Picture of Dr. Nazeem Muhajarine

Dr. Nazeem Muhajarine Faculty, Community Health and Epidemiology

Research Areas

  • Social epidemiology
  • Population health intervention
  • Maternal and child health
  • Health and place
  • Community-university research collaborations

About Dr. Nazeem Muhajarine

A.B.  Psychobiology, Oberlin College, Oberlin, Ohio, U.S.A.
M.Sc. Epidemiology, School of Public and Population Health Sciences, University of Massachusetts, Amherst, Massachusetts, U.S.A.
Ph.D.  Interdisciplinary: Social epidemiology, University of Saskatchewan, Saskatoon, Canada.

Director, Saskatchewan Population Health and Evaluation Research Unit; Founding member, Community-University Institute for Social Research

Over the past two decades, Dr. Nazeem Muhajarine has established an exemplary record of research, teaching and mentorship, and service. Working with citizens, policy makers and like-minded researchers, he tirelessly leads innovative projects that have profound impacts on a range of stakeholders. His motto, ‘Think Globally, Act Locally,’ guides his research and has led him to focus, largely, on projects that locally address widespread social issues – such as how income-based social inequality can affect health.

Dr. Muhajarine’s projects—such as examining how childrens’ social constructs affect them in early life, or identifying major risks during the prenatal period—often bring together a diverse range of academics and off-campus partners to tackle complex, longitudinal studies on socially-pressing issues. Involving decision-makers early and often is a central tenet of his research process and, in doing so, he ensures his research is beneficial to and addresses questions posed by all affected parties.

In total, Dr. Muhajarine has been involved – often as the Principal Investigator – on more than 80 grants and contracts throughout his career. His research programs have attracted millions of dollars from a wide range of funding agencies, including CIHR, SHRF, Grand Challenges Canada, SSHRC, Heart and Stroke, IDRC, and DFATD.

These studies have resulted in a prolific and diverse body of publications. He has published more than 115 papers in refereed journals, penned 13 peer-reviewed books and chapters in books and has written more than 70 technical reports for a wide range of agencies. For example, Dr. Muhajarine took a major role nationally in his work for the Canadian Index of Wellbeing (CIW), which offers an alternate measure to GDP. He sat on the CIW’s research advisory board for many years, and co-authored the Healthy Populations report (2010) that was released as part of the Index of Wellbeing’s inaugural report.

Dr Muhajarine is also a highly regarded academic leader. At the U of S, he served for two terms as the department head of community health and epidemiology, and was recently was asked to lead the School of Public Health during a transition. Early in his career, he was also instrumental in establishing two highly-successful research units of national significance—the Saskatchewan Population Health and Evaluation Research Unit and the Community-University Institute for Social Research. Currently, he is leading a 38-member Saskatchewan Strategy for Patient-Oriented Research (SPOR) Network in Primary and Integrated Health Care Innovations. In the global health arena, he is leading a U of S submission to continue Canada’s work in Mozambique, focusing on reducing maternal mortality and improving infant health.

He is an exemplary mentor, having supervised 4 post-doctoral fellows, 14 Ph.D. students, 36 Masters students, and 4 undergraduate summer students. He also has sat on the committees of more than 30 others. He is the recipient of multiple awards, including U of Massachusetts’ 2014 Alumni Award for Significant Contributions to his field, the Saskatchewan Health Research Foundation’s Achievement Award (2009) and the Canadian Institutes of Health Research’s (CIHR) Knowledge Translation Award (2006).

Selected Publications

(Names with an asterisk represent students, PDFs or other personnel supervised by Muhajarine.)

