Nathan Nickel
Biographic Data
| ID | 150410 |
|---|---|
| NAME | Nathan Nickel |
| GIVEN NAMES | Nathan |
| FAMILY NAME | Nickel |
| SIGNATURE | NICKEL N |
| AFFILIATIONS | Manitoba Health |
| ORCID | 0000-0001-5836-5297 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 18 |
| AUTHOR COUNT | 33 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Dietary intakes, food behaviours and health indicators among Métis youth in Manitoba, Canada
Objective: Poor diets and food insecurity during adolescence can have long-lasting effects, and Métis youth may be at higher risk. This study, as part of the Food and Nutrition Security for Manitoba Youth study, examines dietary intakes, food behaviours and health indicators of Métis compared with non-Métis youth. Design: This observational cross-sectional study involved a cohort of adolescents who completed a self-administered web-based survey o…
Prevalence and incidence of autism in children and adolescents in Manitoba, Canada
Increasing autism prevalence indicates a pressing public health need for sustained investment in specialized healthcare services and supports that promote the full inclusion of autistic people in society. Strengthening surveillance systems across Canada is essential for generating high-quality population-based data to inform policy development and resource allocation and ensuring the health and social needs of autistic people and their families a…
Crossover kids’ in Manitoba
Pre- versus post-Covid-19 pandemic comparison of kindergarten teacher-reported child development in multiple Canadian jurisdictions
Little is known so far about the impact of the COVID-19 pandemic on young children. We assessed the effect of the pandemic on pre-existing developmental trends in this population-level, repeated cross-sectional cohort design study of child development at school entry, measured with the kindergarten teacher-completed Early Development Instrument (EDI) in the 10 years prior to the onset of the COVID-19 pandemic and two years after. Individual EDI d…
Perceptions and Use of Cannabis Vaping Products Amongst Youth
Examining psychosocial pathways to explain the link between breastfeeding practices and child behaviour in a longitudinal cohort
Postpartum depression and parent-child relationship quality partially mediate the relationship between breastfeeding practices and child behavior. Breastfeeding, as well as efforts to support parental mental health and parent-child relationships, may help to improve child behavior
Birth Outcomes Among First Nations Birthing Parents Incarcerated While Pregnant
The findings suggest that incarceration may contribute to intergenerational systems of oppression by compromising birth outcomes among First Nations and other birthing parents in Canada and underscore the need to both improve care for pregnant people who are incarcerated and invest in alternatives to incarceration
Youth and Young Adults’ Knowledge and Perceptions of Risks and Benefits Regarding Cannabis Products
Canada legalized the use of non-medical cannabis in 2018. This study examines youth and young adults' knowledge and perceptions of harms, benefits, and education around cannabis use since legalization. An online survey was completed by a convenience sample of 1,759 individuals aged 12-25 years living in Manitoba, Canada. Most participants ( n = 1,525, 86.7%) reported receiving education on the potential effects/harms related to cannabis; the most…
Does Participation in Full-Time Kindergarten Improve Metis Students’ School Outcomes? A Longitudinal Population-Based Study from Manitoba, Canada
This study, a partnership between and , investigated whether attending full-time kindergarten (FTK) was associated with better educational outcomes for Metis students in Manitoba, who may face unique barriers to academic success. We utilized linked administrative data from the Manitoba Population Research Data Repository. For each measured education outcome, there were no significant differences in how Metis students who attended FTK vs Metis stu…
Food Behaviours and Health Indicators in Manitoba Adolescents and Relation to the Healthy Eating Index
Adolescence is a vital period of growth and development, both of which are dependent on adequate nutrition; however, concerns persist about poor nutrition and inappropriate food behaviours. In addition to nutrition assessment, the context of food and health behaviour is necessary to understand how dietary choices are shaped and related to diet quality. This study describes food-related behaviours and health indicators associated with dietary qual…
Understanding Manitoba Inuit’s Social Programs Utilization and Needs
