health, environment and colonial legacies: Situating the science of pesticides, bananas and bodies in Ecuador
Pesticide-related health impacts in Ecuador's banana industry illustrate the need to understand science's social production in the context of major North-South inequities. This paper explores colonialism's ongoing context-specific relationships to science, and what these imply for population health inquiry and praxis. Themes in postcolonial science and technology studies and critical Latin American scholarship guide this exploration, oriented aro…
The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
Canada and Global Health Research: 2005 Update
Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study
Objectives. To examine food insecurity and cardiovascular disease–related health outcomes among American Indians (AIs) in rural Oklahoma. Methods. We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. Results. Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of di…
Cardiovascular Disease Risk Factors and Health Outcomes Among American Indians in Oklahoma: The THRIVE Study
CVD risk factors and health outcomes persist among American Indians even as some risks (e.g., smoking) appear to be stabilizing or even declining in the general US population. Efforts to include American Indians in national health surveys, implement broad reaching environmental and policy interventions, and address the social determinants of health are critical to the elimination of these disparities
Network analysis as a tool to assess the intersectoral management of health determinants at the local level: A report from an exploratory study of two Cuban municipalities
Using Willingness to Pay to Evaluate the Implementation of Canada’s Residential Radon Exposure Guideline
A Healthy Retail Intervention in Native American Convenience Stores: The THRIVE Community-Based Participatory Research Study
Objectives. To assess a healthy retail intervention in Tribal convenience stores in Oklahoma. Methods. We adapted healthy retail strategies to the context of 8 Tribally owned stores. We assessed individual- and store-level outcomes in a cluster-controlled intervention trial (April 2016–June 2017). We measured fruit and vegetable intake, store environment perceptions, and purchases before and after the intervention among a cohort of 1637 Native Am…
Food choice considerations among American Indians living in rural Oklahoma: The THRIVE study
Learning Together: A Canada-Cuba Research Collaboration to Improve the Sustainable Management of Environmental Health Risks
Using Willingness to Pay to Evaluate the Implementation of Canada’s Residential Radon Exposure Guideline
Building Capacity in Central Havana to Sustainably Manage Environmental Health Risk in an Urban Ecosystem
Texaco and its Consultants
Americanae nace como un proyecto conjunto que surge dentro de la Red Europea de Información y Documentación sobre América Latina (REDIAL), y que ha afrontado la Biblioteca de la Agencia Española de Cooperación Internacional para el Desarrollo (AECID). Esta nueva biblioteca virtual hace más accesibles los libros digitales de tema americanista a los investigadores y usuarios interesados de cualquier parte del mundo.
Barriers and Bridges to Prevention and Control of Dengue: The Need for a Social–Ecological Approach
Learning Together: A Canada-Cuba Research Collaboration to Improve the Sustainable Management of Environmental Health Risks
Canada and Global Health Research: 2005 Update
Promoting health in response to global tourism expansion in Cuba
The ability of communities to respond to the pressures of globalization is an important determinant of community health. Tourism is a rapidly growing industry and there is an increasing concern about its health impact on local communities. Nonetheless, little research has been conducted to identify potential mitigating measures. We therefore took advantage of the 'natural experiment' provided by the expansion of tourism in Cuba, and conducted fou…
Workplace and workforce health information systems in healthcare: Acknowledging the role of university researchers and highlighting the importance of health and safety committee capacity-building
Tools for Thoughtful Action: The Role of Ecosystem Approaches to Health in Enhancing Public Health
Network analysis as a tool to assess the intersectoral management of health determinants at the local level: A report from an exploratory study of two Cuban municipalities
Facilitating the Relationship Between Researchers and Policy-Makers: Experiences from Three Ecohealth Projects in West and Central Africa
Establishing a community of practice of researchers, practitioners, policy-makers and communities to sustainably manage environmental health risks in Ecuador
BACKGROUND: The Sustainably Managing Environmental Health Risk in Ecuador project was launched in 2004 as a partnership linking a large Canadian university with leading Cuban and Mexican institutes to strengthen the capacities of four Ecuadorian universities for leading community-based learning and research in areas as diverse as pesticide poisoning, dengue control, water and sanitation, and disaster preparedness. METHODS: In implementing curricu…
Collaboration between infection control and occupational health in three continents: A success story with international impact
Globalization has been accompanied by the rapid spread of infectious diseases, and further strain on working conditions for health workers globally. Post-SARS, Canadian occupational health and infection control researchers got together to study how to better protect health workers, and found that training was indeed perceived as key to a positive safety culture. This led to developing information and communication technology (ICT) tools. The rese…
The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm
Considerations for preparing a randomized population health intervention trial: Lessons from a South African–Canadian partnership to improve the health of health workers
BACKGROUND: Community-based cluster-randomized controlled trials (RCTs) are increasingly being conducted to address pressing global health concerns. Preparations for clinical trials are well-described, as are the steps for multi-component health service trials. However, guidance is lacking for addressing the ethical and logistic challenges in (cluster) RCTs of population health interventions in low- and middle-income countries. OBJECTIVE: We aime…
Food sovereignty, food security and health equity: A Meta-Narrative Mapping Exercise
There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity-i.e. health inequalities that are socially produced-and food systems, where the concepts of 'food security' and 'food sovereignty' are prominent. We undertook exploratory scoping and mapping stages of a 'meta-narrative synthesis' on pathways from global food systems …
Why language matters: Insights and challenges in applying a social determination of health approach in a North-South collaborative research program
BACKGROUND: Focus on "social determinants of health" provides a welcome alternative to the bio-medical illness paradigm. However, the tendency to concentrate on the influence of "risk factors" related to living and working conditions of individuals, rather than to more broadly examine dynamics of the social processes that affect population health, has triggered critical reaction not only from the Global North but especially from voices the Global…
Barriers to HIV counselling and testing uptake by health workers in three public hospitals in Free State Province, South Africa
Recent WHO/ILO/UNAIDS guidelines recommend priority access to HIV services for health care workers (HCWs), in order to retain and support HCWs, especially those at risk of occupationally acquired tuberculosis (TB). The purpose of this study was to identify barriers to uptake of HIV counselling and testing (HCT) services for HCWs receiving HCT within occupational health units (OHUs). Questions were included within a larger occupational health surv…
Protecting health workers from infectious disease transmission: An exploration of a Canadian-South African partnership of partnerships
BACKGROUND: Health workers are at high risk of acquiring infectious diseases at work, especially in low and middle-income countries (LMIC) with critical health human resource deficiencies and limited implementation of occupational health and infection control measures. Amidst increasing interest in international partnerships to address such issues, how best to develop such collaborations is being actively debated. In 2006, a partnership developed…
Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study
Objectives. To examine food insecurity and cardiovascular disease–related health outcomes among American Indians (AIs) in rural Oklahoma. Methods. We surveyed a cross-sectional sample of 513 AI adults to assess food insecurity domains (i.e., food quality and quantity) and obesity, diabetes, and hypertension. Results. Among AIs surveyed, 56% reported inadequate food quantity and 62% reported inadequate food quality. The unadjusted prevalence of di…
Political Ecologies of Global Health: Pesticide Exposure in Southwestern Ecuador's Banana Industry
Pesticide exposure in Ecuador's banana industry reflects political economic and ecological processes that interact across scales to affect human health. We use this case study to illustrate opportunities for applying political ecology of health scholarship in the burgeoning field of global health. Drawing on an historical literature review and ethnographic data collected in Ecuador's El Oro province, we present three main areas where a political …
Cardiovascular Disease Risk Factors and Health Outcomes Among American Indians in Oklahoma: The THRIVE Study
CVD risk factors and health outcomes persist among American Indians even as some risks (e.g., smoking) appear to be stabilizing or even declining in the general US population. Efforts to include American Indians in national health surveys, implement broad reaching environmental and policy interventions, and address the social determinants of health are critical to the elimination of these disparities
Tackling injustices of occupational lung disease acquired in South African mines: Recent developments and ongoing challenges
BACKGROUND: South Africa's mineral resources have produced, and continue to produce, enormous economic wealth; yet decades of colonialism, apartheid, capital flight, and challenges in the neoliberal post-apartheid era have resulted in high rates of occupational lung disease and low rates of compensation for ex-miners and their families. Given growing advocacy and activism of current and former mine workers, initiatives were launched by the South …
Food choice considerations among American Indians living in rural Oklahoma: The THRIVE study
Social Support and Physical Activity Among American Indians in Oklahoma: Results From a Community‐based Participatory Research Study
PURPOSE: Little is known about the contribution of social support to physical activity (PA) behavior among American Indians (AIs). This community-based participatory research study examined the prevalence of and associations between different types of PA social support and PA among AIs in rural Oklahoma. METHODS: Our tribal-academic partnership surveyed AI adults (N = 513) living within the tribal jurisdictional areas of 2 tribal nations. We used…
Medicine (29 works) · Political science (22 works) · Environmental health (20 works) · Nursing (15 works) · Business (14 works) · Economic growth (14 works) · Geography (14 works) · Public health (14 works) · Public relations (11 works) · Health care (10 works)