Need for equity in treatment of substance use among Indigenous people in Canada

Urbanoski, Karen

doi:10.1503/cmaj.171002

Cited by 26 publications

(17 citation statements)

References 11 publications

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“…As such, being a member of a stigmatized group creates several barriers in an individual's day to day life, and it is crucial to identify these groups to make healthcare services and social supports more accessible for these populations (McKenzie, Dell, & Fornssler, 2016). Lastly, identifying highly stigmatized groups can lead to the development and implementation of anti-stigma interventions to target the stigma surrounding a given population (Urbanoski, 2017).…”

Section: Discussionmentioning

confidence: 99%

The Impact of Indigenous Identity and Treatment Seeking Intention on the Stigmatization of Substance Use

Winters

Harris

2019

Int J Ment Health Addiction

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Section: Discussionmentioning

confidence: 99%

The Impact of Indigenous Identity and Treatment Seeking Intention on the Stigmatization of Substance Use

Winters

Harris

2019

Int J Ment Health Addiction

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“…For example, substance use interventions targeted to Indigenous people were not more likely to be selected in our study, despite the fact that tailored and targeted programs are needed to support Indigenous people who use drugs. [42][43][44] Likewise, tailored and targeted interventions addressing mental health and substance use are needed for gbMSM, even though this need may not be as widely recognized as their need for interventions addressing HIV and other STIs. 45 These ndings suggest that the public may not be equally and su ciently knowledgeable about the full range of inequities facing key populations and that if they were, they might be more supportive of tailored and targeted interventions for high-need populations.…”

Section: Primary Findingsmentioning

confidence: 99%

Do Canadians Support Tailored And Targeted Public Health Programs? A Discrete Choice Experiment

Card

Adshade

Hogg

et al. 2021

Preprint

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Background. We aimed to assess public support of tailored and targeted public health interventions for various marginalized communities. Methods. We conducted a discrete choice experiment using a web-based survey advertised to Facebook and Instagram users living in Canada, aged >16. Participants were asked to choose between funding two hypothetical public health programs. Each program was described by its purpose; expected increase in life expectancy; and target group. Demographically-weighted generalized linear mixed-effects models were constructed to identify program factors associated with program selection.Results. 23,889 exercises were completed by 3,054 participants. Selected programs were less likely to focus on prevention (vs. treatment). For each 1-year increase in the marginal years of life gained, there was a 15% increase in the odds of a program being selected. Interventions tailored to marginalized communities or targeting stigmatized health conditions were less likely to be selected compared with interventions targeted to the general population or targeting chronic health conditions. Noteworthy exceptions included an increased preference for interventions aligning with the perceived needs of marginalized communities (e.g. HIV and men who have sex with men). Conclusions. Stigmatizing perceptions of health conditions and key populations likely influence public health programming preferences of Canadians. Informational campaigns highlighting disparities experienced by marginalized populations may improve support for targeted and tailored interventions.

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“…Global persistence of health inequities for Indigenous peoples is evident in higher rates of illness and disease, food insecurity, living standards and mental health [1,3,4,8,13,14,16,19,33,34]. International literature on health inequities suggests the key to successful outcomes is held within communities who have taken control over their health, health services and systems [12,36].…”

Section: Introductionmentioning

confidence: 99%

Decolonizing health in Canada: A Manitoba first nation perspective

Eni

Phillips-Beck

Achan

et al. 2021

Int J Equity Health

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Introduction & Background Global persistence of health inequities for Indigenous peoples is evident in ongoing discrepancies in health and standards of living. International literature suggests the key to transformation lies in Indigenous efforts to control Indigenous health and healthcare. Previous authors have focused upon participation, structural transformation, and culturally appropriate healthcare recognized as a political right as fundamental tenets of Indigenous control. Contextualizing Indigenous health and wellness falls within a growing discussion on decolonization – a resituating of expertise that privileges Indigenous voice and interests. Methods The study is a qualitative, grounded theory analysis, which is a constructivist approach to social research allowing for generation of theory in praxis, through interactions and conversations between researchers and participants. One hundred eighty-three interviews with additional focus groups were held between 2013-15 in eight Manitoba First Nation communities representing different models of health delivery, geographies, accessibilities, and Indigenous language groups. Community research assistants and respected Elders participated in data collection, analysis and interpretation. Line-by-line coding and constant comparative method led to the discovery of converging themes. Findings Ultimately four main themes arose: 1) First Nation control of healthcare; 2) traditional medicine and healing activities; 3) full and meaningful community participation; and 4) cleaning up impacts of colonization. Joint analyses and interpretation of findings revealed substantial evidence that communities were looking profoundly into problems of improperly delivered services and health inequities. Issues were consistent with those highlighted by international commissions on reconciliation, health, Indigenous rights and liberties. To those documents, these findings add ground upon which to build the transformative agenda. Results & Discussion Communities discussed the need for creation of protocols, constitution and laws to ensure growth of a decolonizing agenda. Inclusive to the concept are holistic, preventative, traditional health perspectives, and Indigenous languages. Colonization impacts were of critical concern and in need of undoing. Sharing of social and political efforts is seen as pivotal to change and includes all members of communities.

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Need for equity in treatment of substance use among Indigenous people in Canada

Cited by 26 publications

References 11 publications

The Impact of Indigenous Identity and Treatment Seeking Intention on the Stigmatization of Substance Use

The Impact of Indigenous Identity and Treatment Seeking Intention on the Stigmatization of Substance Use

Do Canadians Support Tailored And Targeted Public Health Programs? A Discrete Choice Experiment

Decolonizing health in Canada: A Manitoba first nation perspective

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