Manitoba is home to approximately 1,500 Inuit, and sees 16,000 consults yearly from the Kivalliq region of Nunavut to access services. The purpose of our study was to develop detailed profiles of Inuit accessing services in Manitoba, by using administrative data routinely collected by Manitoban agencies, to support the development of Inuit-centric services. This study was conducted in partnership with the Manitoba Inuit Association, and Inuit Eld…
Assessing the impact of a statewide effort to improve breastfeeding rates
Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a public health initiative, operating in Mississippi since 2014, to improve maternal and child health practices and reduce racial disparities in breastfeeding. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, this study assessed CHAMPS, which used a Quality Improvement intervention at hospitals, and engaged intensively with local community partn…
Adverse childhood experiences and other risk factors associated with adolescent and young adult vaping over time
The findings emphasize the need for early vaping prevention and identified several ACEs and other factors that were associated with adolescent and young adult vaping and course of vaping. These identified ACEs and risk factors can help inform programs, strategies, and potential groups to target for vaping interventions
An unconditional prenatal cash benefit is associated with improved birth and early childhood outcomes for Metis families in Manitoba, Canada
A cash benefit was associated with better birth outcomes for low-income Metis families. • Among families who received the benefit, there were fewer low birth weight and preterm births. • Children in families who received the benefit were more likely to be fully vaccinated by age 2. In Manitoba, low-income pregnant women are eligible for the Healthy Baby Prenatal Benefit (HBPB), which provides up to CAD $81.41/month during the second and third tri…
Preschool attendance and developmental outcomes at age five in Indigenous and non-Indigenous children
Background Policies to increase Australian Indigenous children’s participation in preschool aim to reduce developmental inequities between Indigenous and non-Indigenous children. This study aims to understand the benefits of preschool participation by quantifying the association between preschool participation in the year before school and developmental outcomes at age five in Indigenous and non-Indigenous children. Methods We used data from peri…
Modeling the Impact of the Covid-19 Pandemic on First Nations, Metis, and Inuit Communities
Objectives: This article articulates the complexity of modeling in First Nations, Metis, and Inuit contexts by providing the results of a modeling exercise completed at the request of the First Nations Health and Social Secretariat of Manitoba. Methods: We developed a model using the impact of a previous pandemic (the 2009 H1N1) to generate estimates. Results: The lack of readily available data has resulted in a model that assumes homogeneity of …
Differential effects of a school‐based obesity prevention program
School-based healthy living interventions are widely promoted as strategies for preventing obesity. The peer-led Healthy BuddiesTM curriculum has been shown to improve obesity-related outcomes in school-aged children. We examined whether these improvements existed among subgroups of children stratified by sex, income level and urban/rural geography. In a cluster-randomized controlled trial, elementary schools in Manitoba, Canada, were randomly al…
Breastfeeding and the origins of health
Breastfeeding and human milk (HM) are critically important to maternal, infant and population health. This paper summarizes the proceedings of a workshop that convened a multidisciplinary panel of researchers to identify key priorities and anticipated breakthroughs in breastfeeding and HM research, discuss perceived barriers and challenges to achieving these breakthroughs and propose a constructive action plan to maximize the impact of future res…
The association of a paraprofessional home visiting intervention with lower child maltreatment rates in First Nation families in Canada
Manitoba Inuit Association’s Rapid Response to Include an Inuit Identifier within Manitoba Covid-19 Diagnostic Tests
To monitor the progress of the COVID-19 outbreak, ensure equitable access to testing and treatment, and provide up-to-date information to Indigenous decision-makers engaged in setting up measures to protect their communities, the Manitoba Inuit Association (MIA) mobilized to work with the First Nation Heath and Social Secretariat of Manitoba, Ongomiizwin Research, and the Manitoba Government to identify Inuit in COVID-19 diagnostic tests, includi…
Hospital breastfeeding support and exclusive breastfeeding by maternal prepregnancy body mass index