Books and Chapters in Books, Peer Reviewed
2014

  • Macqueen Smith F,* Muhajarine N, Delanoy S. Knowledge translation strategies in community based research: Our decision-maker-based approach. In: Jeffery B, Findlay IM, Martz D, Clarke L. Journeys in Community-Based Research. Journeys in Community-Based Research. Regina: University of Regina Press, p. 149-162.
  • H,* Muhajarine N, Loptson K.. (2014). Tripartite collaborations and challenges: Reflecting on the research process of a participatory program evaluation. In: Jeffery B, Findlay IM, Martz D, Clarke L. Journeys in Community-Based Research. Regina: University of Regina Press, p. 122-136.
  • Bandara T,* Muhajarine N. Neighbourhood design and quality of life in Saskatoon. In: Encyclopedia of Quality of Life and Well-Being Research. 2014. p. 4318-4324.
  • Muhajarine N. Health inequities. In: Encyclopedia of Quality of Life and Well-Being Research. 2014. p. 2725-2730.
  • Muhajarine N. Health determinants. In: Encyclopedia of Quality of Life and Well-Being Research. 2014. p. 2717-2720.
  • Muhajarine N. Early childhood development. In: Encyclopedia of Quality of Life and Well-Being Research. 2014. p. 1735-1739.

 2011

  • Muhajarine N, Nickel D,* Macqueen Smith F, Russell G. Using a community-university partnership approach for a complex health program evaluation. In: Bacsu J, Macqueen Smith F, editors. Innovations in Knowledge Translation: The SPHERU KT Casebook. University of Saskatchewan: Saskatchewan Population Health and Evaluation Research Unit; 2011.
  • Macqueen Smith F, Muhajarine N, Smith JA, Delanoy S. Strengthening ties between researchers and decision-makers in person and online: The Saskatchewan Knowledge to Action Network for Early Childhood Development. In: Bacsu J, Macqueen Smith F, editors. Innovations in Knowledge Translation: The SPHERU KT Casebook. University of Saskatchewan: Saskatchewan Population Health and Evaluation Research Unit; 2011.
  • Macqueen Smith F, Nickel D,* Shan H,* Muhajarine N. Early childhood intervention in the community… makes sense, but does it really work? Findings from our three-year collaborative study. Population Health Intervention Research Case Book. Canadian Institutes of Health Research-Canadian Population Health Initiative-CIHI; 2011.

2010

  • Labonte R, Muhajarine N, Winquist B,* Quail J.* Healthy Populations Domain of the Canadian Index of Wellbeing. Toronto, Ontario: CIW Foundation, 2010.
  • McIntosh T, Jeffery B, Muhajarine N. Redistributing Health: New Directions in Population Health Research in Canada. Regina, SK: CPRC Press; 2010.
  • Abonyi S, Johnson S, Martz D, McIntosh T, Muhajarine N, Jeffery B. Towards an ethical framework for population health research in Canada: A place for ethical space? In: McIntosh T, Jeffery B, Muhajarine N, editors. Redistributing Health: New Directions in Population Health Research in Canada. Regina, SK: CPRC; 2010. p. 20-34.
  • Bowen A, Muhajarine N. Integrating population health promotion and prevention: A model approach to research and action for vulnerable pregnant women. In: McIntosh T, Jeffery B, Muhajarine N, editors. Redistributing Health: New Directions in Population Health Research in Canada. Regina, SK: CPRC; 2010. p. 133-150.
  • Cushon J,* Muhajarine N. The cousin of globalization: Neoliberalism and child-relevant policy. In: McIntosh T, Jeffery B, Muhajarine N, editors. Redistributing Health: New Directions in Population Health Research in Canada. Regina, SK: CPRC; 2010. p. 151-168.
    McIntosh T, Jeffery B, Muhajarine N. Introduction: Moving forward on critical population health research. In: McIntosh T, Jeffery B, Muhajarine N, editors. Redistributing Health: New Directions in Population Health Research in Canada. Regina, SK: CPRC Press; 2010. p. xi-xxv.
  • Cushon J,* Muhajarine N. Neighborhoods and health in Saskatoon: A bottom-up approach to urban health research. In: Labonte R, editor. Forgotten Families? Globalization and Health of Canadians. Ottawa: Institute of Population Health; 2010. p. 131-141.

