An interview project with native American people: a community-based study to identify actionable steps to reduce health disparities

Leston, Jessica; Crisp, Carolyn; Lee, C.; Rink, Elizabeth

doi:10.1016/j.puhe.2018.12.002

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…Building relationships from the outset, intentionally positions communities for ownership and implementation of actionable strategies for better ECOH [ 26 ]. Community partners helped design study questions, identified study sites, coordinated the setting up of focus groups in culturally appropriate and respectful ways, explained and took the lead on local engagement protocols and reviewed data, manuscripts and knowledge translation materials created from the results.…”

Section: Methodsmentioning

confidence: 99%

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

Kyoon-Achan

Schroth

DeMaré

et al. 2021

Int J Equity Health

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Background Inequities in early childhood oral health are evident amongst Indigenous peoples and communities in Manitoba, Canada. Early childhood caries (ECC) is decay in primary dentition in children under 6 years of age. A severe form of the disease occurs at a higher rate in Indigenous populations compared to the general population. ECC has been strongly associated with social determinants of health. Methods Focus groups and sharing circles were conducted with four First Nations and Metis communities in urban and rural communities in Manitoba. There were eight groups in total of purposively sampled participants (n = 59). A grounded theory approach guided thematic analysis of audio recorded and transcribed data. Results Indigenous participants experienced challenges similar to those found in the general population, such as encouraging and motivating parents and caregivers to establish regular oral hygiene routines for their children. However other challenges reported, disproportionately affect Indigenous communities. These include poor access to dental care, specifically no dental offices within 1 h driving radius and not having transportation to get there. Not having evidence-based oral health information to support good oral hygiene practices, preventing parents from making the best choices of oral hygiene products and oral health behaviours for their children. Poverty and food insecurity resulting in poor nutritional choices and leading to ECC. For example, feeding children sugary foods and beverages because those are more readily avialble than healthy options. Confusing or difficult encounters with dental professionals, highlighted as a factor that can erode trust, reduce compliance and impact continued attendance at dental offices. Conclusion Closing existing early childhood oral health gaps for First Nations and Metis peoples and communities requires equity-oriented healthcare approaches to address specific problems and challenges faced by these populations. Family, community and systemic level interventions that directly implement community recommendations are needed.

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Section: Methodsmentioning

confidence: 99%

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

Kyoon-Achan

Schroth

DeMaré

et al. 2021

Int J Equity Health

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“…This method of data collection is used to highlight the importance of the vidual without diminishing the prospect of community and collaboration [82]. method of data collection has been utilized either in conjunction with other qualit methods [74] or by itself [49,52,83,84]. We chose this data collection method over The Wiyot Tribe and CPH have collaborated through the development of the Sea Level Rise Institute (SLRI).…”

Section: Informing Co-management Of a University Forestmentioning

confidence: 99%

Listening to Indigenous Voices, Interests, and Priorities That Would Inform Tribal Co-Management of Natural Resources on a California State University Forest

Erickson

Boston

Dockry

et al. 2022

Forests

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Indigenous communities have experienced a loss of access and ability to contribute to the management of natural resources due to removal from lands, marginalization, and conflicting knowledge systems. Currently, there is increasing momentum toward re-engaging tribes as stewards of their ancestral lands. This article outlines tribal views on co-management and identifies the forest management objectives of a tribal partner to help better inform a forest co-management partnership between a Native American Tribe (Wiyot Tribe) and a California Polytechnic State University (Humboldt). Qualitative research methods were used to analyze 13 semi-structured interviews utilizing an adaptive co-management framework with enrolled tribal members and representatives to understand the expectations and perceived barriers to a successful co-management relationship. Interviewees repeatedly mentioned interest in the management of wildlife, forest health and resilience, and fuels reduction. Participants also expressed interest in incorporating education and training of tribal youth in the management of forest resources and traditional ecological knowledge. The semi-structured interviews provided participants a platform to share their thoughts and express their feelings regarding the future stewardship of ancestral forest lands.

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“…De esta manera, se ha enfatizado en la necesidad de aproximaciones holísticas, comunitarias y centradas en la familia y en los jóvenes al momento de diseñar programas de promoción y prevención para lograr tener efecto en las comunidades (51). Esto puede lograrse a través de la estrategia de investigación participativa basada en la comunidad (CBPR, por sus siglas en inglés), la cual ha demostrado fortalecer la capacidad investigativa y formar vínculos entre los investigadores y las comunidades (52).…”

Section: Etnoeducación Promoción De La Salud Y Prevención De La Enfermedadunclassified

“…Las estrategias CBPR buscan fomentar el compromiso y la participación de las comunidades a través de las dinámicas colaborativas con los investigadores teniendo en cuenta la evidencia disponible para las intervenciones (52).…”

Section: Etnoeducación Promoción De La Salud Y Prevención De La Enfermedadunclassified

Etnoeducación: educación para la salud desde la diversidad cultural

Hernández-Martínez

Cuartas-Agudelo

Herrera-Almanza

et al. 2021

MedUNAB

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Introducción: En un país multicultural como Colombia, la etnoeducación es un importante elemento en la educación médica, pues favorece la calidad de vida de minorías étnicas a partir de potencialidades comunitarias, prácticas, hábitos, experiencias y enfoques que promuevan el sentido global de la salud. El objetivo de este artículo fue realizar una revisión narrativa sobre los antecedentes de la etnoeducación y su impacto en la salud. El desarrollo de competencias interculturales en los estudiantes del área de la salud permitiría a los futuros profesionales desempeñar su rol con adecuada pertinencia cultural, respetando los valores, tradiciones e historia de las comunidades. Temas tratados: A nivel mundial, la etnoeducación ha sido un aspecto relevante, organizaciones internacionales han trabajado durante décadas para su implementación. A nivel nacional, se han creado diversos instrumentos normativos y reglamentación para la implementación de la etnoeducación, sin embargo, cerca del 86% de las poblaciones étnicas no cuentan con acceso a educación que cumpla con los principios establecidos. La importancia de la etnoeducación se ha evidenciado en varios países, brindando resultados positivos como la disminución de la morbimortalidad con actividades educativas de promoción de la salud y prevención de la enfermedad. Para ello, es crucial que las acciones planteadas se integren con las percepciones culturales de las comunidades. Conclusión: Existen muchos lineamientos a nivel local, nacional e internacional, sin embargo, la etnoeducación continúa siendo un reto. Es necesario aumentar los esfuerzos para que la etnoeducación logre los objetivos que están planteados desde el punto de vista teórico.

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An interview project with native American people: a community-based study to identify actionable steps to reduce health disparities

Cited by 7 publications

References 15 publications

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study

Listening to Indigenous Voices, Interests, and Priorities That Would Inform Tribal Co-Management of Natural Resources on a California State University Forest

Etnoeducación: educación para la salud desde la diversidad cultural

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