Overweight and obese mothers in the United States have disproportionately lower rates of exclusive breastfeeding than mothers of normal weight. The Ten Steps to Successful Breastfeeding (Ten Steps), a series of evidence-based practices designed to support breastfeeding initiation, duration, and exclusivity, demonstrate effectiveness at the population level. It is unknown, however, whether they are consistently provided to women across all materna…
Evaluating the Manitoba Infant Feeding Database
Results from this evaluation suggest that the MIFD data collection process worked well; however, data validation will require human resources. The MIFD approach provides a sustainable mechanism for collecting data on infant feeding for surveillance and research purposes
Postpartum Depression and Anxiety Among Mothers Whose Child was Placed in Care of Child Protection Services at Birth
Families First Home Visiting programme reduces population-level child health and social inequities
BACKGROUND: Home visiting has been shown to reduce child maltreatment and improve child health outcomes. In this observational study, we explored whether Families First, a home visiting programme in Manitoba, Canada, decreased population-level inequities in children being taken into care of child welfare and receiving complete childhood immunisations. METHODS: De-identified administrative health and social services data for children born 2003-200…
Maternal health and social outcomes after having a child taken into care
BACKGROUND: We investigated whether mothers experience changes to their health and social situation after having a child taken into care by child protection services, then compared these outcomes with those found in mothers whose children were not taken into care. METHODS: The cohort includes mothers whose first child was born in Manitoba between 1 April 1998 and 31 March 2011. Mothers whose children were taken into care after age 2 (n=1591) were…
Maternal health and social outcomes after having a child taken into care
BACKGROUND: We investigated whether mothers experience changes to their health and social situation after having a child taken into care by child protection services, then compared these outcomes with those found in mothers whose children were not taken into care. METHODS: The cohort includes mothers whose first child was born in Manitoba between 1 April 1998 and 31 March 2011. Mothers whose children were taken into care after age 2 (n=1591) were…
The Effect of Neighborhood Socioeconomic Status on Education and Health Outcomes for Children Living in Social Housing
Objectives. We explored differences in health and education outcomes between children living in social housing and not, and effects of social housing’s neighborhood socioeconomic status. Methods. In this cohort study, we used the population-based repository of administrative data at the Manitoba Centre for Health Policy. We included children aged 0 to 19 years in Winnipeg, Manitoba, in fiscal years 2006–2007 to 2008–2009 (n = 13 238 social housin…
A population-based analysis of factors that predict early language and cognitive development
Have we left some behind? Trends in socio-economic inequalities in breastfeeding initiation
Implementing the Ten Steps for Successful Breastfeeding in Hospitals Serving Low-Wealth Patients
Objectives. The Ten Steps to Successful Breastfeeding is a proven approach to support breastfeeding in maternity settings; however, scant literature exists on the relative impact and interpretation of each step on breastfeeding. We assessed the Ten Steps and their relationship with in-hospital breastfeeding rates at facilities serving low-wealth populations and explored the outcomes to identify step-specific actions. Methods. We present descripti…
Implementing the Ten Steps for Successful Breastfeeding in Hospitals Serving Low-Wealth Patients
Objectives. The Ten Steps to Successful Breastfeeding is a proven approach to support breastfeeding in maternity settings; however, scant literature exists on the relative impact and interpretation of each step on breastfeeding. We assessed the Ten Steps and their relationship with in-hospital breastfeeding rates at facilities serving low-wealth populations and explored the outcomes to identify step-specific actions. Methods. We present descripti…
The Effect of Neighborhood Socioeconomic Status on Education and Health Outcomes for Children Living in Social Housing
Objectives. We explored differences in health and education outcomes between children living in social housing and not, and effects of social housing’s neighborhood socioeconomic status. Methods. In this cohort study, we used the population-based repository of administrative data at the Manitoba Centre for Health Policy. We included children aged 0 to 19 years in Winnipeg, Manitoba, in fiscal years 2006–2007 to 2008–2009 (n = 13 238 social housin…
Have we left some behind? Trends in socio-economic inequalities in breastfeeding initiation
Does a pay-for-performance program for primary care physicians alleviate health inequity in childhood vaccination rates