 

Journal Articles, Peer Reviewed
2015

  • Wang J, Engler-Stringer R, Muhajarine N. Assessing the Consumer Food Environment in Restaurants by Neighbourhood Distress Level across Saskatoon, Saskatchewan. Canadian Journal of Dietetic Practice and Research e-First Article: pp. 1-8; doi: 10.3148/cjdpr-2015-031.
  • Williams A, Kitchen P, Randall J, Muhajarine N, Newbold B, Gallina M, Wilson K. Immigrant's Perceptions of Quality of Life in Three Second- or Third-Tier Canadian Cities. The Canadian Geographer First published online: 27 OCT 2015; DOI: 10.1111/cag.12221.
  • Lu PH,* del Canto S, Muhajarine N, Newbold B, Randall J, Williams A, Wilson K. Integrating into Prairie life: The experiences of recent and established immigrants from Asia in Saskatoon, Saskatchewan. Engaged Scholar Journal 2015;2.
  • Cheng J,* Muhajarine N, McMullen L, Dunlop A. Measuring capacity for community-engaged scholarship: Results from an institutional self-assessment at the University of Saskatchewan. Engaged Scholar Journal 2015:2.
  • Katapally TR,* Muhajarine N. Factoring in weather variation to capture the influence of urban design and built environment on globally recommended levels of moderate to vigorous physical activity in children. 2015, October, BMJ Open.
  • Turner K, Reynolds JN, McGrath P, Lingley-Pottie P, Huguet A, Hewitt A, Green C, Wozney L, Mushquash C, Muhajarine N, Sourander A, Caughey H, Roane J. Guided Internet-Based Parent Training for Challenging Behavior in Children With Fetal Alcohol Spectrum Disorder (Strongest Families FASD): Study Protocol for a Randomized Controlled Trial. JMIR Res Protocol 2015;October. DOI: 10.2196/resprot.4723
  • Katapally TR,* Muhajarine N. Capturing the Interrelationship between Objectively Measured Physical Activity and Sedentary Behaviour in Children in the Context of Diverse Environmental Exposures. International J Environmental Research Public Health 2015, 12, 10995-11011; doi:10.3390/ijerph120910995
  • Schwartz L,* Bowen A, Muhajarine N. The Effects of Episodic Versus Continuous and Major Versus Mild Depression and Anxiety Symptoms on Pregnancy and Labour Complications. Archives of Depression and Anxiety 2015;1(1); 010-018.
  • Li H, Bowen A, Szafron M, Moraros J, Muhajarine N. Maternal mental health: a shared care approach. Primary Health Care Research & Development 2015;1: 1-9. DOI:10.1017/S146342361500033X
  • Froehlich-Chow A, Leis A, Humbert L, Muhajarine N. Supporting Healthy Eating Among Rural Early Years Children: A Pulse Crop Pilot Intervention. Journal of Agromedicine 2015;20(3): 383-389.
  • Lotoski L,* Engler-Stringer R, Muhajarine N. Cross-sectional analysis of a community-based cooperative grocery store intervention in Saskatoon, Canada. Canadian J Public Health. Accepted on January 15, 2015.

2014

  • Rahman K,* Bowen A, Muhajarine N. Examining the factors that moderate and mediate the effects on depression during pregnancy and postpartum. Journal of Pregnancy and Child Health. doi:10.4172/2376-127X.1000116
  • Engler-Stringer R, Shah TI,* Bell S, Muhajarine N. Geographic access to healthy and unhealthy food sources for children in neighbourhoods and from elementary schools in a mid-sized Canadian city. Spatial and Spatio-temporal Epidemiology. 2014 Aug:23-32.
  • Randall JE, Kitchen P, Muhajarine N, Newbold B, Williams A, Wilson K. Immigrants, islandness and perceptions of quality-of-life on Prince Edward Island, Canada. Island Studies Journal. 2014 Jun;9(2):343-362.
  • Katapally T,* Muhajarine N. Towards uniform accelerometry analysis: A standardization methodology to minimize measurement bias due to systematic accelerometer wear-time variation. Journal of Sports Science and Medicine. 2014 May;13:379-386.
  • Engler-Stringer R, Le H,* Gerrard A, Muhajarine N. The community and consumer food environment and children’s diet: A systematic review. BMC Public Health. 2014 May;14:522.
  • Bell E, Rasmussen LA, Mazer B, Shevell M, Miller SR, Synnes A, Yager JY, Majnemer A, Muhajarine N, Chouinard I, Racine E. MRI and prognostication in neonatal hypoxic-ischemic injury: A vignette based study of Canadian specialty physicians. Journal of Child Neurology. February 2015; vol. 30, 2: pp. 174-181., first published on May 1, 2014.
  • Green CR, Roane J, Hewitt A, Muhajarine N, Mushquash C, Caughey H, Sourander A, McGrath P, Reynolds JN. Frequent behavioural challenges in children with Fetal Alcohol Spectrum Disorder: A needs-based assessment reported by caregivers and clinicians. Child Psychiatry and Human Development. First published online in 2014 May.

