Exploring the determinants of health for First Nations peoples in Canada: can existing frameworks accommodate traditional activities?

Wilson, Kathleen; Rosenberg, Mark W.

doi:10.1016/s0277-9536(01)00342-2

Cited by 93 publications

(59 citation statements)

References 25 publications

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“…This is a positive finding because it empowers the population to know and understand what services are available from COHI that could potentially benefit the oral health of the community. Utilisation and access to healthcare services are important determinants of health for both Aboriginal and non-Aboriginal Canadians [14]. These results support other reports which suggest traditional community-based healing and counselling is an effective way to manage health promotion and disease prevention by integrating new knowledge about dental caries that traditional healing methods have been unable to address [12,14].…”

Section: Discussionsupporting

confidence: 81%

The perceptions of first nation participants in a community oral health initiative

Mathu‐Muju

McLeod

Donnelly

et al. 2017

International Journal of Circumpolar Health

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The Children’s Oral Health Initiative (COHI) is a federally funded community-based preventive dental program for children and their caregivers living in geographically isolated Canadian Aboriginal communities. The goal of the program is to improve access to preventive dental services for children of 0–7 years of age. It utilises community health workers in collaboration with dental therapists to promote and deliver the program. Almost half of the province of Manitoba’s (n=27) First Nations communities have implemented COHI since 2005. The objective of this investigation was to explore the opinions of COHI from the perspective of community members whose children had participated in the program. Purposeful selection identified caregivers of enrolled children for a semi-structured interview. The targeted caregivers had children who met at least one of the following criteria: (1) 0–2 years old; (2) 5–7 years old; (3) had two or more children either currently or formerly enrolled in COHI. Six open-ended questions guided the interview process. Content analysis was used to code transcripts and identify themes. One hundred and forty-one interviews were completed in 13 communities. Participants defined good oral health as the absence of dental cavities, which reflects a Western biomedical model of disease. The local, community-based nature of COHI was viewed as essential to its success in increasing access to preventive dental services and improving children and caregivers’ oral health knowledge and behaviours. In conclusion, a local, community-based oral health prevention programme is perceived as having a beneficial effect on children and caregivers’ oral health knowledge and behaviours. However, oral health preventive messages need to be further integrated into traditional Aboriginal holistic models of wellness.

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Section: Discussionsupporting

confidence: 81%

The perceptions of first nation participants in a community oral health initiative

Mathu‐Muju

McLeod

Donnelly

et al. 2017

International Journal of Circumpolar Health

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“…5,18 This finding warrants further investigation given that parent/guardian perceptions of the importance of traditional cultural events in their child's life was not independently associated with MVPA or traditional physical activities. Physical activity is often perceived as good medicine among Aboriginal peoples, and traditional activities are considered especially relevant in this regard.…”

Section: Canadian Journal Of Public Health • November/december 2014 E415mentioning

confidence: 88%

Correlates of physical activity among First Nations children residing in First Nations communities in Canada

Janssen

Lévesque

Xu³

2014

Can J Public Health

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“…19 The APS assessed current smoking via the question "at the present time do you smoke cigarettes daily, occasionally or not at all?" Several culturally-specific factors were considered based on the components of an Aboriginal-specific determinants of health framework, [5][6][7] including level of spirituality, knowledge of an Aboriginal language, membership in a Métis organization, and last time attending a Métis cultural event or a pilgrimage, or having seen Métis artists perform. Level of spirituality was coded into four categories: "very religious or spiritual", "moderately religious or spiritual", "not very religious or spiritual", and "not at all religious or spiritual".…”

Section: Variablesmentioning

confidence: 99%

“…5 Retention of Aboriginal languages, participation in traditional activities, environmental and cultural connections, and spirituality have been identified as components of an Aboriginal-specific health framework. [5][6][7] One could therefore hypothesize that these determinants of health might be connected to health behaviours among Aboriginal peoples, including the Métis. The Métis, a distinct and constitutionally recognized Aboriginal Canadian group with a population of close to 400,000 people, 8 like other Aboriginal Canadians, are at higher risk of suffering from chronic health conditions, such as respiratory and cardiovascular disease, than are non-Aboriginal Canadians.…”

mentioning

confidence: 99%

“…13,14 Given the importance of cultural identity to health, 5 the historical and cultural significance of tobacco among Aboriginal peoples, 15,16 and the potential negative association between spirituality and smoking, 13,14,17 an examination of how culturally-specific factors are correlated with smoking among Métis is warranted to guide the development of public health interventions to decrease rates of smoking among this population. Guided by an Aboriginal-specific determinants of health framework, [5][6][7] and prior evidence on the correlates of smoking among the general population, [10][11][12][13][14] For the independent variables, the combination of "don't know", "not stated" and "refused" responses ranged from 0% to 4.1%. We determined that missing cases could be safely treated as missing at random after examining the relationships between non-response and the outcome variable.…”

mentioning

confidence: 99%

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The correlates of current smoking among adult Métis: Evidence from the Aboriginal Peoples Survey and Métis Supplement

Ryan

Cooke

Leatherdale

et al. 2015

Can J Public Health

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OBJECTIVE: To examine the correlates of current smoking among Métis aged 18 years and older, with a particular focus on culturally-specific factors. Cultural factors included spirituality, knowledge of an Aboriginal language, membership in a Métis organization and attendance at Métis cultural events. Demographic, geographic, socio-economic and health-related variables were also considered.METHODS: Data from 6,610 adult Métis aged 18 years and older who responded to the 2006 Aboriginal Peoples Survey and Métis supplement were used to examine the correlates of current smoking using sequential binary logistic regression modelling.RESULTS: Overall, 39.9% of adult Métis respondents in the sample were current smokers. Adult Métis who reported a high level of spirituality were less likely to be current smokers. Those who spoke an Aboriginal language, or lived in a house where an Aboriginal language was spoken, were more likely to be current smokers. Being a member of a Métis organization and attending cultural events were not independently associated with current smoking. Métis with higher household income, greater education, higher self-perceived health, and greater physical activity participation were less likely to be current smokers, whereas those who reported heavy alcohol consumption were more likely to be current smokers. CONCLUSIONS:The results of this study suggest that interventions aimed at reducing smoking among adult Métis might be more successful if they include some connection to spirituality. It is also evident that co-occurring risk behaviours, in addition to demographic and socio-economic factors, are important considerations when developing interventions to reduce smoking among this population.KEY WORDS: Smoking; tobacco; Indigenous population; adult; Canada La traduction du résumé se trouve à la fin de l'article.

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Exploring the determinants of health for First Nations peoples in Canada: can existing frameworks accommodate traditional activities?

Cited by 93 publications

References 25 publications

The perceptions of first nation participants in a community oral health initiative

The perceptions of first nation participants in a community oral health initiative

Correlates of physical activity among First Nations children residing in First Nations communities in Canada

The correlates of current smoking among adult Métis: Evidence from the Aboriginal Peoples Survey and Métis Supplement

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