The P4P program had a limited impact on vaccination rates and did not address health inequity
Can opportunities be enhanced for vaccinating children in home visiting programs? A population-based cohort study
Home visiting programs have the potential to increase vaccination rates for children enrolled, despite limited program content directed towards this end. Evidence-based program enhancements have the potential to increase these rates further, however more research is needed to inform policy makers of optimal approaches in this regard, especially with respect to cost-effectiveness
A population-based analysis of factors that predict early language and cognitive development
Martens et al. Respond
AffiliationsPatricia J. Martens, Daniel G. Chateau, Elaine M. J. Burland, Gregory S. Finlayson, Mark J. Smith, Carole R. Taylor, Marni D. Brownell, and Nathan C. Nickel, are all with the Manitoba Centre for Health Policy, Department of Community Health Sciences, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg. Alan Katz is also associated with the Department of Family Medicine, University of Manitoba, Winnipeg. J…
Teen clinics
The highest rates for pregnancies and STIs were observed among non-enrolled adolescents. Although provision of reproductive and health services to in-school adolescents should remain a priority, program planning and design should consider optimal strategies to engage out of school youth
Maternal health and social outcomes after having a child taken into care
BACKGROUND: We investigated whether mothers experience changes to their health and social situation after having a child taken into care by child protection services, then compared these outcomes with those found in mothers whose children were not taken into care. METHODS: The cohort includes mothers whose first child was born in Manitoba between 1 April 1998 and 31 March 2011. Mothers whose children were taken into care after age 2 (n=1591) were…
Postpartum Depression and Anxiety Among Mothers Whose Child was Placed in Care of Child Protection Services at Birth
Families First Home Visiting programme reduces population-level child health and social inequities
BACKGROUND: Home visiting has been shown to reduce child maltreatment and improve child health outcomes. In this observational study, we explored whether Families First, a home visiting programme in Manitoba, Canada, decreased population-level inequities in children being taken into care of child welfare and receiving complete childhood immunisations. METHODS: De-identified administrative health and social services data for children born 2003-200…
Hospital breastfeeding support and exclusive breastfeeding by maternal prepregnancy body mass index
Overweight and obese mothers in the United States have disproportionately lower rates of exclusive breastfeeding than mothers of normal weight. The Ten Steps to Successful Breastfeeding (Ten Steps), a series of evidence-based practices designed to support breastfeeding initiation, duration, and exclusivity, demonstrate effectiveness at the population level. It is unknown, however, whether they are consistently provided to women across all materna…
Evaluating the Manitoba Infant Feeding Database
Results from this evaluation suggest that the MIFD data collection process worked well; however, data validation will require human resources. The MIFD approach provides a sustainable mechanism for collecting data on infant feeding for surveillance and research purposes
Modeling the Impact of the Covid-19 Pandemic on First Nations, Metis, and Inuit Communities
Objectives: This article articulates the complexity of modeling in First Nations, Metis, and Inuit contexts by providing the results of a modeling exercise completed at the request of the First Nations Health and Social Secretariat of Manitoba. Methods: We developed a model using the impact of a previous pandemic (the 2009 H1N1) to generate estimates. Results: The lack of readily available data has resulted in a model that assumes homogeneity of …
Differential effects of a school‐based obesity prevention program
School-based healthy living interventions are widely promoted as strategies for preventing obesity. The peer-led Healthy BuddiesTM curriculum has been shown to improve obesity-related outcomes in school-aged children. We examined whether these improvements existed among subgroups of children stratified by sex, income level and urban/rural geography. In a cluster-randomized controlled trial, elementary schools in Manitoba, Canada, were randomly al…
Breastfeeding and the origins of health
Breastfeeding and human milk (HM) are critically important to maternal, infant and population health. This paper summarizes the proceedings of a workshop that convened a multidisciplinary panel of researchers to identify key priorities and anticipated breakthroughs in breastfeeding and HM research, discuss perceived barriers and challenges to achieving these breakthroughs and propose a constructive action plan to maximize the impact of future res…