2013

  • Bowen A, Duncan V, Peacock S, Bowen R, Schwartz L, Campbell D, Muhajarine N. Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: A critical review of the literature. Transcultural Psychiatry Epub 2013 Sep 19; 2014;51(1). doi:10.1177/1363461513501712
  • Turnbull H,* Loptson K,* Muhajarine N. Experiences of housing insecurity among participants of an early childhood intervention programme. Child: Care, Health & Development. Published online(Aug 5, 2013). Epub 2013 Aug.
  • Peacock S,* Konrad S,* Watson E, Nickel D, Muhajarine N. Effectiveness of home visiting programs on child outcomes: A systematic review. BMC Public Health. 2013 Jan 9;1313(17). Published online 2013 Jan. Epub 2013 Jan 9.
  • Kramer A, Bowen A, Stewart N, Muhajarine N. Nausea and vomiting in pregnancy: Prevalence, severity and relation to psychosocial health. MCN, The American Journal of Maternal Child Nursing. 2013 Jan;38:3-9.
  • Jin S,* Muhajarine N, Cushon J, Lim H. Factors associated with childhood depression in Saskatoon students: A multilevel analysis. Canadian Journal of Community Mental Health. 2013 Jan;32:29-42.

2012

  • Shan H,* Muhajarine N, Jeffery B, Loptson K. Building social capital as a pathway to success: Community development practices of an early childhood intervention program in Canada. Health Promotion International. 2012 Dec; Advance Access. Epub 2012 Dec 2.
  • Loptson K,* Muhajarine N, Ridalls T, the Smart Cities, Healthy Kids Research Team. Walkable for whom? Examining the role of the built environment on the neighbourhood-based physical activity of children. Canadian Journal of Public Health. 2012 Nov;103(Supplement 3):S29-S34.
  • Esliger D, Sherar L, Muhajarine N. Smart Cities, Healthy Kids: The association between neighbourhood design and children’s physical activity and time spent sedentary. Canadian Journal of Public Health. 2012 Nov;103(Supplement 3):S22-S28.
  • Raine KD, Muhajarine N, Spence JC, Neary NE, Nykiforuk CIJ. Coming to consensus on policy to create supportive built environments and community design. Canadian Journal of Public Health. 2012 Nov;103(Supplement 3):S5-S8.
  • Bowen A, Bowen R, Balbuena L, Muhajarine N. Are pregnant and postpartum women moodier? Understanding perinatal mood instability. Journal of Obstetrics and Gynaecology Canada. 2012 Nov;34(11):1038-1042.
  • Muhajarine N. Built environment health research: The time is now for a Canadian network of excellence. Canadian Journal of Public Health. 2012 Nov;103(Supplement 3):S3-S4.
  • Bartsch J,* Teare G, Muhajarine N, Neufeld A, Hudema N. Secondary prevention of stroke in Saskatchewan, Canada. International Journal of Stroke. 2012 Oct.
  • Muhajarine N, Ng J,* Bowen A, Cushon J, Johnson S. Understanding the impact of Canada Prenatal Nutrition Program: A quantitative evaluation. CJPH (Population Health Intervention supplement). Canadian Journal of Public Health. 2012 Sep;103(Supplement 1):S26-S31.
  • Muhajarine N, Labonte R, Winquist B.* The Canadian Index of Wellbeing: Key findings from the Healthy Populations Domain. Canadian Journal of Public Health. 2012 Sep;103(5):342-347.
  • Bowen AN, Bowen R, Butt P, Rahman K,* Muhajarine N. The patterns of depression and treatment in pregnant and postpartum women. Canadian Journal of Psychiatry. 2012;57(3). Epub 2012.
  • Harrington DW, Wilson K, Bell S, Muhajarine N. Realizing neighbourhood potential? The role of the availability of health care services on contact with a primary care physician. Health and Place. 2012;18:814-823.
  • Vu LH, Le LC, Muhajarine N. Multilevel determinants of colleges/universities enrolment in Vietnam: Evidence from the 15% sample data of population census 2009. Social Indicators Research. 2012(1):1-12. doi:10.1007/s11205-012-0011-2
  • Cushon J, Neudorf CO, Kershaw TM, Dunlop TG, Muhajarine N. Coverage for the entire population: Tackling immunization rates and disparities in Saskatoon Health Region. CJPH Supplement 1: Population Health Intervention Research: Advancing the Field. 2012;103(7):S37-S41.

