Using latent class analysis to operationalize a wholistic assessment of Inuit health and well-being.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Morgen Bertheussen, Mylene Riva, Brittany Wenniserí Iostha Jock, Christopher Fletcher, Pierre Ayotte, Gina Muckle, Natalia Poliakova, Richard Bélanger
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引用次数: 0

Abstract

Many indigenous cultures conceptualize health wholistically, whereby physical, mental, spiritual and relational dimensions of health are interconnected. Yet, quantitative approaches to studying Indigenous health remain anchored in western perspectives, that separate the dimensions of health. This paper aims to operationalize a wholistic indicator of health based on the IQI model of Inuit health. Variables from the 2017 Nunavik Health Survey (N = 1196) were selected based on their representativeness of IQI model. Exploratory Latent Class Analysis (LCA) was used to identify wholistic health profiles. Once participants assigned to their health profile, sociodemographic characteristics were compared across profiles, and multinomial regression models were used to examine the relationship between community-level social determinants of health and the profiles. The LCA revealed three health profiles, labelled as "excellent", "good" and "fair" based on the distribution of answers to the indicators. Nunavimmiut in "excellent" and "good" health were more likely to: rate their health positively; be over 30 years old; be in a relationship; and have participated or volunteered in community events. Nunavimmiut in "fair" health tended to report lower levels of community cohesion, family relationships, and emotional support. Intergrating culturally relevant models of health can support improved health status assessments and identify opportunities for health promotion.

利用潜类分析对因纽特人的健康和福祉进行整体评估。
许多原住民文化对健康的概念是全面的,即身体、心理、精神和关系层面的健康是相互关联的。然而,研究原住民健康的定量方法仍以西方观点为基础,将健康的各个维度分开。本文旨在根据因纽特人健康的 IQI 模型,对整体健康指标进行操作化。根据 IQI 模型的代表性,选择了 2017 年努纳维克健康调查(N = 1196)中的变量。探索性潜类分析(LCA)用于识别整体健康特征。一旦参与者被分配到自己的健康档案,则对不同档案的社会人口特征进行比较,并使用多项式回归模型来研究社区层面的健康社会决定因素与档案之间的关系。生命周期评估显示了三种健康状况,根据指标答案的分布分为 "优秀"、"良好 "和 "一般"。健康状况 "极佳 "和 "良好 "的努纳维米安人更有可能:对自己的健康状况给予积极评价;年龄在 30 岁以上;有伴侣;参加过社区活动或做过志愿者。健康状况 "一般 "的努纳维米人往往在社区凝聚力、家庭关系和情感支持方面表现较差。纳入与文化相关的健康模式可以支持改进健康状况评估,并确定促进健康的机会。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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