Hélène Ouellette-kuntz - Academia.edu (original) (raw)

Papers by Hélène Ouellette-kuntz

Research paper thumbnail of Attitudes of medical clerks toward persons with intellectual disabilities

Canadian Family Physician Medecin De Famille Canadien, May 1, 2012

Objective To assess the attitudes of upper-year undergraduate medical students (ie, clerks) towar... more Objective To assess the attitudes of upper-year undergraduate medical students (ie, clerks) toward the philosophy of community inclusion of persons with intellectual disabilities (ID) according to demographic, personal contact, and training variables.

Research paper thumbnail of Brief report: cervical cancer screening in women with intellectual and developmental disabilities who have had a pregnancy

Journal of Intellectual Disability Research, 2015

Background Women with intellectual and developmental disabilities (IDD) have lower cervical cance... more Background Women with intellectual and developmental disabilities (IDD) have lower cervical cancer screening rates than women without IDD. Key barriers to screening uptake include physician or caregiver assumptions that screening is unnecessary because women with IDD are not sexually active. Our objective was to compare cervical cancer screening rates in women with and without IDD who had had a pregnancy. Method We conducted a population-based retrospective cohort study using linked Ontario (Canada) health and social services administrative data. We identified 20to 64-year-old women with (N = 5033) and without (N = 527 437) IDD who had had a pregnancy. We examined the occurrence of cervical cancer screening between April 1, 2007 and March 31, 2010. We compared screening rates in women with and without IDD using logistic regression, controlling for age, region of residence, neighbourhood income quintile and morbidity level. Results Women with IDD who had had a pregnancy were more likely than those without IDD to be young, to live in the lowest neighbourhood income quintile, to live in rural areas and to have high or very high morbidity. Even after controlling for these factors, women with IDD were less likely than women without IDD to be screened (67.7% vs. 77.0%; adjusted odds ratio 0.61; 95% confidence interval 0.58-0.65). Conclusions Even among women who have had a pregnancy and are therefore known to have been sexually active, women with IDD face significant disparities in cervical cancer screening. Strategies to promote equitable uptake of cervical cancer screening for women with IDD need to be implemented.

Intellectual disability papers by Hélène Ouellette-kuntz

Research paper thumbnail of Participation in intellectual disability research: a review of 20 years of studies

Journal of Intellectual Disability Research, 2010

Background Researchers have noted difficulties in attracting adequate numbers of participants wit... more Background Researchers have noted difficulties in attracting adequate numbers of participants with intellectual disabilities (ID) to their studies. Methods This study was a review of participation by adults with ID in research conducted in South Eastern Ontario over a 20-year period (1987)(1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006). Original research studies were identified by local investigators and then reviewed for inclusion and exclusion criteria. The report of each study was then reviewed by three reviewers and key information was extracted. The extent of study participation was calculated using three methods and compared along with key design characteristics. Results Nine studies met all inclusion/exclusion criteria and provided sufficient data to calculate participation. Among the studies there was a variety of purposes, research designs and recruitment strategies. Using the participant/approached calculation, participation varied between 41.8% and 100%. Higher participation was observed in studies where investigators had direct access to participants, the data collection was non-invasive and consent was required from substitute decision-makers only. There was no clear trend of increasing or decreasing participation over time.

Research paper thumbnail of Attitudes of medical clerks toward persons with intellectual disabilities

Canadian Family Physician Medecin De Famille Canadien, May 1, 2012

Objective To assess the attitudes of upper-year undergraduate medical students (ie, clerks) towar... more Objective To assess the attitudes of upper-year undergraduate medical students (ie, clerks) toward the philosophy of community inclusion of persons with intellectual disabilities (ID) according to demographic, personal contact, and training variables.

Research paper thumbnail of Brief report: cervical cancer screening in women with intellectual and developmental disabilities who have had a pregnancy

Journal of Intellectual Disability Research, 2015

Background Women with intellectual and developmental disabilities (IDD) have lower cervical cance... more Background Women with intellectual and developmental disabilities (IDD) have lower cervical cancer screening rates than women without IDD. Key barriers to screening uptake include physician or caregiver assumptions that screening is unnecessary because women with IDD are not sexually active. Our objective was to compare cervical cancer screening rates in women with and without IDD who had had a pregnancy. Method We conducted a population-based retrospective cohort study using linked Ontario (Canada) health and social services administrative data. We identified 20to 64-year-old women with (N = 5033) and without (N = 527 437) IDD who had had a pregnancy. We examined the occurrence of cervical cancer screening between April 1, 2007 and March 31, 2010. We compared screening rates in women with and without IDD using logistic regression, controlling for age, region of residence, neighbourhood income quintile and morbidity level. Results Women with IDD who had had a pregnancy were more likely than those without IDD to be young, to live in the lowest neighbourhood income quintile, to live in rural areas and to have high or very high morbidity. Even after controlling for these factors, women with IDD were less likely than women without IDD to be screened (67.7% vs. 77.0%; adjusted odds ratio 0.61; 95% confidence interval 0.58-0.65). Conclusions Even among women who have had a pregnancy and are therefore known to have been sexually active, women with IDD face significant disparities in cervical cancer screening. Strategies to promote equitable uptake of cervical cancer screening for women with IDD need to be implemented.

Research paper thumbnail of Participation in intellectual disability research: a review of 20 years of studies

Journal of Intellectual Disability Research, 2010

Background Researchers have noted difficulties in attracting adequate numbers of participants wit... more Background Researchers have noted difficulties in attracting adequate numbers of participants with intellectual disabilities (ID) to their studies. Methods This study was a review of participation by adults with ID in research conducted in South Eastern Ontario over a 20-year period (1987)(1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006). Original research studies were identified by local investigators and then reviewed for inclusion and exclusion criteria. The report of each study was then reviewed by three reviewers and key information was extracted. The extent of study participation was calculated using three methods and compared along with key design characteristics. Results Nine studies met all inclusion/exclusion criteria and provided sufficient data to calculate participation. Among the studies there was a variety of purposes, research designs and recruitment strategies. Using the participant/approached calculation, participation varied between 41.8% and 100%. Higher participation was observed in studies where investigators had direct access to participants, the data collection was non-invasive and consent was required from substitute decision-makers only. There was no clear trend of increasing or decreasing participation over time.