2011

  • Sherar LB, Eisenmann JC, Chilibeck PD, Muhajarine N, Martin S, Bailey DA, Baxter-Jones ADG. The relationship between trajectories of trunk fat mass development in childhood and cardio-metabolic risk in young adulthood. Obesity. 2011 Aug;19:1699-1706.
  • Cushon J,* Vu L,* Janzen B, Muhajarine N. Neighborhood poverty impacts children’s physical health and well-being over time: Evidence from the Early Development Instrument. Early Education and Development. 2011;22(2):183-205.
  • Shah S, Bowen AN, Mistri RF, Hussain A, Nowshad G, Muhajarine N. Prevalence of antenatal depression: Comparison between Pakistani and Canadian women. Pakistan Journal of Medical Association. 2011;61:242-246.
  • Muhajarine N, Puchala C, Janus M. Does the EDI equivalently measure facets of school readiness for Aboriginal and non-Aboriginal children? Social Indicators Research. 2011;103(2):299-314.
  • Mackillop E,* Martin S, Bowen A, Muhajarine N. The best and worst time of my life: The lived experience and meaning of pregnancy in women with mild to moderate depression. Journal of Prenatal and Perinatal Psychology and Health. 2011;24(3):174-195.
  • Muhajarine N, Ng J,* Bowen A, Cushon J, Johnson S. Understanding the impact of Canada Prenatal Nutrition Program: A quantitative evaluation. CJPH Supplement 1: Population Health Intervention Research: Advancing the Field. 2011;103(7):S26-S31.
  • Muhajarine N, Fortin P,* Macqueen Smith S, Majnemer A. Practices and plans for knowledge translation at NeuroDevNet. Seminars in Pediatric Neurology. 2011;18(1):26-30.

 

Technical Reports Relevant to Academic Field
2014

  • Muhajarine N, Green K, Sivajohanathan D, Babu Chelladurai S, Todd T. (2014). Evaluation of the Government of Saskatchewan’s FASD-Related Services: Cognitive Disabilities Consultants and Community-Based Support Programs. Saskatchewan Population Health and Evaluation Research Unit, 123 pp.
  • Engler Stringer R, Muhajarine N and Smart Cities, Healthy Kids research team. (2014). Food Environment Profile for Saskatoon Elementary Schools. Saskatchewan Population Health and Evaluation Research Unit, 89 pages.
  • Muhajarine N, Tunison S, Engler-Stringer R, Vatanparast H, Sivajohanathan D, Boateng P, Chu LM. (2014). Food For Thought Nutrition Program Saskatoon. Saskatchewan Population Health and Evaluation Research Unit, 8 pages.

2013

  • Engler-Stringer R, Muhajarine N, Le H, del Canto S, Ridalls T. (2013). Characterizing the Food Environment in Saskatoon for Families with Children: Research Methods and Descriptive Results. Saskatchewan Population Health and Evaluation Research Unit. Funding Sources: Canadian Institutes of Health Research (CIHR) - 106643
  • Muhajarine N, Sivajohanathan D. Saskatchewan Alliance for Youth and Community Well-Being: An environmental scan report on youth health surveys in Saskatchewan. Saskatchewan Population Health and Evaluation Research Unit; 27 p.