The association of a paraprofessional home visiting intervention with lower child maltreatment rates in First Nation families in Canada
Manitoba Inuit Association’s Rapid Response to Include an Inuit Identifier within Manitoba Covid-19 Diagnostic Tests
To monitor the progress of the COVID-19 outbreak, ensure equitable access to testing and treatment, and provide up-to-date information to Indigenous decision-makers engaged in setting up measures to protect their communities, the Manitoba Inuit Association (MIA) mobilized to work with the First Nation Heath and Social Secretariat of Manitoba, Ongomiizwin Research, and the Manitoba Government to identify Inuit in COVID-19 diagnostic tests, includi…
An unconditional prenatal cash benefit is associated with improved birth and early childhood outcomes for Metis families in Manitoba, Canada
A cash benefit was associated with better birth outcomes for low-income Metis families. • Among families who received the benefit, there were fewer low birth weight and preterm births. • Children in families who received the benefit were more likely to be fully vaccinated by age 2. In Manitoba, low-income pregnant women are eligible for the Healthy Baby Prenatal Benefit (HBPB), which provides up to CAD $81.41/month during the second and third tri…
Preschool attendance and developmental outcomes at age five in Indigenous and non-Indigenous children
Background Policies to increase Australian Indigenous children’s participation in preschool aim to reduce developmental inequities between Indigenous and non-Indigenous children. This study aims to understand the benefits of preschool participation by quantifying the association between preschool participation in the year before school and developmental outcomes at age five in Indigenous and non-Indigenous children. Methods We used data from peri…
Understanding Manitoba Inuit’s Social Programs Utilization and Needs
Manitoba is home to approximately 1,500 Inuit, and sees 16,000 consults yearly from the Kivalliq region of Nunavut to access services. The purpose of our study was to develop detailed profiles of Inuit accessing services in Manitoba, by using administrative data routinely collected by Manitoban agencies, to support the development of Inuit-centric services. This study was conducted in partnership with the Manitoba Inuit Association, and Inuit Eld…
Assessing the impact of a statewide effort to improve breastfeeding rates
Communities and Hospitals Advancing Maternity Practices (CHAMPS) is a public health initiative, operating in Mississippi since 2014, to improve maternal and child health practices and reduce racial disparities in breastfeeding. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework, this study assessed CHAMPS, which used a Quality Improvement intervention at hospitals, and engaged intensively with local community partn…
Adverse childhood experiences and other risk factors associated with adolescent and young adult vaping over time
The findings emphasize the need for early vaping prevention and identified several ACEs and other factors that were associated with adolescent and young adult vaping and course of vaping. These identified ACEs and risk factors can help inform programs, strategies, and potential groups to target for vaping interventions
Does Participation in Full-Time Kindergarten Improve Metis Students’ School Outcomes? A Longitudinal Population-Based Study from Manitoba, Canada
This study, a partnership between and , investigated whether attending full-time kindergarten (FTK) was associated with better educational outcomes for Metis students in Manitoba, who may face unique barriers to academic success. We utilized linked administrative data from the Manitoba Population Research Data Repository. For each measured education outcome, there were no significant differences in how Metis students who attended FTK vs Metis stu…
Food Behaviours and Health Indicators in Manitoba Adolescents and Relation to the Healthy Eating Index
Adolescence is a vital period of growth and development, both of which are dependent on adequate nutrition; however, concerns persist about poor nutrition and inappropriate food behaviours. In addition to nutrition assessment, the context of food and health behaviour is necessary to understand how dietary choices are shaped and related to diet quality. This study describes food-related behaviours and health indicators associated with dietary qual…
Medicine (29 works) · Environmental health (20 works) · Demography (16 works) · Population (16 works) · Pediatrics (13 works) · Demography (11 works) · Gerontology (11 works) · Public health (11 works) · Nursing (9 works) · Cohort (8 works)