2012

  • Neudorf C, Muhajarine N, Marko J, Murphy L, Macqueen Smith F, Clarke A, Ugolini C, Wu J. Healthy children, healthy families, healthy communities: A report of the Chief Medical Health Officer on the health status and development of young children in Saskatoon Health Region. Saskatoon Health Region; 2012. 156 p.
  • Muhajarine N, Anderson L, Lysack M, Guhn M, Macqueen Smith F. Developmental health knowledge as a catalyst for healthy family policies in Canada: Briefing note. National Collaborating Centre for Healthy Public Policy; 2012. 8 p.
  • Muhajarine N, the Smart Cities, Healthy Kids Research Team. Bikeable Saskatoon [Smart Cities, Healthy Kids fact sheet series]. University of Saskatchewan: Saskatchewan Population Health and Evaluation Research Unit; 2012. 4 p.
  • Muhajarine N, the Smart Cities Healthy Kids Research Team. Are we designing cities with children in mind? [Smart Cities, Healthy Kids fact sheet series]. University of Saskatchewan: Saskatchewan Population Health and Evaluation Research Unit; 2012. 4 p.

2011

  • Kershaw P, Anderson L, collaborators with kidSKAN (Muhajarine, Macqueen Smith). Does Canada work for all generations? Reports on family policy in all 10 provinces. Human Early Learning Partnership, University of British Columbia; 2011. 28 p.
  • Muhajarine N, Fortin P, Macqueen Smith F, Chomiak M. Taking the measure of knowledge translation capacity within NeuroDevNet: A baseline environmental scan. NeuroDevNet; 2011.
  • Muhajarine N. Smart Cities, Healthy Kids: School reports. Physical activity profiles. 2011.
  • Macqueen Smith F, Muhajarine N, Chouinard M. Fact sheet series [7 fact sheets]. March 2011.
  • Chad K, Muhajarine N, Baxter Jones A, Fisher K, Hawley J, Green K, Esliger D. An overview of healthy weights in Saskatchewan. March 31, 2011. Commissioned paper by Ministry of Health, Government of Saskatchewan; 2011. 47 p.
  • Chad K, Muhajarine N, Baxter-Jones A, Fisher K, Hawley J, Green K, Esliger D. A healthy weights framework for Saskatchewan. Ministry of Health, Government of Saskatchewan. 2011. 56 p.

2010   

  • Bowen A, Duncan V, Peacock S, Bowen R, Campbell D, Gawley L, Muhajarine N. The state of the literature regarding depression, anxiety, and mood problems in pregnant and postpartum First Nations, Inuit, and Indigenous women in North America (including Hawaii), Australia, and New Zealand. Saskatoon, SK: University of Saskatchewan Printing. First Nations and Inuit Health Branch, Health Canada; 2010. 77 p.
  • Muhajarine N, Nickel D, Shan H. KidsFirst program evaluation: Summary of findings and recommendations. Submitted to Government of Saskatchewan. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.
  • Muhajarine N, Turnbull H, Lopston K, Premji S, Shan H, Leggett T, McMullin K. KidsFirst program evaluation. Report of the qualitative study. Submitted to Government of Saskatchewan. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.
  • Labonte R, Muhajarine N, Winquist B, Quail J. Healthy Populations Domain of the Canadian Index of Wellbeing. Toronto, ON: CIW Foundation; 2010.
  • Muhajarine N, Anderson L, Lysack M, Guhn M, Maqueen Smith F. Assessing Canadian family policy to enhance developmental health in the near term: A Canadian assessment tool, with an assessment of the four western provinces (British Columbia, Alberta, Saskatchewan and Manitoba). A commissioned report prepared for the National Collaborating Centre for Healthy Public Policy. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.
  • Gates R, Nickel D, Muhajarine N, KidsFirst Evaluation Research Team. The effectiveness of home visitation interventions similar to KidsFirst, Saskatchewan: A focused literature review. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.
  • Muhajarine N, Nickel D, Nesdole R. KidsFirst program evaluation: Report of the quantitative study. Submitted to Government of Saskatchewan. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.
  • Muhajarine N, Green K, Macqueen Smith F, Ghiglione P, Mckenzie Smith T, Barker R. Prairie Children…Prairie Futures (Southeast Saskatchewan) Understanding the Early Years. Community mapping study of children in southeast Saskatchewan. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.
  • Muhajarine N, Green K, Macqueen Smith F, Puchala C, Winquist B, Zink B, Mitchell M. Moose Jaw-South Central Understanding the Early Years: Community mapping study of children in Moose Jaw-South Central. Saskatoon, SK: Saskatchewan Population Health and Evaluation Research Unit; 2010.